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Volume 59, Issue 6
Displaying 1-8 of 8 articles from this issue
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Y. Tomiki, S. Hosoda, S. Kasamaki, Y. Tsuruoka, D. Kitamura, R. Takeda ...2006 Volume 59 Issue 6 Pages 309-316
Published: 2006
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSAt the 63rd Meeting of Japanese Society for Cancer of the Colon and Rectum, a questionnaire survey was conducted on the theme of "current status of local excision of rectal carcinoma".
A total of 1, 154 cases collected from 95 facilities were analyzed. Local excision was conducted in approximately 7% of the cases as a treatment for rectal carcinoma. For the question on indication of local excision, 57.1% of the facilities responded "according to the indications for colonoscopic resection."
The location of the tumor was Ra in 223 cases (19.3%) and Rb in 931 cases (80.7%), and 91% of the cases were early-stage cancers. Preoperative adjuvant chemotherapy or radiotherapy was used in 1.6% and postoperative adjuvant radiotherapy in 1.7%. Additional resection was conducted in 11.6% and recurrence was observed in 6.0%. The 5-year survival rate was 97.6% for sm cancers and 84.7% for mp cancers (p<0.001).
To establish the treatment strategy of local excision, while it is imperative to improve the preoperative diagnosis of depth of invasion and prediction of lymph node metastasis, it is also necessary to examine the effects of adjuvant chemoradiotherapy as well as the surgical procedures of additional resection and salvage treatments for recurrence.View full abstractDownload PDF (625K) -
Experience in 200 Cases with Zione InjectionY. Hachiro, M. Kunimoto, T. Abe, M. Kusano2006 Volume 59 Issue 6 Pages 317-321
Published: 2006
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSZione injection is a promising new sclerosing therapy for internal hemorrhoids. The active ingredients in this combination drug preparation are aluminum potassium sulfate and tannic acid. This therapy has become the one used most often to treat patients with predominantly internal hemorrhoids at Kunimito Hospital since April 2005, and has yielded good overall results in 200 patients. Only one patient required resection and ligation because of hemorrhoid strangulation occurring after Zione sclerosing therapy. During follow-up, hemorrhoids recurred in 8 patients, three of whom have repeated sclerosing therapy by Zione injection. All patients underwent anal sensitivity testing, and anal endosonography before and after Zione injection, and no impairment of anal function due to the injections was suggested. In our hospital, short-term results with Zione treatment in 200 patients have been very good, anal prolapse and bleeding resolved immediately after injection, and prompt functional recovery was obtained.View full abstractDownload PDF (1793K) -
M. Morita, K. Yoshioka, Y. Hata, M. Nakano, S. Iwamoto, Y. Yonekura, Y ...2006 Volume 59 Issue 6 Pages 322-327
Published: 2006
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSThis study enrolled 42 cases of ostomies to examine by questionnaire the relationship between the method of stoma care and the state of mind. Regarding the outfit, one piece was used in 21 cases. The time taken to exchange the outfit was 5-10 minutes in 16 cases and 10-20 minutes in 16 cases. Twenty patients exchanged the outfit in the room.
Thirty-one patients mainly exchange their outfit by themselves.
Patients' acceptance of ostomies as a handicap did not correlate with malignancy of causal disease, time taken to exchange the outfit, worry about smell and leak, postoperative period and whether the stoma was permanent or not. Rather, it correlated with a loss of selfassessment and self-value by hurting self-respect because of the handicap concerning excretion.View full abstractDownload PDF (420K) -
S. Nakakimura, S. Takahashi2006 Volume 59 Issue 6 Pages 328-332
Published: 2006
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSThe patient was a 46-year-old woman. She had undergone right hemicolectomy for a transverse colon tumor in January 2001. Pathologically, the tumor was diagnosed as moderately differentiated adenocarcinoma, ss, ly1, v1 n2, stage IIIb. After the surgery, she took 5' DFUR. In April 2001, liver metastasis was identified in S4 and she underwent hepatic partial resection and infusing reserve plantation. After the surgery, she was injected with 5-FU 500mg/week. In October 2001, she was diagnosed as left ovarian metastasis, so she underwent ovarian resection. After the surgery, she was treated with 5-FU/1-LV for 7 courses, and after the courses, she took UFT. In April 2004, she was diagnosed as paraaortic lymph node recurrence and was treated for CPT-11, but the treatment was not effective. So she underwent paraaorta lymph node dissection, and took TS-1 after the surgery. For 4 years and 6 months after the first operation, there apparent recurrence was not found. If the metastasis of colon cancer is solitally, surgical resection is recommended.View full abstractDownload PDF (3139K) -
H. Ozawa, K. Hatate, T. Sato, W. Onosato, T. Nakamura, Y. Kokuba, A. I ...2006 Volume 59 Issue 6 Pages 333-337
Published: 2006
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSWe report a case of lesser omental hernia. A 21-year-old woman with a history of laparoscopic total colorectomy for ulcerative colitis presented to our hospital with upper abdominal pain and nausea. On admission, her abdomen was distended and tender. Abdominal radiography and computed tomography revealed dilated loops of small intestine in the upper abdomen. An ileus tube was inserted, but the intestinal dilated shadow did not resolve and a narrow segment of small intestine was found. Surgery was therefore performed on suspicion of adhesive Hens. A laparotomy defect in the lesser omentum was found as the hernial orifice, and 50 cm of jejunum was incarcerated through the bursa. The small intestine was not necrotic, and so was pulled back within the abdomen and the defect of the lesser omentum was sutured. The postoperative course was good, and the patient was discharged after 2 weeks.
The cause of lesser omental hernia is unclear and preoperative diagnosis is difficult. Occurrence of lesser omental hernia is rare, and only 9 cases including this one have been reported in Japan. When caring for ileus patients with a history of colectomy, the possibility of internal hernia should be kept in mind.View full abstractDownload PDF (3136K) -
H. Akamatsu, N. Ogino, T. Dosei2006 Volume 59 Issue 6 Pages 338-341
Published: 2006
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSDesmoid tumor is histologically a benign tumor, but it is clinically designated as a borderline tumor because it can locally recur and develop an aggressively invasive growth. We report a case of mesenteric desmoid tumor which was successfully resected by laparoscopy-assisted colectomy, and review the literature in Japan. A 68-year-old man was referred to us, complaining of an abdominal tumor. He had no history of abdominal surgery. CT scan demonstrated a weakly-enhanced tumor adjacent to the ascending colon. Colonofiberscopy showed a submucosal tumor in the ascending colon. Laparoscopy-assisted right colectomy was performed under a diagnosis of gastrointestinal stromal tumor. The resected tumor was 7×5×4 cm in size, located in the mesentery of the ascending colon. Histopa-thological examination revealed that the tumor consisted of well-developed collagen fibers and fibroblasts poor in mitosis. Immunohistochemical staining for c-Kit, CD34, SMA, and S100 were all negative. Thus, the tumor was diagnosed as mesenteric desmoid tumor. As of 16 months after surgery, there is no sign of recurrence.View full abstractDownload PDF (3232K) -
2006 Volume 59 Issue 6 Pages 342-357
Published: 2006
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSDownload PDF (1783K) -
2006 Volume 59 Issue 6 Pages 358-365
Published: 2006
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSDownload PDF (837K)
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