-
Article type: Cover
2001 Volume 37 Issue 4 Pages
Cover1-
Published: June 20, 2001
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
Article type: Cover
2001 Volume 37 Issue 4 Pages
Cover2-
Published: June 20, 2001
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2001 Volume 37 Issue 4 Pages
App1-
Published: June 20, 2001
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2001 Volume 37 Issue 4 Pages
App2-
Published: June 20, 2001
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2001 Volume 37 Issue 4 Pages
App3-
Published: June 20, 2001
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2001 Volume 37 Issue 4 Pages
App4-
Published: June 20, 2001
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2001 Volume 37 Issue 4 Pages
App5-
Published: June 20, 2001
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2001 Volume 37 Issue 4 Pages
App6-
Published: June 20, 2001
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2001 Volume 37 Issue 4 Pages
App7-
Published: June 20, 2001
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2001 Volume 37 Issue 4 Pages
App8-
Published: June 20, 2001
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2001 Volume 37 Issue 4 Pages
App9-
Published: June 20, 2001
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2001 Volume 37 Issue 4 Pages
App10-
Published: June 20, 2001
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2001 Volume 37 Issue 4 Pages
App11-
Published: June 20, 2001
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2001 Volume 37 Issue 4 Pages
App12-
Published: June 20, 2001
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2001 Volume 37 Issue 4 Pages
App13-
Published: June 20, 2001
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2001 Volume 37 Issue 4 Pages
App14-
Published: June 20, 2001
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2001 Volume 37 Issue 4 Pages
App15-
Published: June 20, 2001
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2001 Volume 37 Issue 4 Pages
App16-
Published: June 20, 2001
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2001 Volume 37 Issue 4 Pages
App17-
Published: June 20, 2001
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2001 Volume 37 Issue 4 Pages
App18-
Published: June 20, 2001
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2001 Volume 37 Issue 4 Pages
App19-
Published: June 20, 2001
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2001 Volume 37 Issue 4 Pages
App20-
Published: June 20, 2001
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2001 Volume 37 Issue 4 Pages
App21-
Published: June 20, 2001
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2001 Volume 37 Issue 4 Pages
App22-
Published: June 20, 2001
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2001 Volume 37 Issue 4 Pages
App23-
Published: June 20, 2001
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2001 Volume 37 Issue 4 Pages
App24-
Published: June 20, 2001
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2001 Volume 37 Issue 4 Pages
App25-
Published: June 20, 2001
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2001 Volume 37 Issue 4 Pages
App26-
Published: June 20, 2001
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2001 Volume 37 Issue 4 Pages
App27-
Published: June 20, 2001
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2001 Volume 37 Issue 4 Pages
App28-
Published: June 20, 2001
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2001 Volume 37 Issue 4 Pages
App29-
Published: June 20, 2001
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2001 Volume 37 Issue 4 Pages
App30-
Published: June 20, 2001
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
Article type: Bibliography
2001 Volume 37 Issue 4 Pages
Misc1-
Published: June 20, 2001
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
Article type: Index
2001 Volume 37 Issue 4 Pages
Toc1-
Published: June 20, 2001
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
Hideki Tomiyama, Takashi Shimotake, Kyoko Inoue, Shigeru Ono, Osamu Ki ...
Article type: Article
2001 Volume 37 Issue 4 Pages
695-699
Published: June 20, 2001
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
Purpose : To evaluate our treatment of premature babies less than 1, 500 grams. Methods : Sixteen neonates (11 male, 5 female) weighing less than 1, 500g at birth treated in our hospital between 1989 and 1998 were reviewed. Results : Eleven of them were very low birth weight (VLBW) babies and 5 were extremely low birth weight (ELBW) babies. Mean birth weights was 1, 144g (ranged from 668 grams to 1, 456 grams) and mean preterm period was 30 weeks 3 days (from 24 weeks to 39 weeks). There were 7 babies with gastric anomalies, 4 with meconium plug syndrome, 2 with NEC, 1 with CDH, 1 with gastric rupture, and 1 with congenital lung cysts. One baby had trisomy 18. Surgery was performed in 6 of the VLBW babies and all 5 ELBW babies. Of the five ELBW babies, 2 died from DIC after surgery and 2 died of intra-ventricular hemorrhage (IVH) and DIC two months after surgery. Survival rates were 91% and 20% respectively. Conclusion : In the treatment of ELBW babies with surgical disorders, more intensive care is required to prevent IVH and DIC due to NEC postoperatively.
View full abstract
-
Takehito Oshio, Masao Hino, Tomoya Hinoki, Yuko Yawata
Article type: Article
2001 Volume 37 Issue 4 Pages
700-703
Published: June 20, 2001
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
Purpose : Although accessory ears on face are frequently noted in childhood, cervical auricles are rare. The aim of this report is to compare accessory ears located on the face and those located on the cervix in childhood. Methods : From January 1975 to December 1999, 149 children with accessory ears were treated. Twenty cases had accessory ears on the cervix and 129 had accessory ears on the face. Results : Accessory ears on either cervix or face were more common in male than in female cases. In terms of the location, accessory ears on the right side were more frequent than those on the left side of face. In contrast, in the cases of accessory ears on the cervix, ears on the left side were more common. Although multiple accessory ears were noted in the some of the facial cases, all cervical cases involved only a single auricle. The age of excision of the cervical auricles was significantly older than that of accessory ears on the face. Conclusions : Cervical auricles are relatively rare compared with accessory ears on the face. The age of the excisions of cervical auricles is significantly later than that of accessory ears on face because the correct diagnosis on the cervix is difficult.
View full abstract
-
Yoshifumi Sugita, Kaoru Yoshino, Fukashi Yamamichi, Saburo Tanikaze
Article type: Article
2001 Volume 37 Issue 4 Pages
704-707
Published: June 20, 2001
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
Purpose : We reviewed the cases of 18 pediatric patients who underwent operative correction of varicocele. Methods : Presentation, grade of varicocele, testicular volume, results and complications of operation were analyzed. Results : The most common presentation was a scrotal mass (n=17). The remaining one patient presented with discomfort of the scrotum. Fifteen of the 18 patients were grade III of varicocele and the remaining 3 were grade II. The Palomo procedure was performed in 17 patients and the modified Palomo procedure in one. All varicoceles disappeared postoperatively. Seven patients were noted to have developed hydroceles for which two patients underwent surgical treatment. Five of 9 cases with testicular hypotrophy showed catch-up growth following surgery. Conclusions : The Palomo procedure resulted in no recurrence of varicoceles ; however in 7 patients hydroceles developed. Catch-up growth was identified in 5 of 9 patients with preoperative testicular hypotrophy.
View full abstract
-
Noriaki Otagiri, Yutaro Matsumoto, Nobuyuki Sano
Article type: Article
2001 Volume 37 Issue 4 Pages
708-712
Published: June 20, 2001
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
Purpose : This study was designed to evaluate the efficacy of empirical administration of antibiotics to children who were suspected to have acute appendicitis. Methods : Over a 10-year period, 286 children with advanced appendicitis who were treated at Iwaki Kyoritsu General Hospital were the subjects of this study. Patients were divided into two groups, group I : patients who were administered empirical antibiotics before definite diagnosis (n=87) and group II : who were not administered (n=199), respectively. Age, sex, preoperative symptomatic period, leukocyte counts at admission and C-reactive protein (CRP) at admission were compared statistically between the two groups. Multiple logistic analysis was used to make clear the factors that were related to administration of antibiotics statistically. Results : The perforated rate in Group I was significantly higher than that in Group II (65.5% vs. 22%, p<0.01). Furthermore, the patients in Group I showed significantly longer duration with symptoms before operation than patients in Group II (3.1±3.3 days vs. 1.1±1.6 days, p<0.01). But, there was no significant difference in age and sex between two groups. The result of multiple logistic regression analysis showed that administration of empirical antibiotics might decrease leukocyte counts at admission. Conclusions : The empirical administration of antibiotics before definitive diagnosis of pediatric appendicitis may be invalid. It may become a risk factor for perforation due to a delay in surgical treatment.
View full abstract
-
Akihide Tanano, Chikara Tsugawa, Eiji Nishijima, Toshihiro Muraji, Tak ...
Article type: Article
2001 Volume 37 Issue 4 Pages
713-716
Published: June 20, 2001
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
We reviewed 92 cases of intussusception treated in our hospital during the past 16 years and compared the success of hydrostatic reduction with the hydrostatic pressure applied. Fifty-seven cases of intussusception were referred to us after unsuccessful hydrostatic reduction and 35 were referred due to suspicious diagnosis of intussusception. Enemas were performed with a hydrostatic pressure of 120 cmH_2O three times for five minutes each to effect reduction. No complications were observed during reduction. The success rate of hydrostatic reduction was 82 per cent (47/57) in patients who had initially been treated at our hospital. The success rate was 51 per cent (18/35) in patients whose intussusceptions could not be reduced elsewhere. We recommend that hydrostatic pressure of 120cm be maintained for successful reduction of intussusception.
View full abstract
-
Toko Shinkai, Hiroshi Yamamoto, Toshiji Nishi, Hrosi Take, Masato Shin ...
Article type: Article
2001 Volume 37 Issue 4 Pages
717-721
Published: June 20, 2001
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
We report our experience of a patient with congenital tracheal diverticulum occurring after successful repair of esophageal atresia. A 2-year-old girl was admitted to our hospital with symptoms of chronic respiratory infection. During her neonatal period, she had undergone radical surgery for esophageal atresia, omphalocele, and an imperforate anus. Her symptoms of stimulating cough and wheezing rales had persisted for several months before admission. Recurrence of tracheoesophageal fistula was suspected. Bronchoscopy/bronchography revealed a diverticulum measuring 2.5 cm long protruding from the trachea 2.5 cm above the carina. At thoracotomy, the diverticulum was identified between the esophagus and the trachea, protruding from the right postero-lateral wall of the trachea, and was totally removed. No inflammatory change was found. The patient's postoperative course was uneventful without any episodes of respiratory insufficiency. Congenital tracheal diverticulum produces no symptoms unless it becomes large enough to retain their secretion and produce chronic respiratory insufficiency. It should be distinguished from other complications after repair of esophageal atresia.
View full abstract
-
Kazuya Joe, Hisao Kemmotsu, Takesi Mori, Chikasi Goto, Haruo Ohkawa
Article type: Article
2001 Volume 37 Issue 4 Pages
722-729
Published: June 20, 2001
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
A one-month-old boy was presented with a left abdominal mass which was shown to be cystic by US at 37 weeks of gestation. He was born at 38 weeks of gestation at 3, 236 g by normal delivery. The contrast CT scan after birth confirmed an extrarenal mass with multiloculated cysts. The baby underwent a laparotomy at 43 days old during which the cystic mass, 4.0×3.5×3.0 cm in size, was removed from the left suprarenal space. The content of the tumor showed dark red and coagulated blood. The cyst wall is 2 mm in thickness and there was no solid component or septa in the cyst. Microscopically, islands of neuroblastoma cells were scattered in the whole cyst wall and some neuroblastoma cells were located in the internal surface of the cyst. The postoperative course was uneventful. The patient is now six years old and doing well without further treatment. The differential diagnosis of a suprarenal cystic mass which was found during a perinatal period is discussed with a review of the literature. Such a cystic mass with a round shape, no change of echogenesity, and without diminishing in size is suggestive of neuroblastoma.
View full abstract
-
Masayuki Obatake, Nobuko Kurosaki, Hiroyoshi Ayabe
Article type: Article
2001 Volume 37 Issue 4 Pages
730-734
Published: June 20, 2001
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
Gastro-esophageal reflux (GER) after repair of congenital diaphragmatic hernia (CDH) has been reported recently with the advance of neonatal medical care. A 7-month-old girl, who underwent repair of diaphragmatic hernia 65 hours after birth, had vomiting on postoperative day 28. Upper esophago-gastric series, gastric endoscopy and 24 hours esophageal pH monitoring showed GER, and dilatation of the lower esophagus and fundoplication and gastrostomy were performed. Many factors including congenital abnormalities may develop GER in CDH cases. Surgical intervention is necessary to prevent severe GER for which conservative treatment is ineffective.
View full abstract
-
Toshiki Ohya, Susumu Tsunoda, Shigeki Arii, Takehisa Iwai
Article type: Article
2001 Volume 37 Issue 4 Pages
735-739
Published: June 20, 2001
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
Purpose : The etiology of the fistula in ano in infants is poorly understood and the management is still controversial. The aim of this study is to investigate an effect of a kampo medicine "Juzen-Taiho-To" on the fistula in ano in infants. Methods : Ten patients with the fistula in ano were treated with Juzen-Taiho-To in a dose of 0.1-0.15 g/kg body weight twice a day and the condition of fistula was evaluated. Results : Juzen-Taiho-To showed an excellent effect on the fistula in ano in infants. The effect was usually observed within 2 weeks after the initial administration. Although three patients showed recurrence of the fistula after discontinuation of the medicine, an increase in dose overcame the problem. Conclusion : A kampo medicine "Juzen-Taiho-To" should be considered as the first choice for infants with fistula in ano.
View full abstract
-
Shinichi Naito, Kouju Nitta, Hiroshi Arai, Kimiko Miyakawa
Article type: Article
2001 Volume 37 Issue 4 Pages
740-744
Published: June 20, 2001
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
Testicular feminization syndrome (TFS) is a rare disease. We report two cases diagnosed during surgery for inguinal hernia. In these two cases bilateral orchiectomy was performed at the time of surgery for inguinal hernia. Although bilateral gonadectomy is the treatment of choice for TFS, there is a dilemma for the pediatric surgeon who must decide whether to remove the gonad at the time of hernia repair or wait until the child is older. Follow-up of patients with TFS is very important and estrogen supplementation therapy must be started by a physician (endocrinologist) or pediatrician after gonadectomy. When a female patient with an inguinal hernia is referred to a surgeon, if TFS is diagnosed, a decision must be made whether to perform gonadectomy during surgery or later. The timing of gonadectomy is controversial. Therefore the decision to perform gonadectomy must be made after discussion between the surgeon and the physician. If gonadectomy is not performed, it is suggested that the testis should be left in the inguinal canal so that it mimics an undescending testis to allow for early detection of testicular neoplasms.
View full abstract
-
Atsushi Yoshida, Sadashige Uemura, Ichiro Murakami, Norihiro Teramoto
Article type: Article
2001 Volume 37 Issue 4 Pages
745-748
Published: June 20, 2001
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
A three-day-old baby presented with abdominal distension and bile-stained vomiting. During emergency surgery, the sigmoid colon was found to be atretic and a transverse colostomy performed. A barium study of the colon through the stoma and the anus showed complete occlusion at the sigmoid colon and a distal microcolon. Three months later, the atretic colon, 4 cm in length, was resected and anastomosed, and the colostomy closed. The postoperative course was uneventful. Histopathology of the resected colon showed multiple membranous atresia. Histological findings suggest there was an embryonal process of revacuolation of the intestinal mucosa in accordance with Tandler's recanalization theory.
View full abstract
-
Yutaka Kuriyama, Kenji Kawamura, Shinichi Yamada
Article type: Article
2001 Volume 37 Issue 4 Pages
749-753
Published: June 20, 2001
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
Aberrant hepatic ducts (AHDs) are kinds of anatomic variants of biliary tracts. When AHDs accompany choledochal cysts, they become obstacles for usual hepaticoenterostomy. We encountered a 11-year-old girl with this rare condition. By means of intraoperative choledochoscopy, we found an AHD belonging to either S5 or S6 hepatic segment joining the common hepatic duct (CHD). As we divided the CHD below the opening of the AHD and performed hepaticojejunostomy lower than usual, anastomotic stricture caused by ischemic change took place. At the time of reoperation, we divided the CHD just below the confluence of right and left hepatic ducts and ligated the AHD, and her postreoperative course was uneventful. We conclude that AHDs have to be correctly diagnosed by means of endoscopic retrograde cholangiopancreatography, selective intraoperative cholangiography, or intraoperative choledochoscopy. Moreover we should divide the CHD and the AHD at the porta hepatis separately, in order to avoid ischemic stricture. It is recommended to anastomose these two ducts to the intestine individually, or all together after stitching them side by side. But when it is too difficult to save the AHD, ligation of it is the second best choice.
View full abstract
-
[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2001 Volume 37 Issue 4 Pages
754-
Published: June 20, 2001
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
[in Japanese], [in Japanese]
Article type: Article
2001 Volume 37 Issue 4 Pages
754-
Published: June 20, 2001
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2001 Volume 37 Issue 4 Pages
754-
Published: June 20, 2001
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2001 Volume 37 Issue 4 Pages
754-
Published: June 20, 2001
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
