GASTROENTEROLOGICAL ENDOSCOPY
Online ISSN : 1884-5738
Print ISSN : 0387-1207
ISSN-L : 0387-1207
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Volume 55, Issue 4
Displaying 1-16 of 16 articles from this issue
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  • PREVALENCE OF GASTROESOPHAGEAL REFLUX DISEASE IN DIABETIC PATIENTS
    Takayuki OTA, Hisao WAKASAKI, Takahiro HAYAKAWA, Waka MIYAMOTO, Tatsuy ...
    2013 Volume 55 Issue 4 Pages 1453-1459
    Published: 2013
    Released on J-STAGE: May 21, 2013
    DOIhttps://doi.org/10.11280/gee.55.1453
    JOURNAL FREE ACCESS
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    We examined the relationship between reflux esophagitis (RE) and gastroesophageal reflux disease (GERD) in diabetic patients. We investigated the incidence of RE with upper gastrointestinal endoscopy and the prevalence of symptomatic GERD with Questionnaires in 88 diabetic patients and 263 non-diabetics. Although the incidence of RE in diabetic patients was higher than that in non-diabetics, there were no statistically significant differences in the prevalence of GERD between diabetic patients and non-diabetics. Also the frequency of gastric juice reflux and the prevalence of RE were higher in diabetic patients, but the prevalence of symptomatic GERD was not increased.
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  • A CASE OF EARLY GASTRIC CANCER COMPLICATED WITH SITUS INVERSUS TOTALIS SUCCESSFULLY TREATED WITH ENDOSCOPIC SUBMUCOSAL DISSECTION
    Sho ASONUMA, Yasuhiko ABE, Yasuyuki FUJISAKA, Megumi ZUGUCHI, Ken UMEM ...
    2013 Volume 55 Issue 4 Pages 1460-1466
    Published: 2013
    Released on J-STAGE: May 21, 2013
    DOIhttps://doi.org/10.11280/gee.55.1460
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    A 76-year-old woman with situs inversus totalis had an slightly elevated early gastric cancer with 4 cm in size the posterior wall of the lesser curvature in the upper gastric body. Initial endoscopic examination performed in the left lateral decubitus position, gastric contents, A endoscopic examination in the left decubitus position the gross morphology of the lesion, but detailed observation of superficial structures were hampered by gastroesophugeal reflux. Although the patient was re-scoped in the right lateral decubitus position, the examination couldn't be completed due to technical difficulties. According to the therapeutic guidelines for gastric cancer in Japan, endoscopic resection was applied to this gastric lesion. Considering the past two endoscopic examinations, ESD was performed in the left lateral decubitus position. Consequently, the gastric cancer was successfully resected without any complication, and pathologically curable resection was achieved in accordance with the therapeutic guidelines.
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  • A CASE OF PNEUMATOSIS CYSTOIDES INTESTINALIS WITH INTRAPERITONEAL FREE GAS WHICH WAS APPARENTLY CAUSED BY AN ESOPHAGOGASTRODUODENOSCOPY
    Tetsuji YAMAGUCHI, Hideo OOKAMI, Kazuhiro TSUKADA
    2013 Volume 55 Issue 4 Pages 1467-1472
    Published: 2013
    Released on J-STAGE: May 21, 2013
    DOIhttps://doi.org/10.11280/gee.55.1467
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    An 82-year-old woman with cerebral infarction-mediated dysphagia was referred to our hospital in order to place a percutaneous endoscopic gastrostomy (PEG). As the pre-PEG evaluation, we performed transnasal endoscopy which did not show any gross lesion in the esophagus, stomach or duodenal bulb. Immediately after the endoscopy, following gas insufflation of the stomach, simple abdominal CT was performed. The CT imaging revealed pneumatosis cystoides intestinalis (PCI) with intraperitoneal free gas. The PCI disappeared with conservative treatments without producing clinically significant symptoms. A case report is presented herein on a PCI which developed following esophagogastroduodenoscopy withoutother causative concomitant GI diseases.
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  • A CASE OF INTRA-ABDOMINAL BLEEDING CAUSED BY THE RUPTURE OF LEFT GASTROEPIPLOIC ARTERY AFTER ESOPHAGOGASTRODUODENOSCOPY
    Yutaka KIMURA, Moritoshi YAMAMOTO, Katsuki DANNO, Nobuyuki TATSUMI, Ak ...
    2013 Volume 55 Issue 4 Pages 1473-1477
    Published: 2013
    Released on J-STAGE: May 21, 2013
    DOIhttps://doi.org/10.11280/gee.55.1473
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    A hypertensive 77-year-old woman was admitted as an emergency because of unconsciousness and cardiopulmonary arrest after esophagogastroduodenoscopy for assessment of anemia. Abdominal enhanced computed tomography showed intra-abdominal bleeding because of the rupture of a left gastroepiploic artery aneurysm. Arteriography from the splenic artery demonstrated rupture of the left gastroepiploic artery aneurysm and it was embolized with micro-coils. Rupture of such aneurysms may be caused by excessive insufflation of the stomach during an endoscopic examination.
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  • EXPERIENCE OF A RUPTURED DUODENAL VARIX ON THE THIRD PORTION SUCCESSFULLY TREATED WITH ENDOSCOPIC VARICEAL LIGATION USING DOUBLE BALLOON ENTEROSCOPY
    Nobuhiro AIZAWA, Yoshinori IWATA, Tomoyuki TAKASHIMA, Yoshiyuki SAKAI, ...
    2013 Volume 55 Issue 4 Pages 1478-1483
    Published: 2013
    Released on J-STAGE: May 21, 2013
    DOIhttps://doi.org/10.11280/gee.55.1478
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    A 72-year-old man was admitted to our hospital with tarry stools. He had been followed up as a patient with decompensated liver cirrhosis and hepatocellular carcinoma. He had a history of endoscopic injection sclerotherapy for esophageal varices 6 years before this episode and had undergone TACE for heaptocellular carcinoma 7 times during the period. Computed tomography showed dilated varices is the duodenum. Gastrointestinal endoscopic examination revealed a ruptured nodular varix with a white plug on the third portion of the duodenum. The varices were treated with the endoscopic variceal ligation (EVL) method using double balloon enteroscopy.
    After the EVL treatment endoscopic examination demonstrated disappearance of the duodenal varix with post therapeutic scarrings. EVL using double balloon enteroscopy is considered as a therapeutic option for rupture of duodenal varix in emergency, especially for the patients with decompensated liver cirrhosis.
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  • A CASE REPORT OF SPIGELIAN HERNIA USING LAPAROSCOPIC REPAIR
    Takeshi NAKAMURA, Ayako SHIMADA, Naokazu CHIBA, Yoshito ARISAWA, Mitsu ...
    2013 Volume 55 Issue 4 Pages 1484-1487
    Published: 2013
    Released on J-STAGE: May 21, 2013
    DOIhttps://doi.org/10.11280/gee.55.1484
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    A Spigelian hernia is a rare disease that occurs through a defect in the anterior abdominal wall adjacent to the semilunar line and lateral to the abdominal rectus. We performed laparoscopic primary repair for a case of spigelian hernia. An 82-year-old female patient was referred to our hospital for abdominal pain. Abdominal CT revealed small bowel obstruction with an incarcerated Spigelian hernia. This case was preoperatively diagnosed as a spigelian hernia, and thereby laparoscopic repair was chosen. The sac was dissected all around, and the defect was closed with polypropylene sutures. Laparoscopic repair was a safe and effective method of repairing an incarcerated Spigelian hernia.
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  • A CASE OF EARLY COLON CANCER, SHOWING DRASTIC MORPHOLOGICAL CHANGE FROM TYPE-IP IN THE SHORT TERM
    Jun KUSAKA, Takashi SUZUKI, Naotaka FUJITA, Yutaka NODA, Dai HIRASAWA, ...
    2013 Volume 55 Issue 4 Pages 1488-1493
    Published: 2013
    Released on J-STAGE: May 21, 2013
    DOIhttps://doi.org/10.11280/gee.55.1488
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    A 56-year-old man underwent TCS, which revealed a Type-Ip lesion, 15 mm in size, in the ascending colon. Although immediate endoscopic resection was recommended, the treatment was postponed it to 10 months later due to patients will. At the time of treatment, the morphology of the lesion changed significantly to an Is-type. Magnification endoscopy showed a Vn-type pit pattern in the surface of the lesion, suggesting SM massive invasion. En bloc resection was performed using the endoscopic mucosal resection technique. Histological examination of the resected specimen verified tubular adenocarcinoma (tub 1), pSM (3,800μm).
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  • DIAGNOSIS OF ACINAR CELL CARCINOMA USING ENDOSCOPIC ULTRASOUND-GUIDED FINE NEEDLE ASPIRATION : A CASE REPORT
    Akira ASO, Hiroaki KUBO, Kazuhiko NAKAMURA, Yuzo SHIMOKAWA, Takamasa O ...
    2013 Volume 55 Issue 4 Pages 1494-1501
    Published: 2013
    Released on J-STAGE: May 21, 2013
    DOIhttps://doi.org/10.11280/gee.55.1494
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    In February 2010, a 50-year-old man was admitted to a clinic complaining of back pain. Enhanced computed tomography (CT) images showed that there was a unilocular cyst, approximately 40 mm in size, in the pancreatic head of his abdomen. He was diagnosed as having a pancreatic pseudocyst caused by pancreatitis. After treatment, the patient's symptoms disappeared. However, in July 2010, he was referred to our medical center because back pain had reappeared along with obstructive jaundice. CT imaging showed growth of the cystic lesion and a low-density area of newly appeared cysts. The combination of clinical course and image results suggested malignancy, but it was difficult to confirm the diagnosis. Specimens sampled with endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) revealed acinar cell carcinoma (ACC). This case showed atypical images for ACC as cystic lesions were dominant. These results are notable in that ACC may reveal atypical findings and that EUS-FNA can be useful in the diagnosis of such cases.
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  • THE DIAGNOSIS OF COLORECTAL TUMORS WITH ENDOCYTOSCOPY
    SE KUDO, K WAKAMURA, Y MORI
    2013 Volume 55 Issue 4 Pages 1510-1517
    Published: 2013
    Released on J-STAGE: May 21, 2013
    DOIhttps://doi.org/10.11280/gee.55.1510
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    With the recent advances in magnifying scopes, it has become possible to predict the histological type of a lesion or the depth of a cancer according to its surface microstructure (pit pattern). We have also reported that endocytoscopy (EC), an ultra-high magnification system, is useful to observe not only the structural atypia but also the cellular atypia in colorectal lesions. Although the first prototype was a probe type, an integrated type, the system embeded to a tip of an endoscope, was developed in 2005, which enables ordinary view, low power magnification up to x80, and high power magnification of x450 in vivo. An integrated EC also enables us to observe the bloodstream with Narrow Band Imaging (NBI) mode. Endocytoscopic pathology, which is beyond the level of optical biopsy, represents diagnostics for living cells which is clearly different from the conventional histopathology for the specimens after formalin fixation.
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