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Volume 53, Issue 8
Displaying 1-10 of 10 articles from this issue
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[in Japanese]2000 Volume 53 Issue 8 Pages 509-515
Published: 2000
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSDownload PDF (9017K) -
A. Ishiguro, Y. Uno, Y. Ishiguro, A. Munakata, T. Itoh, T. Morita2000 Volume 53 Issue 8 Pages 516-525
Published: 2000
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSThe outcome of 118 early colorectal cancers, including 69 cases of mucosal cancer (m-ca) and 49 cases of submucosal invasive cancer (sm-ca), except for lesions showing the non-lifting sign, wereanalyzed after EMR. The risk factors for additional surgery were defined as massive, venous or lymphatic invasion, positive surgical margin, and poorly-differentiated or undifferentiated adenocarcinoma. Twenty of 28 sm-ca cases with risk factors were treated by additional surgical resection, of which 8 lesions, including 3 in elderly patients, 3 in patients with complications (hepatoma, lung cancer, and renal failure), and 2 in patients who rejected surgery, underwent marking of the scar with Indian ink one month after EMR, and were observed by colonoscopy after 3 and 6 months and every year thereafter. The other 87 lesions were observed every year. The rate of local recurrence was 3.4% (4/118) of all EMR lesions, 3 % (3/101) of E-AI lesions and 5.9% (1/17) of E-RI lesions. The rate of recurrence was 1.1% for total single resection, compared with 50% for piecemeal resection. Four cases of recurrence were observed 1 to 3 years after the procedure. Only one of 8 lesions observed without additional surgical resection showed recurrence.View full abstractDownload PDF (4603K) -
S. Kimura, K. Suzuki, T. Aizawa, A. Shioya, H. Kanazawa, A. Munakata, ...2000 Volume 53 Issue 8 Pages 526-531
Published: 2000
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSA 39-year-old male with bloody diarrhea was admitted to our hospital on November 17, 1998. After examination, left-sided ulcerative colitis in the active phase was diagnosed. During 4 months stay in the hospital, the colitis was alleviated with prednisolone, and he was consequently discharged on March 24, 1999. A few weeks after being discharged, he was readmitted because of colicky right hypochondralgia. An acute relapse of the colitis was assumed, but colonoscopy revealed non-active condition with scattered inflammatory polyps. Examinations including ultrasound, CT, and cholecystography through the drainage tube of PTGBD revealed that the condition was cholecystitis without stones. Cholecystectomy was subsequently performed on May 17, 1999. The gallbladder was inflammed with thickened wall and discolored mucosa, which contained no stones. Microscopic examination of the resected specimen revealed transmurally extended severe chronic inflammation with fibrosis and hemorrhage.
Although various kinds of extra- intestinal complications in ulcerative colitis, especially hepatobiliary complications have been frequently discussed, acalculous cholecystitis is a rarely reported disorder associated with ulcerative colitis.View full abstractDownload PDF (7462K) -
N. Nakai, K. Koganei, S. Fujii, M. Takahashi, F. Kitou, T. Fukushima2000 Volume 53 Issue 8 Pages 532-535
Published: 2000
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSThree cases of pelvic cyst were found following 156 surgeries on female patients with inflammatory bowel disease at Yokohama City Hospital. The onset of IBD was 26, 29 (ulcerative colitis), and 19 (Crohn's disease) years old respectively. Ten days to 3 years and 2 months after the surgery, they noted abdominal distention. Laparotomy revealed 810, 3800, and 600m1 of serous ascitic fluid respectively. One noted ovarian cysts and the other noted ovarian swelling at the time of surgery. Ascitic fluid was cytologically class II and bacteriologically negative.
Numerous reports have been published in western countries but this is the first report in Japan. Cause of pelvie cyst is expected to be determined.View full abstractDownload PDF (4722K) -
Case Report and ReviewS. Itano, N. Terada, S. Horiki, A. Endo, N. Gotohda2000 Volume 53 Issue 8 Pages 536-539
Published: 2000
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSRecently, a new category of colonic muco-submucosal elongated polyp (CMSEP) has been proposed for unclassified colonic polyps. A case of a colonic polyp applying to this category is reported. A 58-year-old female visited our hospital becouse of a positive occult blood test. A long drumstick-shaped polyp was found in the ascending colon with Barium enema, and colonoscopic polypectomy was performed. The size of the resected specimen was 65×10×10mm. By microscopic examination, this polyp was characterized clinicopathologically by being elongated, composed of mucosal and submucosal layers without any porper muscular layer, and composed lymphectasia and angiectasia in the submucosal layer. With these characterictics, this polyp was diagnosed as CMSEP. Twenty-seven cases, 29 polyps, were reported in Japan and presented in this report. It is considered that the new category of CMSEP should be established.View full abstractDownload PDF (1993K) -
M. Man-i, N. Kikkawa, I. Nishisho, [in Japanese], H. Mishima2000 Volume 53 Issue 8 Pages 540-546
Published: 2000
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSA retrospective evaluation of 2875 patients who underwent resection of colorectal carcinoma from 1965 to 1998 revealed that multiple primary carcinoma of other organs developed in 268 cases (9.3%). Sixty cases were synchronous, one was synchronous and metachronous, and 207 cases were metachronous including 107 patients in which colorectal carcinoma was preceded by other organ carcinomas. Gastric carcinoma was the most common (35.6%) among carcinomas of other organs, followed by uterus carcinoma (14.3%). Clinicopathological studies were carried out between two patient groups with or without carcinomas of other organs. There was no significant difference in the clinicopathological features (genetic background, family history, pathology, clinical stage, curability, and survival rate) between the two groups. It is important to pay attention to carcinomas of other organs, especially gastric and uterus carcinoma, at initial surgery and after surgery for colorectal carcinoma. Moreover, careful observation for rectal carcinoma in female patients who undergo irradiation therapy for uterus carcinoma is required.View full abstractDownload PDF (427K) -
[in Japanese], [in Japanese], [in Japanese]2000 Volume 53 Issue 8 Pages 547-548
Published: 2000
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSDownload PDF (3744K) -
[in Japanese], [in Japanese], [in Japanese]2000 Volume 53 Issue 8 Pages 549-550
Published: 2000
Released on J-STAGE: June 05, 2009
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2000 Volume 53 Issue 8 Pages 551-582
Published: 2000
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSDownload PDF (3372K) -
2000 Volume 53 Issue 8 Pages 583-591
Published: 2000
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSDownload PDF (1042K)
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