All issues
Volume 62 (2020)
- Issue 12 Pages 3029-
- Issue 11 Pages 2929-
- Issue 10 Pages 2255-
- Issue 9 Pages 1575-
- Issue 8 Pages 1455-
- Issue 7 Pages 751-
- Issue 6 Pages 647-
- Issue 5 Pages 527-
- Issue 4 Pages 439-
- Issue 3 Pages 309-
- Issue 2 Pages 135-
- Issue 1 Pages 1-
- Issue Supplement3 Pag･･･
- Issue Supplement2 Pag･･･
- Issue Supplement1 Pag･･･
Volume 50 (2008)
- Issue 12 Pages 2987-
- Issue 11 Pages 2805-
- Issue 10 Pages 2665-
- Issue 9 Pages 2443-
- Issue 8 Pages 1699-
- Issue 7 Pages 1557-
- Issue 6 Pages 1427-
- Issue 5 Pages 1289-
- Issue 4 Pages 1079-
- Issue 3 Pages 323-
- Issue 2 Pages 189-
- Issue 1 Pages 1-
- Issue Supplement3 Pag･･･
- Issue Supplement2 Pag･･･
- Issue Supplement1 Pag･･･
Volume 47, Issue 11
Displaying 1-10 of 10 articles from this issue
- |<
- <
- 1
- >
- >|
-
Toru HIYAMA, Masaharu YOSHIHARA, Shinji TANAKA, Kazuaki CHAYAMA2005 Volume 47 Issue 11 Pages 2493-2500
Published: November 20, 2005
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSWe analyzed 5 judicial precedents associated with overlooking of scirrhous gastric cancer in Japan. In 3 of the 4 cases before the judgment of the Supreme Court in January 15, 2002, the claim of the plaintiff, the patient's family, had been rejected because there would be no evidence of the effectiveness of treatment in prolonging the life even if the treatment was started earlier. In January 15, 2002, the Supreme Court however admitted the claim of the plaintiff in one case, there might be the possibility of the effectiveness of the treatment in prolonging the life if the treatment was started earlier. Recently, effective anti-cancer drugs have been developed and clinically used. The judicial judgment may be affected such progress of medical treatment. Physicians should have such knowledge, and have to make a profound study .View full abstractDownload PDF (8005K) -
Mayumi SUZUKI, Yoichirou OHNO, Takaharu SADAMOTO, Motonobu SUGIMOTO2005 Volume 47 Issue 11 Pages 2501-2508
Published: November 20, 2005
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSBackground and aims : Although severely handicapped patients frequently showed GIsymptoms, precise investigations on the upper GI endoscopic findings have never been reported.We studied Helicobacter pylori (H, pylori) infection and upper GI endoscopic findings in theseverely handicapped patients. Methods : We performed upper GI endoscopy in the 38 severely handicapped patients withupper GI symptom and gastric biopsy to detect H. pylori by the rapid urease test and culturemethod. Results : H. pylori was detected in 71.1%. H. pylori was highly prevalent in the youngestgroup below age of 20. H. pylori was seen relatively frequently in the patients with highlysevere handicap and patients with hematemesis, and rarely seen in the patients treated with H2receptor antagonist or proton pump inhibitor, though there were no statistical significance.Endoscopically, esophageal hiatus hernia, reflux esophagitis and atrophic gastritis were frequentlyseen even in the youngest group below the age of 20. Conclusions : It was clarified that severely handicapped patients were infected by H. pylori in the younger generation and easily suffered from esophageal and gastric diseases compared to those in the same age groups.View full abstractDownload PDF (8856K) -
Shigeki OKA, Kazuyoshi SUZUKI, Kazuhito KOIZUMI, Hiroki ICHIMURA, Mori ...2005 Volume 47 Issue 11 Pages 2509-2515
Published: November 20, 2005
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSBACKGROUND : The most common major complication of colonoscopic polypectomy is postpolypectomy hemorrhage. Although several factors have been implicated in the occurrence of hemorrhage, accurate prediction of delayed bleeding remains difficult. This study was undertaken in order to elucidate the risk factors of post polypectomy bleeding in routine outpatient setting. METHODS: An audit was conducted for a 3-year period of consecutive patients undergoing colonoscopic polypectomy. Patient demographics, site and size of polyps, and the use of anticoagulants and antiplatelet agents were documented from each patient's record. If the patients were taking these agents, they were suggested to discontinue for 1 week before and after polypectomy. Bleeding episodes were classified as immediate or delayed and were graded as mild, moderate, or severe. Risk factors associated with postpolypectomy bleeding were analyzed by multivariate logistic regression analysis. RESULTS : A total of 660 cases were reviewed. There were 22 cases of polypectomy-associated bleeding (3.3%) ; bleeding was immediate in 5 and delayed in 17. Multivariate analysis showed that age, the location of polyp, and the use of aspirin, non-steroidal anti-inflammatory drugs, and other antiplatelet agents were not associated with a higher risk of polypectomy-associated bleeding. CONCLUSIONS: The use of antiplatelet agents during polypectomy was not associated with an increase in post-polypectomy bleeding when they were terminated for 1 week before and after polypectomy. Multivariate analysis demonstrated that the histological degree of dysplasia was associated with a significant risk of post -polypectomy bleeding.View full abstractDownload PDF (7830K) -
Hideki TATE, Ryoichi NOZAKI, Ryuji MURATA, Michihisa FUCHIMOTO, Kazuta ...2005 Volume 47 Issue 11 Pages 2516-2522
Published: November 20, 2005
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSBackground: Few studies on virtual endoscopy (VE) of small intestinal lesions in Crohn's disease have been published. We have employed multidetector row CT (MDCT) and reconstructed three dimensional images of the small intestine to evaluate the efficacy of VE and Ra-sum view (so called virtual enteroclysis image) for small intestinal lesions of Crohn's disease. Methods: Six patients with Crohn's disease who have small intestinal lesions were reviewed. Prior to MDCT, all patients underwent total colonoscopy to observe the colon an terminal ileum, and air was directly administrated into the small intestine through the fiberscope. Data obtained from MDCT was reconstructed to VE and Ray-sum view . Results: The length of the small intestine which was depicted with three dimensional images was 55cm on the average. VE depicted longitudinal ulcers in all of 3 patients, and shallow ulcers in 2 of 4 patients, but failed to demonstrate aphtoid ulcers . A ray-sum view depicted wall thickening, skiplesions and stenosis similar to enteroclysis in 2 patients . Conclusion: We could depict the terminal ileum and detect longitudinal and shallow ulcers with three dimensional images. Since the ileum is frequently involved in Crohn's disease, VE reconstructed by MDCT is thought to be a useful tool in detecting small intestinal lesions of Crohn's disease.View full abstractDownload PDF (13805K) -
Kingo HIRASAWA, Atsushi KOKAWA, Naohiko TOMITA, Toshifumi SAITO, Katsu ...2005 Volume 47 Issue 11 Pages 2523-2529
Published: November 20, 2005
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSThis is an unusual case of early colorectal mucosal cancer resembling a submucosal tumor (SMT) in a 56-year-old woman. Barium-enema showed a 10-milimeter SMT in the sigmoid colon. Colonoscopy showed a pale, SMT-like lesion with a shallow delle at the top. Endoscopic resection was carried out. The pathological findings showed the tumor to be a moderately to well-differentiated de novo adenocarcinoma. The tumor was almost completely covered with normal mucosa and no infiltration was found beyond the layer of the muscularis mucosae.View full abstractDownload PDF (11049K) -
Chikako TOKORO, Hiroaki YASUZAKI, Kingo HIRASAWA, Daisuke UCHINO, Nobu ...2005 Volume 47 Issue 11 Pages 2530-2534
Published: November 20, 2005
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSWe report a rare case of a bezoar which was extracted through the anus by colonoscopy after two episodes of intestinal obstruction. A 74-year-old woman attended our hospital with complaints of nausea and appetite loss. At UGI endoscopy, we found a 6-cm bezoar in her stomach. Twenty four days after endoscopy, the bezoar impacted and caused intestinal obstruction of the terminal ileum. The bezoar was passed through the ileocecal valve by pressing her abdomen with hands under X-ray. Two days after recovery from obstruction, the bezoar impacted again in the sigmoid colon. Colonoscopy was performed . Fragmentation and removal of the bezoar were accomplished using a polypectomy snare .View full abstractDownload PDF (9228K) -
Satoshi GOSIII, Masaaki KOBAYASHI, Tomoko OHSHIMA, Takashi KUROIWA, Ke ...2005 Volume 47 Issue 11 Pages 2535-2541
Published: November 20, 2005
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA 56-year-old female who had been treated by her home doctor with loxoprofen for shoulder pain visited our hospital with a complaint of epigastric pain. The first endoscopic examination showed double pylorus and a large gastric ulcer on the greater curvature of prepyloric region. The second endoscopic examination which was performed four months later revealed a scared gastric ulcer and double pylorus was still present. The case report of double pylorus in which Helicobacter pylori infection is denied by several examinations is very rare. Double pylorus of our case was considered a complication due to nonsteroidal anti-inflammatory drugs.View full abstractDownload PDF (9326K) -
[in Japanese], [in Japanese], [in Japanese]2005 Volume 47 Issue 11 Pages 2542-2543
Published: November 20, 2005
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSDownload PDF (1885K) -
Masao NODA, Nobuaki MORI, Kenichi NOMURA, Kensaku KOJIMA, Shouji MITSU ...2005 Volume 47 Issue 11 Pages 2544-2549
Published: November 20, 2005
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSRecent reports have suggested an association between Helicobacter pylori infection and both gastric mucosa associated lymphoid tissue (MALT) lymphoma and thrombocytopenic purpura. Although treatments eradicating H. pylori lead to regression of these diseases in some cases, the exact mechanisms are still controversial. This case report describes a patient with thrombocytopenic purpura accompanied by an early stage gastric MALT lymphoma. Endoscopic mucosal resection of the lesion in this patient led to dramatic regression of thrombocytopenic purpura, and t(11 ; 18) (q21 ; q21), which means resistance more likely to H. pylori eradication therapy, was confirmed by fluorescence in situ hybridisation. There is no evidence of recurrence and his platelet count is within normal limits after 24 months of follow up. This is the first case report describing regression of thrombocytopenic purpura after mucosal resection of a gastric MALT lymphoma. We suggest that while some cases of thrombocytopenic purpura may be induced by H. pylori, others may be due to an autoreactive antibody produced by MALT lymphoma B cells.View full abstractDownload PDF (10355K) -
[in Japanese]2005 Volume 47 Issue 11 Pages 2550-2553
Published: 2005
Released on J-STAGE: January 29, 2024
JOURNAL FREE ACCESSDownload PDF (761K)
- |<
- <
- 1
- >
- >|