腹腔内癒着の臨床的研究(前編) : 屍体及び手術症例について

概要

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The state of abdominal adhesion and its frequency were examined in 21 autopsies by accident and 92 operated cases. It was known that in these autopsies and operated cases, the adhesion near the stomach or duodenum was unexpectedly many. In these autopsies, adhesion of the gallbladder was most, frequent and it was mostly between the first part of duodenum and the gallbladder. In radiography by gallbladder puncture, there were some adhesions which deformity did not appear. In operated cases, cancer and ulcer of the stomach or duodenum were many, and also the adhesion was a great many in antrum and the first part of duodenum. In the mutual adhesion, it was seen most between antrum and mesocolon and pancreas, and between the first part of duodenum and gallbladder. By classifying these diseases, the adhesion was most often seen in ulcercancer, it was less frequent in ulcer, and was comparatively rare in cancer. 19 cases with gastroenteric symptoms caused by adhesion, which were apt to be diagnosed wrongly cancer or ulcer, were collected from 92 operated cases. These were named tentatively “abdominal adhesion disease”. Before operation 4 cases of 19 were suggested to be cancer, 8 cases of them ulcer, 7 cases could be diagnosed correctly. And the clinical significance of them was studied.
社団法人日本内科学会の論文