Kanzo
Online ISSN : 1881-3593
Print ISSN : 0451-4203
ISSN-L : 0451-4203
Volume 42, Issue 10
Displaying 1-9 of 9 articles from this issue
  • [in Japanese]
    2001 Volume 42 Issue 10 Pages 489-490
    Published: October 25, 2001
    Released on J-STAGE: March 31, 2009
    JOURNAL FREE ACCESS
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  • [in Japanese]
    2001 Volume 42 Issue 10 Pages 491-502
    Published: October 25, 2001
    Released on J-STAGE: March 31, 2009
    JOURNAL FREE ACCESS
    Download PDF (6587K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    2001 Volume 42 Issue 10 Pages 503-511
    Published: October 25, 2001
    Released on J-STAGE: March 31, 2009
    JOURNAL FREE ACCESS
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  • [in Japanese], [in Japanese]
    2001 Volume 42 Issue 10 Pages 512-517
    Published: October 25, 2001
    Released on J-STAGE: March 31, 2009
    JOURNAL FREE ACCESS
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  • [in Japanese]
    2001 Volume 42 Issue 10 Pages 518-527
    Published: October 25, 2001
    Released on J-STAGE: March 31, 2009
    JOURNAL FREE ACCESS
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  • Kunio SUZUKI, Moritoshi YAMAMOTO, Nobuhiro SHIRAHATA, Nao KURASHIGE, O ...
    2001 Volume 42 Issue 10 Pages 528-535
    Published: October 25, 2001
    Released on J-STAGE: March 31, 2009
    JOURNAL FREE ACCESS
    The authors evaluated the practical value of intravenous sonographic contrast agent, Levovist®, in the diagnosis of hepatocellular carcinoma (HCC) by ultrasound. In the first study, 17 nodules of hepatocellular carcinoma (HCC) were studied by power Doppler sonography. After Levovist® injection, the number of lesions with blood flow signal increased from 9 (52.9%) to 14 (82.4%). In the next study, a newly developed technique, contrast harmonic power Doppler (CHPD), was used. In 32 nodules of HCC, blood flow was detected in 30 (93.8%), while it was detected in 25 (78.1%) in dynamic-enhanced CT. HCC could be classified into two groups according to the blood flow pattern in CHPD; one was vascular pattern and the other was diffuse pattern. Tumors with vascular pattern were better differentiated in the histology compared with tumors with diffuse pattern (p=0.035). Ultrasound with the administration of Levovist® seemed to be a promising diagnostic modality for HCC.
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  • Hiroyasu IJUIN, Naofumi ONO, Sanki YAMASAKI, Satoshi ITANO, Ryukichi K ...
    2001 Volume 42 Issue 10 Pages 536-542
    Published: October 25, 2001
    Released on J-STAGE: March 31, 2009
    JOURNAL FREE ACCESS
  • Details of Decision of the Guideline for Liver Transplantation in Japanese Acute Hepatic Failure Study Group (1996)
    Jun-ichi SUGIHARA, Tomoo NAITO, Yoshihide ISHIKI, Nobuo MURAKAMI, Taka ...
    2001 Volume 42 Issue 10 Pages 543-557
    Published: October 25, 2001
    Released on J-STAGE: March 31, 2009
    JOURNAL FREE ACCESS
    We prepared a guideline for indication of liver transplantation for fulminant hepatitis (FH) retrospectively by multivariate analysis of multicenter data and, then, conducted a prospective evaluation of the guideline by questionnaire survey. In the guideline, patients were registered as candidates of liver transplantation and recommended transplant if possible, when 2 or more of the following 5 criteria were fulfilled at the onset of hepatic encephalopathy (HE): 1) age of 45 years or above, 2) interval from appearance of initial symptoms to the onset of HE of 11 days or longer, 3) prothrombin time (PT) of less than 10%, 4) serum total bilirubin concentration of 18.0mg/dl or above, 5) direct/total bilirubin ratio of 0.67 or less. If liver transplantation was unable within 5 days, the patients were re-predicted to survive 1) when coma grade of HE was improved to grade 1 or less or by 2 or more grades and 2) when PT improved above 50% during this period; they were otherwise re-predicted to die and kept registered. When this guideline was tested prospectively, predictive accuracy was 0.82. This guideline is useful for evaluation of indications of liver transplantation for FH in Japan.
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  • 2001 Volume 42 Issue 10 Pages 558-572
    Published: October 25, 2001
    Released on J-STAGE: March 31, 2009
    JOURNAL FREE ACCESS
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