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Volume 43, Issue 7
Displaying 1-11 of 11 articles from this issue
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-COMPLETEFRACTIONATED RESECTION WITH STRICT RECONSTRUCTION-Takashi TOYONAGA, Takashi HIROOKA, Takaaki CHIKUGO, Hiroki KONISHI, To ...2001 Volume 43 Issue 7 Pages 1145-1151
Published: July 20, 2001
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSTo improve the efficacy of endosccpic mucesal resection(EMR), we invented endoscopic marginal mucosa sequential resection(EMSR), in which the surrounding mucosa of a lesion is completely cut around using EMRC. Subjects comprised 122 patients who underwent EMR at our department from October a 1990 to February 2000 (early gastric cancer: 112; recessed adenoma:10). The subjects were classified into 3 groups by resection method, i. e., early (strip biopsy), mediate (EMRC)and late groups; their results were evaluated. In the late group, total resection was performed insofar as possible; EMSR was also used if there was a possibility that the rest of a lesion might not be fully removed. The complete resection rates for single surgery were 90% and 97.6%in the mediate and late groups, respectively, a remark-able improvement in comparison with the 68.3% for the early group. Total complete resection rate in the date group was 65.9%, a remarkable improvement in comparison with the 46.3% and 47.5% for the early and mediate groups. EMSR was used in 21 patents, in all of whom complete resection was achieved in a single operation, regardless of the lesion site. The aim of EMSR Method 1, the original method, was complete resection and strict reconstruction, whereas EMSR Method 2 was applied to patients in whom resection presented difficulties. As regards complications, intraoperative hemorrhage occurred in 4 patients (19%), but was easily resolved by clipping.View full abstractDownload PDF (6639K) -
Jiro MIYAIKE, Hiroyuki OKADA, Motoo MIZUNO, Takura UESU, Akira TAKAHAS ...2001 Volume 43 Issue 7 Pages 1152-1156
Published: July 20, 2001
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA 64-year-old man, who had had repeated mediastinitis due to esophageal fistuia, was transferred to our hospital for the further examination and therapy. His chest X-ray and CT scan on admission showed pneumonia and thickened wall of the lower esophagus. Esophago-gram revealed a fistula with a diameter of about 1 mm on the left wall. Esophagoscopy showed air leaking through the orifice of the fistula. A diagnosis of an acquired esophago-bronchial fisutula was made. We performed the endoscopic laser coagulation to close the fistula using Nd-YAG laser. Two months after the treatment, either esophagogram or esophagoscopy demon-strated no evidence of fistula. There was no complication in the course of the treatment. Pneumonia or mediastinitis has not occured for 4 years after the treatment. Our experiellce suggests that Nd-YAG laser therapy is a safe and effective treatment for acquired esophageal fisutula.View full abstractDownload PDF (4653K) -
Masahiko MIYAMOTO, Kazuki UEDA, Mikitaka IGUCHI, Takamasa KURIHARA, Sh ...2001 Volume 43 Issue 7 Pages 1157-1162
Published: July 20, 2001
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA 38-year-old woman was admitted to our hospital with chest pain and massivehematexnesis after drinking hot tea. She had a habit of drinking hot tea after very meal. An emergent endoscopic examination on admission revealed mucosal dissection of the entire esophagus and the diagnosis of exfoliative esophagitis was made, A long white cord-like mass about 25cm in length vas found in the esophageal lumen, and was removed by endoseopy. Histological examination revealed that the rnass had been derived from a superficial layer of the esophageal epithelia. Conservative therapy led to gradual improvement. Healing of the esophageal lesion was comfirmed by follow-up endoscopy after 11 days. Exfoliative esophagitis caused by hot beverages is rare. Only 12 cases have been reported so far in Japan.View full abstractDownload PDF (5123K) -
Yumiko YAMAGUCHI, Hajimu IKEDA, Masayosi AZUMA, Tetsuaki HIGASHI, Hisa ...2001 Volume 43 Issue 7 Pages 1163-1167
Published: July 20, 2001
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA 44-year-old woman with van Recklinghausen's disease was admitted to our hospitalbecause of epigastralgia and back pain. Endoscopic examination showed two nodular lesionsat the papilla of Voter and accessory papilla. Biopsy specimen showed carcinoid tumor of theduodenum and pancreaticoduodenostomy was perfumed. Von Recklinghausen's disease fre-quently accompanies neurogenic tumor. However, this is a rare case of duodenal carcinoidtumors with two lesions accompanied by von Recklinghausen's disease.View full abstractDownload PDF (6456K) -
Koichi ISHIKAWA, Akira NAKAMURA, Tsuyoshi OIINO, Ryoki OKUNAGA2001 Volume 43 Issue 7 Pages 1168-1174
Published: July 20, 2001
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESS
A rare case of intussusception caused by a ileal lipoma which was observed with colonos copy before surgery is reported.
A 72-yearold man complaining of abdominal pain and vomiting was admitted to curhospital. Ultrasorlography, CT, and Barium enema revealed intussusception cau.sed by thetumor. Colonoscopy revealed a regular surfaced yellowish tumor, and invaginated ileal mucosa.We diagnosed this case as intussusception caused by ileal lipoma. An operation was performed.The tumor was situated 6cm proximal to the ileocecal valve and histological examination ofresected tissue revealed a subrriucosal lipoma. Colonoscopy was.useful for diagnosis because wecan see a regular surfaced yellowish tumor and invaginated ileal muccsa.View full abstractDownload PDF (6900K) -
Hidetoshi OHTA, Ryuzo KOYAMA, Yasuo HIRAYAMA, Tadanori NAGAI, Tetuharu ...2001 Volume 43 Issue 7 Pages 1175-1180
Published: July 20, 2001
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA 70-year-old man was admitted to our hospital for intestinal Behget disease with ileus.He was treated by surgery three times, immunosuppressant, removement of leukocyte cells bycytapheresis and superior rnesenteric arterial steroid infusiorL With the repetitions of ileus, his cornplete remission periods got shorter. graduaIly. To improve his quality of life, a self-expandable metallic stent(SEMS)was indwelt under informed consent. After indwelling a SEMS, ileus had never recurred for 10 months under a conventional treatment with pred-nisolone (10mg/day)administratiorL His quality of life is improved because he can ingestnorrnal foods. Further long term investigation should be done from the points of stent migrationand safety.View full abstractDownload PDF (6906K) -
Tomoko TADA, Katsumi KIMURA, Yutaka NODA, Go KOBAYASHI, Kei ITO, Toshi ...2001 Volume 43 Issue 7 Pages 1181-1186
Published: July 20, 2001
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA 39-year-old man with a history of chronic pancreatitis was admitted to our hospital withupper abdorninal pain. Abdominal CT-scan showed a pancreatic pseudocyst at the head of thepancreas. This symptom was soon improved with conservative treatment, but a high level ofserum amylase persisted and abdominal pain recurred. We performed ERCP for drainage of thepseudocyst. Duodenoscopy revealed bleeding from the papilla of Vater. A 6-Fr pig-taildrainage tube was placed in the pseudocyst through the papilla and blood was aspirated from the cyst. Subcutaneous administration of long-acting somatostatin analogue at a dose of300μg/day was also carried out. The patient's clinical condition improved drarnatically. Afterreduction of the size of pseudocyst, the drainage tube was removed. No sign of recurrence has been observed for fifteen months.View full abstractDownload PDF (5430K) -
Hideki MIYAJI, Kunihisa NISHIKAWA, Shigeyuki HAYASHI, Katsuya NAGAI, Y ...2001 Volume 43 Issue 7 Pages 1187-1191
Published: July 20, 2001
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSAscaris lumbricoides exists all over the world, especially in areas of Asia, Africa, and central America. In Japan, the incidence of Ascaris lumbricoides has been decreased because of the improvement of public hygience. However, Ascariasis has been gradually increasing according to the increment of the imported foods, and the trips to foreign countries. Ascaris infestation of biliary tree is an important though uncommon cause of cholangitis, obstruct jaundice and acute pancreatitis. A 60-year-old male, was admitted to Fukui Red Cross Hospital for severe epigastralgia. Laboratory studies revealed slightly elevated eosinocyte (six percente of the white blood cell), though liver function, pancreatic enzyme and other data were within normal limits. Ovum of Ascaris was not found in his feces. Abdominal ultrasonographic examination showed dilation of common bile duct (to approximately 10 mm), with echogenic non-shadowing strip with an anechogenic inner tube indicative of Ascaris. ERG (Endoscopic Retrograde Cholangiography) was also performed on the next day, and a linear filling detect was demonstrated in the common and hepatic bile ducts, and we diagnosed as a biliary Ascariasis. Two days later, ultrasonogra-phic examination showed the remaining Ascaris, ERC was performed again, and the worm was removed from the bile duct using stone extracer basket forceps without sphincterotomy nor sphincter balloon dilatation. The worm was shown to be a 15 cm-long male Ascaris lum-bricoides.View full abstractDownload PDF (7621K) -
[in Japanese]2001 Volume 43 Issue 7 Pages 1197
Published: July 20, 2001
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSDownload PDF (155K) -
[in Japanese]2001 Volume 43 Issue 7 Pages 1198-1214
Published: July 20, 2001
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSDownload PDF (2004K) -
2001 Volume 43 Issue 7 Pages 1252
Published: 2001
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSDownload PDF (60K)
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