GASTROENTEROLOGICAL ENDOSCOPY
Online ISSN : 1884-5738
Print ISSN : 0387-1207
ISSN-L : 0387-1207
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Volume 44, Issue 4
Displaying 1-12 of 12 articles from this issue
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  • THE CORRELATION BETWEEN THE QUANTIFIED MICROVASCULAR DENSITY AND THE ENDOSCOPIC COLIOR IN ELAVATED TYPE OF GASTRIC NEOPLASTICLESIONS
    Satoshi TAKEMURA, Akinori IWASITA, Kensi YAO, Tuneyoshi YAO
    2002 Volume 44 Issue 4 Pages 745-754
    Published: April 20, 2002
    Released on J-STAGE: May 09, 2011
    DOIhttps://doi.org/10.11280/gee1973b.44.745
    JOURNAL FREE ACCESS
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    The endoscopic color in the gastric elavated neoplastic lesion has been suggested to be auseful marker to differentiate predict the histological types(carcinoma vs adenoma). The aimof this study was to investigate the relationship between the vascular density in pathologicalspecimens and endoscopic color in elavated type of gastric neoplastic lesion.32 early gastriccancers and 26 gastric adenomas were included in the study. The sections of the resectedspecimens of these lesions were immunostained with CD34 and the vascular density in thetumorous and non-tumorous mucosa was measured quantitatively by an image processingtechnique. The measured vascular density was cornpared with the degree of endoscopic color(reddened, ne apparent change gf coler and pale)in the lesiens. In gastric cancers, the vasculardensity in the tumorous tissue(T)was significantly higher than those in non-tumorou.s mucosa(N)(p<0.005).In contrast, T was not significantly higher than N as for adenomas, while T inadenomas was significantly lower than T in cancers(p<0, 005). The endoscopic color of thelesions was mainly dependent upon the ratio of T to N(T/N ratio). The T/N ratio was beyond1.0 in 93%of the reddened lesion, while the ratio in 81.2%of pale lesion showed below 1.0. Inconclusion, the endoscopic color(degree of redness)might be correlated with the vasculardensity in the lesions.
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  • LAPAROSCOPIC SURGERY FOR THE MANAGEMENT OF METIASTATIC ESOPIIIAGEAL CARCINOMA OCCURRING AS SMMALL BOWEL OBSTRUCTION:REPORT OF A CASE
    Takatoshi NAKAMURA, Yoshirnasa OTANI, Hiroyuki MITOMI, Hideki KANAZAWA ...
    2002 Volume 44 Issue 4 Pages 755-760
    Published: April 20, 2002
    Released on J-STAGE: May 09, 2011
    DOIhttps://doi.org/10.11280/gee1973b.44.755
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    Small bowel is rarely involved with metastatic tumors from outside the abdomen, espedally esophagus. We report a 62-year-old man who underwent laparoscopic surgery for theman-agement of small bowel obstruction due to metastatic disease from an esophageal carcinorna. The patient was effectively treated with chemotherapy and radiotherapy for anadvanced carcinoma invading to the aorta and trachea. Three months Iater, small bowelobstruction developed and subsequent laparoscopic resection of a part of small bowel loop thatdisclosed metastatic carcinoma of the esophagus. It resolved his obstruction signs and symptoms. Minimally invasive laparoscopic surgery in this case, could be an alternative to opensurgery.
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  • A CASE OF DEPRESSED TYPE EARLY GASTRIC CARCINOMA SUCCESSFULLY TREATED WITH ARGON PLASMA COAGULATION
    Masashi HAGIWARA, Motonobu SUGIMOTO, Masayoshi TAKAHASHI, Rika YANAGIS ...
    2002 Volume 44 Issue 4 Pages 761-767
    Published: April 20, 2002
    Released on J-STAGE: May 09, 2011
    DOIhttps://doi.org/10.11280/gee1973b.44.761
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    A 71-year-old woman who had been followed up under the diagnosis of type C liver cirrhosis with hepatic encephalopathy presented nausea and received an endoscopic examination. It showed a superficial depressed type early (sm) gastric carcinoma, approximately 30 mm in diameter, on the lesser curvature of the angulus. Pathological diagnosis revealed signet ring cell type carcinoma. Because endoscopic mucosal resection (EMR) was not indicated, argon plasma coagulation (APC) was performed. Her symptom became free and neither residual lesion nor recurrence was endoscopically recognized during about one year and half, just before her death of hepatic insufficiency, APC was suggested to be useful in cases of early gastric carcinoma without an indication of surgery or EMR.
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  • A CASE OF HAMARTOMA RESECTED BY ENDOSCOPIC POLYPECTOMY
    Shin SAITOH, Sumio WATANABE, Keizoh HASUMI, Kenji KOBAYASHI, Tetsuya M ...
    2002 Volume 44 Issue 4 Pages 768-773
    Published: April 20, 2002
    Released on J-STAGE: May 09, 2011
    DOIhttps://doi.org/10.11280/gee1973b.44.768
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    A 56-year-old woman was admitted to our hospital with right upper quadrant pain. Her abdominal pain turned out to be gallstone attack. However, she was found to have a pedunculated duodenal polyp in the descending part at endoscopy which was done as a part of work-up of her symptoms. The polyp was measured 25×17×20 mm. Because endoscopic polypectomy was felt to be feasible, the patient underwent polypectomy. After detachable snare was placed on the stalk of the polyp, the polyp was removed endoscopically. The pathological diagnosis was hamartomatous polyp. Follow-up endoscopy revealed complete resection of the polyp. When endoscopic resection of a duodenal polyp is performed, the indication and problems should be considered.
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  • A CASE OF RECTOVAGINO-VESICAL FISTULA DUE TO RADIATION THERAPY FOR UTERINE CANCER TREATED WITH COVERED EXPANDABLE METALLIC STENT
    Shunroh OHTSUKASA, Satoshi OKABE, Hideaki TANAMI, Toshiaki FUKAHARA, H ...
    2002 Volume 44 Issue 4 Pages 774-779
    Published: April 20, 2002
    Released on J-STAGE: May 09, 2011
    DOIhttps://doi.org/10.11280/gee1973b.44.774
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    A 65-year-old woman had received a panhysterectomy and radiation therapy for a uterine cancer in 1974 and underwent a drainage operation for a peritonitis due to rupture of the bladder associated with radiation cystitis in 1983. A rectovesical fistula was revealed and partial resection of the bladder and rectum was performed in 1996. In 1998, rectovesical fistula recurred and symptom of fecaluria and contact-type dermatitis at perineal region subsequently worsened. In February, 2000, colonoscopy and gastrograffin-enema revealed a giant rectovagino-vesical fistula. Although we recommended ileostomy, the patient refused our offer. She gave informed consent to our proposal about the insertion of a covered expandable metallic stent (EMS) into the rectum to treat for fecaluria. After insertion of the covered EMS, fecaluria and contact-type dermatitis at perineal region subsequently improved. Three months later, fecaluria appeared again. Finally, seven months later, severe inflammation occurred at perineal and pubic region because of migration of the covered EMS into the bladder, then we removed the covered EMS and performed ileostomy. It is difficult to use the covered EMS treatment for benign rectovesical or rectovaginal fistula for a long term.
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  • CLINICAL CHARACTERISTICS OF SIMPLE ULCER OF THE INTESTINE
    Yoshihiko KISHIMA, Mitsunari YAMAMOTO, Hirayuki ENOMOTO, Kenya YOSHIDA ...
    2002 Volume 44 Issue 4 Pages 780-787
    Published: April 20, 2002
    Released on J-STAGE: May 09, 2011
    DOIhttps://doi.org/10.11280/gee1973b.44.780
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    Simple ulcer is one of the rare intestinal diseases, showing the recurrent and intractable chronic ulcerative lesions in the bowel. Its pathogenesis and etiology have remained to be elucidated, and the standard method for the treatment has not yet been established. Herein, we show the clinical analysis of 5 patients with simple ulcer in our clinic. In the first medical examination, all of 5 cases complained abdominal pain and bloody stool. Four of them complained diarrhea, intermittent bloody stool and painful oral aphtha. Endoscopical findings showed macroscopically deep and discreted ulcers in the ileocecal region in all patients. In two patients, recurrent and intractable deep and demarcated ulcers have appeared in the pharynx. The patients associated with deep pharyngeal ulcers may have an inclination to suffer from bowel perforation or recurrent bloody stool. In two cases with the lesions extending to the upper or middle ileum, the intestinal perforation have appeared, suggesting that the patients with ulcers extending to the upper or middle ileum from the ileocecal region may have a higher risk of perforation. For the introduction and maintenance of the remission stage, it is necessary to treat them by the nutrition therapy including total parenteral nutrition, elemental diet and/ or low residual diet, and drug administration such as salazosulfapyridine, 5-aminosalicylic acid and/or corticosteroid. Four with corticosteroid administration showed a healed or scarred ulcer, temporarily for one case. suggesting that steroid treatment should be efficacious for simple ulcer, only for short duration in any cases.
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  • A CASE OF THE MUCINOUS CYST DETECTED AT 49 YEARS AFTER APPENDECTOMY WITH THE FINDINGS SIMULATING SUBMUCOSAL TUMOR
    Akihiko TACHIBANA, Naoto FUKUDA, Junzou NAGAYAMA, Shigeru SAKAI, Nobuy ...
    2002 Volume 44 Issue 4 Pages 788-791
    Published: April 20, 2002
    Released on J-STAGE: May 09, 2011
    DOIhttps://doi.org/10.11280/gee1973b.44.788
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    We presented the case of a 69-year-old female with the chief complaint of right lower abdominal discomfort. She had appendectomy 49 years ago. Colonoscopic examination revealed a submucosal tumor at the bottom of the cecum. Barium enema revealed a smooth shape of filling defect measuring 3 cm in diameter. Laparoscopic resection of the cecum with a adhesion of the omentum due to past appendectomy was carried out, and cecal submucosal tumor was noted. Postoperative course was uneventful. Pathological diagnosis was a mutinous cyst adenoma without any evidence of malignancy. In this particular case, preoperative diagnosis was very difficult to make. In such situation, Laparoscopic examination is considered to be very useful to decide adequate procedures.
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  • A CASE OF RUPTURE OF DUODENAL VARIX IN A PATIENT WITH AICOHOLIC LIVER FIBROSIS
    Toshiyuki KITAZAWA, Masahumi MORIMURA, Yuuji MATSUI, Hiroshi FUKUI
    2002 Volume 44 Issue 4 Pages 792-797
    Published: April 20, 2002
    Released on J-STAGE: May 09, 2011
    DOIhttps://doi.org/10.11280/gee1973b.44.792
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    We report here a case of rupture of duodenal varix in a patient with alcoholic liver fiver fibrosis which was successfully treated by endoscopic variceal ligation therapy. A 46-year-old man was admitted with hematemesis and melena. While no varix was found in the esophagus and stomach, emergency endoscopy showed active spurting bleeding from duodenal varix located in the second portion. We treated endoscopic variceal ligation therapy. Bleeding was stopped under that intervention. We should pay attention to not only esophageal and gastric varices but also duodenal varices in a patient with portal hypertension.
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  • [title in Japanese]
    [in Japanese]
    2002 Volume 44 Issue 4 Pages 804-809
    Published: April 20, 2002
    Released on J-STAGE: May 09, 2011
    DOIhttps://doi.org/10.11280/gee1973b.44.804
    JOURNAL FREE ACCESS
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  • [title in Japanese]
    [in Japanese]
    2002 Volume 44 Issue 4 Pages 810-816
    Published: April 20, 2002
    Released on J-STAGE: May 09, 2011
    DOIhttps://doi.org/10.11280/gee1973b.44.810
    JOURNAL FREE ACCESS
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  • [title in Japanese]
    [in Japanese]
    2002 Volume 44 Issue 4 Pages 817-824
    Published: April 20, 2002
    Released on J-STAGE: May 09, 2011
    DOIhttps://doi.org/10.11280/gee1973b.44.817
    JOURNAL FREE ACCESS
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  • [title in Japanese]
    [in Japanese]
    2002 Volume 44 Issue 4 Pages 825-830
    Published: April 20, 2002
    Released on J-STAGE: May 09, 2011
    DOIhttps://doi.org/10.11280/gee1973b.44.825
    JOURNAL FREE ACCESS
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