胃直接加温法に関する研究

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The influence of gastric hyperthermia upon the gastric function was experimentally investigated and its clinical application was attempted. The method of gastric hyperthemia consists of insertion of a rubber balloon into the stomach through which warm water was irrigated so as to directly heat the gastric mucosa. Dogs were used for these experiments. Our experiments showed that the gastric hyperthermia under suitable conditions would bring good effects upon the motor and secretory functions of the stomach and that such procedure could be carried out with safety as long as the gastric heating was kept below 45℃ and within 60 minutes' duration. Therefore this procedure was clinically applied as a treatment of the gastric ptosis. Sixty gastric heating procedures were performed in fifty-three clinical cases with irrigation at the temperature of 43-44℃ and for the durations of 30 and 60 minutes. No significant side-effects were observed during and after the gastric hyperthermia. The gastric secretion was promoted in those cases in which the gastric heating was performed for 30 minutes, while it was suppressed in those cases in which the heating was carried out for 60 minutes. The emptying time of the test fluid was shortened with hightened emptying function of the stomach in both groups. In most cases such treatments resulted in improvement or disappearance of anorexia, sensation of full-stomach, nausea, heart-burn, and other complaints, and in increase of body-weight. However, in some cases there was a tendency of recurrence after 3 months. In 88% of cases persistent effects were observed after one year following the gastric hyperthermia. This method of treatment, in properly selected cases, can improve various complaints due to functional disturbances of the stomach, and is an effective treatment of the gastric ptosis since its clinical application is safe and easy.
千葉大学の論文

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川口幸夫
千葉大学医学部第2外科学教室

胃直接加温法に関する研究

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