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Volume 43, Issue 2
Displaying 1-13 of 13 articles from this issue
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Masao TAKADA, Junji YOSHINO, Kazuo INUI, Takao WAKABAYASHI, Kazumu OKU ...2001 Volume 43 Issue 2 Pages 145-152
Published: February 20, 2001
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSAIM. The aim is to clarify the usefulness of Ultrflex stent (stent)for malignant obstruction or severe stenosis of inoperable gastric cancer. MATERIALS AND METHODS. Fourteen cases of advanced gastric cancer were tried to insert stent. Quality of life (including their intake and discharge) and effect of hemostasis after the placement of stents were examined. The indication of the stent insertion was examined from the viewpoint of performance status (PS). RESULTS. The stents were placed successfully in 12 patients. The intake increased in 11 patients (92%) and the meal content was improved in 9 patients (75%). Anemia in 6 of 10 patients bleeding from cancer was improved, especially in the cases with pyloric stenosis their intake was remarkably improved. In patients with higher PS(PS.0-2), the intake was more increased than that in patients with lower PS. In former group 5 patients could be discharged and 3 patients had better conditions being able to discharge. CONCLUSIONS. Placement of stents for malignant obstruction of advanced gastric cancer had improved quality of life. It was suggested that performance status before this procedure was an important index for improvingdetermining the indication of stent insertion.View full abstractDownload PDF (7247K) -
Atsushi FUJIWARA, Masao NODA, Shigeyoshi IMAMURA, Yoichi TATSUMI, Koic ...2001 Volume 43 Issue 2 Pages 153-157
Published: February 20, 2001
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA 26-year-old woman visited our outpatient department with a complaint of foreign body sensation of the throat. Upper gastrointestinal endoscopy revealed a circumferential ulcer in the esophagus 20cm to 25cm from the incisiors, although no foreign body was detected. Initially the cause of esophageal ulcer was uncertain. A carefully taken history revealed that she had had the habit of taking extremely hot drinks, such as coffee and tea. After discontinuing the habit, her condition & endoscopic findings improved dramatically in two months. It is important to ask patients with esophageal ulcer of unknown cause about their eating (or drinking) habits.View full abstractDownload PDF (4406K) -
Yuji INOUE, Shigeru SUZUKI, Mitutoshi IIMURA, Toru TEZUKA, Takehito OT ...2001 Volume 43 Issue 2 Pages 158-161
Published: February 20, 2001
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA 30-year-old man was referred to our institute for positive fecal occult blood. Colonoscopic examination showed a sessile lesion (Is type) in the ascending colon. At colonoscopy, biopsy and submucosal injection were not undertaken. Eleven days after the first colonoscopy, he was admitted for endoscopic resection. The second colonoscopy revealed sessile lesion (Is type) transforming to a superficial depressive lesion (IIa +IIc) type. By submucosal injection, non-lifting sign was positive colonoscopically. Therefore, the lesion was diagnosed SM2' or more in the depth, and was resected surgically by right colectomy. Histopathological study revealed well differentiated tubular adenocarcinora with submucosal invasion (sm2).View full abstractDownload PDF (5021K) -
Michio TOMONAGA, Kenji NAKAMURA, Hirofumi KAJIYAMA, Hajime ISOMOTO, Fu ...2001 Volume 43 Issue 2 Pages 162-166
Published: February 20, 2001
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSIntussusception of the veriform appendix into the cecurn is uncommon. A 74-year-old female underwent colonoscopy for medical check-up. The first colonoscopy revealed H smooth, thick, slightly reddish, and earthworm-shaped polypoid lesion at the orifice of the appelldix, and adiagnosis of complete IVA, so-called"inside-out"appendix was made. The second colonoscopy showed normal orifice and disappearance of IVA. A specific anatomical condition due tohealed hltestinal tuberculosis and increasing peristalis evoked by oral lavage with polyethylenglycol solution might be involved in the pathogenesis of IVA in the present case.View full abstractDownload PDF (4952K) -
Takeshi KAJITA, Katsunori FUJISAWA, Yoshinori MUNEMOTO, Yoshio KASAHAR ...2001 Volume 43 Issue 2 Pages 167-171
Published: February 20, 2001
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA 60-year-old woman was referred to our hospital because of fever and diarrhea. Abdominal CT scan and colonoscopy suggested that the diagnosis was submucosal tumor of the sigmoid colon with perforation to the sigmoid colon. After admission, abdominal pain emerged and abdominal X-ray showed intestinal gas. Ileus was diagnosed and surgery was performed. At laparotomy, a tumor was found in the pelvic cavity and had perforated into the sigmoid colon and the bladder. The tumor was found to contain hair. Histopathologically, the resected specimen was diagnosed as moderately differentiated squamous cell carcinoma arising from mature cystic teratoma of the ovary.View full abstractDownload PDF (5840K) -
Shigeki MORITA, Hiroyuki KATOU, Yoshihisa HAYASHIDA, Ryuji FURUKAWA, A ...2001 Volume 43 Issue 2 Pages 172-176
Published: February 20, 2001
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSColonoscopic findings and distribution of drug-induced colitis are various by sort and form of drugs or preexisting diseases. We herein reported two cases of colonic ulcerations induced by slow release-NSAIDs in patients with rheumatoid arthritis. A 71-year-old female(case 1) and 54-year-old female(case 2)were given a slow-release indomethacin, 25mg twice a day, and slow-release diclofenac, 37.5mg twice a day, respectively. Colonoscopy of both cases revealed multiple irregular or round ulcerations, in the cecum and ascending colon, Which were cured by the cessation of drug. We reviewed the literature of NSAIDs-illduced colonic ulcerations (40 cases; 17 males and 23 females). Colonic ulcerations in four fifth of the patients located in the right colon. The majority of causative NSAIDs were diclofenac and indomethacin, especially slow-release drugs.View full abstractDownload PDF (5786K) -
Akihiro MORI, Syouji OKUMURA, Noritsugu OOHASHI, Hiroshi INOUE2001 Volume 43 Issue 2 Pages 177-181
Published: February 20, 2001
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA 58-year-old man was admitted with a comlaint of tenesmus. Colonoscopy finding indicated a diagnosis of ischemic proctitis. Pelvic CT at the beginning of the admission revealed an abnormal vessel on the right side of rectum. Later, inferior mesenteric arteriography (IMA) showed the dilatation of IMA and arteriovenous fistula (AVF) between superior rectal artery (SRA) and rectal vein. Ischemic area was the same area that was supplied by SRA. It was considered that SRA was stolen the arterial blood from AVF and circulatory collapse ensured in the peripheral region of SRA. There have been few such case reports of ischemic proctitis with AVF.View full abstractDownload PDF (5387K) -
Toru HAYASHI, Ryusuke TORISU, Osamu SAKASHITA, Yoshitaka KIMURA, Jiro ...2001 Volume 43 Issue 2 Pages 182-185
Published: February 20, 2001
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSWe report a case of appendiceal calculus showing the features of submucosal tumor. A 66-year-old female visited to our center for a detailed examinations of positive fecal occult blood. A submucosal tumor about 3cm in diameter was found in the cecum by colonoscopy and barium enema. Laparoscopy-assisted ileocolostomy was performed and revealed aappendiceal calculus. Appelldiceal calculus with submucosal tumor-like appearance is very rare. Appendiceal calculus must be differentiated from submucosal tumor of the cecum.View full abstractDownload PDF (5424K) -
2001 Volume 43 Issue 2 Pages 191
Published: February 20, 2001
Released on J-STAGE: May 09, 2011
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2001 Volume 43 Issue 2 Pages 192-194
Published: February 20, 2001
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSDownload PDF (329K) -
2001 Volume 43 Issue 2 Pages 195-198
Published: February 20, 2001
Released on J-STAGE: May 09, 2011
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2001 Volume 43 Issue 2 Pages 199-203
Published: February 20, 2001
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSDownload PDF (479K) -
2001 Volume 43 Issue 2 Pages 204-207
Published: February 20, 2001
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSDownload PDF (466K)
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