2004-02 http://hdl.handle.net/10564/1560 2026-04-09T03:42:30Z 2026-04-09T03:42:30Z 伊藤, 高広 松尾, 祥弘 鎌田, 喜代志 浅川, 勇雄 高橋, 弥穂 吉村, 均 中西, 攝子 吉川, 公彦 熊取, 谷結 http://hdl.handle.net/10564/221 2017-05-29T06:07:16Z 2004-02-28T15:00:00Z

タイトル: 経鼻上部消化管内視鏡検査の初期経験について 著者: 伊藤, 高広; 松尾, 祥弘; 鎌田, 喜代志; 浅川, 勇雄; 高橋, 弥穂; 吉村, 均; 中西, 攝子; 吉川, 公彦; 熊取, 谷結 抄録: We performed transnasal endoscopy using a small-caliber electric scope (EG- 470N5, Fujinon-Toshiba System Co.) with a tip diameter of 5.9 ㎜ (the conventional electric scope has a tip diameter of 9-10 ㎜) which was developed for minimally invasive examination. Transnasal endoscopy was perfomed on 68 patients and we gathered information through a questionnaire regarding suffering during the examination, the patient's choice for the next examination (transoral or transnasal method), and the necessity of the small-caliber electric scope. The procedure was successful in 66 patients (97%), with no severe complications. We performed the esophago-gastro-duodenoscopy with no difficulty in maneuverability, observability, or pathologic diagnosis from biopsy specimens. We were able to observe the pharynx including Waldeyer's tonsillar ring and the larynx with distinct pictures. Conversation between the endoscopist and patient was possible during the procedure in a relaxed mood. The results of the questionnaire were that 27 patients (41%) reported nasal pain, but 60 patients (91%) chose transnasal endoscopy for the next examination. Sixty-four patients (97%) confirmed the necessity of the small-caliber electric scope. Moreover, we successfully passed severe stenotic lesions and performed a transcutaneous gastrostomy assisted by endoscope in a patient suffering advanced esophageal cancer. Conclusively, transnasal endoscopy in upper gastrointestinal examinations was very useful in reducing the disco㎡ort of the patient compared with the conventional method and had high necessity for many patients. We can expect the detection of early pharyngeal and laryngeal cancer, and application to various endoscopic therapy, in the future.

2004-02-28T15:00:00Z 松永, 健司 赤澤, 英樹 武山, 雅博 矢本, 陽子 今津, 美由紀 http://hdl.handle.net/10564/219 2017-05-29T06:07:06Z 2004-02-28T15:00:00Z

タイトル: 小児の感染性胃腸炎における年齢分布 著者: 松永, 健司; 赤澤, 英樹; 武山, 雅博; 矢本, 陽子; 今津, 美由紀 抄録: Age distributions were studied in children with pathogen proven infectious gastroenteritis. Between 1998 and 2002, 214 patients were enrolled in this study. Causative agents include rotavirus (n=141), Norwalk virus (n=23), enteric adenovirus (n=6), Salmonella spp.(n=27), Campylobacter jejini (n=16) and enterohemorrhagic Escherichia coli (n=1). Of the viral agents, rotavirus infections occurred mostly in children younger than 2 yr (but older than 6 mo), with highest frequency in infants from 12 to 24 months of age; none of the patients 8 yr of age or older were affected. On the other hand, Norwalk virus infections were involved not only in infants but also in older children. Enteric adenovirus (serotype 40/41) infections occurred in children under 7 yr of age. Statistical analysis revealed a significant difference in morbid age between rotavirus infections and Norwalk virus infections. Of the bacterial agents, nontyphoidal Salmonellosis was prevalent in younger children, those aged 0 to 6 yr accounted for 85%. In contrast, C. jejuni infections involved school- age children; those 7 yr of age or older accounted for 50%. There was a statistically significant difference in morbid age between Salmonellosis and C. jejuni infections. Age distribution of patients shows a characteristic pattern in each causative agent not only in viral gastroenteritis but also in bacterial enterocolitis; so that analyses of age distribution are useful for empiric therapy in children with infectious gastroenteritis.

2004-02-28T15:00:00Z Tohno, Yosmyuki Tohno, Setsuko Furuta, Kazumko Azuma, Cho Itami, Yoshitaka Koizumi, Kohta Saikawa, Solchiro Satoh, Shinya Zuo, Shogo Takamura, Yosmaki Moriwake, Yumi Hayashi, Motoharu http://hdl.handle.net/10564/218 2017-09-21T16:30:09Z 2004-02-28T15:00:00Z

タイトル: AXIS FOR ROTATION AT THE INTERVERTEBRAL JOINT IN JAPANESE MONKEYS 著者: Tohno, Yosmyuki; Tohno, Setsuko; Furuta, Kazumko; Azuma, Cho; Itami, Yoshitaka; Koizumi, Kohta; Saikawa, Solchiro; Satoh, Shinya; Zuo, Shogo; Takamura, Yosmaki; Moriwake, Yumi; Hayashi, Motoharu 抄録: The position of axis for rotation at the intervertebral joint was investigated using ten Japanese monkeys. The position of axis for rotation at the intervertebral joint was shifted from dorsal to ventral direction on the superior and inferior views of the 1st thoracic vertebra and was next shifted from ventral to dorsal direction on the superior and inferior views of the 10th thoracic vertebra, with some exceptions. X-ray examination demonstrated that in the Japanese monkeys, lordosis was seen in both the cervical and lower lumbar(L5-L7) spine, whereas kyphosis was seen in the thoracic and upper lumbar (L1-L4) spine. Therefore, the possibility that the position of axis for rotation at the intervertebral joint was related to the curvature of the spinal column was not supported by the present study.

2004-02-28T15:00:00Z Yoshii, Toshiaki Nawa, Yosmaki Fukuhara, Jun Hara, Yosmaki http://hdl.handle.net/10564/217 2017-06-11T23:20:26Z 2004-02-28T15:00:00Z

タイトル: A CLINICOPATHOLOGICAL STUDY OF YAG LASER TRANSSCLERAL CYCLOPHOTOCOAGULATION 著者: Yoshii, Toshiaki; Nawa, Yosmaki; Fukuhara, Jun; Hara, Yosmaki 抄録: To our knowledge, there have been few clinicopathological reports of transscleral cyclophotocoagulation, especially in humans. We conducted a clinicopathological study of an eye of a 58-year-old Japanese man who had undergone a transscleral YAG cyclophotocoagulation for rubeotic glaucoma. The patient developed a massive intraocular hemorrhage during the laser treatment. Two days later the patient underwent an enucleation of the blind, painful eye. A light microscopic examination of the ciliary body revealed foci of destruction of the ciliary pigmented and nonpigmented epithelium, and intact ciliary muscle. Although selective destruction of the ciliary epitheliurn had been achieved, numerous foci of hemorrhage from the anterior to the posterior portions of the intraocular structure probably complicated postoperative clinical course. These hemorrhages may have resulted from a too intense setting of the laser power. This study indicates that treatment parameters of transscleral cyclophotocoagulation should be individualized for each patient, depending on the thickness of the sclera and color of the uvea.

2004-02-28T15:00:00Z