Nihon Daicho Komonbyo Gakkai Zasshi
Online ISSN : 1882-9619
Print ISSN : 0047-1801
ISSN-L : 0047-1801
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Volume 33, Issue 3
Displaying 1-11 of 11 articles from this issue
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  • I. A Study of Adjuvant Chemotherapy at Time of Operation for Colon Cancer, Especially Subserosal Administration Method
    K. Yamaguchi
    1980 Volume 33 Issue 3 Pages 201-209,288
    Published: 1980
    Released on J-STAGE: June 05, 2009
    DOIhttps://doi.org/10.3862/jcoloproctology.33.201
    JOURNAL FREE ACCESS
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    This paper is to study the method to ensure the sufficient high concentration of carcinostatics (Mitomycin-C) to the portal vein, lymphatic duet and lymphnode.
    In this study, 37 dogs were used as experiments and 10 patients of colon cancer were studied clinically. MMC solution were infused into the subserosa, colonic artery, inferior vein, lumen of colon and abdominal cavity respectively. In each group, the concentration of MMC in the vein, portal vein and thoratic duct were measured. In clinical cases, the concentration of MMC in lymphnodes were measured.
    Result : 1) Subserosal administration of MMC gave the most high concentration in the thoratic duct. 2) MMC concentration in the portal vein has no signifficant difference in any four procedures of administration except for the intraluminal administration group. 3) Between metastatic and non metastatic lymphnode, there were signifficant differences in concentration of MMC.
    Thse results suggested that the intra-subserosal administration of MMC at time of surgery is the most effective method to treat cancer cells in the colonic lymphatic system.
    This method will be also useful to treat cancer cells in the portal vein and anastomosis site.
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  • II. The Effect of Aminoglycoside as First Choice Antibiotics for Prophylaxis of Infection in Colorectal Surgery
    S. Hinoue, T. Sawada, T. Kawamura, M. Tsurumaru, H. Miyazono, T. Ikena ...
    1980 Volume 33 Issue 3 Pages 210-216,288
    Published: 1980
    Released on J-STAGE: June 05, 2009
    DOIhttps://doi.org/10.3862/jcoloproctology.33.210
    JOURNAL FREE ACCESS
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    Of the patients who had undergone colonic operation, the postoperatively administered as the prophylaxis for the infection was studied. They were prepared with kanamycin orally and postoperatively tobramycin was intramuscularly administered.
    The over-all incidence of infection after colonic surgery was 13.9 % (wound infectin 11.1%, bacteremia 1.4%), being significantly higher than that of 0 % after other digestive tract surgery (p<0.05). The wound infection rate in contaminated cases was 60.0% and in clean-contaminated cases 7.5 %.
    In all cases of wound infection, both anaerobic and aerobic bacteria were revealed. Main aerobic bacteria were Gram-positive rods sensitive to aminoglycosides, and main anaerobic bacteria were resistant to aminoglycosides.
    These results suggest the efficacy of the combined administration of aminoglycosides and other drugs effective to anaerobic bacteria.
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  • I. An Inflammatory Fibroid Polyp of the Colon Found in Recklinghausen's Disease and Relationship of two Lesions
    H. Takemori, T. Aizawa, K. Sugawara, E. Tan
    1980 Volume 33 Issue 3 Pages 217-221,289
    Published: 1980
    Released on J-STAGE: June 05, 2009
    DOIhttps://doi.org/10.3862/jcoloproctology.33.217
    JOURNAL FREE ACCESS
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    Gastrointestinal inflammatory fibroid polyp has been reported to occur mainly in the stomach but very rarely in the colon. One case in the literature has been reported in Japan of colonic inflammatory fibroid polyp other than our case. Fifty two-year-old female was admitted to Misawa municipal hospital complaining of bloody stool and easy fatigability. She had no allergic problems but had been suffered from the Recklinghausen's disease for 20 years. She was found to have iron deficiency anemia but eosinophilia was not seen.
    Fluoroscopic and endoscopic examination revealed a polyp at the transverse colon. The mucosa around the polyp which is over 5 cm showed abnormal granular apperance.
    The resected specimen showed the pedunculated polyp of 2.4×1.6×1.5cm with necrotic and erosive surface.
    Histologically, the lesion was characterized by vascular and fibroblastic proliferation and diffuse infiltration of eosinophilic leucocytes which extended from the submucosa to the mucosa consistent with inflammatory fibroid polyp. Such findings were also seen at limited area of the surrounding mucosa with the granular apperance which make the pedunculum of the polyp.
    Above-mentioned findings suggest strongly that the inflammatory fibroid lesion in this patient occured without any relationships to the Recklinghausen's disease.
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  • II. Two Cases of Acute Massive Bleeding from the Rectal Ulcer due to Brain Diseases
    H. Kohno, M. Katsumi, S. Ura, M. Shohji, K. Ieda, K. Ishimoto, G. Ichi ...
    1980 Volume 33 Issue 3 Pages 222-227,290
    Published: 1980
    Released on J-STAGE: June 05, 2009
    DOIhttps://doi.org/10.3862/jcoloproctology.33.222
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    A report is made on the two cases of massive hemorrhage from acute rectal ulcer. A 65-year-old female with senile dementia was admitted for brain contusion. She was underwent a bilateral carotid angiography three weeks after admission and between the 6th and the 22nd day after the examination, five times of intermittent massive rectal bleeding was observed.
    Another 67-year-old female suffering from cerebral thrombosis had six times of intermittent massive rectal bleeding between the 8th and the 26th day after admission.
    In the above-mentioned cases, findings of the rectal mucosa were similar to each other, and its main characteristics were of extensive edema and friability accompanied by numerous ulcers varying in size from pinpoint to 2 cm in diameter. Pulsating bleeding from edematous mucosa around the ulcer was also seen in each cases. Moreover the location of the ulcers and the bleeding points shifted during a short term of their clinical courses.
    The characteristics of the two cases were similar to those of ischemic proctitis, but in the case of ischemic proctitis none of the stressors nor the massive bleedings are found.
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  • I. Chronic Ulcerative Colitis
    Follow-up Study of Proctitis Type
    A. Munakata, K. Narita, M. Sano, S. Tsuchida, M. Fukushi, F. Kinjo, T. ...
    1980 Volume 33 Issue 3 Pages 228-232,290
    Published: 1980
    Released on J-STAGE: June 05, 2009
    DOIhttps://doi.org/10.3862/jcoloproctology.33.228
    JOURNAL FREE ACCESS
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    In our clinic, 38 patients were diagnosed as proctitis-type ulcerative colitis in these 15 years by the initial clinical assessments.
    Among the 38 patients, 21 were followed up over 1 year, i.e. over 1 year in 5 patients, over 2 years in 5, over 3 years in 4 and over 5 years in 7.
    The extent of the disease was determined by barium enema and colonofiberscopy, without using magnifying colonoscopy nor dye-spraying method. During the periods of the follow-up study, 2 patients developed total or left-sided colitis. In the other 19 patients (91%), the extents of the disease were almost unchanged. On the other hand, in 22 patients with total or left-sided colitis followed up over 2 years, 3 developed proctitis-type colitis.
    These studies indicate most patients with proctitis-type colitis are unchanged in the disease in the course. However, in a few patients there is possible risk to develop total colitis.
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  • [title in Japanese]
    [in Japanese]
    1980 Volume 33 Issue 3 Pages 233-239
    Published: 1980
    Released on J-STAGE: June 05, 2009
    DOIhttps://doi.org/10.3862/jcoloproctology.33.233
    JOURNAL FREE ACCESS
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  • [title in Japanese]
    [in Japanese]
    1980 Volume 33 Issue 3 Pages 239
    Published: 1980
    Released on J-STAGE: June 05, 2009
    DOIhttps://doi.org/10.3862/jcoloproctology.33.239
    JOURNAL FREE ACCESS
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  • [title in Japanese]
    [in Japanese], [in Japanese]
    1980 Volume 33 Issue 3 Pages 239a-243,292
    Published: 1980
    Released on J-STAGE: June 05, 2009
    DOIhttps://doi.org/10.3862/jcoloproctology.33.239a
    JOURNAL FREE ACCESS
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  • [title in Japanese]
    1980 Volume 33 Issue 3 Pages 244-256,298
    Published: 1980
    Released on J-STAGE: June 05, 2009
    DOIhttps://doi.org/10.3862/jcoloproctology.33.244
    JOURNAL FREE ACCESS
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  • [title in Japanese]
    1980 Volume 33 Issue 3 Pages 257-268
    Published: 1980
    Released on J-STAGE: June 05, 2009
    DOIhttps://doi.org/10.3862/jcoloproctology.33.257
    JOURNAL FREE ACCESS
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  • [title in Japanese]
    1980 Volume 33 Issue 3 Pages 269-284
    Published: 1980
    Released on J-STAGE: June 05, 2009
    DOIhttps://doi.org/10.3862/jcoloproctology.33.269
    JOURNAL FREE ACCESS
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