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Volume 29 (1976)
- Issue 6 Pages 489-
- Issue 5 Pages 387-
- Issue 4 Pages 277-
- Issue 3 Pages 183-
- Issue 2 Pages 89-
- Issue 1 Pages 1-
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Volume 29, Issue 5
Displaying 1-12 of 12 articles from this issue
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K. Masuda1976 Volume 29 Issue 5 Pages 387-390,483
Published: 1976
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSHaemorrhoidectomy, which is performed in my clinic, is not my original method.In almost of all cases, ligation and excision method is performed as surgical treatment of third grade haemorrhoids.
In some cases, ligature mothod is used as a treatment of small internal haemorrhoids and hypertrophied papilla.View full abstractDownload PDF (7046K) -
H. Chikuba1976 Volume 29 Issue 5 Pages 391-394,483
Published: 1976
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSIn this text, author described surgical indications and details of operative procedure of hemorrhoidectomy, and discussed practically important points for management of troublesome postoperative cases, emphasizing the usefulness of ultrasonic sitz bath for cleansing of surgical wound under normal intake of regular diet with controlled daily smooth bowels.
The necessity of routine preoperative sigmoid fiberscopic examination was also declared in order to rule out combined disorders occasionally coexist (cf. recto-sigmoid cancer).View full abstractDownload PDF (4328K) -
J. Wakisaka, H. Isomoto1976 Volume 29 Issue 5 Pages 395-399,483
Published: 1976
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSReported here is the surgical produre of the anal fistule being performed in our department. After elucidating the internal openning and track of the fistule by preoperative examination, the track is principally cleared away and the wound is kept open.
Anal sphincter muscles are cut off, considering the localization, depth, number of the track and so on.
Open wound is effectively treated with free drainage and margin of the wound is cleaned by debridment, and if necessary, followed by partial suture of the wound or prombage of muscles. In our procedure of sphincter reserving operation.
We experienced, at initial period, net a few cases of reccurance, the cause of which seems to be incompleteness of treatment internal openning.View full abstractDownload PDF (4255K) -
A. Kinugasa1976 Volume 29 Issue 5 Pages 400-402,484
Published: 1976
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSAnal fissure is very common disease and shows various symptoms. However, its treatment still not invariably.
Author displayed diagram that indicates relation of the advancement and correct treatment on anal fissure.
On surgical procedure, author recommended cryosurgery and sliding skin graft combined with internal anal sphincterotomy.View full abstractDownload PDF (254K) -
A case reportM. Ushizima, N. Tamesue, Y. Yamamoto, A. Tanaka, H. Shimura1976 Volume 29 Issue 5 Pages 403-408,484
Published: 1976
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSOne staged radical operation ; that is total colectomy with complete removal of rectal mucosa followed by ileorectostomy having normal defecative function, was performed on a young girl aged 9, who had been managed medically and remitted chronically for about one year.
Postoperative course was very satisfactory without any complications.
Intravenous hyperalimentatioh (I.V.H.) was so effective for her preoperatively on improving hypoalubuminemia and anemia as well as postoperatively on early recovering from surgical aggression.
On follow up of 7 months, her physical development are remarkably improving.
Among surgical indication for chronic remitting ulcerative colitis in childhood, retardation of development and high incidence of cancer are mostly notable and radical operation with normal continence and pre-and postoperative cares with I.V.H. are fundamentaly important.View full abstractDownload PDF (4429K) -
K. Nagao, O. Matsuzaki, H. Sarashina, M. Higuchi, S. Totsuka, M. Yazak ...1976 Volume 29 Issue 5 Pages 409-419,485
Published: 1976
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSSix cases of intestinal Behçet's disease were studied histopathologically. The intestinal changes were mostly seen at the ileo-coecal portion and were characterized by the formation of a definite undermined ulcer extending to the proper muscle layer. Proliferation of the marginal epithelium was so prominent that it often hung down on the ulcer basis. Simultaneously it was noted that a fissuring occurred either tangentially or transversly to the ulcer basis. The former caused a perforation while the latter resulted in the formation of an intramural fistula.
It was found that the basic pathologic process in intestinal Behçet's disease was first manifested as venulitis with mononuclear cell infiltration. The change was then extended to much larger veins, resulting in their obliteration. Based upon these vascular changes, ulcers and fissurings were produced.
It was also revealed that various changes taking place in other organs in Behçet's disease were principally caused by similar venulitis and phlebitis.View full abstractDownload PDF (8934K) -
T. Muto, N. Kamiya, Y. Horie, K. Ishikawa, Y. Miyachi1976 Volume 29 Issue 5 Pages 420-426,485
Published: 1976
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSThe clinical experience of both hydrococtisone and prednisolone suppositories in 30 patients with idiopathic proctitis was presented. The main values of steroid suppositories were 1) quick effect, 2) lack of side effect in spite of long-term use and a large amount of dose, and 3) easy management for the patient. They were also useful for controlling recurrent inflammation of the rectal stump after ileo-rectal anastomosis for total ulcerative colitis. From our clinico-pathological study idiopathic proctitis was confirmed to be a type of ulcerative colitis, only difference being a different extent of the disease, as has been already suggested. Early diagnosis and correct treatment with steroid suppositories seemed to be the best way for controlling idiopathic proctitis.View full abstractDownload PDF (3019K) -
Y. Tokoro, S. Koganezawa1976 Volume 29 Issue 5 Pages 427-440,486
Published: 1976
Released on J-STAGE: December 03, 2009
JOURNAL FREE ACCESSIn order to re-analyze the quality (anaplasia)—quantity (dimension, portion)—interrelationship in judging malignancy for final diagnosis, an exaggerated histological survey throughout the entire polyps of 920 pieces in a familial and of 2, 333 pieces in a non-familial diffuse colonic polyposis with partial malignant transformation was attempted with special remarks on borderline type (carcinoma in situ).
Some notes were drawn from the consideration of correlation among the polyp site, their sizes and the atypism. Only one unquestoinable polyp-carcinoma in each case was found in rectum and S-romanum, respectively.
On the basis of the exhaustive observation over the whole polyps with their quality-quantity relations, the control of subjective (personal or individual) factors is prepossessed for discrepancy between histological dicision (a doctrine) and an undetermined aspect of each polyp (a real existence).
Thus, a simple classification of cancer or non-cancer group, abandonning the grading system I to V, practically contributory toward clinical fields was newly proposed after the elucidation of our criteria.View full abstractDownload PDF (11262K) -
S. Hinoue, A. Kitamura, K. Ikenaga1976 Volume 29 Issue 5 Pages 441-445,486
Published: 1976
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSTwo cases of barium peritonitis were reported.
Case 1) A 60-year-old man was operated 4 hours after perforation occurring just anal to sigmoid colonic cancer. On the 9 th postoperative day he died, and autopsy revealed severe purulent peritonitis and hepatic multiple metastasis.
Case 2) A 49-year old woman was operated 9 days after perforation occurring just oral to sigmoid colonic cancer. After barium peritonitis had subsided, she had sigmoidctomy for cancer.View full abstractDownload PDF (4583K) -
1976 Volume 29 Issue 5 Pages 446-455
Published: 1976
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSDownload PDF (803K) -
1976 Volume 29 Issue 5 Pages 456-464
Published: 1976
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSDownload PDF (718K) -
1976 Volume 29 Issue 5 Pages 465-481
Published: 1976
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSDownload PDF (1367K)
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