Nippon Shokakibyo Gakkai Zasshi
Online ISSN : 1349-7693
Print ISSN : 0446-6586
Volume 103 , Issue 5
Showing 1-9 articles out of 9 articles from the selected issue
Review article
Monthly report; Eating style and cancer in the gastrointestinal tract
Original article
Case Report
  • Masaki KAJIKAWA, Ken KONDO, Masato KATAOKA, Tsuyoshi HATSUNO, Mizunobu ...
    2006 Volume 103 Issue 5 Pages 523-528
    Published: 2006
    Released: May 08, 2006
    Extra-ampullary duodenal endocrine cell carcinoma is extremely rare. A 65-year-old woman visited our hospital, complaining of epigastralgia, anorexia and vomiting. She was admitted for suspected duodenal or pancreas head tumor by abdominal CT. Fiberscopic examination revealed a circumferential tumor in the extra-ampullary duodenal second portion. Histopathological findings of biopsy specimen showed a small cell carcinoma, and positive immunohistochemical staining for synaptophysin revealed this tumor to be endocrine cell carcinoma. Pylorus-preserving pancreaticoduodenectomy with partial transversocolectomy was performed, and intraoperative washing cytology detected tumor cells in the peritoneal cavity. Although she discharged from hospital uneventfully, she died 11 months later of multiple liver metastases and peritoneal dissemination. This case showed the high malignant potential of this tumor.
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  • Osamu AKASAKA, Sigeru IWASE, Takasi KANEKO, Miho NAKANISI, Hideaki ANA ...
    2006 Volume 103 Issue 5 Pages 529-536
    Published: 2006
    Released: May 08, 2006
    A 61-year-old woman was admitted to our hospital for melena and convulsion in shock state. Laboratory data on admission indicated severe anemia and marked liver dysfunction. She improved clinically, after received a large blood transfusion.
    Angiographic study was performedCand portography revealed duodenal varices supplied via superior mesenteric artery and drained to the left ovarian vein. An endoscopic examination was performed, and large nodular varices were observed in the third portion of the duodenum.
    The varices were treated by percutaneous transhepatic obliteration of portal systemic collaterals (PTO), and endoscopic injection sclerotherapy (EIS) with n-butyl-2-cyanoacrylate (Histoacryl). After complection of EIS, no further bleeding occurred, and the patients hemoglobin level was stabilized.
    No recurrence of the duodenal varices has been detected during the follow-up period of five months after EIS with N-butyl-2-cyanoacrylate.
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  • Hideki ARAGANE, Hideki FUJII, Takaharu YOU, Atuhiro MORITA, Morimichi ...
    2006 Volume 103 Issue 5 Pages 537-542
    Published: 2006
    Released: May 08, 2006
    This report describes our experience with a 60 year old male who suffered from a recrudescence of groove pancreatitis. He had been treated by conservative medication therapy by proton pump inhibitor used for therapy of duodenal ulcer, and was in remission. During a follow-up one year later, endoscopy revealed gastric cancer, for which a proximal gastrectomy and vagotomy were performed. The patient continues to remain in remission for the groove pancreatitis. Our experience with the clinical course of this disease, in which treatment for duodenal ulcer was used effectively, offers new insights into the progression and therapy of groove pancreatitis.
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  • Tadataka HAYASHI, Toshio NAKAMURA, Kiyotaka KURACHI, Yosuke ASAI, Taka ...
    2006 Volume 103 Issue 5 Pages 543-550
    Published: 2006
    Released: May 08, 2006
    Retractile mesenteritis is a rare inflammatory mesenteric disorder with unknown etiology. We reported a resected case of mass-forming retractile mesenteritis.
    A 64-year-old man noticed a mass with mild tender in the right lower abdomen. Colonoscopy revealed no abnormal findings. Computed tomography of the abdomen showed a solitary tumor of the ileocecal mesentery. Ileocecal resection was performed. Pathological findings were inflammatory change of the mesentery with marked fibrosis. Final diagnosis was retractile mesenteritis. He is doing well for 26 months after the operation.
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  • Kazutaka NARUI, Hideyuki IKE, Shoichi FUJII, Kazunori NOJIRI, Kenji TA ...
    2006 Volume 103 Issue 5 Pages 551-557
    Published: 2006
    Released: May 08, 2006
    We report a case of radiation-induced rectal cancer, which is thought to originate from dysplasia due to radiation colitis.
    The patient is a 73 year-old woman, who underwent radical hysterectomy and radiotherapy for uterine cervical cancer 31 years ago. She visited to our hospital complaining of hematochezia. Colonoscopy in January 2004 disclosed redness of the rectal mucosa accompanied with contact bleeding and pathological study of the biopsy specimen revealed severe dysplasia. However, colonoscopy showed an ulcerative lesion of the rectum in December 2004, and pathological findings of the biopsy specimen disclosed moderately differentiated adenocarcinoma. She underwent a rectal resection in January 2005. Pathological study of resected specimen revealed fibrous change induced by radiation. Predominant histological type of the tumor was moderately differentiated carcinoma followed by well differentiated type. However, multiple dysplasias were found around the main tumor or in the mucosa which was treated with radiotherapy.
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