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1986 Volume 22 Issue 6 Pages
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1986 Volume 22 Issue 6 Pages
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1986 Volume 22 Issue 6 Pages
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1986 Volume 22 Issue 6 Pages
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1986 Volume 22 Issue 6 Pages
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1986 Volume 22 Issue 6 Pages
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1986 Volume 22 Issue 6 Pages
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1986 Volume 22 Issue 6 Pages
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1986 Volume 22 Issue 6 Pages
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1986 Volume 22 Issue 6 Pages
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1986 Volume 22 Issue 6 Pages
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1986 Volume 22 Issue 6 Pages
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1986 Volume 22 Issue 6 Pages
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1986 Volume 22 Issue 6 Pages
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1986 Volume 22 Issue 6 Pages
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1986 Volume 22 Issue 6 Pages
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1986 Volume 22 Issue 6 Pages
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[in Japanese]
Article type: Article
1986 Volume 22 Issue 6 Pages
957-961
Published: November 02, 1986
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Nobuo Ogawa, Yoshiro Sasaki, Ryuji Shiraishi, Toshiji Nishi, Kazuaki M ...
Article type: Article
1986 Volume 22 Issue 6 Pages
962-967
Published: November 02, 1986
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The authors had had an impression that the point of termination of ganglionated transitional zone in Hirschsprung's disease is different between the mesenteric and antimesenteric side of the bowel. In order to clarify this hypothesis, entire circumference of the specimens of the bowel taken from 9 cases with Hirschsprung's disease were examined histologically by means of serial blocks. Distribution of ganglion cells and proliferated nerve fibers are examined by H & E stained semiserial sections. The study revealed the presence of histological transitional zone with irregular width. The principal findings were as follows. (1) The distribution of ganglion cells always advanced more distally at the antimesenteric side. (2) Difference of termination of my enteric plexus between antimesenteric and mesenteric side ranged 12 to 39 mm. (3) Some of the submucosal plexus were found more distally than my enteric plexus. (4) In some cases, the histological transitional zones were located 7 to 12 cm proximally from the macroscopical caliber change. It is suggested that submucosal ganglion cells could migrate independently through the submucosa. For frozen section during the operation, histological examination should be done on both antimesenteric and mesenteric sides after ring-shaped segmental resection, or should be done at the mesenteric side if only one biopsy was taken.
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Ryuichiro Konda, Seiichi Orikasa, Kiyohide Sakai, Shotaro Matsuda, Gor ...
Article type: Article
1986 Volume 22 Issue 6 Pages
968-978
Published: November 02, 1986
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The limit for conservative treatment of VUR in infants and children was studied. In consideration of age and renal function, as indices of renal function, renal ratio (renal growth), β_2-MG urinary ratio (renal tubular damage) and DMSA renal uptake rate (renal cortical damage) were used. Small kidney below 2 SD of renal ratio had difficulty in recovering renal growth even after disappearance of VUR and showed about 17% or less in DMSA renal uptake rate. Refluxing kidney of 17〜18% in DMSA renal uptake rate showed marked post-operative recovery of renal function compared with those of less than 17%. The cases showing more than 1.0 of β_2-MG urinary ratio revealed severe renal dysfunction from the aspect of renal growth and DMSA renal uptake rate. Renal function was relatively well in cases with β_2-MG urinary ratio of 0.33 acd 1.0. Those results indicate that 18 acd 20% in DMSA renal uptake rate and 0.33〜1.0 in β_2-MG urinary ratio are considered the limit for reversible renal dysfunction. Renal ratio,β_2-MG urinary ratio, DMSA renal uptake rate reflect the timing oi varying renal dysfunction, and it is nesessary to make judgment on overall estimation of these three indices. Severe renal dysfunction was noted even in infants of less than 3 years, but these cases (compared with those of more than three years) showed marked recovery of renal function after antireflux operation. It was considered necessary to select an appropriate treatment for VUR before age of three years.
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Shinichi Naito
Article type: Article
1986 Volume 22 Issue 6 Pages
979-991
Published: November 02, 1986
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The serum bile acids in congenital biliary atresia (CBA), neonatal hepatitis and controls were measured by the gaschromatography/mass spectrometry (GC-MS). The concentration of total bile acids in control group was 1.49 ± 1.01μg/ml in the age of 1-12 months, and was 1.17±0.83 μg/ml in the age over one year. The concentration of total bile acids in preoperative congenital biliary atresia and neonatal hepatitis were over ten times higher than that of control group. There was no difference between neonatal hepatitis and preoperative CBA in the concentration of total bile acids and choli acid/chenodeoxycholic acid (C/CDC) radio. The concentration of ursodeoxycholic acid was high in a case of neonatal hepatitis and a case of preoperative CBA. The existence of unidentified dihydroxy C_24 bile acid was recognized in the serum of neonatal hepatitis and CBA in this study. The concentration of unidentified dihydroxy C_24 bile acid showed high levels in neonatal hepatitis and preoperative CBA, especially in postoperative CBA with poor-drainage. Therefore this unidentified dihydroxy C_24 is considered to be produced through alternative pathway in the liver.
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Izumi Mochizuki, Ryoji Ohi, Tsuneo Chiba, Masahiro Hanamatsu, Morio Ka ...
Article type: Article
1986 Volume 22 Issue 6 Pages
992-999
Published: November 02, 1986
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Inclease of long-term survivors after successful hepatic portoenterostomy for biliary atresia now confronts pediatric surgeons with another problem, portal hypertension. From 1953 through 1984, 225 cases of biliary atresia have been operated and 95 patients are surviving. Portal hypertension with esophageal varices was endoscopically confirmed in 26 of 72 patients examined and classified according to the criteria proposed by Japanese Commities on Portal Hypertension. Nine endoscopic examinations were performed at radical operation and esophageal varices could not be detected. Esophageal varices were found in 4 patients under 1 year old. All these patients were complicated with cholangitis and the complication of cholangitis during the postoperative course is a significant factor for development of portal hypertension. Variceal bleeding occured in 7 cases of 26 esophageal Varices. Red-color sign in the most significant funding relating to variceal homorrage. It will be concluded that the the serial endoscopic examinations in the postoperative courses are most important for an appropriate management of portal hypertension developed in some cases of this disease.
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Youkatsu Oohama, Hiroshi Yamamoto, Ryouji Yamada, Toshiji Nishi, Akio ...
Article type: Article
1986 Volume 22 Issue 6 Pages
1000-1010
Published: November 02, 1986
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Gastroesophageal reflux following repair of the esophageal atresia (EA) is one of the most important late complications. 36 patients, one month to 12 years after repair of their esophageal atresias, have been evaluated by 24 hrs esophageal pH monitoring and esophageal manometries. The diagnosis of the GER was defined by the pH score. Our pH score consisted of the components of percentage time under pH 4 and number of reflux over 5 minutes. The incidence of GER after repair of EA was 63%. The EA group showed characteristic pattern of reflux which was lower frequency of reflux and longer mean reflux time and the longest reflux time compairing to the other GER group without EA. It have been considered to be bad in the clearance of the esophagus. The GER patients with EA had divided into two groups, symptomatic and asympyomatic, acording to the clinical symptoms related to GER (vomiting, hematemesis, recurrent respiratory infection etc.). The silent GER (asymtomatic) is a specific group which has no clinical symptome but has mild GER under pH monitoring. The follow up results showed that all patients with silent GER had no complications concerning to GER and in the four silent GER, the pH score had been improved within normal limits. We concluded that silent GER was the self limiting GER and no treatment was necessary. Distance between upper and lower esophageal pouch, anastomotic leakage and stenosis, and symptomatic GER had the significant correlation respectively. Esophageal manometric study showed that the LES tone and lenghth had preserved in children of EA group in comparison with the other GER group. Motility abnormality occured in the thirteen out of the 18 repaired esophagus after atresia. Nissen's fundoplication was performed on seven patients. The indication for anti-reflux surgery were resistant anastomotic stenosis, intractable vomiting and recurrent respiratory infection. The long term result for the anti-reflux surgery was excellent.
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Wie-Hyo Kim
Article type: Article
1986 Volume 22 Issue 6 Pages
1011-1019
Published: November 02, 1986
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Optimal method of administration and appropriate dosage for the malignant liver tumor of childhood were investigated by following method. Part 1. Dicision of the optimal method of adriamycin (ADM) administration for the malignant liver tumor. The mongrel dogs weighning 10-15 kg were divided in 4 groups according to the method of administration as follows : Group 1. one shot infusion of the ADM (0.2mg/kg) via hepatic artery. (N=10) Group 2. continuous (30 min) infusion of the ADM (0.2 mg/kg) via hepatic artery. (N = 10) Group 3. one shot infusion of the ADM (0.2 mg/kg) via peripheral vein. (N = 10) Group 4. continuous (30 min) infusion of the ADM (0.2 mg/kg) via peripheral vein. (N = 10) Among those 4 groups, the group 1 showed the highest ADM concentration in the hepatic tissue. (1.5X). On the otherhand, concentration of the ADM in the cardiac muscle or leakage to the peripheral blood of the group 1 showed extremly lower level (1/5) compared with other groups. Part 2. Dicision of the appropriate ADM dosage for one shot hepatic arterial infusion. The ADM tissue consentration levels following various (0.07 mg/kg, 0.1 mg/kg, 0.14 mg/kg) of ADM hepatic arterial infusion were compared with the tissue concentration level of ADM administered systemically in standard dose (0. 2 mg/kg). Consequently the group of ADM 0.1 mg/kg arterial infusion and systemic ADM administration group were shown almost the same hepatic tissue concentration level. Those results suggested that; 1. ADM one shot arterial infusion is the most effective for the malignant tiver tumor chemotherapy. 2. Arterial infusion chemotherapy can reduce its side effect. 3. Arterial infusion of ADM can reduce its dosage without reducing its effect.
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Hiroshi Shimomura
Article type: Article
1986 Volume 22 Issue 6 Pages
1020-1035
Published: November 02, 1986
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The purpose of this study is to evaluate the bile flow, its bile content and the effects of choleretics and the biliary excretion of an antibiotic (Cefmetazole) in congenital biliary atresia patients following the construction of Suruga II type enterostomy. The patients were divided into two groups according to their volume of bile flow postoperatively and bile & serum bile acid values. In one group (A : n = 16), bile flow gradually increased, and was above 100 ml/day 6 months after surgery. Total bile acid concentration in bile and serum changed within a certain range in the period of investigation. The logarithmic ratio of bile acid concentration of bile and serum, B/S ratio, was always greater than 0. In another group of patients (B: n = 19), bile flow was below 100ml/day in the same period, serum bile acid concentration fluctuated, but bile acid concentration in bile was consistently below 100nMol/ml and B/S ratio was < 0. Regarding the effect of choleretics, bile acid derivatives (dehydrocholic acid, ursodeoxycholic acid), predonisolone, phenobarbital and cholestyramine were administered to evaluated the change of bile flow in early postoperative period (1W-3M). Relatively favorable effects of bile acid derivatives and predonisolone were demonstrated in group A, but were ineffective in group B. In the late postoperative period (6M-3Y1M) dehydrocholic acid significantly increased bile flow and bile acid excretion in patients with bile flow less than 40ml/kg/day which were originally included in group A. It was exactly correlated with the B/S ratio and was significantly lower in group B. Choleretics stimulated the Cafmetazole excretion in some of group A patients, but no effect in group B. It is concluded that choleretics may stimulate the biliary excretion in a group of patients whree bile flow in 20-40ml/kg/day in the late postoperative period. The excretion of Cefmetazole is similarly related to the logarithmic ratio of bile acid concentration of bile and serum.
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Michiomi Ishihara, Noriaki Munakata, Ikuo Okabe, Ken Morita
Article type: Article
1986 Volume 22 Issue 6 Pages
1036-1042
Published: November 02, 1986
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In order to study sensation in the patients with postoperative imperforate anus, follow up studies were done in 13 cases of low type and 23 cases of high type. High type cases ranged in a age from 7 to 31 years (average 13. 4 years) and low type cases ranged in a age from 6 to 17 years (average 12.5 years). These cases were classified into 2 groups of the closed anus and the opened anus. The sensory tests were checked as pain (applied the needle), touching (applied the cotton thread) and pressure (applied the sack of the needle) in the anal canal mucosa abve 0. 5〜1 cm from the anal verge. All cases of low type had closed anus, normal bowel movements and sensation in the anal canal. Fourteen cases of high type had closed anus. Thirteen cases of 14 cases had pressure sensation and 12 cases had pain and touching sentation. Four cases were normal bowel movements and 10 cases were constipation. But 9 cases of high type had opened anus and only 2 cases had sensation of anal canal. Six cases were incontinence and 3 cases were constipation. From these results, we conclude that closed anus of postoperative imperforate anus is important for good sensation.
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Mitsumasa Iwata, Yohiharu Azuma, Akio Yuzawa, Tsuyoshi Take, Michiomi ...
Article type: Article
1986 Volume 22 Issue 6 Pages
1043-1052
Published: November 02, 1986
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We experienced 70 pediatric surgical cases of DIG from 1978 to 1985. The purposes of this paper is to analyse their clinical features and examine whether or not exchange transufusion is an effective measure against DIG. Premature babies and neonates had fallen in DIG easier (17.7%) and shown much higher mortality rate (80.6%) than others. The main trigger of DIG was bacterial sepsis due to E. coli, P. aeruginosa and klebsiella. Respiratory insufficiency and renal failure were common symptoms and became the cause of death. Hepatic, cardiac failure and subcutaneous hemorrhagic tendency were rare. Exchange transfusion revealed highest survival rate (61%) compared with other treatment (Heparin, FOY etc.) (13.5%). Our results examined prior to exchange transfusion demonstrated that several factors (the presence of 50% reduction of platelet count within one day, the presence of MOF more than 2 organs, anuria, serum pH 7.30, BE-10) were the markedly poor prognostic signs.
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Tatsuhiko Kitamura, Shiro Matsuyama
Article type: Article
1986 Volume 22 Issue 6 Pages
1053-1058
Published: November 02, 1986
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Twenty-two incarcerated inguinal hernias were examined by U.S. The content of the incarceration was mostly intestine (82%), and ovary with or without. The results were compared between reducible group (15 cases) and emergency operation group (7 cases). The time of incarceration over 10 hours 2/14 (14%) in the reducible group and 6/6 (100%) in the operation group. The maximum diameter of the incarcerated content was greater in the operation group (20.1 ± 6.0mm) than in the reducible group (14.6 ± 3.4mm), and the minimum diameter was 5.8±0.6mm, and 7.8±1.5mm, respectively. The reducible sign, which was seen in the real-time sonography at the time of the reduction, was demonstrated in all cases of the reducible group but only in one case of the operation group. This sonographic reducible sign could be the best index of the reductability in treating incarcerated inguinal hernia patients.
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Masami Ishikawa, Ryouji Yamada, Toshiji Nishi, Hiroshi Yamamoto, Yohka ...
Article type: Article
1986 Volume 22 Issue 6 Pages
1059-1067
Published: November 02, 1986
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Serum carnitine levels were measured in six infants nounished with elemental diet, mainly for diarrhea, and six infants supported by TPN. Total and free carnitine levels in serum decreased during the period of elemental diet and TPN, but it returned to normal level as soon as the oral feeding started. On the other hand acyl carnitine level did not show any remarkable change during the period of investigation. Clinical sign of carnitine deficiency was observed in none of them. The importance of carnitine metabolism in pediatric surgery should always been keeped in mind. Further investigation of carnitine metabolism in needed to resolve the the essential problems.
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Hiroyuki Noguchi, Hiroshi Akiyama, Yoichiro Kojima, Hiroyuki Tahara
Article type: Article
1986 Volume 22 Issue 6 Pages
1068-1072
Published: November 02, 1986
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Rupture of the bronchus is a very rare complication following blunt chest trauma. A 3 year-old-boy was injured by an automobile accident. A chest radiograph taken 41 days later showed a complete opacification of the left lung and a bronchoscopy was performed. It demonstrated that the left bronchus was completely collapsed. On 60th days after trauma, he was transferred to our hospital. The subsequent bronchography revealed obstruction of the left main bronchus about 2. 5 cm distal to the carina. At thoracotomy, the injured segment was resected and end to end anastomosis was performed. The postoperative course was uneventful, and the chest radiograph showed complete re-expansion of the left lung.
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Izumi Mochizuki, Ryoji Ohi, Tsuneo Chiba, Takashi Uchida, Naoya Sawa, ...
Article type: Article
1986 Volume 22 Issue 6 Pages
1073-1077
Published: November 02, 1986
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Prenatal ultrasound diagnosis of ileal duplication was made in a fetus of 28 weeks gestation. The child was born at 37 weeks gestation by cesarean section. After birth, right abdominal mass was palpable and intestinal obstruction was increased. Resection of the ileal duplication was performed on the 12th day of life. Early recognition by ultrasound allowed for adequate planning and preparation of management between obstericians, neonatologists and pediatric surgeons.
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Tadashi Fujii, Takuji Todani, Yasuhiro Watanabe, Akira Toki, Yoshinobu ...
Article type: Article
1986 Volume 22 Issue 6 Pages
1078-1082
Published: November 02, 1986
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Two patients with paraduodenal hernia in infancy and childhood have been reported. One was a male infant aged 10 days who suffered from vomiting and abdominal distension. The intestine herniated into the mesentericoparietal fossa just to the left side of the superior mesenteric artery, and the sac was situated in the right upper abdomen. Another was a 9-year-old boy with bloody stool and severe abdominal pain. The small intestine herniated into the right side of the abdomen, through the posterior duodenal fossa just to the right side of the inferior mesenteric vein. Differentiation between the right and left paraduodenal hernias is usually made on the relationship between the mesenteric vessels and the orifice of the hernia. In a left hernia, a hernia orifice has the superior mesenteric artery, while a right hernia has the inferior mesenteric vessels on the margin of a hernia orifice. According to this rule, the second case could be a left paraduodenal hernia, although the hernia's contents were in the right abdomen. This contradiction tends to occur especially in a hernia of the posterior duodenal fossa. There fore, differentiation between the right and left paraduodenal hernias has to be decided by the location of the hernia sac. However, confirmation of the superior mesenteric artery and the inferior mesenteric vein running around the hernia orifice are still very important for preventing their injury.
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Nobuko Kurosaki, Morihiro Saeki, Taku Ogata, Miwako Nakano, Hiroshi Na ...
Article type: Article
1986 Volume 22 Issue 6 Pages
1083-1088
Published: November 02, 1986
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A case of congenital intrapericardial diaphragmatic hernia in 2-month-old boy is reported He was hospitalized with respiratory disturbance. Chest radiography revealed a midline sofl tissue mass at the anterior base of the thorax. Pericardial mass and massive pericardial effusion was revealed by ultrasonography, computed tomography and pericardiocentesis. In the anterior view of the hepatic scintigram a notch was evident at the level of the diaphragm, Also he was examined by pneumoperitoneography. At surgery the intrapericardial mass was found to be the left lobe of the liver. The liver was reduced into the abdomen through a defect in the central tendinous portion of the right hemidiaphragma and the diaphragmatic Eight cases of congenital peritoneo-pericardial (i. e. intrapericardial) diaphragmatic hernia in infancy and childhood in the literature. It is unusual defect which probably occur as a result of failure of the transverse septum to close the communication between the pericardium and the peritoneal cavity. The diagnosis can be confirmed by pneumoperitoneography but the high incidence of the liver herniation allows less invasive determination by radionuclide scanning.
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Hisayoshi Kawahara, Kenji Imura, Shinkichi Kamata, Katsuhiro Nakagawa, ...
Article type: Article
1986 Volume 22 Issue 6 Pages
1089-1096
Published: November 02, 1986
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A case of perforated appendicitis in a 21-day-old infant was reported. Review (1925-1985) of 18 cases in Japanese literature permitted tabulation of some clinical aspects of neonatal appendicitis. Most common symptoms include vomiting and abdominal distension. Fever and leucocytosis are not usual findings in these cases. Earlier diagnosis and operation are thought to be important factors for better prognosis.
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Shiro Matsuyama, Norio Suzuki, Tetsuaki Kurashige, Tatsuhiko Kitamura, ...
Article type: Article
1986 Volume 22 Issue 6 Pages
1097-1101
Published: November 02, 1986
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This is the first case report of this rare benign multiple hamartomatous tumor of the mesentery and greater omentum in Japan. The patient was an 18-month-old boy who presented with fever, abdominal distention and abdominal pain of three days duration. On admission, a mass was palpable in the lower abdomen and together with rebound tenderness and anemia. Hemorrhage from disrupted abdominal mass was suspected. An emergency laparotomy revealed a hemorrhagic solid mass (10×7×6cm) arising from mesentery of the ileum. In addition to it, multiple nodules were found in the greater omentum adherent to the tumor. Under the intraoperative diagnosis of malignant mesenterial tumor with omental metastases, the tumor including adjacent ielum and a part of the greater omentum was removed and enlarged mesenterial lymphnodes were biopsied. Histopathologically the diagnosis of omental-mesenteric myxoid hemartomas was made. The patient is free from tumor at 25 months after surgery.
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Hiroshi Takano, Yoshiro Oguchi, Masahiro Fukuzawa, Tetsuro Nakamura, A ...
Article type: Article
1986 Volume 22 Issue 6 Pages
1102-1109
Published: November 02, 1986
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A case of juvenile granulosa cell tumor was reported. This was first described by Scully as a variant form of granulosa cell tumor. It is almost always encountered in the first two decades of life, and in spite of its microscopically malignant appearance the prognosis is said to be better than in the adult type. A 4-year-old girl was referred to our hospital with complaint of abdominal distension. On physical examination, an adult-head sized mass was palpable arising from the pelvis. She had breast development and whitish vaginal discharge. She also had a large quantity of ascitic fluid, and cytology of the fluid was reported as ClassII. Abdominal aortography revealed that the tumor originated from right ovary. Because of sexual precocity and high value of serum estrogen, garnulosa cell tumor was strongly suspected. At surgery, the mass was found replacing the entire right over. There were no evidence of local invasion or metastases. Rt. salpingo-oophorectomy and wedge resection of left ovary were carried out on March 9, 1983. The tumor weighed l,615g and measured 23cm in greatest dimension. It was well-enca-psulated. Microscopically there were granulosa cells in clusters and forming follicles. The diagnosis of juvenile granulosa cell tumor was obtained and it was also agreed with by Scully. Serum estradiol level dropped rapidly after surgery, and 4 months later regression of breast development was noted. There is no evidence of recurrence in 2 years and 2 months after surgery.
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Shiro Saito, Go Wakabayashi, Yasuhide Morikawa
Article type: Article
1986 Volume 22 Issue 6 Pages
1110-1116
Published: November 02, 1986
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We experienced hypertrophic pyloric stenosis in three male siblings. First brother, had Ramstedt's operation in other hospital, second and third brothers had Ramstedt's operation in our hospital. All of them received those operations in their infantile period. As this case, typical hypertrophic pyloric stenosis in three siblings must be the first case in our country. Hypertrophic pyloric stenosis is said to have inheritance, but has not come to a conclusion. We attended to HLA typings and checked those of three brothers and their parents. But there were no common HLA typings in the family. Therefore, in this case, we cannot exactly tell whether there is the relationship between HLA typings and hypertriphic pyloric stenosis.
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[in Japanese], [in Japanese], [in Japanese]
Article type: Article
1986 Volume 22 Issue 6 Pages
1117-
Published: November 02, 1986
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
1986 Volume 22 Issue 6 Pages
1117-
Published: November 02, 1986
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
1986 Volume 22 Issue 6 Pages
1117-
Published: November 02, 1986
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
1986 Volume 22 Issue 6 Pages
1117-
Published: November 02, 1986
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
1986 Volume 22 Issue 6 Pages
1117-
Published: November 02, 1986
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
1986 Volume 22 Issue 6 Pages
1117-1118
Published: November 02, 1986
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
1986 Volume 22 Issue 6 Pages
1118-
Published: November 02, 1986
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
1986 Volume 22 Issue 6 Pages
1118-
Published: November 02, 1986
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
1986 Volume 22 Issue 6 Pages
1118-
Published: November 02, 1986
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
1986 Volume 22 Issue 6 Pages
1118-
Published: November 02, 1986
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[in Japanese], [in Japanese], [in Japanese]
Article type: Article
1986 Volume 22 Issue 6 Pages
1118-
Published: November 02, 1986
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
1986 Volume 22 Issue 6 Pages
1118-
Published: November 02, 1986
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
1986 Volume 22 Issue 6 Pages
1118-
Published: November 02, 1986
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
