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タイトル有茎結腸管による食道再建術, とくに術後の運動機能について
タイトルヨミユウケイ ケッチョウカン ニ ヨル ショクドウ サイケンジュツ トクニ ジュツゴ ノ ウンドウ キノウ ニ ツイテ
タイトル別表記Esophageal Reconstruction with the Pedunculated Colonic Tube : Postoperative Problems, Especially Motor Functions of the Colonic Tube
作成者冨永, 博
作成者ヨミトミナガ, ヒロシ
作成者別表記Tominaga, Hiroshi
作成者所属山口大学医学部
内容記述(抄録等)In 65 cases who had undergone esophageal reconstruction with the pedunculated colonic tube, intraluminal manometry and scintiscanning of the pedunculated colonic tube were performed. The author came to the conclusions as follows : (1) The pedunculated colonic tube conducted a part of swallowing waves. In these waves, the author recognized the characteristic conduction waves, similar to the colonic type IV waves, classified by Code. et al. (2) The colonic type IV waves were declined in their frequency and wave speed, compared with the esophageal swallowing waves. (3) The water swallowing waves elevated more favorably swallowing conduction rate as compared with the dry swallowing waves. (4) Under the provocation of tetragastrine (5μg/kg, i. v.) the pedunculated colonic tube elevated its resting pressure and swallowing pressure more favorably, except for the increase of wave frequency. (5) According to the analysis of the coloscintigram, the author recognized that in the cases of pharyngo-colo-gastrostomy, the greater part of the solid meals passed very slowly, on the other hand, in the cases of cervical esophago-colo-duodenostomy, solid meals passed down to the duodenum very quickly. (6) In the endoscopic findings, regurgitation from the stomach to the interposed colonic tube was sometimes recognized. (7) The incidence of leakage was more evident in cervical esophago-colostomy than pharyngo-colostomy. However, among every anastomosis there were no remarkable differences in the occurrence of anastomotic breakdown.
本文言語jpn
主題医学
資料タイプtext
出版者山口大学医学会
出版者ヨミヤマグチ ダイガク イガッカイ
NII資料タイプ学術雑誌論文
査読の有無査読あり
ISSN0513-1731
NCIDAN00243156
学内刊行物(紀要等)山口医学
掲載誌名山口医学
34
6
開始ページ465
終了ページ482
発行日1985-12
著者版/出版社版その他
リポジトリIDB030034000607
地域区分山口大学
URIhttp://www.lib.yamaguchi-u.ac.jp/yunoca/handle/B030034000607