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Volume 43, Issue 3
Displaying 1-12 of 12 articles from this issue
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Yuji INOUE, Ken TAKASAKI, Toru TEZUKA, Naoka YAMAGISHI, Ken TAKASAKI2001 Volume 43 Issue 3 Pages 255-260
Published: March 20, 2001
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSThirty-three patients who had submucosal massive illvasive carcilloma endoscopicallyresected and who did not be performed the additional bQwel resection were studied clinicopath-ologically. The tumors were located in the sigmoid colon in 24 patients, ill the rectum in 8 andin the ascending colon in 1. The incidence of Isp(subpeduncu.lated lesion)were seen in 13, thatof Is(sessle lesion)in 7 alld that of Ip(pedunculated lesion)in 7. Endoscopic resections weredone using the single resection technique in 29 patients and the piecemeal resection techniquein 4 patients. Histopathological study revealed that 32 patients had well differentiated tubularadenocarcinoma and one had moderately differentiated tubular adenocarcinorna. Thirtypatients had lymphvascular invasiorL Sixteen patients rejected to received the additional bowelresection and 14 patients did not received the resection because of the other disease. Twopatients had local recurrence and the tumor were resected curatively and the other patients hadno recurrence. Therefore, it was important to resect the recurrence early by following upcarefully.View full abstractDownload PDF (5794K) -
Yasuhiko TATSUZAWA, Kazuya MAEDA, Junzo SHIMIZU, Yukimitsu KAWAURA, To ...2001 Volume 43 Issue 3 Pages 261-265
Published: March 20, 2001
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA 56-year-old man was pointed out to have several ulcerative lesions in the stomach onannual UGI X-ray examination. Endoscopic examination revealed 3 lesions of IIc and onelesion of IIa, which were histologically well ar moderately differentiated adenocarcinoma.Under the diagnosis of synchronous multifocal early gastric carcinoma with 4 lesions, totalgastrectomy with regional lymph node dissection was carried out. Qn the resected specimen, 3more IIc lesions were found. Histologically, it was a synchronous multifoval early gastriccarcinorna with 7 lesions:5 of mucosal carcinorna and 2 of submucosal carcinoma, all of themwere well or moderately differentiated adenocarcinoma. only 19 cases including ours have beenreported in Japan about synchronous multifocal gastric carcinorna with rnore than 7 lesions.View full abstractDownload PDF (5132K) -
Tetsuaki MIZUTA, Shigeki TOMITA, Kazuaki KAMISAKA, Yuko ONO, Takahiro ...2001 Volume 43 Issue 3 Pages 266-273
Published: March 20, 2001
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSAcase of lack of expression of C-KIT in gastrointestinal stromal tumor (GIST)of thestomach is reported. A-83-year old man was admitted to the our hospital because of right transcervical fracture.He had had Iight-headness and been diagnosed anemia and hypotension by another clinic. Afteradmission, he complained of tarry stood. Endoscopic examination reveled blood clot with ulceration an the suhmucosal tumor in thebody. After treatment with conservative therapy, but he complained of continual tarry stoolswith progression of anemia. Then we performed partial gastrectomy. A histological examina-tion of the resected tumor showed mainly diffuse spindle cells proliferation. In spindle tumorcells, immunohistochemical analysis reveled positive for CD34 and vimentin of mesenchymalmarker, negative for smooth muscle actin, 5-100, desmin, Factor VIII and C-KIT protein.Furthermore molecular analysis of c-kit gene reveled no abnormalities. The diagnosis of GISTof the stomach, uncommitted type vvas made. FIST constitute the largest category of mesenchymal neoplasia of the alimentary tract.There are many immunohistochemical studies that have been carried out by numerous mvesti-gators. This has resulted in a considerable degree of confusion in tumor lacking differentiationand either cell imrnunohistochemical phenotyping, it's termed FIST, uncommitted type.Recently, C-KIT protein overexpression have been found in almost GIST with uncommittedtype. In this case is histologically typical GIST, but no immunoreactivity of C-KIT protein. Wediscussed the characteristics of our case in comparison to category of GIST, uncommitted type.View full abstractDownload PDF (9323K) -
Hideto MOTEGI, Etsuo HOSHINO, Tohru OHSE, Daisuke SUZUKI, Takaharu OHB ...2001 Volume 43 Issue 3 Pages 274-278
Published: March 20, 2001
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSWe report a case of 82 year-old male who developed melanosis of the jejunum. Heunderwent total gastrectomy with espyhagojejunostomy ans Roux-en-Y anastomosis 15 years before for early gastric cancer of rheumatoid arhritis and anemia. He was admitted to the hospital because of anorexia.Upper gastrointestinal endoscopy revealed dark-brown peppery speckles in the proximal jejunal mucosa. Light microscopy showed brown pigments in the lamina propria mucosa of jejunum. Electron microscopy showed that the pigments were localized in the lysosomes of the macrophage.Electron probe X-ray analysis disclosed that the pigments contained iron and sulfur. This is the second reported case of melanosis jejuni in the world literature.View full abstractDownload PDF (4767K) -
Ken OHNITA, Hajime ISOMOTO, Megumi URATA, Yusuke TAKEHARA, Junichi MAS ...2001 Volume 43 Issue 3 Pages 279-284
Published: March 20, 2001
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSWe present a rare case of pancreatic AVM successfully treated by TAE. A 60-year-old man presented wity melena. He had been previously treated by endoscopic variceal ligation followed by endoscopic injection sclerotherapy and esophageal transection for repeated ruptures of esophageal varices. Duodenoscopy showed active bleeding from the base of the ampulla of Vater, Angiographic examination showed AVM in the pancreatic head and tail. Since the patient suffered from hepatic encephalopathy due to liver cirrhosis, open surgery could not be performed and TAE wsa selected, TAE resulted in the disappearance of AVM and the clinical course was uneventful, with no recurrence of gastrointestinal bleeding.View full abstractDownload PDF (5754K) -
Takahisa SUZUKI, Takashi SUZUKI, Masayuki KIMURA, Shingo ITOH, Hitoshi ...2001 Volume 43 Issue 3 Pages 285-290
Published: March 20, 2001
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSThe patient was an 86-year-old woman who had been administered nonsteroidal anti-inflammatory drugs(NSAIDs)for gonarthrosis and lumbago. She visited our department du.eto constipation of two-months's duration. Endoscopy and X-ray exanlination of the colorldemonstrated evidence of diaphragm-like stenosis at the transverse colon. The patient was diagnosed with diaphragm-like stenosis of colon caused by NSAIDs, alld we treated her by endoscopic balloon dilation. Twenty cases of diaphragm-like stenosis of colon have been reported in the world, but nolle in Japan. We report here this valuable case of complication of NSAIDs.View full abstractDownload PDF (6412K) -
Masato KIRIYAMA, Hideto FUJITA, Hiroshi ITOH, Taiichi KAWAMURA, Toru I ...2001 Volume 43 Issue 3 Pages 291-294
Published: March 20, 2001
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSWe present a rare case of poorly differentiated adenocarcinoma of the cecum detected endoscopically in an early stage. A58-year-old man was admitted because of colonic polyps pointed out by his home doctor.Endoscopy revealed a slightly depressed eszon, rneasuring 9 mm in dialneter, associated withredness in the cecum. This lesion was diagnosed as an early cecal cancer invadirlg thesubmucosal layer, and ileocecal resection with regional lymph node dissection was thus performed. Histological findings of this tumor shQwed poorly differentiated adenocarcinoma invadingthe submucosal layer without lymphatic and venous invasion, and lymph node metastasls. Furthermore, this tumor was not associated with adenoma around carcinoma.View full abstractDownload PDF (5832K) -
Toshifulni FURUI, Hirokazu OZAWA, Tetsuya NAKAJIMA, Kana TAKEUCHI, Tom ...2001 Volume 43 Issue 3 Pages 295-300
Published: March 20, 2001
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA43-year-old man was admitted to our hospital because of hemorrhage into thepseudocyst complicated with chronic pancreatitis. One hundred and fifty microgram of octreotide a day was subcutaneQusly adrninisted todecrease the size of the pseudocyst. Once the size of the pseudocyst decreased from 7.1 by 5.5crn to 5.4 by 3.1 cm., however, the size began to increase again6days after the administrationof octreotide. The size was 6.7 by 4.1 cm when endoscopic retrograde pancreatography(ERP)was performed. ERP revealed that there was a stenotic lesion in the maill pancreatic duct andthat the pseudocyst was communicated with the dilated main pancreatic duct. Endoscopicimplantation of a plastic steDtl(5 Fr. 7cm.)through the papilla of Vater made the pseudocystslnaller. The size diminished to 3.4 by 1.5 cm after the stellt implalltation. No complicationshad occurred. Erldoscopic implantaitioll of plastic stent through the papilla of Vater may be effective todecrease the size of psetldocyst that colnmunicates with main pallcreatic duct with stenoticlesion.View full abstractDownload PDF (6365K) -
2001 Volume 43 Issue 3 Pages 305-306
Published: March 20, 2001
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSDownload PDF (1463K) -
2001 Volume 43 Issue 3 Pages 307-310
Published: March 20, 2001
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSDownload PDF (615K) -
2001 Volume 43 Issue 3 Pages 311-318
Published: March 20, 2001
Released on J-STAGE: May 09, 2011
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2001 Volume 43 Issue 3 Pages 319-323
Published: March 20, 2001
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSDownload PDF (556K)
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