ID | 17339 |
Eprint ID | 17339
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フルテキストURL | |
タイトル(別表記) | Studies on endoscopic retrograde cholangiograms Part II Studies on cholangiograms in cases with stones in the biliary tract
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著者 |
菊地 武志
岡山大学医学部平木内科教室
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抄録 | Following conclusions were obtained on the basis of studies on endoscopic retrograde cholangiograms of 104 cases with stones in the biliary tract. 1) The biliary tract was successfully visualized in 104 cases (89.6%). The rate of success was high in cases of choledocholithiasis with a dilated bile duct. 2) Most frequently seen were cases of choledocholithiasis, cholelithiasis, or combination of both. 3) In the intrahepatic bile duct, stones were usually found in one of the first branches. In extrahepatic bile ducts, gallstones were usually impacted at the confluence of the common hepatic, cystic and common bile duct, or at the intraduodenal bile duct. Diagnosis of stones in the biliary tract were easily made due to the typical appearance of shadow-defect. 4) In cases with impacted gallstones in the neck of the gallbladder, cystic duct was disrupted. 5) Stones were found in 10 of 16 cases with a past history of cholecystectomy. 6) Dilatation and various abnormalities of the intrahepatic and extrahepatic bile ducts and the gallbladder were frequently observed in cases with choledocholithiasis. 7) Deformity, atrophy and stiffening of the gallbladder were frequently observed in cases with cholelithiasis. 8) Morphological and functional abnormalities of the Vaterian bile duct were frequently observed in cases of stones in the biliary tract. 9) As for endoscopic findings, the longitudinal and covering folds of the duodenal papilla wer swollen frequently in cases with choledocholithiasis, dilated bile duct and abnormal Vaterian bile duct. 10) Stones were found in 10 out of 16 cases with a spontaneous choledochoduodenal fistula.
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発行日 | 1975-04-30
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出版物タイトル |
岡山医学会雑誌
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出版物タイトル(別表記) | Journal of Okayama Medical Association
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巻 | 87巻
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号 | 3-4号
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出版者 | 岡山医学会
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出版者(別表記) | Okayama Medical Association
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開始ページ | 183
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終了ページ | 195
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ISSN | 0030-1558
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NCID | AN00032489
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資料タイプ |
学術雑誌論文
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オフィシャル URL | https://www.jstage.jst.go.jp/article/joma1947/87/3-4/87_3-4_183/_article/-char/ja/
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関連URL | http://www.okayama-u.ac.jp/user/oma/
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言語 |
日本語
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著作権者 | 岡山医学会
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論文のバージョン | publisher
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査読 |
有り
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Eprints Journal Name | joma
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