Tando
Online ISSN : 1883-6879
Print ISSN : 0914-0077
ISSN-L : 0914-0077
Search
Advanced search
OR
Browse
Search
Volume 1, Issue 2
Displaying 1-5 of 5 articles from this issue
Show all abstracts
    • |<
    • <
    • 1
    • >
    • >|
  • A study of the relationship between the dilatation of common bile duct and the stenosis of duodenal papilla
    Hideo ISE, Noriyoshi SUZUKI, Toshiaki KENMOTSU, Kenzo SUZUKI, Toshio S ...
    1987 Volume 1 Issue 2 Pages 191-199
    Published: July 10, 1987
    Released on J-STAGE: November 13, 2012
    DOIhttps://doi.org/10.11210/tando1987.1.2_191
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    During past 15 years,36 out of 75 patients received duodenal sphincteroplasty were diagnosed as stenosis of duodenal papilla. These patients were classified into two groups,23 patients with stenosis alone and 13 patients with stenosis associated with papillary insufficiency. The classification of stenosis has so far required not only the simple measurement of biliary manometry but also the transmittability of metal sounds and cholangiographic findings.
    The authors newly introduced a calculation technique to differe n tiate the stenosis only with the manometrical procedures by using resistance value of the choledochal terminal (R) and the compliance value of the choledochal wall (C).
    According to this method, the stenosis with papillary insufficiency was easily differentiated from the stenosis alone, since the C value as high in the former type and the latter type showed a high R value.
    View full abstract
    Download PDF (2998K)
  • The problems of jejunal loop pexis in cholangiojejunostomy
    Katsuhiro UCHIYAMA, Tadahiro TAKADA, Hideki YASUDA, Hiroshi HASEGAWA, ...
    1987 Volume 1 Issue 2 Pages 200-208
    Published: July 10, 1987
    Released on J-STAGE: November 13, 2012
    DOIhttps://doi.org/10.11210/tando1987.1.2_200
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    Cholangiojejunostomy with jejunal loop pexis is performed frequently in intrahepatic calculi. However, postoperative complications such as cholangitis and liver dysfunction have been pointed out in this operative method. In hepatobiliary and gastrointestinal dual scintigraphical study, the delayed bile transition and bile stasis in jejunal loop were seen.
    Bile stasis was found in 92% of cases with postoperative complicat i o ns and the postoperative complications appeared in 80% of cases with bile stasis. So, it is considered that the presence of postoperative complications have good relation to bile stasis in jejunal loop.
    Therefore, the indication of jejunal loop pexis should be given u p, if the anastomotic stenosis, or retained stones were not expected.
    View full abstract
    Download PDF (2322K)
  • A case of early mucous producing cholangiocarcinoma associated with intrahepatic gallstones
    Shuichi MIYAKAWA, Makoto YAMAKAWA, Yuji HORIGUCHI, Kaoru MIURA, Kyohei ...
    1987 Volume 1 Issue 2 Pages 209-216
    Published: July 10, 1987
    Released on J-STAGE: November 13, 2012
    DOIhttps://doi.org/10.11210/tando1987.1.2_209
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    A 63 year-old woman was admitted to our hospital suffering from back pains. Ultrasonography revealed intrahepatic stones in the dilated bile duct in the lateral segment. By ERC and PTC we witnessed that there were stones and mucous-like substance in the intra-and extrahepatic bile duct.
    Also large compartmented dilatation of the bile duct branches in the lateral segment were observed.
    To our surprise chlangiogram after lithotomy by percutaneous transhepatic cholangioscopy revealed the same dilatation of the compartment in the lateral segment.
    Therefore we repositioned the PTCD catheter to the compar t ment and encountered further mucus flow. Cholangioscope showed rough granular surface in the bile duct mucosa in the lateral segment. Hepatobiliary scintigram showed partial defect in the lateral segment. Lateral segmentectomy was then performed. Histopathological findings exhibited papillary adenocarcinoma of the bile duct in the Cuinaud′s segment 2 and dysplasia in the other branches of lateral segment.
    We feel for an accurate diagnosis and treatment of cholangiocarcinoma associated with intrahepatic gallstones, there is a need for careful observation by cholangiography, cholangioscopy and hepatobiliary scintigraphy.
    View full abstract
    Download PDF (6268K)
  • Intramural gallbladder stone mimicking tumor of the gallbladder: A report of case
    Kaoru OGAWA, Joe ARIYAMA, Masafumi SUYAMAT, Takaaki IGARI, Jiro NAGAIW ...
    1987 Volume 1 Issue 2 Pages 217-223
    Published: July 10, 1987
    Released on J-STAGE: November 13, 2012
    DOIhttps://doi.org/10.11210/tando1987.1.2_217
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    A 55 year-old male had been hospitalized due to mild epigastric pain since about ten months ago. Ultrasonography (US) and computed tomography (CT) demonstrated tumor with irregular margin in the gallbladder. Endoscopic retrograde cholangiopancreatography (ERCP)revealed tumor of the gallbladder with central depression strongly suggestive of carcinoma. Subselective right hepatic angiogram showed no abnormality. The patient underwent cholecystectomy. Macroscopic and histologic examination of the resected specimen disclosed intramural gallstone with central destruction. In this particular case differentiation from carcinoma was difficult by diagnostic imaging modalities.
    View full abstract
    Download PDF (4542K)
  • [title in Japanese]
    1987 Volume 1 Issue 2 Pages 228-228,253
    Published: July 10, 1987
    Released on J-STAGE: November 13, 2012
    DOIhttps://doi.org/10.11210/tando1987.1.2_228
    JOURNAL FREE ACCESS
    Download PDF (31285K)
    • |<
    • <
    • 1
    • >
    • >|
feedback
 Top