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Volume 44, Issue 3
Displaying 1-7 of 7 articles from this issue
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Seishi ORII, Toshimi CHIBA, Masaaki INOMATA, Kazuyu SUZUKI2002 Volume 44 Issue 3 Pages 651-655
Published: March 20, 2002
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA survey of gastrointestinal endoscopic complications encountered between 1996 and 2000 was conducted at the 31 hospitals in one area. The contents of the survey were as follows; a) total number of gastrointestinal endoscopy performed during those 5 years, b) complications of upper gastrointestinal endoscopy, c) complications of colonoscopy, d) complications of cholangiopancreatic endoscopy (ERCP, EST, etc.), e) complications of endoscopic ultrasonography, f) complications of laparoscopy, and g) complications of premedication for endoscopy. The total number of gastrointestinal endoscopy was 397, 876; 283, 489 of upper gastrointestinal endoscopy, 92, 685 of colonoscopy, 15, 725 of cholangiopancreatic endoscopy, 5, 586 of endoscopic ultrasonography, and 391 of laparoscopy. The complication rates were 0.010, 0.058, 0.25, 0, and 0.25% respectively and that of premedication was 0.002%. There were 8 deaths (0.002%) and the average age of those patients was 67.1. In this survey, the complication rate of cholangiopancreatic endoscopy was high. Measures for prevention of endoscopic complications include a through understanding of the characteristics of each endoscopic examination and treatment. Furthermore, the selection of examinations other than endoscopy is sometimes more appropriate. In endoscopy for elderly persons, prudent manipulation is very important.View full abstractDownload PDF (6007K) -
Kazuyoshi MAGI, Atsuo NAKAMURA, Atsuo SEKINE2002 Volume 44 Issue 3 Pages 656-660
Published: March 20, 2002
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSWe report two cases of AGML after initial H. pylori infection. Both cases were diagnosed as initial infection because endoscopic finding of the body showed regular arrangement of collecting venules (RAC). Case 1. A 32-year-old man who suffered from severe epigastralgia after endoscopic examination at the other hospital visited at our hospital. Since endoscopic examination at our hospital showed AGML and RAC on the body, he was diagnosed as AGML after initial H. pylori infection. The culture of biopsy specimen revealed H. pylori infection and serological examination showed that anti-H. pylori-antibody was negative. After two month, anti-H. pyloriantibody changed to positive. Case 2. A 27-year-old woman who suffered from severe nausea and epigastralgia visited to our hospital. Since endoscopic examination at our hospital showed AGML and RAC of the gastric body, she was diagnosed as AGML after initial H. pylori infection. Especially, as she was taken endoscopic examination by magnifying endoscopy, collecting venules were observed in detail. The origin of infection of the second case was unknown. In conclusion, RAC was very practical for diagnosing initial H. pylori infection cases.View full abstractDownload PDF (9760K) -
Rikio MATSUMOTO, Toru KURODA, Hidetsugu TOKUSHIMA, Masaya MURAKAWA2002 Volume 44 Issue 3 Pages 661-666
Published: March 20, 2002
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA 27-years-old man who had been treated for duodenal ulcer from 25 years of age was referred to our hospital with complaints of abdominal distension, vomiting and diarrhea. On admission, a plain abdominal X-ray film revealed small round radiolucencies in the right and lower abdomen. Barium-filled roentgenogram of colon showed round shadow defects. Colonoscopy revealed multiple hemispheric elevations corresponding to the ascending colon. Abdominal CT scan showed multiple small cysts due to gas. A supine double contrast picture view showing pyloric stenosis. We diagnosed as pneumatosis cystoides intestinalis of the colon accompaired with pyloric stenosis. After stopped per os intake with oxygen, we performed gastrectomy. Intra operative finding, PCI had disappeared. After operation, no recurrence of PCI was noted.View full abstractDownload PDF (10820K) -
Hiroaki IWANE, Katsyuki KOICHI2002 Volume 44 Issue 3 Pages 667-672
Published: March 20, 2002
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA case of vanishing tumor of the terminal ileum due probably to anisakiasis was reported. A 66-year-old man visited our hospital because of abdominal pain. Radiological and ultrasonic examination revealed ileus of the small intestine. After improving ileus, endoscopic examination showed a submucosal tumor of the terminal ileum. The histological examination revealed marked eosinophilic infiltration in the submucosal layer. The second endoscopic examination 19 days later revealed reduction in size. No abnormality was found about 7 weeks later. The fact that he ate slices of raw squid in the previous daytime, and the positivity of anisakisspecific IgE antibody suggested that this case was anisakiasis of the small intestine.View full abstractDownload PDF (9619K) -
Tetsuya AOKI, Kiyotaka OKAWA, Hideto OIYA, Yasuko KAWASAKI, Osamu KURA ...2002 Volume 44 Issue 3 Pages 673-678
Published: March 20, 2002
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSWe treated 2 patients with pedunculated submucosal (sm) colon cancer that underwent rapid change. Patient 1 was a 43-year old man. Colonoscopy was performed at our department and revealed a 20mm Ip polyp lobulation in the sigmoid colon. When colonoscopy was repeated about 1 month later, the head of the polyp had shrunk and the stem had become thicker and reddened. Endoscopic resection was performed and the diagnosis was moderately differentiated adenocarcinoma with invasion of the submucosa. Patient 2 was a 39-year old man. Barum enema was performed at the time of a health examination and revealed a 25mm lobulated polyp in the sigmoid colon. About 1 month later, Colonoscopy was performed at our department. The polyp had a 15mm spherical head and a thick stem. Repeat colonoscopy about 1 month later showed that the surface of the head was ulcerated and had changed to an umbrella shape. Endoscopic resection was performed and the diagnosis was moderately differentiated adenocarcinoma with invasion of the submucosa. It seems likely that Ip-type polyps had undergone transformation to cancer and invaded the submucosa, resulting in the rapid changes seen in both patients.View full abstractDownload PDF (9453K) -
Shojiro YAMAMOTO, Yoshifumi MIYATA, Akio IDO, Hiroshi TAKESHIMA, Hiroy ...2002 Volume 44 Issue 3 Pages 679-683
Published: March 20, 2002
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA 76 year-old man was admitted to our hospital in 2000 because of anemia of unknown origin lasting ten years, colonoscopy revealed multiple vascular ectasias the cecum to the ascending colon and an endoscopic ulrasonography showed dilatated vessels in the mucosa of the colon. Because the patient's anemia was probably caused by the vascular ectasias of the colon, the lesions were treated by endoscopic argon plasma coagulation (APC). At 3 months post APC treatment, colonoscopy showed that the treated lesions had become scars, and an endoscopic ultrasonography revealed the disappearance of dilatated vessels of the colon. APC is useful for the treatment of vascular ectasia of the colon.View full abstractDownload PDF (8614K) -
Yuichi NAGASHIMA, Mitsuo IIDA, Katsuya HIRAKAWA, Kuniaki SUGIU, Kayoko ...2002 Volume 44 Issue 3 Pages 684-689
Published: March 20, 2002
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSThree cases with cytomegalovirus (CMV) colitis were presented. Case 1 was a 71-year-old woman with complaints of diarrhea and intermittent fever who had been operated on for a subdural tumor. On colonoscopy, extensive ulceration occupied the entire lumen and plaque-like pseudomembranes were observed in the lower rectum. Case 2 was a 51-year-old man with dermatomyositis who underwent colonoscopic examination to check for colonic cancer. Colonoscopy revealed diffuse white-coated round or irregular-shaped ulcers throughout the colon, which were especially dense in number in the cecum. Case 3 was a 44-year-old woman with a malignant lymphoma in the remission stage who presented with diarrhea and weight loss. Colonoscopy disclosed shallow ulcers of varying size from the end of the terminal ileum to the rectum. In all three cases, the CMV infection was proven from biopsy specimen of colonic mucosa and peripheral blood. They all recovered following the administration of ganciclovir. CMV colitis should be included in the differential diagnosis of colitis of unknown etiology in immunocompromised hosts.View full abstractDownload PDF (10565K)
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