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Volume 46, Issue 3
Displaying 1-15 of 15 articles from this issue
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S. Nakaji, J. Sakamoto, K. Sugawara, T. Osanai, H. Kikuchi, K. Tamura, ...1993 Volume 46 Issue 3 Pages 225-239
Published: 1993
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSWe have studied about the relationship between defecation and stool consistency, and food and beverage intakes in general population. Results obtained were as follows: 1) Bowel movement was once or more per day in 88% of male population and 75% female. As for feeling of defecation, constipation was noted in 36% of female and 18% of male, respectively. 2) As aging, stool consistency become harder, and value of stool consistency in female was higher than that in male. 3) Rice intake showed good influence on defecation and stool consistency, but bread trended to constipation. Alcohol showed below 1.0 of relative risk in all items, but trended to diarrhea.View full abstractDownload PDF (735K) -
H. Tanabe1993 Volume 46 Issue 3 Pages 240-244
Published: 1993
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSWe evaluated usefulness of lymphocyte subsets in prediction of prognosis in colorectal cancer patients by use of multivariated regression analysis. Sixty-six colorectal patients who underwent surgery (Dukes B and C) were subjeted to this study. In these patients, total lymphocyte count, lymphocyte subsets and natural killer activity were determined preoperatively. These immunological parameters of the 66 colorectal cancer . paients were valuated by using multivariated regression analysis by Cox's proportinal hazard model. The levels of Dukes, CD 4/8 ratio, CD8+CD11b+ and CD8+CD11b- showed significant difference in the analysis. From the corrected survival curve, the CD 4/8 ratio ≥ 1.54 group and CD8+CD11b+ ≤ 5.65% group had better prognosis. From the above findinds, it is considered that lymphnode subsets, paticularly CD 4/8 ratio and CD8+CD11b+ cell subpopulation, would be an important predictive indicator of prognosis in colorectal cancer patients.View full abstractDownload PDF (316K) -
Y. Tsuji, M. Takano, T. Fujiyoshi, M. Kawano1993 Volume 46 Issue 3 Pages 245-252
Published: 1993
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSOf all the patients whose anal fistula was surgically treated at our hospital between March 1991 and May 1992. 53 patients without any other anal diseases had their anal pressure measured both before and after surgery.
The following results were obtained.
1. Both the static and the voluntary pressure fell immediately after surgery regardless of the technique employed. The subsequent recovery of anal pressure varied depending on the surgical technique.
2. The lateral lay open technique resulted in poor postoperative recovery of anal pressures this operative technique therefore seemed to be contraindicated for such patients.View full abstractDownload PDF (1710K) -
T. Marumori, M. Kawamura, T. Suzuki, H. Arai, T. Kawaguchi, M. Iseki, ...1993 Volume 46 Issue 3 Pages 253-258
Published: 1993
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSWe have treated 468 primary colorectal carcinoma cases in our department from 1981 to 1989, of which 68 (14.5%) underwent emergency operation. The reasons for emergency operation were obstruction (53 cases), perforation (14 cases) and invagination (1 case). W e analyzed relationship between the operative method and post-operative complication as well as prognosis. Curative operation rate of emergency operation cases were 36 cases (67.9%); 30 cases were treated by primary resection and 6 cases were treated by staged resection (In all 6 cases of staged resection, only colostomy was performed at the first operation) In the primary resection cases of the curative operation, 9 of the 22 cases of the left side colorertal cases were treated by Hartmann's operation, and all of 8 cases of the right cases were treated by primary resection and anastomosis.
We conclude that primary curative resection should be performed for emergency cases if possible, , as prognosis and post-operative complication of staged resection cases was not better than that of primary cases.View full abstractDownload PDF (419K) -
from Minute Carcinoma to Advanced CarcinomaR. Wada, K. Otani, K. Suda, S. Kitamura, N. Kuwabara1993 Volume 46 Issue 3 Pages 259-264
Published: 1993
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSWe examined the histogenesis and development of the large bowel carcinoma using various appearance of 422 lesions of the large bowel neoplasias within 20mm in diameter.
Our results : 1.2/3 lesions of the minute carcinomas within 5 mm in diameter were accompanied no adenomatous element and thought de novo carcinomas. 2. Many lesions of polyp type early carcinomas including minute carcinomas were accompanied adenomatous element. 3. The rate of submucosal invasion in early carcinomas was higher in the superficial type than in polyp type. 4. When the superficial type early carcinomas were larger, these lesions showed both the elements of elevation and depression. 5. Almost lesions of the advanced carcinoma resembled the superficial type early carcinoma in gross appearance.
Our results suspected that 2/3 route of the development of the large bowel carcinoma was correspond to the de novo carcinoma theory and 1/3 of that was the adenoma-carcinoma sequence theory.View full abstractDownload PDF (319K) -
N. Yasuda, M. Shibusawa, K. Numabe, M. Murakami, Y. Tunoda, A. Tunoda, ...1993 Volume 46 Issue 3 Pages 265-268
Published: 1993
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSA 70-year-old woman presented with bloody stool. Barium emena and colonoscopy showed 2 type of capcinoma in the anal canal.
Miles' operation was performed and the histology of the specimen revealed squamous cell carrinoma. The molecular biologic examination of HPV-DNA assay was positive. The patients. of squamous cell carcinoma im the anal canal associated with HPV infection have been reported and the mechanism of carcinogensis. was well discussed in USA and Europe. However such .a case appears to be the first case reported in JapanView full abstractDownload PDF (229K) -
T. Sako, S. Matsumoto, H. Ikuta, S. Naithoh, F. Kurogoh1993 Volume 46 Issue 3 Pages 269-272
Published: 1993
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSLeiomyosarcoma of the gastrointestinal tract is often seen in the stomach and small intestine, whereas it is very rare in the colon. This report describes a case of leiomyosarcoma of the transverse colon, with a review of the literature.
18-year-old man was seen at our hospital because of abdominal pain. Barium enema and angiography of the colon suggested sarcoma of the transverse colon. Transverse colectomy was performed. Two tumors, 11.5×7.5×5.0cm and 6.2×4.9×2.5cm in size, were found adjacently. Lymphnode near by the tumors swelled 6cm in diameter. Histopathologically, they were found to be leiomyosarcoma of the colon with lymphnode metastasis. Postoperative course was unoventful and no sign of recurrence was found for one year after the operation.View full abstractDownload PDF (375K) -
Y. Honda, O. Mituki, T. Isikawa, H. Iino, Y. Inmura, H. Eguchi, T. Sek ...1993 Volume 46 Issue 3 Pages 273-277
Published: 1993
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSA 54-year-old woman was admitted to our institution, with complaint of melena. Radiologic examination revealed remarkable shortening of the ascending and the descending colon with narrowing and diminishing of Hausera. A filling defect of contrast medium was found in the hepatic flexure of the transverse colon. Endoscopic examination showed a depressed lesion surrounded with elevated lesion in the hepatic flexure. An endoscopic biopsy revealed well differenciated adenocarcinoma. Extended right hemicolectomy was performed for diagnosis of colonic carcinoma with colonic tuberculosis. The surgical specimen showed shortening of the ascending and the descending colon, and a mass in the hepatic flexure. The histologic examination of the shortened colon showed nonspecific inflammatory changes. The depressed leasion in the hepatic flexure showed well differenciated adenocarcinoma invading the subserosal layer. She is alive for 3 years after surgery.View full abstractDownload PDF (381K) -
S. Sadahiro, T. Ohmura, Y. Yamada, T. Saito, T. Sekita1993 Volume 46 Issue 3 Pages 278-281
Published: 1993
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSIndication of the resection of ascending colon against ascending colon cancer was investigated. The blood flow was rich enough for anastomosis within 3 cm from the cutedge. Above result and that the length of the ascending colon in Japanese was reported 15.7±3.3 cm and that the metastatic rate along the colon was low suggest that we could perform the resection of the ascending colon in much more cases in accordance with the site of tumor or clinical stages.View full abstractDownload PDF (136K) -
A. Tsunoda, M. Shibusawa, H. Yoshizawa, K. Nakao, K. Marumori, H. Choh ...1993 Volume 46 Issue 3 Pages 282-285
Published: 1993
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSThirty-four patients with colorectal cancer accompanied by cancer of other organs were operated on between 1981 and 1991.
The incidence was 5.5% among all surgically treated patients with colorectal cancer in our department. Clinicopathological features of these patients with double cancers were compared with those of 522 patients with single cancer. There was no significant difference in the clinicopathological features between cases with double cancer and those with single cancer. Operative results were satisfactory, when both, of double. cancers were resected for cure.View full abstractDownload PDF (271K) -
Analysis of Clinical Factors Influencing on Disease Free IntervalM. Ueno, H. Ohta, M. Seki, Y. Okada, M. Sato, M. Kinoshita1993 Volume 46 Issue 3 Pages 286-289
Published: 1993
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSIn order to make effective follow up system for curative colorectal cancer, clinical factors influencing on "disease free interval" ; interval from resection of primary tumor to detection of recurrence were investigated statistically. The 551 cases of solitary colorectal cancer were operated on for cure between 1980 to 1986, and 87 cases of apparently recurrent cancer were obtained from our follow up cases. The first recurrent site of these cases were as follws ; 41 cases were liver metastasis, 16 cases were lung metastasis, 17 cases were local recurrence and 13 cases were others. The mean disease free interval of.liver metastasis was 19 months, lung metastasis was 20 months and local recurrence was 16 months. In the cases of liver and lung metastasis, disease free interval of Dukes'C cases was shorter than Dukes'A and B cases and that of cases whose preoperative CEA level were above normal limit was shorter than that of cases within normal limit, and all cases which had both incidences of Dukes'C and high CEA level were recurrent within two years after primary resection.So in these cases, it is important to make intensive follow up for haemorragic metastasis during earlier time after primary resection. In cases of liver metastasis, the mean disease free interval of resectable cases was longer than unresectable cases, and incidence of Dukes'A and B and normal preoperative CEA level were high in resectable cases. So in these cases, is may be important to make follow especially over two years after the original operation.View full abstractDownload PDF (290K) -
1993 Volume 46 Issue 3 Pages 290-306
Published: 1993
Released on J-STAGE: June 05, 2009
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1993 Volume 46 Issue 3 Pages 307-311
Published: 1993
Released on J-STAGE: June 05, 2009
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1993 Volume 46 Issue 3 Pages 312-326
Published: 1993
Released on J-STAGE: June 05, 2009
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1993 Volume 46 Issue 3 Pages e1
Published: 1993
Released on J-STAGE: June 05, 2009
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