UpToDate Contents

全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.

1. 肛門直腸瘻の外科的マネージメントoperative management of anorectal fistulas [show details]
…higher with anterior fistulas in women, high anal fistulas, previous fistula surgery, and fistulotomy with or without setons . The overall goal of surgery is to eradicate the fistula, preserve anal sphincteric …
2. 腸皮瘻と開腹術創部の消化管瘻enterocutaneous and enteroatmospheric fistulas [show details]
…catheter is usually left in place until output is less than 10 mL in 24 hours or until definitive fistula surgery. Catheter fistulogram during this period permits assessment of resolution of the abscess cavity …
3. 放射線性腸炎に対する外科的アプローチsurgical approach to radiation enteritis [show details]
…Radiation-induced intestinal fistulae require surgical correction if they do not close with nonoperative management. In the same two series mentioned above, intestinal fistulae were present in 17 to 50 percent …
4. 急性結腸憩室炎：外科的マネージメントacute colonic diverticulitis surgical management [show details]
… 29-2.73), and fistula (HR 3.50, 95% CI 2.17-5.66). The mortality rate with elective surgery after the initial episode was substantially lower than the mortality rate with emergency surgery during the recurrent …
5. 急性結腸憩室炎：内科的マネージメントacute colonic diverticulitis medical management [show details]
…attack and therefore would benefit from early elective surgery . Whereas surgery is almost always indicated for severe complications such as fistula, obstruction, stricture, and free perforation, the optimal …

Japanese Journal

尖圭コンジローマ充満痔瘻の1例

山田真美,宮崎道彦,安井昌義,池永雅一,三嶋秀行,中森正二,辻仲利政,竹田雅司,眞能正幸
日本大腸肛門病学会雑誌 64(2), 93-96, 2011-02-01
… った．肛門痛を主訴に当科を受診し7時に原発口と思われる裂肛をともなう隅越分類IILS型の痔瘻と肛門上皮にコンジローマの散在を認めた．また，二次口にコンジローマの露出，集積を認めた．根治手術は瘻孔切開術（fistulotomy）の予定であったが瘻管切除術（fistulectomy）を施行した．切除標本では肉眼的に原発口から二次口まで白色充実性腫瘍が充満しており，コンジローマが痔瘻瘻管内に充満していると思われた． …
NAID 10029095077