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Volume 48, Issue 12
Displaying 1-12 of 12 articles from this issue
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Kazuhide HIGUCHI, Hirotoshi OKAZAKI, Masahiko TABUCHI, Masatsugu SHIBA ...2006 Volume 48 Issue 12 Pages 2763-2771
Published: December 20, 2006
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSGastroesophageal reflux disease is a common medical condition that typically requires lifelong medical therapy or surgery for the management of patients with frequent symptoms. The standard of care for patients with GERD is to begin treatment with acid suppressants. Currently, three endoluminal therapies for GERD are approved for use in the western countries. Clinical trials have examined either an endoscopic suturing, injection intervention, or thermal approach in the area of the lower esophageal sphincter. They are found to be useful for the treatment of GERD. However, the reported follow-up periods are short. The risk/benefit profile must be carefully evaluated for each of these interventions for a long-term.View full abstractDownload PDF (12453K) -
Kento TAKATORI, Yukimasa YAMASHITA, Harue INOUE, Toukou KANESHIRO, Mas ...2006 Volume 48 Issue 12 Pages 2772-2779
Published: December 20, 2006
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA 54-year-old man was admitted to our hospital suffering from epigastric pain. Laboratory tests showed leukocytosis with the leftshift and elevated CRP level. Abdominal computed tomography and ultrasonography revealed a thickning of the gastric wall and multiple perigastric and perihepatic abscesses. Endoscopy showed edematous and reddened gastric mucosa with white pus. The patient was diagnosed with Phlegmonous gastritis and an endoscopic mucosal incision by IT-knife was performed on admission day on the purpose of the drainage. A large amount of pus was drained into gastric lumen, and the symptom was released on the third day. Treatment with antibiotics was effective and the patient was discharged on the 30th day. Early diagnosis of Phlegmonous gastritis is considered to be difficult and late diagnosis is often fatal. This report details a patient with phlegmonous gastritis who was successfully treated by endoscopic drainage therapy using IT-knife and medical therapy.View full abstractDownload PDF (16428K) -
Yasuhisa SAKATA, Ryuichi IWAKIRI, Seiji TSUNADA, Atsushi KIKKAWA, Hibi ...2006 Volume 48 Issue 12 Pages 2780-2785
Published: December 20, 2006
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA 65-year-old man was admitted with a history of blood stools. He presented with sudden onset of massive hemorrhage and developed shock. Gastroduodenoscopy, colonoscopy and angiography revealed no obvious bleeding points. For recurrent bleeding he was taken to surgery. Endoscopical examination in operation revealed changes characteristic of Crohn's disease from jejunum to ileum, 50cm proximal to the ileocecal valve, and then this portion was resected. Glutamine-enriched enteral nutrition led him to early weaning from total parenteral nutrition. Massive hemorrhage in Crohn's disease is rare. Those patients generally received operation and consequently develop short-bowel syndrome. As our experience, glutamine is one of the effective materials which can promote remnant intestinal adaptation in short bowel patients.View full abstractDownload PDF (11769K) -
Kentaro NAKAO, Akira TSUNODA, Naoto SUZUKI, Katsuo YAMAZAKI, Kazuhiro ...2006 Volume 48 Issue 12 Pages 2786-2791
Published: December 20, 2006
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA 33-year-old woman who was diagnosed with ulcerative colitis (UC) at age 18 had chief complaints of abdominal pain and arthralgia. She was treated with leukocytapheresis (LCAP) 5 times. After the treatment, her larger ulcerations were markedly improved, and abdominal pain and arthralgia were resolved. Although an apheresis therapy has been reported to have poor effects on UC with larger ulcerations, LCAP had marked effect on UC with larger ulcerations in this patient who was negative for cytomegalovirus. Therefore, LCAP can be chosen for the treatment of severe UC with larger ulcerations.View full abstractDownload PDF (10902K) -
Shin SAIDA, Yuji INOUE, Tomoaki SHINOHARA, Toru TEZUKA, Takehito OHTSU ...2006 Volume 48 Issue 12 Pages 2792-2798
Published: December 20, 2006
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA 37-year-old man admitted for anal discomfort was found to have a submucosal tumor, 3cm in diameter, in the lower rectum on digital rectal examination, colonoscopy, barium enema, and MRI. Fine needle aspiration cytology on endoscopic ultrasonography (EUS-FNA) yielded a diagnosis of gastrointestinal stromal tumor (GIST) staining for KIT immunohistochemially. Tumor resection was performed by transana approach which was 2.9 × 2.8 × 2.2cm in diameter with no invasion to other organs. It is suggested that EUS-FNA is safe, accurate for the preoperative diagnosis of rectal submucosal tumors when GIST is suspected.View full abstractDownload PDF (13228K) -
Eiki NOMURA, Sho TAKAGI, Hisashi SHIGA, Go IMAI, Hiroki AIZAWA, Yoshif ...2006 Volume 48 Issue 12 Pages 2799-2805
Published: December 20, 2006
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSWe report a case of fecalith developed in the remnant rectum after loop sigmoid colostomy due to anal lesion associated with Crohn's disease. A 39-year-old man was admitted to our hospital with anal pain and difficulty of defecation. He was diagnosed as Crohn's disease at 23-year-old and underwent loop sigmoid colostomy due to repeated anal fistula and perianal abscess at 35-year-old. Colonoscopy and X-ray revealed anal stenosis and two fecalith approximately 7 cm in diameter in the rectum. Then, we succeeded in removing the fecalith with jumbo polypectomy snare (45mm in diameter) and endoscopic electrohydraulic lithotripsy. The fecalith was composed of inspissated feces.View full abstractDownload PDF (11075K) -
Atsushi IMAGAWA, Shigeatsu FUJIKI, Tsuyoshi FUJIMOTO, Teruya NAGAHARA, ...2006 Volume 48 Issue 12 Pages 2806-2811
Published: December 20, 2006
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSThe safety and certainty in performing Endoscopic submucosal dissection (ESD) are one of important points. Peppermint oil solution can be used as an antispastic agent for safety procedure. In addition, the acetic acid-enhanced method can be used as technique that can obtain certain diagnosis for the margin of the gastric neoplasm before procedure. In our hospital, from July 2005 to January 2006, 49 lesions of 31 cases with gastric cancer, intestinal type or adenoma were treated by ESD. Peppermint oil solution was administrated in 31 cases, and it was effective in all cases. The acetic acid-enhanced method was performed in all lesions. In 26 of 49 lesions, this method could detect the margin of the neoplasm clearer than the conventional endoscopy. These techniques were convenient and useful for safe and certain ESD.View full abstractDownload PDF (8276K) -
[in Japanese], [in Japanese]2006 Volume 48 Issue 12 Pages 2812-2813
Published: December 20, 2006
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSDownload PDF (2648K) -
[in Japanese], [in Japanese], [in Japanese]2006 Volume 48 Issue 12 Pages 2814-2815
Published: December 20, 2006
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSDownload PDF (2974K) -
Hiroyuki ISAYAMA, Yousuke NAKAI, Takeshi TSUJINO, Takao KAWABE, Masao ...2006 Volume 48 Issue 12 Pages 2816-2827
Published: December 20, 2006
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSBiliary stenting is a standard and basic procedure for the management of biliary obstruc-tions. For the management of cholangitis with bile duct stone, recent randomized study showed similar results of plastic stent and naso-biliary drainage tube. Then, the kind of drainage tube was selected by own discretion of each endoscopist or institution. On the other hand, for the management of unresectable biliary malignancies, there were some evidences. For the manage-ment of distal biliary obstruction, uncovered metallic stent showed significantly longer patency than plastic stent. In addition, covered metallic stent was superior to uncovered one according to the randomized study. In Japan, covered metallic stent was selected firstly for the distally obstructed cases. However, for the hilar malignancies, there were few evidences. The controversially points were approach route (endoscopic or percutaneous), type of stent (plastic stent or metallic stent) and drainage area (unilateral or bilateral). The patients with unresecta-ble malignant biliary obstruction acquired low invasive procedure, low rate of complication and long patency for the preservation of patients QOL. Therefore, we have to confirm the way of stenting for the hilar malignancy cases.View full abstractDownload PDF (20483K) -
[in Japanese], [in Japanese]2006 Volume 48 Issue 12 Pages 2828-2831
Published: 2006
Released on J-STAGE: January 29, 2024
JOURNAL FREE ACCESSDownload PDF (723K) -
2006 Volume 48 Issue 12 Pages 2838-2841
Published: December 20, 2006
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSDownload PDF (623K)
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