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1. 胃切除後の合併症postgastrectomy complications [show details]
… isoperistaltic jejunal loop between the gastric remnant and the duodenum), Billroth II reconstruction with Braun enteroenterostomy (positioned 45 to 60 cm from the gastrojejunal anastomosis).… which is caused by decreased gallbladder contraction from various mechanisms,…
2. 幽門温存膵頭十二指腸切除術pylorus preserving pancreaticoduodenectomy [show details]
… This anastomosis results in the invagination of the cut end of the pancreas into the lumen of the bowel. The hepatico- (choledocho-) jejunal anastomosis is performed next… with removal of the pancreatic head, duodenum, first 15 cm of the jejunum, common bile duct, and gallbladder A modification of the conventional procedure, pylorus-preserving pancreaticoduodenectomy preserves …
3. 先天性消化管閉鎖症（食道、十二指腸・小腸・大腸、直腸・肛門など）の出生前診断prenatal diagnosis of esophageal gastrointestinal and anorectal atresia [show details]
… cases of jejunal obstruction and rarely with more distal obstruction. In a series of 28 patients with a prenatal diagnosis of small bowel atresia, 17 required delayed anastomosis with a prolonged… visualized by MRI and easily differentiated from adjacent liver, spleen, kidneys, bladder, and gallbladder. Meconium is also well visualized on T1-weighted signals . The normal esophagus, stomach, and duodenum …
4. 切除可能食道癌および食道胃接合部癌に対する外科的マネージメントsurgical management of resectable esophageal and esophagogastric junction cancers [show details]
… similar for a circular stapled anastomosis compared with a hand-sewn anastomosis (OR 1.02, 95% CI 0.66-1.59) . However, a stapled anastomosis was associated with a significantly… a free jejunal interposition graft or a deltopectoral or pectoralis major myocutaneous flap are alternative reconstructive options. Free jejunal grafts are advantageous…
5. 膵体頭部病変の外科的切除surgical resection of lesions of the head of the pancreas [show details]
…wall of the duct proximal to the anastomosis with the distal end of the T-tube placed through the anastomosis into the jejunal limb. An internal stent through the anastomosis is also satisfactory. The manner …

Japanese Journal

手術手技切除不能膵癌に対する胆道バイパス手術--総肝管-胆嚢-空腸吻合術

上田純二,大塚隆生,高畑俊一 [他]
手術 65(3), 345-347, 2011-03
NAID 40018738376

OP-063-2 切除不能膵癌に対する胆道バイパス手術 : 総胆管-胆嚢-空腸吻合術(膵手術-3,一般口演,第110回日本外科学会定期学術集会)

上田純二,高畑俊一,中村雅史,萱島理,田中雅夫
日本外科学会雑誌 111(臨時増刊号_2), 390, 2010-03-05
NAID 110007716193

犬における総胆管断裂の1治験例

上地正実,渡辺俊文,堀川智生,中山智宏,奥村敦,若尾義人,高橋貢
日本獣医師会雑誌 45(11), 859-861, 1992
体重12kg, 6歳, 雄のシェットランドシープドッグが元気消失, 食欲不振のため本学家畜病院に来院した. 腹部は膨張し腹水の存在が示唆されたことから腹腔穿刺を行い, 濃い胆汁色に染まった腹水を認めた.臨床検査ではALP, GOT, GPTの上昇が認められ, 腹部のX線写真検査ではすり硝子様陰影が認められた.これらの結果から胆管の損傷が示唆された.<BR>緊急に開腹手術を行い約600m …
NAID 130004051431