Nippon Shokakibyo Gakkai Zasshi
Online ISSN : 1349-7693
Print ISSN : 0446-6586
Volume 106 , Issue 1
Showing 1-12 articles out of 12 articles from the selected issue
Review article
Monthly report; Recent progress in diagnosis and management of the diseases of the small intestine
Round-table discussion; Recent progress in diagnosis and management of the diseases of the small intestine
Case report
  • Kanako NAKAGAWA, Koichi TOMIKASHI, Hidetaka TAKASHIMA, Daisuke KANEMIT ...
    2009 Volume 106 Issue 1 Pages 49-55
    Published: 2009
    Released: January 05, 2009
    JOURNALS FREE ACCESS
    A 12-year-old severely disabled woman child had been suffering from the refractive respiratory infection due to gastroesophageal reflux (GER) in years. However two transnasal catheters inserted to control GER, one was for feeding to the jejunum and the other was for decompression of the stomach, they were not effective against respiratory infection. Then, to resolve the problems, a button-shaped double lumen transgastric jejunal catheter was inserted into her jejunum via PEG in two-stage. After the procedure, the refractive respiratory infection due to GER could be successfully controlled. Additionally, by using the button-shaped catheter, any position came to be acceptable in daily life, for example in rehabilitation, sleeping and so on. Her ADL (activity of daily life) was well preserved.
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  • Kazuoki HIZAWA, Yuko NAGATA, Masahiko TANIGUCHI, Mari NAKAMORI, Takayu ...
    2009 Volume 106 Issue 1 Pages 56-60
    Published: 2009
    Released: January 05, 2009
    JOURNALS FREE ACCESS
    We describe a case of 36-year-old Japanese man with Crohn's disease, complicated by Bacillus cereus bacteremia on maintenance azathioprine therapy. Although anti-microbial agents were ineffective, the patient became well immediately after a partial resection of the ileum with multiple severe stenosis.
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  • Toshifumi OZAWA, Eiko WACHI, Yasutoshi SAITOH
    2009 Volume 106 Issue 1 Pages 61-68
    Published: 2009
    Released: January 05, 2009
    JOURNALS FREE ACCESS
    A 59-year-old man who had ulcerative proctitis for 18 years visited our hospital because of stomach pain. Proctitis had been in remission stage for five recent years by the mesalazine administration. Esophagogastroduodenoscopy (EGD) showed scattered patchy erosions at the corpus of the stomach. Anti-acid secretory agents was administrated, however, erosive change worsened in multiplicity and in area. Biopsied specimen of gastric mucosa showed specific findings resembling to cryptitis, crypt abcess and focally enhanced gastritis. H. pylori infection was negative by some examinations. Our patient had no history of taking non steroidal anti-inflammatory drugs (NSAIDs) so far. From the findings above, it was considered that gastric lesion was strongly related to the ulcerative proctitis. 5-aminosalicylic acid (750mg, three times daily) ground to powder was administered with predonisolon (20mg, once daily). Five month later, all the erosions disappeared completely on EGD and biopsied specimen revealed a reduction of inflammatory cells. The present case has a rare gastric lesion with patchy pattern (not diffuse pattern) which is strongly associated with ulcerative proctitis.
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  • Yoshito HAYASHI, Tsutomu NISHIDA, Jumpei KONDO, Katsumi YAMAMOTO, Hide ...
    2009 Volume 106 Issue 1 Pages 69-76
    Published: 2009
    Released: January 05, 2009
    JOURNALS FREE ACCESS
    A 47-year-old man who was diagnosed as Crohn's disease at the age of 27 became aware of a mass on the forehead. CT and PET scan revealed many scattered tumors in his body. The CEA level was 4424ng/ml. Primary lesion was not detected by the surveillance of whole gastro-intestinal tract. Liver tumor biopsy samples were histologicaly analyzed and were diagnosed as adenocarcinoma. Further immunohistochemical analysis revealed that the biopsy material had colonic character determined by positive CK20 and negative CK7 staining. Therefore, we performed 12 cycles of mFOLFOX6 chemotherapy. It was effective with the reduced size of tumors and the decreased level of CEA.
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  • Shin KUWAKADO, Toshihiro INOUE, Gou EDAGAWA, Mototsugu FUJII, Daisuke ...
    2009 Volume 106 Issue 1 Pages 77-84
    Published: 2009
    Released: January 05, 2009
    JOURNALS FREE ACCESS
    A 45-year-old man: pointed out von Recklinghausen disease (following vR disease) in 18 years old. He had a checkup in a close inspection purpose of a duodenum tumor at our hospital. We diagnosis that the accessory papilla carcinoid, and Pancreas Divisum was doubted. Rocal resection of the accessory papilla was performed and picked out carcinoid of 7mm size. In lteratures searches, as for accessory papilla carcinoid, merger frequency of a papilla tumor was high in the example, and merged, vR disease of lymph node metastasis.
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  • Norio YUKAWA, Yasushi RINO, Eigoro YAMANOUCHI, Hiroyuki SAEKI, Masahir ...
    2009 Volume 106 Issue 1 Pages 85-90
    Published: 2009
    Released: January 05, 2009
    JOURNALS FREE ACCESS
    In May in 2006, a 48-year-old man admitted to our hospital for the treatment of tuberculosis and AIDS. Three weeks before the admission, he had been undergone emergency ileo-cecal resection due to the tubercular perforations of ileum and peritonitis. The double stomas of jejunum and ascending colon had made and been separated each other. When oral intake was started, a lot of intestinal juice was discharged from the stoma. Because of low level of white blood cell, the anastomosis between jejunum and ascending colon was suspended for a while. In March in 2007, magnetic compression anastomosis using Yamanouchi's method was performed for care of the dehydration and renal function due to a lot of jeunal juice discharge. With radiography, two magnets were placed in the jeunum and ascending colon through the stomas severally, and attached the walls of the intestines. Eight days after the maneuver, the anastomosis was completed without complication. Two months later, with general anestasia, the stomas were closed.
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  • Susumu NAKASHIMA, Ken-ichiro FUKUDA, Osamu KINOSHITA, Hiroaki NAGATA, ...
    2009 Volume 106 Issue 1 Pages 91-97
    Published: 2009
    Released: January 05, 2009
    JOURNALS FREE ACCESS
    A case of a double gallbladder, a congenital anomaly of biliary system is reported in a 71-year-old woman presenting with right hypochondrial pain. After a confirmed diagnosis of double gallbladder with gallstones was made by MRCP or ERCP, both gallbladders were removed laparoscopically. Double gallbladder is rare anatomic malformation of the biliary tract with only 88 cases, including ours, reported in the Japanese literature. Detailed preoperative investigations are required for an accurate preoperative diagnosis especially when considering laparoscopic removal to avoid inadvertent damage to biliary ductal system.
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  • Kazuya KOIZUMI, Tsuneshi FUJII, Akinori MATSUMOTO, Ryuji SUGIYAMA, Sat ...
    2009 Volume 106 Issue 1 Pages 98-105
    Published: 2009
    Released: January 05, 2009
    JOURNALS FREE ACCESS
    A 52-year-old man with a history of distal gastrectomy for gastric cancer was admitted to our hospital because of jaundice. CT scan revealed double tumors in the pancreatic head and body concomitant with multicystic lesions of the pancreas. Total pancreatectomy with splenectomy and remnant gastrectomy was performed. Final histological diagnosis was double invasive ductal carcinomas of the pancreas head and tail with multifocal branch duct intraductal papillary mucinous adenomas of the pancreas. The present case suggests that entire pancreas might have malignant potential in patients with intraductal papillary mucinous neoplasms.
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