Nippon Shokakibyo Gakkai Zasshi
Online ISSN : 1349-7693
Print ISSN : 0446-6586
Volume 103, Issue 4
Displaying 1-9 of 9 articles from this issue
Review article
Monthly report; Progress in the treatment for pancreatic cancer
Original article
  • Kazuki HAYASHI, Yasutaka OKAYAMA, Kouichiro UENO, Katsuyuki MIYABE, It ...
    2006 Volume 103 Issue 4 Pages 405-414
    Published: 2006
    Released on J-STAGE: April 05, 2006
    JOURNAL FREE ACCESS
    We evaluated palliative treatment for unresectable malignant stomach pyloric region and the duodenal obstruction using covered self-expandable metallic stent (SEMS). Fifty-seven patients (26 stomach pyloric stenosis, 31 duodenal stenosis) were underwent palliative treatment using covered SEMS. The covered SEMS was Ultraflex stent for esophageal obstruction. The covered SEMS was successfully indwelled in the target region in 56 patients. The patients became able to ingest orally after a mean of 2 days, and 96% of the patients (54/56) became able to eat solid or semi-solid diets later. The SEMS obstruction by tumor ingrowth or hyperplasia was not occurred, so SEMS was maintenance-free. We concluded covered SEMS was useful palliative treatment because it prevented SEMS obstruction by tumor ingrowth or hyperplasia and it was maintenance-free.
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Case Report
  • Kyoko IKEUCHI, Ayao TORII, Akira KURITA, Yoko YAMASHITA, Kensaku AIHAR ...
    2006 Volume 103 Issue 4 Pages 415-419
    Published: 2006
    Released on J-STAGE: April 05, 2006
    JOURNAL FREE ACCESS
    A 33-year old woman was referred to our hospital because of gradually progressing abdominal pain and abdominal distension. A computed tomography demonstrated that distended cecum was located in the left retroperitoneal space. Barium enema revealed that the descending colon was positioned at the right side of the abdomen and transverse colon became severely tapered. Ceacal volvulus in addition to the internal herniation into the left retroperitoneal space was clinically diagnosed. The patient received an emergent operation. Operative findings showed that mesenterium commune, no fixation of the colon to the retroperitonium,and the internal herniation of terminal ileum to transverse colon into the sigmoid mesentery. Moreover, the cecal volvulus was diagnosed at the left retroperitoneal space. The mesenterium commune with internal herniation and cecal volvulus is extremely rare but one of important causes of acute abdomen.
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  • Yuji KATAGIRI, Shigemi HACHINOHE, Katsuo NAKAJIMA
    2006 Volume 103 Issue 4 Pages 420-425
    Published: 2006
    Released on J-STAGE: April 05, 2006
    JOURNAL FREE ACCESS
    A 60-year-old women presenting with an abnormal shadow on a chest X-ray film was admitted to our hospital in June 2004. Her CT scan of the chest showed a cavitary mass shadow in the left upper lobe. FDG-PET was performed to examine whether this shadow was the lung cancer or not, and incidentally it showed an additional accumulation of FDG in the ileocecal resion. The colonoscopy was then carried out. Luminal narrowing with circumferential ulcer in the ileocecal resion could be observed, and pathological findings of the biopsy specimen revealed epithelioid cell granulomas. Partial lobectomy of the left upper lung was also performed, and the histological examination revealed typical pulmonary tuberculosis. Since the antituberculosis therapy was effective to the ileocecal lesion, we assert that the ileocecal lesion was intestinal tuberculosis.
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  • Hiroki TANAKA, Suguru ISHII, Noriyuki AKUTSU, Hirokazu OHASHI, Tetsuya ...
    2006 Volume 103 Issue 4 Pages 426-431
    Published: 2006
    Released on J-STAGE: April 05, 2006
    JOURNAL FREE ACCESS
    A 71-year-old man was admitted to our hospital with edema of the ambilateral crura and liver dysfunction. Serum levels of AFP and PIVKA-II were both abnormally high. An abdominal CT revealed many low density masses in both lobes of the liver. Endoscopic examination and gastric radiography showed a Type 1 tumor in the fornix of the stomach. Biopsy specimen showed poorly differentiated adenocarcinoma. Immunohistochemical stains demonstrated the presence of AFP and PIVKA-II in tumor cells. A diagnosis of AFP and PIVKA-II producing gastric carcinoma with liver metastasis was made and the internal use of S-1 was started. The result of treatment was determined to be partial response. HoweverC the condition of his entire body gradually worsened and he died of hepatic insufficiency.
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  • Ayako MATSUMOTO, Yohei MIZUTA, Jyun-ichi MASUDA, Kazufumi YAMASAKI, Ka ...
    2006 Volume 103 Issue 4 Pages 432-437
    Published: 2006
    Released on J-STAGE: April 05, 2006
    JOURNAL FREE ACCESS
    A 46-year-old man complaining right lateroabdominal pain and dysphagia was admitted our hospital. The CT examination revealed the low density area spreading through the mediastinum.The patients condition improved with fast and antibiotics. He was discharged from the hospital, having an equivocal diagnosis. Seven months later, his symptoms relapsed and he was hospitalized again. Further evaluation confirmed that his disease was the mediastinal pancreatic pseudocyst occurred by a pancreatic stone. The pseudocyst resolved twice with conservative therapy, fast and intravenous injection of antibiotics. We consider it a rare case, because mediastinal pancreatic pseudocyst generally have the tendency of becoming severe. Finally the operation was performed for depriving the pancreatic stone, which was the cause of pancreatic pseudocyst.
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  • Masaki WATO, Tomoki INABA, Shigenao ISHIKAWA, Kouichi TAKAGUCHI, Keiji ...
    2006 Volume 103 Issue 4 Pages 438-443
    Published: 2006
    Released on J-STAGE: April 05, 2006
    JOURNAL FREE ACCESS
    A 48-year-old man was referred to our hospital because of anemia. Upper gastrointestinal endoscopy showed discolored depressive lesion like gastric cancer, 30mm in diameter, in the greater curvature of the upper gastric body. During the endoscopic examination, pulsative bleeding from the lesion was occurred and we performed clipping hemostasis. We diagnosed a gastric arteriovenous malformation by endoscopic ultrasonograph and angiography. A pylorus preserving-gastrectomy was performed and Pathohistological examination revealed arterio-venous connection in the submucosal layer of the gastric wall.
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