ENDOSCOPIC STUDIES ON THE GASTRIC ULCER SCAR USING PHARMACOENDOSCOPY
Masahito OoidaSin KikutiHiroshi ImaizumiS TanabeYukihito YamadaWasaburou KoizumiYasusi YokoyamaKatunori Saigenji
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A new original operation pyloroplasty by the resected stomach is described. In surgery of peptic ulcer the change of basic principles is necessary: from the formation of draining anastomoses to the methods allowing to preserve pylorus mechanism, from radical suppression of acid formation to its correction up to the safe level. The results of 597 operations are given, of these in 521 duodenoplasty and pyloroplasty by the resected stomach which are characterized by more favourable results are performed.
Pyloroplasty
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Colorectal Surgery
Surgical oncology
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Base (topology)
Stomach ulcers
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症例1は47歳男性。心窩部痛で上部内視鏡を施行。胃角小彎に潰瘍あり(生検GroupⅠ)。12カ月後に再検,潰瘍は瘢痕化していたが周囲に褪色した小隆起を多数認め(生検GroupⅢ),内視鏡的粘膜下層剥離術(以下,ESD)施行。病理所見で,腺腫と診断された。症例2は71歳女性。貧血で上部内視鏡を施行。胃角小彎に潰瘍あり(生検GroupⅢ)。3カ月後と6カ月後に再検,潰瘍は瘢痕化していたが,周囲に褪色隆起を認め(生検GroupⅢ),ESDを施行。病理所見で腺腫内癌と診断された。潰瘍の治癒過程で増大する胃腺腫は稀であり,報告する。
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Endoscopic mucosal resection
Peptic
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