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Volume 43, Issue 6
Displaying 1-17 of 17 articles from this issue
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Yoshihiro SAKAI2001 Volume 43 Issue 6 Pages 1025-1032
Published: June 20, 2001
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSEndoscopic ultrasonography has been improved in many respects since 1980 when it was introduced. The improvernents were a view from lateral to forward in ultrasonic scope with shorter tip, newly developed ultrasonic probe, fully detailed picture, 3 dimentional presentation, surface rendering mode and so on. With these improvements, it has become clear that the mucularis mucosa was revealed asalow echoic line in the third layer, but its detection rate was very low in clinical cases. The Iatest surface rendering manifestation gave an ultrasonic cutting irnage feature relatedto the minute surfaee irregularity if necessary. It has enabled tht an invisible lesien in thedeeper layer of wall neighbouring organs and surface structure were simultanously presentedeven in the narrow space which any thin endoscopes could not get in. In the future, further fine pictures should be obtained according to the progress of computertechnology. Continuous sliding convert system on frequency of scanner would also be realized.These are quite useful to evaluate not only superficial lesions but also lesions unvisualized byone procedure, which leads to more reliable decision for endoscopic resection.View full abstractDownload PDF (10382K) -
Shigekazu HAYASHI, Takayoshi KANBE, Hideaki IEDA, Hiroshi NISHIO, Akih ...2001 Volume 43 Issue 6 Pages 1033-1039
Published: June 20, 2001
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSWe experienced 18 cases of ulcerative colitis with skipped lesion at the orifice of theappendix endoscopically. They were 12 rnales and 6 females and the age of onset ranged 12-65(mean 34.7)years. All cases had bloody stools:160f mild type and 20f moderate type. Mainlesions were present in the rectum in S cases, the rectum and left-sided colon in 6 case, skippedIeft-sided and right-sided colon in 4 cases. In g of 13 fallout-up cases including period of 8 yearsand 6 months maximum endoscopic examination was perforrned plural times.96 cases ofulcerative colitis with skipped lesion at the orifice of the appendix were reported in Japan, andtheir cases mere similar to our cases in sex, age, severity and location of main lesion. Aboutthe course in half of cur cases main lesion was incurable, but in the reported case in Japan bothmain lesion and appendical lesion were mostly curable. More and more studies were expectedabout clinical significance of appendical lesion in ulcerative colitis.View full abstractDownload PDF (5101K) -
Noboru TAKATA, Kazunori HARADA, Ichirou YOSHINAKA, Masaomi MAEDA, Jiro ...2001 Volume 43 Issue 6 Pages 1040-1048
Published: June 20, 2001
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA54-year-old man with achalasia and esophageal cancer invading tothe trachea and aorta underwent chemotherapy and radiotherapy. When radiotherapy started, an expandable metalolic stent (EMS) was inserted intothe trachea becauseof dyspnea and progressiQnof trachealstenosis. The tumor size was reduced after radiotherapy, however, esophagotracheal fistulaoccurred. He was treated by insertion of three covered EMS into the esophagus(doublestenting). The esophagotracheal fistula re-opened due toenlargementof the fistulaone monthlater. Therefore, additional covered EMS was implanted intothe trachea. The patient died of pyopneumothorax 139 days after tracheal stenting and 86 days after double-stenting .Doublestenting therapy is an effective method to improve the qualityof life in patients with esophagotracheal fistula caused by esophageal cancer.View full abstractDownload PDF (10106K) -
Tadashi ODA, Kenji YAMAMOTO, Mitsuru OZAKI, Masao LEE, Atsushi TAKADA, ...2001 Volume 43 Issue 6 Pages 1049-1053
Published: June 20, 2001
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA66-year-old man was adrnitted to our hospital for the purpose of percutaneous endostopic gastrostomy (PEG) because of difficulty in oral intake due to cerebral infarction. PEGwas performed by the pull method of Microvasive One Step Button kit® at a time.11 days after the PEG, abdominal distension appeared. Marked pneumaperitoneum was confirmed bythe radiological examination. No signs or symptoms of peritoneal inflammation were develaped. After suspension of tube feeding and tube opening far decreasing the intragastricpressure, intravenous hyperalir:nentation was performed. Furthermore intraperitoneal gas was suctioned by abdominal paracenthesis. Therefore, the pneumoperitoneum disappeared. Thirty three days after the PEA, tubefeeding was resumed successfully. No recurrence of pneumoperitoneum was developed. It wasconsidered that the pneumoperitoneum was caused by insufficient fixation of the PEG and became worse due to his habit of aerophagia.View full abstractDownload PDF (4045K) -
Hiroshi MATSUMOTO, Mitsuo IIDA, Hideki KOGA, Fumitoshi KUROKI, Ken-ich ...2001 Volume 43 Issue 6 Pages 1054-1059
Published: June 20, 2001
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA 78-years-old Japanease man was admitted to our hospztal in April 1998 because of hematemesis and rectal bleeding. He had developed a hemorrhagic duodenal ulcer in 1997. Thereafter, the patient was managed as an outpatient in our hospital, and repeatedly suffered from the doudenal ulcer despite taking an H2 receptor antagonist. In April 1998 he underwent gastreduodenoscopy and a scarring duodenal ulcer was demonstrated. Immediately after the endoscopic examination, he developed upper gastrointestinal bleeding, resulting in the patient's immediate hospitalization. Ori admission, emergent endoscopy revealed a huge ulcer in the postbulbar portion of the duodenum. During the period of treatment, the duodenal ulcer invariably deteriorated after repeated endoscopic examinations. Subsequently, the patient complained of a feeling of listlessness in his lower extremities. Microscopic examination of a nerve biopsy revealed necrotizing vasculitis. Based on these findings, a diagnosis of polyarteritis nodosa was made. Despite intensive management, he died 3 months after admission. An autopsy revealed more marked necrotizing vasculitis in the duodenurn than in any other organs. We suppose that the atypical duodenal ulcer was derzved from ichemia caused by severe vasculitis. To our knowxedge, this is the first report in Japan regarding dodenal ulcer as the initial manifestation of polyarteritis nodosa.View full abstractDownload PDF (6137K) -
Tetsuro INOKUMA, Taro UEO, Mitsushige SHIBATOUGE, Toshinao ITANI, Jun ...2001 Volume 43 Issue 6 Pages 1060-1066
Published: June 20, 2001
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA86-year-old rnan w8s admitted to our hospital because of melena. He had a previous history of undergoing right-sided nephrectomy 5 years ago due to renal cell carcinoma(RCC). Gastrointestinal endoscopy showed submucosal elevatiQn with continuous bleeding from the ulcerated surface located in the second portion of the duodenum. Histo1Qgical examination confirmed a duodenal r:netastasis of RCC. Argon plasma coagu.lation(APC), which is a new method of non-contact electrocoagulation, was perforrned to obtain hemostasis. Although the hemostatic effect of APC cQntinued during over l year, APC was su.ccessfully performed for re-bleeding from the tumor 15 months after the first treatment again. This is the first case of duodenal metastasis from RCC treated by APC.View full abstractDownload PDF (8918K) -
Suketo SOU, Yasuhiro TAKAKI, Hideyuki NOMURA, Ryu SHIRAI, Toshiyuki MA ...2001 Volume 43 Issue 6 Pages 1067-1072
Published: June 20, 2001
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA44-year old man was referred to our hospital with a cornplaint of right lower abdominal pain. A round and deep ulcer was demonstrated in the ileocecal region by endoscopy and ileocecal resection was performed. In the resected specimen, the ileocecal ulcer was round, deep (UHV) and non-specific histologically. Recurrence of an ulcer at the anastomotlc slte was found by endoscopy after 7 months of operation. Home enteral nutrition (HEN) was performed, which was not effective. On the second admission, total parenteral nutrition (TPN) was perfomed for 6 weeks. Thereafter, the size of the anastomotic ulcer reduced to one-forth, but the ulcer did not heal completely. On the second session of HEN asymptomatic worse:ning of the anastomotic ulcer was revealed. Therefore, direct spraying of absolute ethanol through endoscopy was performed for acceleration of healing u.nder TPN. The angstomotic ulcer shrinked rapidly and it healed completely eventually. Frorn this case, we think that ethanolspraying is an effective and safe technique for notoriously intractable lesion of recurrent simple ulcer.View full abstractDownload PDF (7706K) -
Shinya FURUKAWA, Hiroaki MIYAOKA, Masahiro SANO, Syunji OKITA, Takeshi ...2001 Volume 43 Issue 6 Pages 1073-1078
Published: June 20, 2001
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA44-year-old female had liver disease and she used ursQdeoxycholic acid for about 7 years.She visited our hospital because of hematernesis. She was serologically positive for antinuclearantibodies, negative for antimitochondorial alltibodies. En.doscopic retrograde cholangiopan-creat.graphy showed strictureof the intrahepatic biliary treeoLaparoscopic findings revealedgroove-like depression. The liver biopsy specimen showed chronic nonsupPuracive destructivecholangitis, granulorna and diffuse necrosis. There was not cholangio-fibrosis. We suspectedthat fibrosis and necrosis made stricture of the intrahepatic biliary tree. So we made adiagnosis of autoimmune cholangitis. When we see PSC-1ike cholangiography, we mustconsider several hepatobilary disease.View full abstractDownload PDF (5349K) -
Masaki KUROSAWA, Katsuyuki ISHIBASHI, Yoshinobu IIZUKA2001 Volume 43 Issue 6 Pages 1079-1082
Published: June 20, 2001
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA65 year-old rnan with alcoholic liver cirrhosis was admitted complainillg Qf hematemesis and melena. Emergerlt upper gastro-intestinal e:ndoscopy revealed rupture of the esophageal varices, which was treated by endoscopic vareceal ligation successfully. On the next day, serum ammonia was elevated to 458μg/dl and he fell into a corna without evacuation. To wash out the blood iil the gastro-illtestinal tract, 21iter of a solution with electrolyes and polyethilene glycol 4000(MGV-5:NIFLECR)was adnlinistered in 3 hours through tlle nasal tube. After several times of diarrhea, he recovered from coma gradually. Pernasal admillistration of MGV-5to a patient with hepatic coma secolldary to esophageal varices rupture is useful.View full abstractDownload PDF (2731K) -
Hiroo IMAZU, Ryuichi NOGUCHI, Tomoko TAKI, Yozo KOBAYASHI, Toshiya NAK ...2001 Volume 43 Issue 6 Pages 1083-1089
Published: June 20, 2001
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSWe performed endoscopic injection sclerotherapy(EIS)by intravariceal injection with original technique for F0 type of recurrent varices(F0 variceal puncture) Intravariceal injection of 5% ethanolamine oleate(EOI) could be successfully done in all cases(6 patients), among which 5 patients showed positive varicography up to supplying vessels for F0 type of recurrent varices by F0 variceal puncture. EMS by intravariceal injection is the most effective treatment to completely eradicate supply vessels. Thus, F0 variceal puncture is considered to be a useful technique which makes the treatment possible.View full abstractDownload PDF (5922K) -
[in Japanese]2001 Volume 43 Issue 6 Pages 1090
Published: June 20, 2001
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSDownload PDF (89K) -
[in Japanese]2001 Volume 43 Issue 6 Pages 1091-1092
Published: June 20, 2001
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSDownload PDF (195K) -
[in Japanese]2001 Volume 43 Issue 6 Pages 1093-1094
Published: June 20, 2001
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSDownload PDF (217K) -
[in Japanese]2001 Volume 43 Issue 6 Pages 1095-1097
Published: June 20, 2001
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSDownload PDF (343K) -
[in Japanese]2001 Volume 43 Issue 6 Pages 1098-1100
Published: June 20, 2001
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSDownload PDF (385K) -
[in Japanese]2001 Volume 43 Issue 6 Pages 1101-1102
Published: June 20, 2001
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSDownload PDF (182K) -
2001 Volume 43 Issue 6 Pages 1106-1108
Published: June 20, 2001
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSDownload PDF (423K)
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