巻号一覧
21 巻 (1970)
- 6 号 p. 255-
- 5 号 p. 211-
- 4 号 p. 161-
- 3 号 p. 117-
- 2 号 p. 43-
- 1 号 p. 1-
- Supplement 号 p. 1-
21 巻, Supplement 号
選択された号の論文の27件中1～27を表示しています
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名越 好古1970 年 21 巻 Supplement 号 p. 1-2
発行日: 1970年
公開日: 2010/10/20
ジャーナル フリーAs a chairman of the symposium “Tracheotomies and complications”, I strongly feel it makes great sense to discuss the matter of whole series of these problems.
The tracheotomy, today, has further broad meaning than what had been considered in old days. In other words, the indication of tracheotomy has actually been expanded to the preventive tracheotomy.
Diphtheria used to be the the most common original pathology, causing the obstruction of upper airway system, in result of tracheotomy.
To make dead space smaller, remove the secretion in bronchial trees, insert the endotracheal tube for the laryngeal and pharyngeal operations and create airway immediately following car accident, tracheotomy is one of the daily procedures among the bronchoeso-phagologists.
To overcome such the post operative complications as dysfigurement, concussion, cicatrix and stenosis, however, is not easy yet from the viev point of laryngo-tracheoplasty.
I deeply appreciate of our participants who have contributed the articles and discussed over the matter of their cases.
The great acknowlegement to Dr. Tokuro Suzuki for his thoughtfullness to this symposium during the 21st Congress of Japan Bronchoesophagological Society.抄録全体を表示PDF形式でダウンロード (385K) -
久保 隆一, 松村 益美, 高木 茂1970 年 21 巻 Supplement 号 p. 3-11
発行日: 1970年
公開日: 2010/10/20
ジャーナル フリーIm Zeitraum vom März 1956 bis zum Dezember 1967 wurden 141 Patienten (92 Männer, 49 Frauen) in der Universitäts-Hals-Ohrenklinik zu Kagoshima tracheotomiert. Das Alter der Patienten war zwischen 10 Monaten und 85 Jahren.
Die Indikationen, bei denen die Tracheotomie durchgeführt wurden, können in unseren Fällen wie folgt eingeteilt werden:
1. Verengungen der oberen Luftwege durch Tumoren, Entzündungen bzw. Lähmungen (75 Fälle),
2. Erhaltung der Atemwege während der Operation oder Intubationsnarkose (36 Fälle),
3. Entfernung von Fremdkörpern aus den tieferen unteren Atemwegen (30 Fälle).
Die Operation wird bei uns unter dem medianen, ungefähr 5cm langen Längsschnitt des Vorderhalses mittels einer Hakenpinzette und der Heymannschen Nasenschere ganz einfach durchgeführt, ohne Festlegung auf obere bzw. untere Tracheotomie. Die durch das Einführen der Trachealkanüle vielleicht entstehende Nekrose einiger Knorpelringe wird verhütet durch spindelförmiges Resezieren der Schnittränder.
In unseren Fällen gab es 13 postopeative Komplikationen, die aus 2 Fällen von subkutanem Emphysem, 2 Fällen von Blutung und 8 Fällen von erschwertem Décanulement bestanden. Die meisten Komplikationen sind bei Kindern aufgetreten. Also ist der Prozentsatz der Komplikation 9.2%. Aber kein Patient ist durch die Tracheotomie gestorben.抄録全体を表示PDF形式でダウンロード (2228K) -
内海 重光, 佐藤 武男, 中島 礼士, 渡部 泰夫, 高山 将1970 年 21 巻 Supplement 号 p. 12-19
発行日: 1970年
公開日: 2010/10/20
ジャーナル フリー210 cases of a tracheotomy were performed during 6-year period (1964-1969) in our clinic. In 119 cases among them the emergency tracheotomy was made. In 91 cases the elective tracheotomy was made.
The emergency tracheotomy was made in the cases of the larygeal cancer, the hypopharyngeal cancer, the bronchial foreign body, the laryngeal trauma and the laryngeal edema.
The elective tracheotomy was made in the operation of the carcinoma of the maxilla, the carcinoma of the tongue, the epipharyngeal tumor and the mandibular tumor.
The complications after the tracheotomy mainly occured in the emergency tracheotomy. Six cases died after the tracheotomy. Difficult decanulements were found in three cases, pneumonia in three cases, the subcutaneous emphysema in two cases and bleeding after the tracheotomy in one case.
Cases of death after the tracheotomy were shown in infants under three years old and aged people over sixty-five years old. This is due to that infants and aged people have little resistance to anoxia and interventions and changes of the respiratory tract.
The difficult decanulements were showed in one-year girl performed inferiorbronchoscopy and trauma of the larynx caused by the traffic accidents. in these cases of the traffic accidents patients had lost their consciousness.抄録全体を表示PDF形式でダウンロード (2934K) -
井上 鉄三1970 年 21 巻 Supplement 号 p. 20-24
発行日: 1970年
公開日: 2010/10/20
ジャーナル フリー12 cases of decanularion problems, including 9 children and 3 adults, were clinically and systematically investigated.
These were discussed from the view points of:
1) Original disease (pretracheotomy).
2) Why tracheotomy was done?
3) Tracheotomy method.
4) Endoscopic observation.
5) General physical status and clinical lab. tests.
6) Tracheo-cutaneous fistula.
7) Post tracheotomy complication.
8) Macroscopic appearance of Tracheostoma.
9) Size and material of tracheotomy tube.
etc.
Tracheotomy technique should be born in one's mind any time and one should be well trained to be able to perform the most suitable and correct tracheotomy.
Cricothyroidotomy must be avoided.
Removal of tracheotomy ring and rings must be minimum in size, so that trachea supports its antero posterior sustain.
The obturator is advised to be used each time at tracheotomy tube change.
Tracheocutaneous fistula should be removed by the usual manouver, as soon as patient shows no sign of dyspnea with full corking.
Laryngoplasty and Tracheoplasty should be considered for chronic canulated patient with poor tracheal support, constant granulation woozing and tendency to laryngeal stenosis.抄録全体を表示PDF形式でダウンロード (1164K) -
Tapia Acuna氏法の追試斉藤 成司, 宇津見 瑞雄, 福田 宏之, 秋田谷 直, 北原 哲, 田村 宏之1970 年 21 巻 Supplement 号 p. 25-28
発行日: 1970年
公開日: 2010/10/20
ジャーナル フリーDecanulation problems have been handled with modified Tapia-Acuna tracheal fenestration. Two cases of them were reported.
Two months male having dispnea since birth was found to have hypopharyngeal edema and tracheotomy was performed. U-shaped flap of trachea at the level of 2nd and 3nd tracheal ring was sutured and attached to the skin flap and after 40 days tracheostoma was closed without any troubles.
Twelve months male. Tracheotomy in U-shape Tapia method was performed because of severe dyspnea after removal of foreign body of left main bronchus. Tracheal flap was sutural to skin and tracheostoma was created and remained untill 5 days later when stoma was closed.
The authors prefer the tracheal flap formation to the midline incision and round shaped tracheotomies for rather long lasting tracheostoma.抄録全体を表示PDF形式でダウンロード (723K) -
広戸 幾一郎, 平野 実, 宮城 平, 合屋 日出彦1970 年 21 巻 Supplement 号 p. 29-32
発行日: 1970年
公開日: 2010/10/20
ジャーナル フリーTracheal fenestration was first developed by Rocky and his co-workers as a procedure in management of pulmonary suppuration. One of the authors (I.H., 1965) reported that the surgery was successfully applied to cases of bilateral recurrent laryngeal nerve paralysis. Since that time we have found a wide variety of the indication of tracheal fenestration: the operative procedure has been satisfactorily applied for cancer of the larynx (when hemilaryngectomy was done), tumors of the pharynx, tumors of the trachea, laryngeal stenosis, head injury, and disturbance in breathing after cardiac surgery, as well as bilateral recurrent laryngeal nerve paralysis.
We have also noticed that a simple semicircular skin incision with the base cranial could be successfully employed instead of the complicated skin incision in Rocky's technique. Our simplified technique comprises a semicircular skin incision of three centimeter in diameter, seperation of strap muscles at the midline, dissection of the isthmus of the thyroid gland, quadrangular removal of the anterior wall of the trachea at the level of the third and fourth tracheal rings, and sutures of the skin and tracheal mucosa.抄録全体を表示PDF形式でダウンロード (676K) -
その基礎的問題と新カニューレの紹介冨田 寛, 藤川 祐司, 稲名 市郎1970 年 21 巻 Supplement 号 p. 33-47
発行日: 1970年
公開日: 2010/10/20
ジャーナル フリーTo improve a tracheostomy tube, the authors have examined the trachea of Japanese in various age groups by x-rays of the neck.
Curve of the tube is 112°in median value irrespective of ages.
Individual difference and change of the curve by head position are varied about±15°.
The distance from the skin surface to the tracheal opening is approximately 10mm. irrespective of ages. From these facts, it is necessary that the tube is 20mm. in length referring to the maximal value, and this distance in each cases is adaptable by the adjustable plate.
The length of the tube situated in the trachea is justified 15mm. in infants and 35mm. in adults.
It is necessary that the external diameter of the tube is from 3mm. to 15mm. From the results mentioned above, we have designed a new tracheostomy tube made of silicon which is nonirritant and reduces incrustation.
And this tube has spiral stainless wire as support, full flexibility and thin wall. The plate of the tube, Koken-type, is more suitable for each cases.抄録全体を表示PDF形式でダウンロード (4623K) -
井上 鉄三1970 年 21 巻 Supplement 号 p. 48-50
発行日: 1970年
公開日: 2010/10/20
ジャーナル フリー48 years old female, post thyroidectomy patient for carcinoma of thyroid, has been having decanulation problems.
Endoscopic examination revealed to be rather narrow tracheal lumen for 3 large pieces of polyp which were originating from posterior wall of trachea. After removing the polyps, closure of tracheal stoma was performed.
3 months after closure, dyspnea on exertion was noted and tracheotomy was performed again.
On examination, the the author found a big mass of granulation on posterolateral wall of trachea, 3-4 cm below the stoma.
By careful examination for a period of 1.5 years, the granulation mass was found to be changing in the size from time to time.
Fasting blood sugar was found very high whenever the tracheal granulation was woozing and aggravating. On the other hand, granulation was found to be rather quiet when F.B.S. was under control.
One ought to consider the general physical status of tracheotomized patient with such the complications as diabetes melitus.抄録全体を表示PDF形式でダウンロード (727K) -
福崎 隆, 隈上 秀伯1970 年 21 巻 Supplement 号 p. 51-56
発行日: 1970年
公開日: 2010/10/20
ジャーナル フリーWe had two patients with respiratory tract stenosis and decannulation difficulty after high tracheostomy.
In the first case, vocal cord was adhering by trauma, in the second case, granulaions were increasing with great tenacity.
But we scceeded the decannulation.
The authors discussed the etiology and treatment of traumatic laryngeal stenosis and high tracheostomy.抄録全体を表示PDF形式でダウンロード (2539K) -
名越 好古, 金子 善一, 臼井 信郎, 中村 修, 早川 浩市, 鵜木 秀太郎, 石塚 洋一, 宮本 次夫1970 年 21 巻 Supplement 号 p. 57-65
発行日: 1970年
公開日: 2010/10/20
ジャーナル フリーDyspnea due to the abnormalities of laryngeal region were frequently seen among the new-borns. These could be defined as“congenital laryngeal stridor”or (Laryngo-malacia), causing the dyspnea due to abnormalities of laryngeal orifices or and to weakning of laryngotracheal well.
Tracheostomy in such cases often became the cause of “decanulement. ” To date the causes of inciting “decanulement” had been reported by many, however, there seemed to be still other specific factor among those cases of laryngemalacia.
With this in mind, we have contemplated an analysis regarding this problems based on our clinical experiences and some experimental methods as well. Firstly, 1) Indications, 2) Operative methods, and 3) Post-operative cares and complications of tracheostomy for these cases such as laryngomalcia. Secondly, experiments for respiratory disturbanses and decanulment were done utilizing plastic models and new-born dogs of 2 to 3 weeks of age. In these dogs, following the artificially induced air way stenosis the negative pressure of subglottic region on inspiratory phase was significantly increased, and the tracheal wall flattened anteroposteriorly because of the negative pressure thus caused. The negative pressure at the subglottic region was approximatly 40 mmHg. The treatment and avoidance of such disturbances due to the tracheostomy and the validity of endotracheal intubation under the circumstances were also discussed.抄録全体を表示PDF形式でダウンロード (2959K) -
北村 武, 金子 敏郎, 戸川 清, 海野 徳二, 神田 敬, 今野 昭義1970 年 21 巻 Supplement 号 p. 66-73
発行日: 1970年
公開日: 2010/10/20
ジャーナル フリーFive decanulaton problems, including one laryngeal trauma, were discussed.
Generally speaking, proper technique of tracheotomy, post trach. management and psychosomatic anxiety should be born in mind, specially for children. Thorough knowlege of anatomy and physiology of the patients makes the situation easier.
Laryngeal trauma has been increasing in number recently. Supra cricoid laryngectomy is one of the choices, and remaing of the larynx should be functionally well tolerated.
As far as the laryngeal trauma is concern, primary management of larynx should be considered before secondary cicatrical stenosis appears.
This leads to the better prognosis to avoid any unnecessary decanulation problems.抄録全体を表示PDF形式でダウンロード (2523K) -
堀口 信夫, 荒井 潤, 熊巳 敏郎, 北村 箴至, 天野 誠, 稲垣 健一1970 年 21 巻 Supplement 号 p. 74-79
発行日: 1970年
公開日: 2010/10/20
ジャーナル フリーGlottic enlargement is necessary as operative treratment for the glottic stenosis of notdecannulated cases which developed as a sequela fo tracheostomy. Depending on the causative disease, the difficulty is variable and the surgical procedure also should be varied.
1) Cleanliness and anti-inflammatory treatment around the tracheostomy-wound was made operative treatment unnecessary in not-decannulated cases of infants after tracheostomy.
2) Glottic stenosis due to neuro-muscular paresis can be successfully treated by former methods (Kelly, Woodman, etc.).
3) In the cases of glottic stenosis due to scar of radiation or inflammation, glottis must be enlarged by laryngofissure, that means resection of unilateral vocal cord, false vocal cord and arytenoid cartilage. Glottic reconstruction has been better done in these cases.
4) Operative methods for glottic stenosis due to laryngeal trauma are often difficult, something extraordinary in cases, in comparison with other cases.
5) We have an impression that a little larger glottic enlargement is advisable since the glottis frequently tends to constrict in the postoperative course.抄録全体を表示PDF形式でダウンロード (2091K) -
柏戸 貞一, 沢木 修二, 佐竹 虔介, 鈴木 高恭1970 年 21 巻 Supplement 号 p. 80-85
発行日: 1970年
公開日: 2010/10/20
ジャーナル フリーOn a patient, who had fallen into a state of inability of decannulation by the stenosis of its tracheal space about tracheostoma through the scarformation of granulation, we made a transverse section in the scar, into which a Ωformed ring of stainless steel wire was buried, which healed well in the scar, expanding the stenosed part enough for the decannulation.
Upon this experience, we reached another success to reform a larynx, which had been destroyed in its most part, and led the patient to aphony. On this case, we mobilised tubed skin flaps from the chest to the site of larynx, and buiet up some space for the larynx, and for to keep it open, we buried some steel wire into the skin, lwhich had been bent into a form, which could coi mpensate the lost laryngeal cartilage. After the success of the operation, the patient became able to phonate well.
From these experiences, we have reached one opinion, when we utilise stainless steel wire to expand the stenosed tracheal or laryngeal space, there may be some fortunate chances to succeed easily for the decannulation.抄録全体を表示PDF形式でダウンロード (2148K) -
岩本 彦之丞, 荒牧 元, 熊谷 昌悌, 小林 央雄, 荒牧 昌子, 安住 真理子1970 年 21 巻 Supplement 号 p. 86-91
発行日: 1970年
公開日: 2010/10/20
ジャーナル フリーA 56 year old male patient had tracheostenosis caused by a tracheotomy carried out during a heart operation. Our Department of Otolaryngology after removing scar tissues of the tracheostenosis section, morioplastry was attempted by means of Dacron-made artificial aoetic graft, but was unsuccessful. Subsequently a skin plantation was performed on the defective section, and the resulting trachoplasty was successful. The experience of this single case is herein reported.抄録全体を表示PDF形式でダウンロード (2558K) -
はじめに斎藤 英雄1970 年 21 巻 Supplement 号 p. 92-93
発行日: 1970年
公開日: 2010/10/20
ジャーナル フリーIt is deeply appreciated for much effort of Prof. Suzuki who did put this subject, participating the program of 21st anniversary of Japan Bronchoesophagological association.
The speciality has been dealt with Internists, Surgeons, Anesthesiologists, Pediatricians, and otolaryngologists.
The panelists are:
Dr. S. Kawata of University of Kyushu where Bronchoesophagology originated.
Dr. S. Awataguchi of Hirosaki University, the specialist of laryngeal and pulmonary tuberculosis. Dr. O. Takayama of Nippon University in charge to Bronchoesophagology at both, Itabashi and Surugadai Hospitals. Dr. K. Takino in charge to Departments of St. Luke Hospital and Jikei University Hospital. Dr. S. Ikeda, the inventor and developer of flexible fiberbronchoscope and in charge to National Cancer Center. Dr. T. Inouye, University of Tokyo and took his resident training of Otolaryngology and Bronchoesophagology at the University of Pennsylvania, U.S.A.
The disscussors are:
Dr. T. Hagihara of Nippon University, the internist and the specialist of pulmonary desease. Dr. H. Sato of Chiba University, chest surgeon and specializing in Esophageal surgery. Dr. Kaso, the practicioner in Tokyo. Dr. Muta, the practicioner in Osaka.
I sincerely hope that the fruitful discussions shall be presented among the panelists and discussors from their points of view.抄録全体を表示PDF形式でダウンロード (265K) -
気管食道科学を歴史的に眺めて河田 政一1970 年 21 巻 Supplement 号 p. 94-95
発行日: 1970年
公開日: 2010/10/20
ジャーナル フリーThe great Kussmaul in Freiburg demonstrated the esophagoscopic examination to carcinoma of esophagus after the testing for a sword swallower in 1868.
Since 1880, the fundamental esophagology had been established and the scholars, namely v. Hacker, Rosenheim, and Mackenzie had devoted themselves to investigate this new field. Gustav Killian, in 1897, originated the bronchoscopy in Europe and Ino. Kubo made it possible to practice in Japan 10 years later. He endeavored to extend this technique for several decades.
Chevalier Jackson specialized the endoscopic clinic in U.S.A., developed an original endoscope. Jo Ono, in past 30 years, has been putting all his efforts to develop bronchoeso-phagology in Japan, which has grown as the largest society in all the world to-day.
Up to date, the cases with bronchoesophageal pathogeny have been increasing in number, involving traffic accident, corrosive esophagitis, and so on.
This specialty should be participated hereafter also by an internist, chest surgeon, otolaryngologist, radiologist and anesthesiologist as it has been developed by them hitherto.
Bronchoesophagological examination is now a routine procedure today with the aids of lately created instruments such as flexible fiberscopes, and the author hopes this specialty will become more popular among all the clinicians.抄録全体を表示PDF形式でダウンロード (417K) -
気管食道鏡検査症例の推移から粟田口 省吾, 蝦名 博1970 年 21 巻 Supplement 号 p. 96-102
発行日: 1970年
公開日: 2010/10/20
ジャーナル フリーOn the basis of the statistic analysis of 1, 661 cases of laryngeal, tracheo-bronchial and esophageal diseases, which were treated endoscopically during a period of past 20 years from 1949 to 1968 in the Oto-Rhino-Laryngological Clinic, Hirosaki University Hospital, Hirosaki, Japan, the subject mentioned above was discussed and following conclusions were obtained.
1) Foreign body in the air and food passage shall be removed under general anesthesia as much as possible.
2) A large number of endoscopic examination shall be done as a procedure of making an early diagnosis of malignancy. For this purpose, fiberscope with luminous light, especially, flexible broncho or esophagofiberscope should be used.
3) Endoscopic examination must be done with the full understanding of the basic sciences and labolatory practices in the laryngo-tracheo-bronchial or esophageal diseases, and under the close combination with the specialist of other branches on medicine, such as chest phsician, thoracic surgion, gastroenterologist, radiologist, pediatrician and anesthetist.抄録全体を表示PDF形式でダウンロード (1175K) -
気管食道鏡器具の発展から視て池田 茂人1970 年 21 巻 Supplement 号 p. 103-107
発行日: 1970年
公開日: 2010/10/20
ジャーナル フリーThe department of Bronchoesophagology belongs to the section of Diagnostic Clinic in the Hospital. This department, headed by the author, deals with bronchoscopy and esophagoscopy mainly by means of the flexible fiber scopes.
The advantages of flexible fiber bronchoscope are:
1) Much less dyscomfortableness to the patients
2) The visibitity of IIIrd-IVth segmental bronchial trees, and eminability of surgical indication.
3) Cytology from the mucous membrane of these small bronchial trees is most adequate
The development of the endoscopic instruments changes our attitude to Bronchoesophagology, which had been operated mostly by otolaryngologists.
Bronchoesophagology must be isolated and independent section of diagnostic clinic with the co-operations of participants, in the same fashion of Department of Radiology exists today.
This topic is discussed in the U.S.A. also, and we, however, should establish the Department in our own ideas apart from those of other countries.
The department of Bronchoesophagology should be an initiative and dominant to any other department in the section of Endoscopy. This shall result in more benefits to the patients refered from other departments.抄録全体を表示PDF形式でダウンロード (1167K) -
大学病院の立場から高山 乙彦1970 年 21 巻 Supplement 号 p. 108-111
発行日: 1970年
公開日: 2010/10/20
ジャーナル フリーTo compare the activity of Japan Bronchoesophagological Society to those of other countries is somewhat proud to do.
Not only dealing with the foreign bodies of air and food passages, but handling the diagnostic and therapeutic manouver, we have been carring on today.
In our department of Bronchoesophagology of Nihon Univ., the clinics are opened mainly on Thursday morning hours, and the cases are done Monday, Wednesday and Friday, each morning hours by otolaryngologists and Tuesday, Thursday and Saturday by other specialists like chest surgeons, internists and general surgeons.
In U.S.A. the Bronchoesophagology is clinically more active than any other countries in Europe, and, to my great astonishment, every instrument whichever necessary to any surgery is available any time, even for Emergency.
Looking back upon our Society, the author likes to emphasize the more close connection one another among the specialists who participate the Bronchoesophagological program, then the better clinic on behalf of patients can be archieved.抄録全体を表示PDF形式でダウンロード (814K) -
綜合病院の立場から瀧野 賢一1970 年 21 巻 Supplement 号 p. 112-115
発行日: 1970年
公開日: 2010/10/20
ジャーナル フリーIn my hospital, generally speaking, the cases we handle have been decreasing in number.
Past 10 years, 381 cases per year were done, However, last 5 years, less-number of cases have been done. These include 1810 Bronchoscopies (47.4%), 602 Bronchographies (15.8%), 660 Esophagoscopies (17.3%), 615 Laryngoscopies (16.1%), 129 Gastroscopies (3.4%). No gastroscopies were performed since 1963.
Why the number of cases the Bronchoesophagologists handle has been decreased in spite of general tendency of increased cases as a whole, we claim this to be as follows.
Each specialist who participates the Bronchoesophagology program has much advanced surgical technique which he depended on us entirely. This can be seen in each procedure, especially in Bronchography. Flexible fiber esophagoscopy makes internist eminable to perform the procedure easily.
Carcinoma of the lung occupies 32.0% of all Brochoscopy cases, which are refered from the other departments.
Esophagitis ranges 60% of all esophageal cases, causing pharyngoesophago-neuropathy, on the other hand, esophageal tumor does 18.7%. of all cases.
The tight co-operation among the subspecialists is very important to make Bronchoesophagology far advanced.抄録全体を表示PDF形式でダウンロード (836K) -
卒業前及び卒業後教育を中心として井上 鉄三1970 年 21 巻 Supplement 号 p. 116-120
発行日: 1970年
公開日: 2010/10/20
ジャーナル フリーTo digest and master the Bronchoesophagology to what extent is very important topic during the training.
Undergraduate and postgraduate medical education in bronchoesophagology has been little discussed so far.
Upon the completion of the training in bronchoesophagology, a senior doctor is supposed to have performed bronchoscopies, esophagoscopies, direct laryngoscopies, flexible fiberscopes and tracheotomies in years.
To be a specialist of Bronchoesophagology, regardless of his social status, the procedures mentioned above shoule be practiced in his daily practice.
The practitioner may need the basic science knowledge in his daily practice. The lecturer, on the other hand, must be responsible for reeducation (postgraduate medical education), involving enough materials of Basic Science in proper institutions. A medical student must be tought bronchoesophagology in clinical experience in accordance with thorough knowledge of basic sience, especially anatomy and physiology.
Bronchography and laryngography, for instance, is one of the methods to make medical student understand the anatomy of chest easier, so that he becomes to be interested in Bronchoesophagology. A bronchoesophagologist should bear the following in his mind:
Bronchoesophagology in practice, basic science, postgraduate training are intercommunicated one another and bronchoesophagology is to be independent speciality after constraction of these related system.抄録全体を表示PDF形式でダウンロード (1348K) -
斎藤 英雄1970 年 21 巻 Supplement 号 p. 121-123
発行日: 1970年
公開日: 2010/10/20
ジャーナル フリーPDF形式でダウンロード (525K) -
内科の立場より萩原 忠文1970 年 21 巻 Supplement 号 p. 124-126
発行日: 1970年
公開日: 2010/10/20
ジャーナル フリー129 Professors in charge to internal medicine, in 46 medical schools, were interviewed concerning the Bronchoesophagology.
69 of them, 54%, answered.
Majority of them denys the new independent bronchoesophagology as a new department. On the other hand, however, they emphasize the necessity of bronchoesophagology as the clinical subdivision.
Generally speaking, little of bronchoesophagology has been interested by internists.
The general tendency in medicine today is to specialize more in detail, depending on the each organ.
Regardless of the opinion of elder senior doctors, the bronchoesophagology should be one of the speciality with aids of medicine, surgery, radiology, anesthesiology and otolaryngology.
The Bronchoesophagology is well introduced in the book of “Bronchoesophagology” and bronchoesophagological clinic is one of the clinical departments and deals mainly with thorough observation of endoscopies.抄録全体を表示PDF形式でダウンロード (478K) -
外科の立場より佐藤 博1970 年 21 巻 Supplement 号 p. 127-128
発行日: 1970年
公開日: 2010/10/20
ジャーナル フリーFrom the stand poins of chest surgeon, the discussor has little information about the titled subject.
Trachea and Bronchus have been dealt by internists and otolaryngologists for many years, mainly from view points of observation and diagnosis. On the other hand, the esophagus has been dealt by general surgeons and otolaryngologists.
The distribution of the patients is now far different today from that of 10 years ago. Needless to say, the number of patients in the department of chest surgery has been rapidly incerasing.
The mutual comunication among specialists is very important diagnosis and therapywise, from the patient stand point of view. The more accurate the diagnosis is, the better surgical and radiological treatment can be done.
Should the Bronchoesophagology be established as an independent diagnostic specialty, this would be a great advantage to the chest surgeon to make any decision and systematize the surgical procedures and this would also bring greater benefit to the patients抄録全体を表示PDF形式でダウンロード (273K) -
実地臨床医家の立場より牟田 実1970 年 21 巻 Supplement 号 p. 129
発行日: 1970年
公開日: 2010/10/20
ジャーナル フリーPDF形式でダウンロード (133K) -
実地臨床医家の立場より加藤 秀雄1970 年 21 巻 Supplement 号 p. 130-131
発行日: 1970年
公開日: 2010/10/20
ジャーナル フリーPDF形式でダウンロード (301K) -
斎藤 英雄1970 年 21 巻 Supplement 号 p. 132-133
発行日: 1970年
公開日: 2010/10/20
ジャーナル フリーThe bronchoesophagology is a ready-established clinical speciality and has good reason enough why it has been.
The clinical specialities are apt to re-organized into subdivision in detail, such as organwise classification and laboratory instrumental procedures and so on.
What is the perfect Bronchoesophagology? The answer is that of What is gastroenterology? What is cardiology?, what is bronchopulmonology?.
Thus, the intercomunication and collaboration of each specialist like pedeatrician, radiologist, surgeon, anesthesiologist, internist and otolaryngologist make bronchoesophagology perfect independent speciality.
The head of the section can be anyone from any speciality who shows the greatest interest and enthusiasm over the Bronchoesophagology.
To be an independent speciality, the Bronchoesophagology requires the great amount of efforts and understandings of each member, neverthless the governmental support.
I hope the pannel discussion over the matter of “How should the bronchoesophagology be”results in the most fruitful and hopeful establishment in future.抄録全体を表示PDF形式でダウンロード (214K)
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