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1. 消化管穿孔の概要overview of gastrointestinal tract perforation [show details]
… patient with alimentary tract perforation is reviewed here. Specific etiologies are briefly reviewed below and discussed in the linked topic reviews in more detail. Perforation requires full-thickness …
2. 病期診断のための腹腔鏡検査：原発性消化管癌の病期分類のための基本原則diagnostic staging laparoscopy general principles for staging primary digestive malignancies [show details]
… primary digestive cancers: Esophageal cancer at the gastroesophageal junction Gastric cancer Pancreatic cancer located in the body or tail of the pancreas Biliary tract cancer located… control or avoid bleeding or obstruction and/or perforation of the colon .…
3. ERCP後穿孔post ercp perforation [show details]
… or gastric perforation. Endoscopic purse-string suture – The endoscopic purse-string suture uses endoscopically placed loops and clips to repair of perforations of the gastrointestinal tract. It has been …
4. 婦人科処置時の子宮穿孔uterine perforation during gynecologic procedures [show details]
… reproductive organs (eg, tubo-ovarian abscess), bowel, or urinary tract (eg, peritonitis). If a complication associated with uterine perforation is suspected, the patient should be evaluated with vital signs …
5. 食道穿孔の外科的マネージメントsurgical management of esophageal perforation [show details]
… the infection. The perforation should be primarily repaired when clearly visualized, as described above. However, if the perforation is not clearly visualized, then the perforation site is drained. The …

English Journal

Cancer of the mandibular gingiva metastasizing to the small intestine.

Okamura T, Beppu T, Tokumaru T, Yamada M, Sugiyama T, Koide N, Tani M, Kaneko M, Hamahata A, Nishimura Y, Fukuda T.
Auris, nasus, larynx. 2019 Jun;46(3)479-482.
Head and neck cancer metastasizing to the small intestine is very rare. Here we report a case of cancer of the mandibular gingiva metastasizing to the small intestine. The patient was an 82-year-old man who had squamous cell carcinoma of the mandibular gingiva staged as T2N2bM0. Two months after sur
PMID 30170905

Optimal dilation time for combined small endoscopic sphincterotomy and balloon dilation for common bile duct stones: a multicentre, single-blinded, randomised controlled trial.

Meng W, Leung JW, Zhang K, Zhou W, Wang Z, Zhang L, Sun H, Xue P, Liu W, Wang Q, Zhang J, Wang X, Wang M, Shao Y, Cai K, Hou S, Li Q, Zhang L, Zhu K, Yue P, Wang H, Zhang M, Sun X, Yang Z, Tao J, Wen Z, Wang Q, Chen B, Shao Q, Zhao M, Zhang R, Jiang T, Liu K, Zhang L, Chen K, Zhu X, Zhang H, Miao L, Wang Z, Li J, Yan X, Wang F, Zhang L, Suzuki A, Tanaka K, Nur U, Weiderpass E, Li X.
The lancet. Gastroenterology & hepatology. 2019 Jun;4(6)425-434.
Endoscopic sphincterotomy is the established treatment for common bile duct stones. Balloon dilation offers an alternative. Prolonged dilation (300 s) with a 10 mm diameter balloon decreases the occurrence of pancreatitis after endoscopic retrograde cholangiopancreatography (ERCP). We aimed to deter
PMID 31003961

Sigmoid colon perforation in the patient with granulomatosis with polyangiitis.

Iwabu J, Namikawa T, Kitagawa H, Kanagawa T, Nakashima J, Hanazaki K.
Surgical case reports. 2019 May;5(1)87.
Granulomatosis with polyangiitis (GPA) induces respiratory tract and kidney granulomatous inflammation due to small-vessel vasculitis. However, gastrointestinal involvement, and especially colon perforation, is rare. A 40-year-old man diagnosed with GPA was admitted to our hospital for GPA managemen
PMID 31147785

Japanese Journal

消化管穿孔(外傷以外)の画像診断 (特集見逃してはならない腹部救急疾患の画像診断と治療) -- (緊急処置を要する腹部救急疾患の画像診断と治療)

佐藤次郎
外科 = Surgery : 臨床雑誌 80(7), 715-718, 2018-06
NAID 40021587322

症例消化管穿孔性腹膜炎と鑑別が困難であった結核性腹膜炎の1例

中里健二,吉田孝友,森永暢浩,設楽芳範,石崎政利,桑野博行
外科 = Surgery : 臨床雑誌 80(2), 182-186, 2018-02
NAID 40021461898

特発性腸間膜膿瘍の1例

細谷聡史,山田和彦,野原京子,相馬大介,山下智,國土典宏
日本臨床外科学会雑誌 79(10), 2073-2077, 2018
腸間膜膿瘍は憩室穿孔や炎症性腸疾患，癌などにより二次性に生じることが多く，特発性と診断される症例は比較的少ない．今回われわれは，特発性腸間膜膿瘍の症例を経験したため報告する．症例は77歳の男性で既往に糖尿病と肺動脈血栓症があり，3年前に当院で食道癌の切除歴がある．来院8時間前からの心窩部痛を主訴に，プレショック状態で救急搬送された．CTで小腸間膜内の大量のairを認め，穿孔性腹膜炎を疑い緊急手術を …
NAID 130007640005