The Journal of the Japan Society for Respiratory Endoscopy
Online ISSN : 2186-0149
Print ISSN : 0287-2137
ISSN-L : 0287-2137
Volume 5 , Issue 1
Showing 1-50 articles out of 51 articles from the selected issue
  • Type: Cover
    1983 Volume 5 Issue 1 Pages Cover1-
    Published: March 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Download PDF (828K)
  • Type: Cover
    1983 Volume 5 Issue 1 Pages Cover2-
    Published: March 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Download PDF (828K)
  • Type: Appendix
    1983 Volume 5 Issue 1 Pages 1-
    Published: March 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Download PDF (38K)
  • Type: Index
    1983 Volume 5 Issue 1 Pages 3-
    Published: March 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Download PDF (50K)
  • Type: Appendix
    1983 Volume 5 Issue 1 Pages 4-6
    Published: March 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Download PDF (158K)
  • [in Japanese]
    Type: Article
    1983 Volume 5 Issue 1 Pages 7-
    Published: March 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Download PDF (182K)
  • Satoru YAMAMOTO, Kunihiko YOKOYAMA, [in Japanese], [in Japanese], [in ...
    Type: Article
    1983 Volume 5 Issue 1 Pages 9-17
    Published: March 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Findings of specimens in cases suspected of pneumoconiosis obtained by TBLB were studied in relation to the clinical findings of routine chest X-rays and the dust exposure in connection with the past or present occupation of the patient. For this purpose 84 cases with clinical probable and suspected pneumoconiosis were evaluated for the diagnosis of lung pathology by TBLB procedure. Chest X-rays were asses ed according to standard films of the ILO U/C International Classification (1971). In 19 cases of 84 cases radiographic opacities were questionable. The histological diagnosis was classified into 3 groups according to Tukiainen's classification (1978) ; (1) confirmed pneumoconiosis, (2) probable pneumoconiosis, (3) tissure reaction due to dust particles. 65 cases of probable pneumoconiosis were clinically diagnosed based on both dust exposure and positive X-ray finding. Of these 52 cases or 80% had confirmed or probable pneumoconiosis histologically with specimens obtained through TBLB. In 13 cases or 68.4% out of 19 cases clinically suspected pneumoconiosis based on both dust exposure and questionable X-ray findings were histologically either confirmed or considered probable. Histological positive rates (confirmed and probable) in relation to X-ray findings were 68.4% in category 0, 80.8% in category 1, 82.8% in category 2, 70% in category 3 respectively. The histologicaly positive rate of small rounded opacities was slightly higher than that of the small irregular opacity, but with no significant difference. The positive rate in relation to exposure type were 100% in mixed dust, talc and hard metal, 83.3% in arc welders, 81.3% in asbestos, 73.7% in silica, 50% in organic dust respectively. The severity of histological findings correlated poorly with lung function parameters. On the TBLB specimens of 20 cases including asbestosis, causative agents were identified by means of X-ray microprobe analysis. Our study showed that specimens obtained through TBLB have great histological value to diagnose both clinically suspected and probable pneumoconiosis and these specimene seemed to be adequate for diagnostic studies using analytical electron microscopy.
    Download PDF (2690K)
  • Rikuro HATAKENAKA, Kazuyuki YAGI, Satoshi KOSABA, Masayoshi KUWABARA, ...
    Type: Article
    1983 Volume 5 Issue 1 Pages 19-24
    Published: March 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Tracheobronchomalacia has been classified into two groups, congenital and acquired. Congenital tracheobronchomalacia is rare. Acquired tracheobronchomalacia is further divided into two categories, primary and secondary. We divide primary tracheobronchomalacia into two types, tracheobronchial collapse due to intraluminal bulging of the Pars membranacea (crescent type) and narrowing of the bilateral cartilaginous walls (saber sheath type). This report discusses the relationship between chronic obstructive pulmonary disease and tracheobronchomalacia. Of 67 grade II and III trachobronchomalacia cases, 50 cases were complicated by chronic obstructive pulmonary diseases, including 6 pulmonary emphysema, 5 emphysematous bulla, 7 bronchial asthma and 7 chronic bronchitis. Lung cancer was observed in 15 cases and pulmonary tuberculosis in 10 cases. Five resected cases included 2 bronchial asthma, 1 emphysematous bulla, 1 emphysema and 1 lung cancer with bronchial asthma. On the other hand, two resected patients were died of bronchial asthma and lung cancer. The histological findings of the trachea of these patients showed that the tracheal cartilage was atrophied and fragmented. We estimate that the fragmentation of the tracheal cartilage was caused by upper air way collapse due to chronic obstructive pulmonary disease. We concluded that the severe symptoms of tracheobronchomalacia are caused by fragmentation of tracheal cartilage due to chronic obstructive pulmonary disease.
    Download PDF (1198K)
  • K. NAKAMURA, [in Japanese], [in Japanese], [in Japanese], [in Japanese ...
    Type: Article
    1983 Volume 5 Issue 1 Pages 27-32
    Published: March 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    During the period from April 1978 through June 1982, bronchial arterial embolization (BAE) was performed on 50 patients including 31 patients with massive homoptysis. As a result, the short term prognosis was satisfactory in 26 patients out of 31 with massive hemoptysis. As for the long term prognosis, reoccurrence of hemoptysis was noted in 7 out of 15 with tuberculosis, 3 out of 9 with bronchiectasis, 2 out of 2 with aspergillosis, and one out of 3 with lung cancer. Angiography on the second procedure showed recannalization in most cases after insufficient embolization in recurrent cases. Besides this finding, bleeding from another bronchial artery caused recurrence of hemoptysis in 4 cases with bronchiectasis. On the other hand, treatment of primary diseases was another factor to obtain good results. As for complications caused by this procedure, neither spinal cord injury nor embolization of other organs was found to date.
    Download PDF (1468K)
  • Kazutoshi YOKOYAMA, Tadashi TAKASHIMA, Masahiko NOZAKI, Shigeyasu KAIT ...
    Type: Article
    1983 Volume 5 Issue 1 Pages 33-37
    Published: March 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    To evaluate mediastinal lymph nodes in order to determine the stage of lung cancer cases, mediastinal lymphograpy was performed via a flexible bronchofiberscope under local anesthesia. The contrast medium was injected through NM 3K (Machida) needle into the subcarinal lymph node and the surrounding area of invasion. The contrast medium in the node was cleary recognized or PA and lateral chest X-ray films, tomograms and chest CT films in all cases. An anticancer drug, 30mg of peplomycin emulsion, was also injected into tho metastatic mediastinal lymph nodes during this procedure. A small amount of this emulsion was detected by bioassay of the extirpated lymph node a week after injection, and anticancer effects were also observed histopathologically.
    Download PDF (1344K)
  • Takayoshi OHTANI, [in Japanese], [in Japanese], [in Japanese], [in Jap ...
    Type: Article
    1983 Volume 5 Issue 1 Pages 39-43
    Published: March 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Nd-YAG laser irradiation via the fiberoptic bronchoscope was performed in 50 cases of tracheobronchial lesions to widen the airway in cases of stenosis of majer airways by benign or malignant lesions, vaporization of malignant tumors in inoperable cases or to coagulate bleeding lesions. 20 cases were tracheal lesions and 30 were bronchial lesions. 9 malignant cases of severe tracheal stenosis or obstruction were treated by this method. Low-malignant thyroid gland cancer and adenoid cystic carcinoma cases were alive 10 months and 21 months after Nd-YAG laser treatment. On the contrary, in cases of tracheal invasion from esophageal cancer or lung cancer, the survival was only one month, 2 months, 4 months and 6 months. Especially, in 2 cases without radiotherapy after this treatment, survival was less than 2 months. However today, apart from this method there is no method to improve severe dyspnea in such cases. 14 advanced lung cancer cases with tracheal lesions were treated by this method. Seven of the cases servived 6 months. These cases were small lesions with no hemodynamic distress and after this treatment, sufficiently radio or chemotherapy was performed. The other 7 cases were large lesions and sufficient radio or chemotherapy could not be performed. Evaluation of tracheobronchial lesions treated by Nd-YAG laser irradiation according to prognosis shows that this method is indicated in only a small number of cases. Nd-YAG laser irradiation via the fiberoptic bronchoscope must be performed only after full consideration of its indications and limitations.
    Download PDF (757K)
  • Ohmi Takagi, Kazuhisa Sakamoto, Yuhji Tohda, Kimiyo Yamazaki, Yuko Koh ...
    Type: Article
    1983 Volume 5 Issue 1 Pages 45-51
    Published: March 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Two cases of showed hemoptysis (over 200 ml), and one case of chronic bloody phlegm were treated by suction to clear the tracheobronchial tree, following which fibrinogen and thrombin were infused or nebulized by fiberoptic bronchoscopy. The two cases of hemoptysis were completely managed, but the case of bloody phlegm was not controlled. This simple, safe method can be effective in bronchial hemostasis.
    Download PDF (2940K)
  • Hideo MAENO, Yoichi CHIJIMATSU, Keiko INATOMI, Makoto WASHIZAKI, Hiomi ...
    Type: Article
    1983 Volume 5 Issue 1 Pages 53-57
    Published: March 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Selective alveolo-bronchography (SAB) was carried out in 15 diffuse panbronchiolitis (DPB) patients who were divided into two groups (bronchobronchiolar dilation group and non-dilation group) by means of the Bronchial Index (peripheral bronchi or bronchioles φmm/segmental bronchi φmm ; ×100) calculated by measuring the diameter of each bronchus or bronchiole on magnified alveolobronchographic films. There were 8 patients in the dilation group and 7 patients in the non-dilation group, in the dilation group the daily amounts of sputum and RV/TLC were significantly larger and the FEV_<1.0>% tended to be lower than in the non-dilation group. The patients in the dilation group were recognized to have more advanced DPB, because of the above mentioned clinical and laboratory findings. These results suggest that as DPB advances, dilation of proximal bronchi or bronchioles gradually occurs.
    Download PDF (741K)
  • Hideki Yasuda, Kazuo Hamaya
    Type: Article
    1983 Volume 5 Issue 1 Pages 59-63
    Published: March 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Pulmonary or bronchial schwannoma is extremely rare and only 18 cases have been reported. The patient we recently experienced is the first case studied electron-microscopically in Japan. In this paper, the details of our case are reported and the literature is reviewed. An eighty-three year old male was admitted to Okayama Saiseikai General Hospital with a chief complaint of persistant cough. Chest roentgenogram revealed a 2×1 cm mass in the left main bronchus. By fiberscopic examination, the mass was found to originate from the membranous portion of the left main bronchus almost occluding the entire lumen. The mucosa covering the mass was hyperemic but was not eroded. The histology of biopsied specimen revealed fasciculated bundles of long spindle cells running irregularly with palisading arrangements in some places. The bronchial mucosa was not involved. On electron-microscopicy, the nuclei of these cells were generally oval with irregular outline with their narrow bands of cytoplasms projecting in lamellar or fascicular fashion. Cytoplasmic membranes were coated by distinct basement membranes. In the extracellular space, there were many fibrous long-spacing collagens (Luse body) near the basement membrane representing "banded structures". These light and electron-microscopic findings were typical of schwannoma.
    Download PDF (1277K)
  • MASAKI KITAHARA
    Type: Article
    1983 Volume 5 Issue 1 Pages 65-72
    Published: March 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Congenital tracheal diverticulum is rare. A case of congenital tracheal diverticulum accompanied by lung cancer in a 60 year old man was reported. Tracheal diverticulum was recognized in the right lateral wall of the lower portion of the trachea. Histologically the mucosa was covered with columnar ciliated epithelium, and submucosal region was rich in mucous gland tissues. The lung cacer lesion was relocated in the left lower lobe. The histological type was adenocarcinoma.
    Download PDF (3393K)
  • Hiroyuki SUGAWARA, [in Japanese], [in Japanese], [in Japanese], [in Ja ...
    Type: Article
    1983 Volume 5 Issue 1 Pages 73-77
    Published: March 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Endobronchial hamartoma is a rare disease. We were able to find only 7 cases of this tumor with adequate histologic documentation in Japan. Case 1 : A 47-year-old male suspected of a low grade malignant lung tumor in the left lingular segment underwent left upper lobectomy. Microscopic examination of the specimen was interpreted to be consistent with non-chondromatous hamartoma. Case 2 : A 62-year old male case was diagnosed as chondromatous hamartoma by flexible bronchofiberscopy and underwent tumor resection. Microscopic examination confirmed the diagnosis. Clinical and pathological findings concerning endobronchial hamartoma were discussed.
    Download PDF (1528K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1983 Volume 5 Issue 1 Pages 79-
    Published: March 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Download PDF (256K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1983 Volume 5 Issue 1 Pages 79-
    Published: March 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Download PDF (256K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1983 Volume 5 Issue 1 Pages 80-
    Published: March 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Download PDF (182K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1983 Volume 5 Issue 1 Pages 80-
    Published: March 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Download PDF (182K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1983 Volume 5 Issue 1 Pages 80-
    Published: March 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Download PDF (182K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese]
    Type: Article
    1983 Volume 5 Issue 1 Pages 81-
    Published: March 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Download PDF (169K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1983 Volume 5 Issue 1 Pages 81-
    Published: March 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Download PDF (169K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese]
    Type: Article
    1983 Volume 5 Issue 1 Pages 81-
    Published: March 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Download PDF (169K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1983 Volume 5 Issue 1 Pages 82-
    Published: March 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Download PDF (174K)
  • [in Japanese], [in Japanese]
    Type: Article
    1983 Volume 5 Issue 1 Pages 82-
    Published: March 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Download PDF (174K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese]
    Type: Article
    1983 Volume 5 Issue 1 Pages 82-
    Published: March 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Download PDF (174K)
  • [in Japanese]
    Type: Article
    1983 Volume 5 Issue 1 Pages 82-83
    Published: March 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Download PDF (296K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1983 Volume 5 Issue 1 Pages 83-
    Published: March 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Download PDF (174K)
  • [in Japanese]
    Type: Article
    1983 Volume 5 Issue 1 Pages 83-
    Published: March 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Download PDF (174K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1983 Volume 5 Issue 1 Pages 85-
    Published: March 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Download PDF (261K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese]
    Type: Article
    1983 Volume 5 Issue 1 Pages 85-
    Published: March 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Download PDF (261K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1983 Volume 5 Issue 1 Pages 85-86
    Published: March 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Download PDF (406K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1983 Volume 5 Issue 1 Pages 86-
    Published: March 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Download PDF (195K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1983 Volume 5 Issue 1 Pages 86-
    Published: March 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Download PDF (195K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1983 Volume 5 Issue 1 Pages 87-
    Published: March 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Download PDF (182K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1983 Volume 5 Issue 1 Pages 87-
    Published: March 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Download PDF (182K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1983 Volume 5 Issue 1 Pages 87-88
    Published: March 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Download PDF (238K)
  • Type: Appendix
    1983 Volume 5 Issue 1 Pages 88-
    Published: March 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Download PDF (47K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1983 Volume 5 Issue 1 Pages 89-
    Published: March 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Download PDF (247K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1983 Volume 5 Issue 1 Pages 89-
    Published: March 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Download PDF (247K)
  • [in Japanese], [in Japanese], [in Japanese]
    Type: Article
    1983 Volume 5 Issue 1 Pages 89-90
    Published: March 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Download PDF (381K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1983 Volume 5 Issue 1 Pages 90-
    Published: March 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Download PDF (180K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1983 Volume 5 Issue 1 Pages 90-
    Published: March 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Download PDF (180K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1983 Volume 5 Issue 1 Pages 91-
    Published: March 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Download PDF (162K)
  • Type: Appendix
    1983 Volume 5 Issue 1 Pages 91-
    Published: March 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Download PDF (89K)
  • Type: Appendix
    1983 Volume 5 Issue 1 Pages 93-96
    Published: March 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Download PDF (226K)
  • Type: Appendix
    1983 Volume 5 Issue 1 Pages 97-
    Published: March 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Download PDF (60K)
  • Type: Appendix
    1983 Volume 5 Issue 1 Pages 98-
    Published: March 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Download PDF (70K)
  • Type: Appendix
    1983 Volume 5 Issue 1 Pages 98-
    Published: March 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Download PDF (70K)
feedback
Top