Access count of this item: 302

Files in This Item:
File Description SizeFormat 
29_1401.pdf2.34 MBAdobe PDFView/Open
Title: 尿管S状結腸吻合術後患者の大腸鏡による観察
Other Titles: Surveillance colonoscopy after ureterosigmoidostomy
Authors: 高崎, 登  KAKEN_name
金田, 州弘  KAKEN_name
出村, 愰  KAKEN_name
小野, 秀太  KAKEN_name
沼田, 正紀  KAKEN_name
松瀬, 幸太郎  KAKEN_name
岡田, 茂樹  KAKEN_name
宮崎, 重  KAKEN_name
Author's alias: Takasaki, Noboru
Kaneda, Kunihiro
Demura, Akira
Ono, Shuta
Numata, Masanori
Matsuse, Kohtaro
Okada, Shigeki
Miyazaki, Shigeru
Keywords: Adult
Aged
Colon, Sigmoid/pathology/surgery
Colonic Neoplasms/diagnosis
Colonoscopy
Female
Follow-Up Studies
Humans
Intestinal Mucosa/pathology
Male
Middle Aged
Ureter/pathology
Urinary Diversion/methods
Issue Date: Nov-1983
Publisher: 泌尿器科紀要刊行会
Journal title: 泌尿器科紀要
Volume: 29
Issue: 11
Start page: 1401
End page: 1409
Abstract: 尿管S状結腸吻合術を施行した22例の患者について術後2ヵ月~4年6ヵ月(平均1年10ヵ月)目に,尿管吻合部とその周囲の結腸粘膜の変化について大腸鏡により観察した.吻合部の形態はflat type, sessile typeおよびpedunculated typeの3型に分類した.この形態と術後経過期間との間には有意の相関は認められなかった.吻合部が隆起状を呈するsessile typeとpedunculated typeの症例に対しては,腫瘍との鑑別をおこなう目的で生検を施行したが,組織採取が可能であった11例中10例は炎症性変化(肉芽形成)であり,他の1例は腺腫であったが,悪性像を呈したものはなかった.吻合部周囲の結腸粘膜は肉眼的にも組織学的にも炎症例を呈するものが60%以上にみられ,その割合は経過とともに増加する傾向がみられたが,粘膜上皮の構造に異常が認められたものはなかった.尿路変更として尿管S状結腸吻合術をおこなった場合には,定期的に大腸鏡検査をおこなうことが必要と考えられる
Twenty-two patients underwent surveillance colonoscopy for 2 to 54 months (average, 22 months) after ureterosigmoidostomy. The distance between site of ureterocolonic anastomosis and anal verge ranged from 13 to 30 cm (average, 18.3 cm) in right side and from 20 to 37 cm (average, 29.5 cm) in left side. The form of implanted site could be classified into 3 types which were flat, sessile and pedunculated types. Endoscopic biopsies performed on eleven polyp-like regions of ureterocolonic anastomosis revealed inflammation in 10 cases (90%) and adenoma without malignancy in one case (10%). The mucosa more than 5 cm away from implanted site showed findings of inflammation without constitutional abnormality in more than 60% of all patients. The periodical surveillance colonoscopy at intervals of approximately one year seemed to be useful for early detection of the tumors of the colon after ureterosigmoidostomy.
URI: http://hdl.handle.net/2433/120294
PubMed ID: 6677095
Appears in Collections:Vol.29 No.11

Show full item record

Export to RefWorks


Export Format: 


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.