Nippon Shokakibyo Gakkai Zasshi
Online ISSN : 1349-7693
Print ISSN : 0446-6586
Volume 115 , Issue 4
Showing 1-11 articles out of 11 articles from the selected issue
Monthly report (General review article); Early detection of pancreas cancer and finding of early pancreas cancer
Monthly report (Review article); Early detection of pancreas cancer and finding of early pancreas cancer
Round-table discussion
Original article
  • Hideaki KAWABATA, Naonori INOUE, Yukino KAWAKATSU, Yuji OKAZAKI, Misuz ...
    2018 Volume 115 Issue 4 Pages 377-384
    Published: April 10, 2018
    Released: April 10, 2018
    JOURNALS FREE ACCESS

    We investigated the usefulness of screening for colorectal cancer (CRC) using immunological fecal occult blood test (FOBT) in 472 scheduled inpatients (median age, 68.6 years) who underwent screening for CRC via FOBT (single stool sample) at our hospital. The recall rate for further examination was 26.6% (126/472), and the rate of patients who underwent further examination was only 34.9% (44/126). The overall colorectal neoplasm detection rate, overall CRC detection rate, and positive predictive value for CRC in inpatients were 5.5% (26/472), 1.4% (7/472), and 5.5% (7/126), respectively, which were higher than those of population-based screening for CRC. Screening for CRC using FOBT in inpatients is a non-invasive and efficient method to detect latent CRC.

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  • Hiromi ONO, Mitsuo KUSANO, Masashi NIHEI, Hideyuki HAYASHI, Hiraku FUK ...
    2018 Volume 115 Issue 4 Pages 385-393
    Published: April 10, 2018
    Released: April 10, 2018
    JOURNALS FREE ACCESS

    When injected, indocyanine green (ICG) immediately combines with lipoproteins to fluoresce. Here, we studied whether ICG fluorescence is effective for endoscopic marking in gastric cancer surgery using a photodynamic eye (PDE) camera and fluorescent endoscope. An ICG solution was endoscopically injected into the submucosal layer of the gastric tumor 3 days before surgery. We observed the lesions using both a PDE camera and a fluorescent endoscope during laparotomy and laparoscopy, respectively;we also observed the fluorescent luminance and fluorescent size of the resected lesions. We could intraoperatively detect the size of the resected lesions in eight patients with early gastric cancer and six patients with advanced gastric cancer. We believe that the use of ICG fluorescence in endoscopic marking requires additional information, such as the volume of the ICG solution and the timing of the ICG injection.

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Case report
  • Masayuki KABAYAMA, Fumisato SASAKI, Hidehito MAEDA, Shiho ARIMA, Shiro ...
    2018 Volume 115 Issue 4 Pages 394-400
    Published: April 10, 2018
    Released: April 10, 2018
    JOURNALS FREE ACCESS

    A 65-year-old man underwent subtotal gastrectomy for advanced gastric cancer. The histological type of the cancer was signet-ring cell carcinoma, and the clinical stage was stage IB (T2N0M0). Three years after surgery, the patient had the following symptoms:dysphagia, odynophagia, and weight loss. Esophageal endoscopy and esophagography revealed a circular stenosis covered with the normal mucosa between the middle esophagus and the esophagogastric junction. Histologically, the samples obtained by staging laparoscopy revealed signet-ring cell carcinoma. Tucker's criteria are an important tool for differentiating secondary achalasia from primary achalasia with clinical value. Therefore, we suggest that staging laparoscopy is useful for the histological diagnosis of recurrent gastric cancer.

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  • Kazumasa MUTA, Eikichi IHARA, Yusuke KITAGAWA, Shohei HAMADA, Keita FU ...
    2018 Volume 115 Issue 4 Pages 401-408
    Published: April 10, 2018
    Released: April 10, 2018
    JOURNALS FREE ACCESS

    A 20-year-old man was referred to our hospital with dysphagia and chest pain. Heart disease was denied. No abnormality was observed in upper esophagogastroduodenoscopy and fluoroscopy;furthermore, no gastric acid-related symptoms were observed on combined esophageal multichannel intraluminal impedance and pH monitoring. Esophageal high-resolution manometry (HRM) performed by liquid swallow revealed normal peristalsis;however, HRM performed while the patient was taking solid meals showed abnormal contraction, and the patient simultaneously complained of chest pain. Therefore, we diagnosed this case as non-cardiac chest pain due to esophageal motility disorder.

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Lesson from a case
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