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Volume 48, Issue 3
Displaying 1-12 of 12 articles from this issue
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Toshiyuki MATSUI, Yoko WADA, Fumihito HIRAI, Suketo SOU2006 Volume 48 Issue 3 Pages 291-302
Published: March 20, 2006
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSTreatments of inflammatory bowel disease (IBD) are changing remarkably because the number of patients with inflammatory bowel disease is increasing rapidly in Japan. Newer treatments are mandatory and are emerging because number of intractable cases is increasing. Treatment are planned upon clinical and endoscopic findings and also evaluation of treatment is based upon the endoscopic findings especially in ulcerative colitis (UC). However, established evaluation index is not approved in UC. Reviewing contents of indices and validation of indices is important issue in this review. In Crohn's disease (CD) Crohn' s disease activity index (CDAI) has been the sole established index in the world, however, correlation with endoscopic findings is poor. Based on these context to establish a scientific classification of endoscopic findings in CD is mandatory. Finally, endoscopic treatment in IBD using enteroscopy is reviewed.View full abstractDownload PDF (3631K) -
-IS THE SUBMUCOSAL INJECTION NECESSARY UNDER THE DOUBLE-CHANNEL METHOD ?-Kazutoshi FUKASE, Katsuhiro MABE, Satoshi UGAJIN, Takashi ABE, Taihei ...2006 Volume 48 Issue 3 Pages 303-309
Published: March 20, 2006
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSComplications of endoscopic mucosal resection (EMR) for early gastric cancers (EGC) were analyzed and our method using double-channel scope without submucosal injections was investigated. 842 lesions of EGC were resected endoscopically out of 784 patients during a period of 26 years ; July 1978 to December 2004 at Yamagata prefectural central hospital. Their complications were recorded and analyzed. After EMR, Bleeding occured in 29 lesions (3.4%) and perforation occured in 5 lesions (0.6%), making it a total of 4.0% incidences of complications. Bleeding transpired predominantly in cases of upper portion, lesser curvature, piecemeal resection (PMR) and chronic renal failure. Bleeding cases were cured by immediate endoscopic hemostasis with the exception of 1 case. This isolated patient needed additional surgical operation as a result of 2 hours 40 minutes delay in endoscopic hemostasis after his hematoemesis. As to the 5 perforated lesions, all incidents were on greater curvatures of gastric body. Surgical operations were performed on 3 perforated cases, but on 2 cases endoscopic clipping were performed and cured. If patients have hematoemesis after EMR, endoscopic hemostasis is needed as soon as possible. For perforation after EMR, first try the conservative method of endoscopic clipping before applying surgical operation. Compared to complicative incidences of other hospitals with submucosal injections, ours were better than other's one, suggesting submucosal injections under the double-channel method are not necessary.View full abstractDownload PDF (5845K) -
Kentaro TASAKI, Ikuya OOSHIMA, Seiji YOSHIMURA, Yasushi OKAZAKI, Yukio ...2006 Volume 48 Issue 3 Pages 310-315
Published: March 20, 2006
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSIt was pointed out that a 50-year-old man had the 0-IIb lesion in pars pylorica posteriorwall of gastric tube, when the endoscopic examination was performed because of anastomoticulcer under follow-up after esophageal cancer radical operation. Signetring cell carcinoma (sig) was proved in the biopsy. Fractionalized endoscopic mucosal resection (EMR) was performed, and the complete excision was possible. This is the first EMR case report for sig of gastric tubecancer in the domestic literature. Early gastric tube cancer discovery could be possible by theperiodic endoscopic examination, permitting the less invasive treatment.View full abstractDownload PDF (5921K) -
Songde CHO, Yasuhiko KITADAI, Tuyoshi KURODA, Shigeru KIMURA, Hiroshi ...2006 Volume 48 Issue 3 Pages 316-321
Published: March 20, 2006
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA26-year-old man was admitted to a local hospital with a complaint of abdominal pain.Upper gastrointestinal endoscopy was performed and revealed irregularity of gastric mucosawith multiple erosions spreading from the antrum to angle. Endoscopic biopsied specimenstaken from erosions showed intranuclear inclusion bodies histopathologically, and CMV antibody was elevated serologically. We diagnosed this case as a cytomegalovirus-associatedgastritis due to these findings. Because histopathological study also showed lymphoepithelial lesion(LEL)in a part of biopsied specimens, gastric MALToma should be included in thedifferential diagnosis. A follow-up upper gastrointestinal endoscopy performed nine monthslater showed improvement of erosions and regression of both intranuclear inclusion bodies and LEL histologically. In this study, we report a case of cytomegalovirus-associated gastritiswhich is very rare in a normal host with normal immune systems.View full abstractDownload PDF (8318K) -
Toshihito FUJII, Makoto TAKAOKA, Yoshihiro TAGAWA, Katunori YOSHIDA, M ...2006 Volume 48 Issue 3 Pages 322-328
Published: March 20, 2006
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA68-year-old woman under the medical treatment by diabetes mellitus and hypartensionin the nearby hospital was introduced to our hospital for the decrease in the number of platelets.She was diagnosed by various studies as idiopathic thrombocytopenic purpura. She wasadmitted to our hospital suffering from abdominal pain and fresh tarry stool. Colonoscopyrevealed a numerous red spots and hematoma scattered from the descending colon to rectum.Her symptoms and endoscopic findings were improved by conservative therapy and she wasdischarged from our hospital. Here, we report an endoscopic follow-up case of idiopathic thrombocytopenic purpuraassociated with a hemorrhagic enteritis.View full abstractDownload PDF (8924K) -
Masami MIYAGAWA, Hidetoshi KANEMASA, Sonoko NAKAGAWA, Toshiyuki NITAN, ...2006 Volume 48 Issue 3 Pages 329-333
Published: March 20, 2006
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA 65-years-old man was hospitalized for the treatment of diabetes mellitus. The patient was diagnosed as having non-insuline dependent diabetes mellitus in 1983. Since 1997, he had received 0.6mg per day of voglibose and 5.0mg per day of glibenclamide. After taking these medicine, he complained abdominal pain and diarrhea. Various examinations were performed during this hospitalization. Colonoscopy showed numerous round polypoid lesions from the ascending colon to the sigmoid colon and his disease was diagnosed as Pneumatosis cystoides intestinalis (PCI). We thought that voglibose was the cause of PCI and stopped the medication. Then his abdominal pain and diarrhea improved. When follow-up endoscopy was done at 4 month later, cystic gas-filled cysts disappeared. PCI is a rare disease forming multiple gas-filled cysts within the submucosal or subserosal layer of the intestinal wall. Recently PCI was listed as rare side effect of alpha-glucosidase inhibitors. We should consider the possibility of PCI when diabetic patients treated with alphaglucosidase inhibitors have complaints of abdominal pain and diarrhea.View full abstractDownload PDF (6571K) -
Hirotaka MOTOYAMA, Takashi YAMAMOTO, Nobuhiro AKIYAMA, Jun INAYOSHI, F ...2006 Volume 48 Issue 3 Pages 334-340
Published: March 20, 2006
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA 50-year-old man was referred to our hospital for epigastric pain. Abdominal CT revealed a low-density mass and a small cyst in the head of the pancreas. Dilation of the main pancreatic duct in the body and tail and a small slightly enhanced mass in the head of the pancreas were also noted. Magnetic resonance cholangiopancreatography and endoscopic retrograde cholangiopancreatography disclosed a stricture of the common bile duct and an abrupt occlusion of the main pancreatic duct in the head of the pancreas with dilation of the main pancreatic duct and the secondary ducts beyond the occlusion. On CT examination 37 days after the first one, a change to a big cystic mass in the head of the pancreas was recognized. A pylorus-preserving pancreaticoduodenectomy was performed. Histologically, the lesion was an endocrine carcinoma of the head of the pancreas, 1.5 cm in size, which occluded the main pancreatic duct. A pseudocyst was recognized on the tail side of the occlusion of the main duct in the head of the pancreas. It is necessary to consider the possibility of endocrine tumor of the pancreas, when occlusion of the main pancreatic duct is demonstrated.View full abstractDownload PDF (9925K) -
Masako KAJI, Naoki MUGURUMA, Hiromi YANO, Tetsuo KIMURA, Yoshitaka IMO ...2006 Volume 48 Issue 3 Pages 341-345
Published: March 20, 2006
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA 59-year-old man with situs inversus totalis presented obstructive jaundice due to a tumor of the pancreas head during the treatment of bladder cancer. A diagnosis of malignant obstruction of the common bile duct was made. First he was treated by PTBD to reduce jaundice, and then ERCP and endoscopic biliary stenting were successfully performed. With the patient in the right lateral decubitus position, the endoscope was shortened by twisting to the up-left to approach the papilla of the duodenum. We could perform demanding procedures successfully by paying attention to the left-right reversal.View full abstractDownload PDF (7870K) -
[in Japanese], [in Japanese], [in Japanese]2006 Volume 48 Issue 3 Pages 346-347
Published: March 20, 2006
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSDownload PDF (1860K) -
Hiroto KITA, Hironori YAMAMOTO, Tomonori YANO, Michiko IWAMOTO, Tomohi ...2006 Volume 48 Issue 3 Pages 348-355
Published: March 20, 2006
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSWith the advent of double-balloon endoscopy, our strategy for the small intestinal diseases has dramatically been changing. The double-balloon endoscopy enables visualization of the entire small bowel and also allows interventional therapy in the small intestine. This method could be used either from oral or anal approach. Observation of an affected area with controlled movement of the endoscope enables interventions, including biopsies, hemostasis, balloon dilatation, stent placement, polypectomy, and endoscopic mucosal resection. The double-balloon endoscopy, in combination with capsule endoscopy, has a potential to be a standard of enteroscopy.View full abstractDownload PDF (13106K) -
[in Japanese]2006 Volume 48 Issue 3 Pages 356-359
Published: 2006
Released on J-STAGE: January 29, 2024
JOURNAL FREE ACCESSDownload PDF (705K) -
2006 Volume 48 Issue 3 Pages 365-368
Published: March 20, 2006
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSDownload PDF (2086K)
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