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Volume 43, Issue 11
Displaying 1-8 of 8 articles from this issue
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— EVALUATION BY ENDOSCOPIC COLOR DOPPLER ULTRASONOGRAPHY—Takahiro SATO, Katsu YAMAZAKI, Jouji TOYOTA, Yoshiyasu KARINO, Takulni ...2001 Volume 43 Issue 11 Pages 2101-2105
Published: November 20, 2001
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSAfter endoscopic injection sclerotherapy (EIS) for esophageal varices, the unusual hemodynamic findings with endoscopic color Doppler ultrasonography (ECDUS) were observed. These ECDUS findings were as follows: the intramural blood flow images in the cardiac region were detected, and the outflow type perforating veins were continuous to para-esophageal veins. We evaluated the frequencies of the these ECDUS findings and the recurrence rates of esophageal varices. The frequencies of the these ECDUS findings were 9 of 215 patients(4.2%). The recurrence of esophageal varices was detected in l of 9 patients(11.1%). The color flow images with ECDUS revealed the outflow type perforating veins from the intramural blood flow in the cardia to the para-esophageal veins in no recurrent esophageal varices. On the other hand, ECDUS revealed the inflow type perforating veins from the para-esophageal veins to intramu-ral blood flow of the esophagus in case of recurrent esophageal varices.View full abstractDownload PDF (1770K) -
Yasuhiro NAGAHARA, Shouichi TANAKA, Tsunenori KOSAKA, Hirotoshi FUKATS ...2001 Volume 43 Issue 11 Pages 2106-2110
Published: November 20, 2001
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSThe complete type of Behcet's disease with esophageal ulcers is extremely rare in Japan. We report here a case of the complete type of Behcet's disease with recurrent multiple shallow ulcers cf the esophagus. A 56-year-old man was admitted to our hospital due to dysphasia, pain in oral cavity and fever. He was diagnosed as having Behcet's disease on 1971 and treated with oral administra-tion of colchicine(0.5g/day). He had oral and genital ulcers and skin lesions on admission. Laboratory data disclosed accelerated ESR, positive ARP and leukocytosis. Upper gastrointes-tinal endoscopy revealed multiple shallow small ulcers and erosions in the upper and middle esophagus. The histology of biopsy specimens showed non-specific inflammation. Oral administration of colhicine at an increase dose(1.0mg/day)was effective. Thus, esophageal ulcers were considered as an esophageal involvement of Behcet's disease. Nineteen months later, esophageal ulcer recurred with aggravation of other Behcet's disease symptoms.View full abstractDownload PDF (3980K) -
Hiroyuki KASHIWAGI, Yasumasa KONDOH, Osamu CHINO, Masatoshi OHTA, Jun ...2001 Volume 43 Issue 11 Pages 2111-2114
Published: November 20, 2001
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSThe patient was a 55-year-old male in whom peritoneal dialysis had been introduced for chronic renal failure since 42-years-old. He developed hernatomesis suddenly during the hospitalization for ileus caused by sclerosing peritonitis. Endoscopic examination showed a circular peeled esophageal mucosa, so called "mucosal bridge", and some coagulations in the lower esophagus. His condition could not improve by fasting and intravenous hyperalimenta-tion with H2-blockers. He died of heart failure on 21 days after hematomesis. Suhmucosal dissection of the esophagus is rare in esophageal disorders and the etiology remains uncertain. In this case, we think that submucosal hematoma caused by mechanical injury relayed to vomiting ruptured and the esophageal mucosa was then dissected.View full abstractDownload PDF (2852K) -
Yasuki HACHISUKA, Kazuhide IWAKAWA, Yoshito ONO, Akihiro TAKAI, Katsuh ...2001 Volume 43 Issue 11 Pages 2115-2120
Published: November 20, 2001
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSWe reported a case of Dieulafoy's type ulcer of the rectum. A 77-year-old woman was admitted to our hospital, due to massive lower gastrointestinal bleeding and shock. Colonos-copic findings showed an exposed vessel in the lower rectum. A transanal resection of mucosa was performed. Because the histopathological examination revealed an abnorrnal vessel in the submucosa, we diagnosed Dieuiafoy's type ulcer of the rectum. when we encounter sudden massive rectal bleeding, it is important to keep in mind Dieulafoy's type ulcer of the rectum and choose the reliable treatment for hemostasis.View full abstractDownload PDF (4550K) -
Yuko MIYATA, Hiroki YAMADA, Susumu TATENO, Tohru HAYASHI2001 Volume 43 Issue 11 Pages 2121-2125
Published: November 20, 2001
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA 69-year-old female was admitted to our hospital because of polyneuropathy. After the admission, dementia appeared and progressed rapidly and MR scan (T2WI) shows hyperintensity in the bil. medial temporal lobes. Paraneoplastic limbic encephalitis and carcinomatous polyneuropathy were suspected. Colonoscopy revealed a 5.5×7cm ulcerating neoplasms with elevated edges in the rectum. Abdominoperineal resection was performed. The histological diagnosis was undifferentiated carcinoma. The primary lesion of small cell carcinoma is commonly in the lung. Undifferentiated carcinoma of the colon with paraneoplastic limbic encephalitis and carcinomatous polyneuropathy was thought very rare.View full abstractDownload PDF (6727K) -
Hideaki TANAMI, Satoshi OKABE, Toshiaki FUKAHARA, Hiroshi KUWABARA, Sh ...2001 Volume 43 Issue 11 Pages 2126-2130
Published: November 20, 2001
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA 68-year-old male developed bloody stool. Colonoscopic examination revealed a polypoid lesion in the bottom of the cecum, which was 6.1×4.5 cm in size. The biopsy specimen showed well differentiated adenocarcinoma. With a preoperative diagnosis of polypoid invasive cancer right hemicolectomy with lymph node dessection was performed. He has been uneventful after the operation. Histological examination revealed an intramucosal carcinoma of the cecum with appendiceal intussusception.View full abstractDownload PDF (4548K) -
Jyunya KATO, Takeshi HORI, Chihiro NAKANISHI, Satoru HASUIKE, Shojiro ...2001 Volume 43 Issue 11 Pages 2131-2135
Published: November 20, 2001
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA 74-year-old man was diagnosed with, hepatocellular carcinoma accompanying liver cirrhosis and esophagogastric varices due to HCV infection in 1994. A prophylactic esophageal variceal endoscopic injection sclerotherapy was performed in 1995. In March 1998, the esophageal varices were treated by an emergent endoscopic injection sclerotherapy because of cardiac variceal bleeding. After sclerotherapy, cardiac varices became unnoticeable by the endoscopic examination. However, by using the endoscopic ultrasonography, the presence of small vessels was detected in the submucosa of the cardiac portion of the stomach. In July 1998, he was admitted to our hospital because of hematemesis and melena. Small erosion with red plaque was detected in the cardiac region of the stomach and this erosion was thought to be the focus of the bleeding. O-ring was applied at the bleeding site by an emergent endoscopic variceal ligation. One month later, he died because of obstructive jaundice due to pancreatic cancer. Autopsy examination showed dilated small vessels in the submucosa of the cardiac portion of the stomach indicating cardiac varices. This case suggests that cardiac varices with atypical variceal form are possible focuses of bleeding in a patient who underwent a previous endoscopic therapy.View full abstractDownload PDF (4831K) -
Norikazu KAMOSHITA, Tadahiro YOKOMORI, Hiroshi IESATO, Tamotu YAMADA, ...2001 Volume 43 Issue 11 Pages 2136-2139
Published: November 20, 2001
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSLaparoscopic repair was succefully performed for obturator hernia which is a relatively rare entity. A 68-year-old woman was admitted to the hospital because of nausea and vomiting. Her height was 146 cm and the weight was 33 kg. She had right lower abdominal tenderness but no muscule guarding. Howship-Romberg's sign was not present. There were no inflamma-tory signs in the laboratory data. Abdominal plain X-ray film showed the dilated ileum with air-fluid level. Pelvic computed tomograms showed a tumor, 2.0×1.6 cm in size, between the right pubic muscle and external obturator muscle. Right obturator hernia was diagnosed. We performed a laparoscopic surgery. It was found that the ileum incarcerated into the right obturator foramen. The incarcerated ileum was restored by pullback. There was no need of resection for the ischemic ileum. The hernial hilum was closed with direct sutures. She had no complications such as pneumonia and was discharged from the hospital on the ninth postoperative day.View full abstractDownload PDF (4321K)
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