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Volume 34 (1981)
- Issue 6 Pages 593-
- Issue 5 Pages 467-
- Issue 4 Pages 317-
- Issue 3 Pages 183-
- Issue 2 Pages 59-
- Issue 1 Pages 1-
Predecessor
Volume 34, Issue 2
Displaying 1-14 of 14 articles from this issue
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T. Hashimoto, M. Katsumi, S. Ura, K. Matsumoto, K. Ieda, H. Kono, K. I ...1981 Volume 34 Issue 2 Pages 59-63,153
Published: 1981
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSAnorectal manometric study with balloon method was performed in healthy adults and patients with anal diseases, and their resting pressure and rhythmical activity were studied.
The results obtained are the following.
1) In healthy adults, the resting pressures were lowered with their years, and its tendency was remarkable in 5 to 6 decade of ages.
Their rhythmical activities were 14.1 cycles/min. and 11.3 cycles/min. in distal and proximal canals respectively, and "ultra slow wave " was observed in 6.5 % of the control subjects.
2) The resting pressure in patients with first or second-degree haemorrhoids or with fissures was significantly higher than that of control subjects, but it was lower in patients with third-degree haemorrhoids.
" Ultra slow wave " was seen in 50 % of haemorrhoids and 80 % of fissure patients respectively. 3) High anal pressure and "ultra slow wave" were not observed after the operation when the postoperative courses were uneventful.
4) Thus, it is concluded that manometric study in patients with anal disease is useful for consideration of their causes and surgical treatments and also applicable for the assessment of their postoperative course.View full abstractDownload PDF (401K) -
S. Akimoto1981 Volume 34 Issue 2 Pages 64-72,153
Published: 1981
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSA study of the surgical indication in 140 cases (including 34 operative cases) of ulcerative colitis was made in order to clarify the appropriate time of operation and conditions of performing the sphincter preserving procedures. The retrospective clinico-pathological studies revealed : (1) In the spreading of the lesion, total and left sided coloproctitis are cases indicating surgical treatment. (2) In the severity, almost all cases of the severe type require operations and surgical treatment of the moderate type should be chosen only when intensive medication for two weeks has no effect. (3) In the relapsing-remitting type, the surgical indications should be the, severity and interval of recurrence. In operative cases leaving a part of the colon or the rectum, high rate of inflammation at the severing stump was found histologically and the postoperative relapsing was more frequent and severe in the pseudo-polyposis type compared with the atrophic colitis type. These results determine the extent of resection which must be decided considering the macroscopic type of ulcerative colitis when performing the sphincter preserving operation.View full abstractDownload PDF (818K) -
M. Tada, M. Shimono, S. Motoi, Y. Suto, Y. Kohli, K. Kawai1981 Volume 34 Issue 2 Pages 73-77,154
Published: 1981
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSIt is obviously desirable to obtain information about the life history of colo-rectal polyps and the time for an adenoma to become malignant. Direct observations are very few because the natural history of them is usually interrupted by surgical treatment or endoscopic polypectomy.
Seven patients with polyp at the sigmoid colon were repeatedly examined radiologi-cally. In case 1, a diagnosis of cancer was made four years and 11 months after the detection of a clinical polyp at the same site. Volume doubling time (tD) of carcinoma was 344.8 days. In case 2, a polyp (tubular adenoma) grew quickly and volume doubling time were 213.4 days. In case 3, a polyp grew quickly during the first 12 months (volume doubling time was 225.9 days), then it stopped growing. In case 4-7, polyps did not grow during the follow-up observation for 14-27 months.
Therefore, it is interesting that some tubular adenomas grow quickly, while others grow slowly.View full abstractDownload PDF (2781K) -
S. Kamata1981 Volume 34 Issue 2 Pages 78-90,154
Published: 1981
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSExperimental and clinical investigation of the colonic myoelectrogram was presented in this paper for the practical clinical evaluation.
Experimentally, the similar myoelectrograms were obtained using both of the trans-peritoneal method and the anorectal method in the normal dogs. Furthermore, in the colon with segmental oligoganglionosis induced by temporal anoxia, the abnormal discharge of spike burst appeared in the involved segment and the distal side but not in the proximal side of the colon.
Clinical studies of the colonic myoelectrogram by the anorectal approach were per-formed in 81 cases with disorders of the bowel movement and in 12 normal subjects. The frequent discharges of the spike burst have been recognized in the 74 cases of former group (91.4%) but not in control group. During the clinical course of the inflammatory colonic disease, the abnormal myoelectrical activity was recognized prior to the histopathological ag-gravation. Furthermore, the threshold against acetylcholin decreased significantly in the patients with the disorder of the bowel movement.
In 19 cases with unknown caused disorder of bowel movement, the hyperlipemia and frequent discharge of spike burst were noticed in 16 cases suggesting that the abdominal symptoms accompanied with pain could be caused by the abnormal bowel peristalsis.View full abstractDownload PDF (7977K) -
With Special Reference to Perineural InvasionT. Ohgai1981 Volume 34 Issue 2 Pages 91-100,155
Published: 1981
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSHistopathological studies of colorectal cancer concerned with intramural spread and its relation with the prognosis were performed in 264 surgical cases and the results are as fol-lows.
Lymphatic invasion and venous invasion had a closed relationship with the lymph node metastasis and the liver metastasis. Vascular invasion and perineural invasion had the influence to intramural spread of cancer. In the patients with vascular invasion of the bowel wall, the corrected 5 years survival rate was significantly lower than in the patients without vascular invasion (p<0.05).
These results suggested that the vascular invasion and perineural invasion in the bowell wall were one of the important prognostic factors in the patients of colorectal cancer.View full abstractDownload PDF (2141K) -
For Treatment and Prevention of Peristomal DermatitisK. Shindo1981 Volume 34 Issue 2 Pages 101-106,156
Published: 1981
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSNew ostomy appliance of Karaya seal drainable pouch with microporous adhesive was fitted to 50 ostomists who had been rehabilitized. They were instructed to wash out inside the pouch without removal of the appliance. Confidential questionaires were provided for assessing of eleven items. Each items graded 0 (the best) to 5 (the worst) and treated statistically. Three ileostomists and 39 colostomists responded. Tolerated duration of adhesion per an appliance was 3.2 days in the mean, 12 days in the maximum. Holding-power was 1.6 grade in the mean, while separation was nonpainful (0.7 grade). Fitting of the appliance was excellent (0.9 grade). Its change while sweating was minimal (0.9 grade). Odor leakage was seldom (1.1 grade), and fecal leakage was limited only on some diarrhea (0.8 grade). Management of defecation was easy with wash-and-drain method (1.7 grade). Skin irritation was rarely occurred (0.5 grade) and only one patient developed vesicles. In 26 out of 31 cases peristomal dermatitis was improved or healed completely within 4 weeks.
Most of them felt comfortable (1.2 grade) and their general impression for the appli-ance was 1.0 grade : The best in 7 cases, excellent in 22, good in 9, fair in 2, worse in one, and the worst in one case of ileostomy.
The data showed that this new appliance was effective in 84% for treatment of peristomal dermatitis and that this was also preventive for skin irritation.View full abstractDownload PDF (1487K) -
I. Fukuda, H. Sarashina, K. Fukao, T. Okamura, Y. Iwasaki1981 Volume 34 Issue 2 Pages 107-110,156
Published: 1981
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSA 68-year-old man was admitted to the hospital because of epigastralgia after meal and right lower abdominal tumor. The tumor was firmly adherent to the abdominal wall and there was slight abdominal distension. On barium enema examination, a filling defect and stricture of ileocecal region were found, and the terminal ileum was dilatated. On fiberscopic examination, the tumor occupied the whole circumference of ileocecal wall and the endoscope could not be inserted beyond the stricture. Endoscopic diagnosis was carci-noma of the cecum, and biopsy was performed. Because of obstructive symptoms the patient was operated on at the 10th hospital day, before pathological diagnosis had been made.
On operation the disseminated miliary tuberculi were found on the whole peritoneum and ileocecal resection was performed, followed by side-to-side anastomosis of stenosed ileum. Microscopic examination revealed classic tuberculous granuloma, and pathological diagnosis was ileocecal tuberculosis. The patient was discharged on 37th day after operation, followed by chemotherapy.
Active pulmonary tuberculosis was not observed in this case.
Although rare, hypertrophic intestinal tuberculosis occures almost 85% in the ileocecal region and it mimics carcinoma of the cecum.
We reported a case of hypertrophic intestinal tuberculosis which had been very diffi-cult to differentiate from carcinoma of cecum.View full abstractDownload PDF (2934K) -
1981 Volume 34 Issue 2 Pages 111a-114,158
Published: 1981
Released on J-STAGE: June 05, 2009
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[in Japanese]1981 Volume 34 Issue 2 Pages 111
Published: 1981
Released on J-STAGE: June 05, 2009
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[in Japanese], [in Japanese]1981 Volume 34 Issue 2 Pages 114-119,163
Published: 1981
Released on J-STAGE: June 05, 2009
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1981 Volume 34 Issue 2 Pages 119-129,170
Published: 1981
Released on J-STAGE: June 05, 2009
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1981 Volume 34 Issue 2 Pages 130-138
Published: 1981
Released on J-STAGE: June 05, 2009
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1981 Volume 34 Issue 2 Pages 139-141
Published: 1981
Released on J-STAGE: June 05, 2009
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1981 Volume 34 Issue 2 Pages 142-149
Published: 1981
Released on J-STAGE: June 05, 2009
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