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Volume 37, Issue 1
Displaying 1-10 of 10 articles from this issue
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K Sumitomo, A Nagasaki, Y Hayashida, K Ikeda1984 Volume 37 Issue 1 Pages 1-7
Published: 1984
Released on J-STAGE: October 16, 2009
JOURNAL FREE ACCESSThe influence of atropine, gastrin, prostaglandin F2α on resting anorectal pressure and recto-anal reflex was studied by manometry using inflused open tiped catheter method.
The results were as follows ;
1) Rectal pressure was increased by intravenous administration of gastrin and prostaglandin F2α and not effected by atropine.
2) Anal canal pressure was increased by prostaglandin F2α, decreased by atropine and not effected by gastrin. Anal canal contraction wave was not effected by any agents, but slightly clear by gastrin.
3) Drop of anal canal pressure induced by rectal distension was increased by prostaglandin F2α, decreased by atropine and not effected by gastrin.
These findings suggest that prostaglandin F2α may increase low anal canal pressure in postoperative children with anal atresia and may make postoperative obscure recto-anal reflex clearer and that atropine may decrease high anal canal pressure of chronic constipation.View full abstractDownload PDF (1068K) -
T Yoshida, Y Haraguchi, J Sakata, S Nakamura, T Oohashi, H Kanbe, T Iw ...1984 Volume 37 Issue 1 Pages 8-17
Published: 1984
Released on J-STAGE: October 16, 2009
JOURNAL FREE ACCESSClinical course of four patients with ulcerative colitis (UC) who had eventually undergone total colectomy were evaluated for their disease activity until the time of operation by reported activity indices. Surgery was indicated for intractable UC and severe complications in two cases respectively.
Of six activity indices, three showed good correlation between activity index and clinical course, but another three had a tendency to underevaluate their clinical status partly or as a whole. The indices with good correlation to clinical status were those by Myren, Talstad and UC activity index. Activity index by Myren is a qualitative method. On the other hand, those of Talstad and UC activity index are quantitative ones. In practice, it is recommended at first to apply Myren's index to patients with severe active UC. For follow up of the disease activity or studies of effect of drugs on clinical course, indices of latter two become valuable. In patients with intractable UC or total colitis, it is important to evaluate their clinical activity by aforementioned methods from the outset, and if the scores thus obtained do not improve in spite of an extensive medical therapy, surgery is mandatory.View full abstractDownload PDF (2247K) -
S Nishiyama, M Hatta, K Koh, G Izumoto, [in Japanese], T Fukuhara, M Y ...1984 Volume 37 Issue 1 Pages 18-23
Published: 1984
Released on J-STAGE: October 16, 2009
JOURNAL FREE ACCESSIt has been generally accepted that dysfunction, except a transient one, occurs little after surgery for colon cancer. Recently, it has been clarified what the lymph nodes ranging from the root of the inferior mesenteric artery to the superior rectal artery should be dissected on surgery for sigmoid colon cancer and since then, the dissection of this area was been performed as a routine operation. Such an extended dissection of the lymph nodes is likely to damage the hypogastric nerves lain immediately beneath the peritoneum anterior to and on either side of the aorta.
The authors investigated urination and sexual function after surgery for sigmoid colon cancer.
After the operations with extended lymph node dissection (R3-dissection difined by Japanease Research Society) were performed disturbance of male sexual function, especially disturbance of ejaculation, were observed in 46% of the patients. When the operations were performed with less extended lymph node dissection, male sexual dysfunction appeared only in 10% of the patients. Mild dysuria was seen in 21.6% of all the patients after operation for sigmoid colon cancer. No severe dysuria followed even after the R3 or less operative procedures.
Accordingly, it is evident that preservation of the hypogastric nerves should be taken into consideration when the R3 or R2 lymph node dissection (R2-dissection difined by the role of Japanease Reserch Society) is performed.
We recommended a method of operation for the preservation of the nerve.View full abstractDownload PDF (1059K) -
M Tada, K Hashimoto, Y Watanabe, K Kawai1984 Volume 37 Issue 1 Pages 24-29
Published: 1984
Released on J-STAGE: October 16, 2009
JOURNAL FREE ACCESSRectal motility of 13 cases of ulcerative colitis was studied by recording intrarectal pressure using a pressure sensitive radio capsule (National TPH-101). Intrarectal pressures were recorded under the resting condition for 60 minutes, after that, under stimulation with neostigmine for 60 minutes.
The Motility in the active phase of ulcerative colitis showed decreased in comporison with the normal subjects. Especially the motility of the patients who had active involvement of the entire colon and/or suffered for long years decreased significantly. S/R ratio (S; pressure dimension after stimulation, R ; pressure dimension at rest) of the patients with entire colon involvement and/or long patient year were so higher than the normal subjects that the rectum of these cases was supposed to be move susceptible to the stimulation.View full abstractDownload PDF (1123K) -
Especially Regarding the Relationshid Between Family History for Cancer and the Co-existence of Adenomas.A Kokaji, H Ike, H Ohta, T Takahashi, Y Kato1984 Volume 37 Issue 1 Pages 30-37
Published: 1984
Released on J-STAGE: October 16, 2009
JOURNAL FREE ACCESSWe carried out a comparative study between 98 cases of multiple colo-rectal cancer (66 cases of multiple synchronous colo-rectal cancer, 32 cases of multiple metachronous colo-rectal cancer), which we experienced in our department until December, 1980, with 1253 curative cases of single colo-rectal cancer. The rate of incidence was 4.0% for the synchronous group and 2.0% for the metachronous group. Metachronous carcinoma appears in younger people, compared to the other two groups, and the incidence of cancer in the right colon region, and the incidence of family history of colo-rectal cancer were both significantly high. Hence, the involvement of hereditary factors in its occurence is strongly suggested. The incidence of coexisting adenomas was significantly higher in the synchronous group, but no correlations could be observed between the coexistence of adenomas and the family history of cancer, for all three groups.
Metasynchronous carcinomas may be divided into the type whereby the first lesion appears in the caecum or the ascending colon, and the type whereby the first lesion appears in the rectum or sigmoid colon. Distinct differences were observed between these two types with respect to their clinical features.View full abstractDownload PDF (1693K) -
Special Reference to the Measurement of Nuclear DNA ContentE Yurugi, O Kimura, H Nishidoi, N Kaibara, S Koga1984 Volume 37 Issue 1 Pages 38-42
Published: 1984
Released on J-STAGE: October 16, 2009
JOURNAL FREE ACCESSThe histopathological distinction of differentiated type leiomyosarcoma from leiomyoma is occasionally hard to make. We encountered 2 cases with non-epithelial tumor of the rectum. In one case, a diagnosis of leiomyosarcoma was readily made by histologic examination. Measurement of the nuclear DNA content showed wide distribution, the % over 3C value being 90.0 %, and the % over 4C value 61.7%. The other case was diagnosed as leiomyoma from the preoperative biopsy specimen, but the postoperative histologic examination resulted in the diagnosis of leiomyosarcoma. The nuclear DNA content exhibited the DNA content represents a valuable diagnostic tool.View full abstractDownload PDF (1441K) -
T Kato, H Nakazato, K Kato1984 Volume 37 Issue 1 Pages 43-46
Published: 1984
Released on J-STAGE: October 16, 2009
JOURNAL FREE ACCESSLocal recurrences are the most common pattern of recurrent disease after abdominoperineal resection of rectal cancers. To prevent local recurrences, wide excision should be done ; i. e. the longer the length of the distance from the external edge of tumor to the surigcal margin of resection is, the smaller the incidence of the local recurrence is.
The extraperitoneal rectum is approximated to the anterior organs, and the normal values of length and thickness of female rectovaginal space and male rectoprostatic space were measured. The present study is of autopsies of 15 patients (7 females and 8 males) who died with diseases except rectal cancer.
The average values of length for female rectovaginal space and male rectoprostatic space were 47.5 mm and 50.6 mm respectively. At the most thickned part of these spaces, the mean value of thickness was 2.5 mm in female and 3.5 mm in male. The extraperitoneal rectum is approximated to the vagina or prostate anteriorly.View full abstractDownload PDF (862K) -
1984 Volume 37 Issue 1 Pages 47-83
Published: 1984
Released on J-STAGE: October 16, 2009
JOURNAL FREE ACCESSDownload PDF (8282K) -
1984 Volume 37 Issue 1 Pages 84-95
Published: 1984
Released on J-STAGE: October 16, 2009
JOURNAL FREE ACCESSDownload PDF (2234K) -
1984 Volume 37 Issue 1 Pages 96-108
Published: 1984
Released on J-STAGE: October 16, 2009
JOURNAL FREE ACCESSDownload PDF (2475K)
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