All issues
Volume 52 (2019)
- Issue 12 Pages 695-
- Issue 11 Pages 611-
- Issue 10 Pages 551-
- Issue 9 Pages 485-
- Issue 8 Pages 405-
- Issue 7 Pages 345-
- Issue 6 Pages 281-
- Issue 5 Pages 239-
- Issue 4 Pages 191-
- Issue 3 Pages 137-
- Issue 2 Pages 83-
- Issue 1 Pages 1-
- Issue Special_Issue P･･･
- Issue Supplement2 Pag･･･
- Issue Supplement1 Pag･･･
Volume 25, Issue 12
Displaying 1-21 of 21 articles from this issue
- |<
- <
- 1
- >
- >|
-
Chikara Kunisaki, Mitsugi Sugiyama, Toshiro Yamamoto, Hiroshi Katamura1992 Volume 25 Issue 12 Pages 2891-2897
Published: 1992
Released on J-STAGE: August 23, 2011
JOURNAL FREE ACCESSThis investigation was performed to study the prophylactic and therapeutic effects of drugs for acute gastric mucosal lesions (AGML) in a pathophysiological model. Male Wistar rats (250-300 g) with obstructive jaundice were exposed to cold water immersion stress and divided into three groups: controls, a cimetidine (50-100 mg/kg i.p.) group and a teprenone (200 mg/kg/day p.a.) group. Various defensive factors and aggressive factors were evaluated biochemically and histologically at intervals. When gastric mucosal blood flow was estimated as 1.0 at the preexposure, Cimetidine maintained it in a dose-dependent manner in addition to suppressing gastric acid secretion even 6 hours after stress exposure at a degree of 0.278±0.07 as compared to 0.154±0.007 in non-treated group. Teprenone maintained some defensive factors such as gastric mucosal blood flow, transmucosal potential difference and gastric mucosal hexosamine content, and suppressed aggressive factors such as gastric mucosal glycosidase and gastric mucosal thiobarbituric acid reactants without inhibition of gastric acid secretion after stress. The decrease in gastric mucosal blood flow was suppressed to a degree of 0.303±0.081 and 0.225±0.038 at 3 hours and 6 hours, respectively. From the results, it was concluded that H2-receptor antagonists and agents such as teprenone which increase defensive factors are useful as prophylaxis and therapy for AGML.View full abstractDownload PDF (14210K) -
Hideaki Nishidoi, Minoru Ishiguro, Hirofumi Kudoh, Nobuaki Kaibara1992 Volume 25 Issue 12 Pages 2898-2902
Published: 1992
Released on J-STAGE: August 23, 2011
JOURNAL FREE ACCESSThe mechanism of development of cancer in the remnant stomach was studied by comparing 33 patients originally operated on for benign tumors (benign group) with 11 patients originally operated on for malignant tumors (malignant group). In the benign group, the B-II operative procedure was predominant, while B-I and B-II were conducted on an almost equal number of patients in the malignant group. Cancer developed at the anastomosed site or the cut end in significantly more cases in the benign group than in the malignant group. Many tumors in the malignant group exhibited gross morphology similar to that of the original gastric cancer. The intervals between onset of the first and second tumor by the site of the second tumor in the benign group were 23.2, 20.1 and 10.9 years at the anastomosed site, the cut end, and other sites, respectively. In the malignant group, the intervals were 14.3, 11.8 and 12.4 years. The malignant group showed no difference among the sites, though the intervals were shorter than in the benign group. These results indicate that the reflux of duodenal juice including bile at the anastomosed site of the remnant stomach may be the promoter in the benign group. However, in the malignant group the results in terms of the site and the intervals of tumor development indicate that the high risk of development of multiple cancers of the stomach rather than the promoting effect of bile acid may play a greater role in recurrence of the tumor.View full abstractDownload PDF (8885K) -
Kikuo Aizawa, Tetsuya Tada, Satoshi Suzuki, Hiroshi Yabusaki, Norio Ta ...1992 Volume 25 Issue 12 Pages 2903-2913
Published: 1992
Released on J-STAGE: August 23, 2011
JOURNAL FREE ACCESSOne hundred and sixty-nine cases of poorly differentiated gastric carcinoma with medullary growth pattern were investigated clinicopathologically regarding their histologic features and histochemical findings. They could be histologically subdivided into the following four types: 1) solid type (97 cases), 2) acinar type (54 cases), 3) undifferentiated type (12 cases), and 4) lymphoid stroma (6 cases). Solid type tumors had higher incidences of hepatic metastasis and lymph node metastasis than acinar type tumors. Moreover, the 5-year survival rates after surgery were 49.1% and 75.5% for solid type and acinar type tumors, respectively, showing that the prognosis for solid type tumors is significantly poorer than that for acinar type tumors. In many cases, acinar type tumors as well as lymphoid stroma tumors were accompanied by abundant infiltration of lymphocytes. Of the solid type tumors, there were 11 (11.3%) with argyrophil Grimelius stain-positive cells considered to differentiate into endocrine cells, and 17 (17.5%) with AFP-positive cells. The prognoses for these tumors were poor because of the frequent occurrence of hepatic metastasis after surgery. There was not a significant correlation between c-erbB-2 proteinstaining status and the prognosis for the patients. Thus, a wide variety of tumors were observed within poorly differentiated gastric carcinomas with medullary growth pattern, such as acinar type tumors which have a favorable prognosis, and endocrine cell carcinomas and AFP-producing tumors which have poor prognoses and can be considered to be independent clinicopathologic entities. Therefore, the development of new therapeutic tools for such tumors with high malignant potential is required.View full abstractDownload PDF (23038K) -
Akio Ishikawa, Katashi Fukao, Masaaki Ohtsuka, Yasuhiro Takase, Takesh ...1992 Volume 25 Issue 12 Pages 2914-2920
Published: 1992
Released on J-STAGE: August 23, 2011
JOURNAL FREE ACCESSThe records of 34 patients with hepatocellular carcinoma who underwent hepatic resection with pre-and postoperative Lipiodol transcatheter arterial infusion therapy (L-TAI), excluding noncurative resections, were reviewed. Various clinical and pathological features of these cases were evaluated by analysis of the cumulative disease-free survival rate to clarify the prognostic factors after hepatic resection. One-, three-and five-year diseasefree survival rates in this series were 91%, 68% and 45%, respectively. Necrosis of over 80% detected by preoperative L-TAI in the tumor nodule, tumor diameter less five cm, histological absence of portal vein involvement and histological absence of tumor invasion to the tumor capsule were the most significant prognostic factors in patients who underwent hepatic resection. The five-year disease-free survival rates were 100% in patients with and without tumor invasion to the tumor capsule.View full abstractDownload PDF (12265K) -
Shuji Tomita, Yoshihiro Muto, Satoshi Tamaki, Tsutomu Isa, Shigeru Deg ...1992 Volume 25 Issue 12 Pages 2921-2928
Published: 1992
Released on J-STAGE: August 23, 2011
JOURNAL FREE ACCESSTo better assess the prognostic factors of carcinoma of the gallbladder, the relation of the infiltrative depth to DNA content and expression of CEA in 41 patients with gall-bladder cancer was studied. The patients were divided into 3 groups according to the infiltrative depth; m, pm-Ca (n=9) (tumor confined within the mucosa or the muscularis propria), ss-Ca (n=13) (tumor invading the subserosa without serosal invasion) and se-Ca (n=19) (tumor invading the serose or beyond). The DNA index was 1.08±0.24 in m, pm-Ca, 1.50±0.36 in ss-Ca and 1.81±0.49 in se-Ca. Regarding the DNA ploidy pattern, the diploid pattern was accounted for 88.9% of m, pm-Ca, 30.7% of ss-Ca and 10.5% of se-Ca. In the ploidy group, low ploidy was found in 88.9% of m, pm-Ca; in contrast ss-Ca showed 38.5% intermediate and 53.8% high ploidy, and se-Ca showed 47.4% and 52.6%, respectively. CEA was diffusely positive in 22.2% of m, pm-Ca, 69.2% of ss-Ca, and 78.9% of se-Ca. DNA content and expression of CEA were significantly correlated with the infiltrative depth. DNA measurement and expression of CEA may be used as important objective predictors complementary to the staging system, based on the infiltrative depth in gallbladder cancer.View full abstractDownload PDF (14393K) -
Daisaku Ohta1992 Volume 25 Issue 12 Pages 2929-2937
Published: 1992
Released on J-STAGE: August 23, 2011
JOURNAL FREE ACCESSTo investigate the influence of celiac and superior mesenteric ganglionectomy (ganglionectomy) on the motor activities of the small intestine and colon, this study was undertaken in seven dogs. Seven strain gage force transducers were implanted on the small intestine, the ileocecal-junction, and the right colon. Recordings were made before and after ganglionectomy in the fasting and postprandial states. In the small intestine, interdigestive migrating motor complexes (MMCs) were observed before and after ganglionectomy. After ganglionectomy, the duration of phase I was significantly reduced, that of phase II was significantly elongated, and MMC migration time was significantly reduced. In the postpranidal state, bursts of high amplitude contractions were observed after ganglionectomy, and these contractions migrated rapidly over the entire small intestine. Rapid postprandial transit of luminal contents of the small intestine after ganglionectomy was suggested by this phenomenon. In the colon, the motor activities were not altered by ganglionectomy in the fasting state. However, in the postprandial state statistically significant reduction of the duration of the quiescent state (12.7-13.3 min before ganglionectomy to 4.9-6.3 min after ganglionectomy) was noted, and statistically significant elongation of the duration of the contractile state (6.9-8.6 min before ganglionectomy to 13.4-20.1 min after ganglionectomy) was noted. These results indicate that the hyperactivity of the small intestine and colon after ganglionectomy was induced by blocking of the inhibitory nerve or the inhibitory intestino-intestinal reflex through the celiac and superior mesenteric ganglion.View full abstractDownload PDF (14711K) -
Yoshihiro Moriwaki, Hiroshi Katamura, Yasushi Ichikawa, Toshiroh Yamam ...1992 Volume 25 Issue 12 Pages 2938-2943
Published: 1992
Released on J-STAGE: August 23, 2011
JOURNAL FREE ACCESSTissue damage after declamping and the role of reactive oxygen species in this damage was compared in an ischemia group in which the intestinal segment and the vessels supplying this segment were clamped for 10 and 30 minutes, and a congestion group in which the segment and its draining veins were clamped for 10 and 30 minutes (n=80). The effect of radical scavangers on the damage due to ischemia, congestion and reperfusion was also investigated (n=16). The tissue damage was severer in the congestion group than in the ischemia group with the same clamping time, and when the time of clamping was longer, the damage after declamping was severer. The level of lipid peroxide (LPO) in the involved bowel and chemiluminescense (CL) of the vein draining from the involved bowel were also higher in the congestion group when the clampling time was the same. But in the congestion group, the level of LPO and CL was higher after the release of 10 minute's clamping than after 30 minute's clamping, in which the tissue damage during congestion was too severe to result in tissue necrosis. The increments in LPO and CL were suppressed by treatment with radical scavengers.View full abstractDownload PDF (11825K) -
Kazuo Hase, Hidetaka Mochizuki, Sachio Yokoyama, Kazuyoshi Yoshimura, ...1992 Volume 25 Issue 12 Pages 2944-2950
Published: 1992
Released on J-STAGE: August 23, 2011
JOURNAL FREE ACCESSTwo hundred and ninety-seven rectal cancer specimens were examined retrospectively for microscopic distal intramural tumor spread (DIS). DIS was revealed in 67 cases [DIS (+): 23%]. Among those, 58 showed DIS of 2 cm or less, whereas 9 showed DIS of longer than 2 cm. The maximum DIS was 3.7 cm. DIS (+) cases showed a wrse surgical outcome than those without DIS [DIS (-)]. The curative resection rate was only 34% in DIS (+) cases, whereas it was 77% in DIS (-) cases. The tumor recurrence rate was higher and the cumulative 5-year survival rate was lower in DIS (+) cases than DIS (-) cases (57% vs 25%, p<0.005; 36% vs 74%, p<0.001, respectively). On pathological study of these rectal tumors, four characteristics were identified as risk factors for DIS of longer than 2cm: 1) ulceration and an ill-defined border; 2) poorly differentiated type or signet-ring cell type; 3) a diameter of longer than 6 cm; 4) annular or semiannular shape. Patients with one or no risk factors had no DIS of longer than 2 cm, whereas the rate of DIS of longer than 2cm in the patients with 2 or more risk factors was 11% (p<0.005). It is concluded that a distal surgical margin of 4cm should be left for rectal cancer with 2 or more risk factors, while 2 cm might be enough for cancer with one or no risk factors.View full abstractDownload PDF (12334K) -
Collation of DNA Analysis Data on Cases of Local RecurrenceToshimasa Yatsuoka, Hidetaka Mochizuki, Kazuo Hase, Eishu Nakamura, Ma ...1992 Volume 25 Issue 12 Pages 2951-2957
Published: 1992
Released on J-STAGE: August 23, 2011
JOURNAL FREE ACCESSCellular DNA analysis was performed on curatively resected paraffin-embedded rectal cancer specimens by using flow cytometry. A DNA index (DI) of 1.28 or more was seen in only one (8.3%) of 12 patients without local recurrence, but in 7 (41.2%) of 17 patients with local recurrence (p<0.05). The DI of preoperatively biopsied fresh specimens showed a significant linear correlation with the DI of paraffin-embedded resected specimens. It was concluded that analysis of the cellular DNA content of preoperatively biopsied fresh specimens might be useful for the detection of a high risk of local recurrence.View full abstractDownload PDF (13068K) -
Masahiro Ohishi, Nobuyuki Onishi, Takehisa Onishi, Tetsuya Onishi, Kaz ...1992 Volume 25 Issue 12 Pages 2958-2962
Published: 1992
Released on J-STAGE: August 23, 2011
JOURNAL FREE ACCESSA 37-year-old man was admitted with complaints of a tumor in the left upper abdomen and hematemesis. A gastrointestinal series revealed an extragastric type of leiomyosarcoma of the stomach with ulceration. Subtotal gastrectomy with lymphnode dissection was performed on February 15, 1983. The resected elastic hard encapsulated tumor, 15×15×13cm in size, was histologically diagnosed as leiomyosarcoma. During nine years and two months after the initial operation, four operations were carried out for intra-peritoneal recurrent tumors. Two of the tumors were located in the perigastric area and the other two were in the mesoileum and at the diaphragma. Two extirpations, a partial resection of the ileum and a partial resection of the diaphragma, were performed. All recurrent tumors were diagnosed as leiomyosarcomas, and the largest tumor was 22×10×10cm in size. Up to now, the patient has been leading a good life without recurrence. Thesuspected cause of recurrence was implantation of tumor cells at the initial operation. Accordingly we propose the no touch isolation method as efficient for avoiding recurrence. Better prognosis can be expected by aggresive surgical treatment for resectable intraperitoneal seeding, because leiomyosarcoma is less apt to metastasize to thelymph node than gastric cancer.View full abstractDownload PDF (9603K) -
Takao Suzuki, Takenori Ochiai, Matsuo Nagata, Yoshio Gunji, Kazuaki Na ...1992 Volume 25 Issue 12 Pages 2963-2967
Published: 1992
Released on J-STAGE: August 23, 2011
JOURNAL FREE ACCESSDiagnosis, treatment and prognosis of 7 resected gastric cancer patients with Virchow's node metastasis were investigated. One patient died of acute renal failure 2.5 months after operation and another patient had metachronous Virchow's node metastasis and survived for 118 months. The mean survival time for the patients except for these two patients was 10.8months with 3 aliving patients. One patientin whom endoscopic ultrasonography revealed no sign of mediastinal node metastasis underwent total gastrectomy accompanied by lymph node dissection in the abdominal cavity and the neck. Eighteen months after the operation, he is alive and has no sign of recurrence. Two patients with mediastinal node metastasis were treated by high dose chemothrapy and autologous bone marrow transplantation. After the treatment Virchow's node andthe mediastinal nodes disappeared. Therefore, for patients without an inoperable factor other than Virchow's metastasis, palliative gastrectomy and adjuvant therapy seemed to improved the prognosis for gastric cancer with Virchow's node metastasis. Furthermore for patients without mediastinal node metastasis, radical gastrectomy withlymph node dissection in the abdominal cavity and the neck is recommended.View full abstractDownload PDF (10257K) -
Fukumasa Tsuji, Fumitoshi Kimura, Yoshisada Yamasaki, Youichi Yamanaka ...1992 Volume 25 Issue 12 Pages 2968-2972
Published: 1992
Released on J-STAGE: August 23, 2011
JOURNAL FREE ACCESSA rare case of malignant lymphoma developing in the residual stomach 30 years after distalgastrectomy for gastric cancer is reported. Thirteen such cases reported in the Japanese literatures are also reviewed and discussed. The patient was a 74-year-old woman, with chief complaints of anorexia and left hypochondralgia. Thirty years earlier, she had undergonedistal gastrectomy for gastric cancer. A nodular, protruding lesion was seen on the superior posterior wall of the greater curvature in the stomach, and this was diagnosed as a malignant lymphoma by gastrofiberscope. The residual stomach with spleen and pancreas tail was resected completely. The pathological findings indicated the lesion to be diffuse lymphoma of the medium-sized cell type or the mixed type. Postoperatively, the patient was administered four courses of CHOP-B, but the patient died 11 months after the operation. Even in cases of curative resection, since malignant lymphoma is a systemic disease, it is necessary to administer appropriate chemotherapy, and a flexible therapeutic approach is also essential. Malignant lymphoma of the residual stomach is often a comparatively progressive disease, and it is thus necessary to exercise caution with regard to patients with a residual stomachView full abstractDownload PDF (9074K) -
Naomi Kawata, Yoshikazu Suzuki, Shingo Saitoh, Takashi Funatsu, Nobuak ...1992 Volume 25 Issue 12 Pages 2973-2977
Published: 1992
Released on J-STAGE: August 23, 2011
JOURNAL FREE ACCESSA case of early gastric cancer with bilateral inguinal lymph node and multiple bone metastases is reported. A 78-year-old woman consulted our hospital complaining of general fatigue and anorexia. Physical examination revealed swelling of her right 8th rib and bilateral inguinal lymph nodes. Laboratory examination showed a blood carcinoembrionic antigen (CEA) level of 30, 880ng/ml. Gastroscopy revealed a IIa + IIe-like elevated lesion at the antrum, a submucosal tumor and ulceration at the body. Biopsy specimens from the antrum were diagnosed as Group V, in which CEA stain was positive. Multiple abnormal accumulations were detected by bone scintigraphy. A partial gastrectomy and biopsy of a right inguineal lymph node showed that invasion of the gastric cancer was limited within the submucosal layer, thesubmucosal tumor was leiomyoma, the ulceration was due to a benign peptic ulcer (Ul-IIl), and the inguinal lymph node lesion was a metastatic lesion from the stomach. Early gastriccancers with not only distant lymph node metastasis (n4 (+)) but also bone metastasis are rare. Only 2 cases of inguinal lymph node metastasis have been reported in Japan. Our case is the 8th one diagnosed as early gastric cancer with bone metastasis at the same time, including autopsy diagnosis. We expect the mechanism of early metastasis to be elucidated.View full abstractDownload PDF (9072K) -
Kiyotaka Okuno, Akira Tanaka, Ichizo Nakajima, Noriaki Tochihara, Tosh ...1992 Volume 25 Issue 12 Pages 2978-2982
Published: 1992
Released on J-STAGE: August 23, 2011
JOURNAL FREE ACCESSThe authors present a case of complete remission of multiple liver metastases from gastriccancer as a result of treatment by hepatic artery infusions of interleukin-2 (IL-2) with mitomycin C (MMC) and 5-fluorouracil (5-FU). A 54-year-old man, diagnosed as having extensive gastric cancer that had invaded to the lower esophagus with a solitary liver metastasis, underwent total gastrectomy, splenectomy with partial esophagectomy with regional lymph node dissection, and wedge resection of the liver. Six months after the operation, multiple liver metastases were detected by CT scanning and ultrasonography of the liver. He was readmitted and a port for hepatic arterial infusion was implanted. IL-2 combined with MMC and 5-FU was given via the hepatic artery once or twice weekly for 6 months. Judging from the CT scan and angiography taken after one month, the multiple metastatic foci noted before therapy had clearly disappeared. At the time of his last physical examination in May 1992, a liver CT scan showed no tumor recurrence.View full abstractDownload PDF (9861K) -
Hiroshi Tanabe, Susumu Watanabe, Takashi Hashimoto, Nobuyasu Kano, Nao ...1992 Volume 25 Issue 12 Pages 2983-2987
Published: 1992
Released on J-STAGE: August 23, 2011
JOURNAL FREE ACCESSA case of Castleman's lymphoma at the hepatic hilum is reported.A 60-year-old woman was admitted to our hospital with the complaint of epigastralgia.Abdominal ultrasonography revealed a well-defined mass below the liver.Abdominal computed tomography revealed a mass withcalcification, magnetic resonance imaging (T2 weighted) showed a mass whose signal was higher than that of the liver, and abdominal angiography showed a hypervascular mass.Laparotomy was performed.A walnut-sized tumor was noted at the liver hilus and the tumor wasresected.The resected tumor, measuring 4.0×3.5×2.8cm, was completely enclosed within a thin capsel. Histological examination revealed characteristics of the hyaline-vascular type of Castleman's lymphoma.View full abstractDownload PDF (9454K) -
Manabu Nishiwaki, Yoshinao Kotoura, Hiroshi Ashida, Akihiko Nishioka, ...1992 Volume 25 Issue 12 Pages 2988-2992
Published: 1992
Released on J-STAGE: August 23, 2011
JOURNAL FREE ACCESSA 60-year-old Japanese woman suffered from upper abdominal discomfort and dilatation of the biliary tree was detected by abdominal ultrasonography. Percutaneous transhepatic cholangiographic drainage, endoscopic retrograde cholangio pancreatography, and computed tomography revealed septum formation of the common hepatic duct. Intraoperatively, we found stricture of the common hepatic duct, which had only a pinhole lumen. Cholecystectomy, partial resection and end-to-end anastomosis of the bile duct were performed. Histological examination revealed a thickness of muscular layer in the area of the stricture. And then, this case was diagnosed as an annular stricture of the extrahepatic duct, which is histologicalydifferent from septum formation. Annular stricture of the bile duct is very rare and it would be valuable to study the embryological anomaly in the biliary system.View full abstractDownload PDF (9996K) -
Kenji Numa, Fumio Nagata, Akira Kanesiro1992 Volume 25 Issue 12 Pages 2993-2996
Published: 1992
Released on J-STAGE: August 23, 2011
JOURNAL FREE ACCESSA 59-year-old man who had been undergoing maintenance hemodialysis for chronic renal failure was admitted to our hospital with broncopneumonia. During his hospitalization, he complained of lower abdominal pain and he was referred to the surgical department. On physical examination the abdomen was found to be slightly distended and a fluid wave was present. There was generalized abdominal tenderness with maximum tenderness at McBerney's point. Also there was rebound tenderness in all quadrants. Digital examination revealed a severe tenderness in Douglas's pouch. The white blood cell count was 12, 600, and a pre-operative diagnosis of acute appendicitis with peritonitis was made. On opening the abdoninal cavity a large amount of contaminated fluid was encountered but there was no pronounced inflamationof the intestines nor evidence of perforation. Escherichia coli was detected by culture ofthe ascitic fluid. Spontaneous bacterial peritonitis is an infection of the ascitic fluid of patients who, in general, have liver cirrhosis or nephrotic syndrome. However, we encountered a case of spontaneous bacterial peritonitis without liver cirrhsis or nephrotic syndrome.View full abstractDownload PDF (7185K) -
Yutaka Ozeki, Mikio Yasumura, Masatoshi Hayashi, Toshio Saiga, Nagaki ...1992 Volume 25 Issue 12 Pages 2997-3001
Published: 1992
Released on J-STAGE: August 23, 2011
JOURNAL FREE ACCESScomputed tomography revealed a round tumor in the right lobe of the liver. Angiography showed a hypervascular tumor. Since fecal occult blood was present and the serum carcinoembryonic antigen level was high, the colon was examined. Barium enema and total colonoscopy revealed a Borrmann type 2 rectal cancer. Under a diagnosis of double cancer of the liver and the rectum, an operation was performed. Right hepatectomy was carried out through an upper abdominal incision, and anterior resection of the rectum using the double stapling technique was performed through a lower abdominal transverse incision. The resected liver contained a round tumor, 7.0×5.5 cm in size with expansive growth, which was histologically found to be an Edmondson grade III hepatocellular carcinoma. The rectal tumor was a type 2 cancer, 4.0×3.5 cm in size, which was histologically a moderately differentiated adenocarcinoma.View full abstractDownload PDF (9624K) -
Hodaka Amano, Takeo Yokoyama, Hidehiko Kashiwabara, Tadashi Hachisu, K ...1992 Volume 25 Issue 12 Pages 3002-3006
Published: 1992
Released on J-STAGE: August 23, 2011
JOURNAL FREE ACCESSA 60-year-old woman was admitted to our hospital complaining of an abdominal tumor. Radiological and biochemical examinations revealed non-functioning islet cell carcinoma with multiple liver metastases. Distal pancreatectomy with lymphadenectomy and hepatic artery cannulation was performed. Transcatheter arterial embolization (TAE) was performed after the operation, which resulted in the disappearance of radiologically detectable liver metastases. The combination of surgery and TAE made it possible for the patient to live over 44 months after the operation.View full abstractDownload PDF (9649K) -
Yoshiyuki Kuwabara, Makoto Kataoka, Atsushi Sato, Yasuyuki Kureyama, H ...1992 Volume 25 Issue 12 Pages 3007-3011
Published: 1992
Released on J-STAGE: August 23, 2011
JOURNAL FREE ACCESSA 54-year-old man who had a past history of heart disease and cerebral infarction, suddenly experienced severe abdominal pain. Abdominal ultrasonography and computed tomography revealed hepatic portal venous gas, and abdominal angiography revealed acute mesenteric arterial occlusion. An abdominal operation revealed extensive intestinal necrosis, from 60 cm to 80 cm below the Treitz's ligament and from 145 cm below the Treitz's ligament to ascending colon, and many gas bubbles in the marginal veins of the mesentery. Each necrosed intestine was resected and end-to-end anastomosis was made respectively. The length of the survived small intestine was only 120 cm. In the resected specimen, many submucosal gas bubbles (1 mm) were observed in the necrotic intestine, and this state was considered to be pneumatoiss intestinalis. Postoperatively the patient did relatively well, and was discharged on the 35th day after surgery. Up to now, no patient surviving mesenteric vascular occlusion with hepatic venous gas has been reported in Japan, and only 2 cases have been reportedworld wide. Therefore our case is considered a very rare one.View full abstractDownload PDF (9397K) -
Tatsuo Tanaka, Hiroyuki Konno, Yuji Maruo, Nobuhiko Nishino, Iwao Mats ...1992 Volume 25 Issue 12 Pages 3012-3015
Published: 1992
Released on J-STAGE: August 23, 2011
JOURNAL FREE ACCESSMetastatic appendiceal cancer is rare; only 16 cases have been reported in Japan. A case of appendiceal metastasis of gastric cancer is presented. A 76-year-old man, who had undergone gastrectomy for Borrmann type-3 gastric cancer 4.5 years earlier, was admitted to our department because of high fever and lower abdominal pain. Appendectomy was performed under a diagnosis of acute appendicitis. At the operation no sign of recurrence including peritoneal dissemination was observed, and the macroscopic appearance of the appendix was consistent with gangrenous appendicitis. However, histological examination showed many small foci of poorly differentiated adenocarcinoma, in part of which adenotubular structures wereobserved. Therefore, he was diagnosed histologically as having appendiceal metastasis of gastric cancer. The patient has survived without recurrence for two years and one month after the appendectomy. When cancer patients have symptoms compatible with appendicitis, metastatic appendiceal cancer should always be considered.View full abstractDownload PDF (7238K)
- |<
- <
- 1
- >
- >|