A CASE OF ADULT HYPERTROPHIC PYLORIC STENOSIS
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- SHIMIZU Tetsuro
- Second Department of Surgery, Toyama Medical and Pharmaceutical University, School of Medicine
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- NAGASE Toshiaki
- Second Department of Surgery, Toyama Medical and Pharmaceutical University, School of Medicine
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- KARAKI Yoshiaki
- Second Department of Surgery, Toyama Medical and Pharmaceutical University, School of Medicine
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- ITO Hiroshi
- Second Department of Surgery, Toyama Medical and Pharmaceutical University, School of Medicine
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- FUJIMAKI Masao
- Second Department of Surgery, Toyama Medical and Pharmaceutical University, School of Medicine
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- FUJITA Toshio
- Itoigawa Hospital
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- TAKANO Yoshiyuki
- Itoigawa Hospital
Bibliographic Information
- Other Title
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- 成人の肥厚性幽門狭窄症の1例
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Description
A 57-year-old man who had suffered cerebral infarction for about one year was admitted to Itoigawa hospital in Niigata because of frequent vomiting.<br> Radiographically, the pylorus of the patient showed string sign, and endoscopic examination revealed pyloric stenosis representing a uterine cervix-like appearance of unknown genesis. Endoscopic dilatation of the pylorus was successfully performed.<br> But one month after the treatment, recurrence of the symptoms was recognized, followed by retreatment by using endoscopy, resulting in no marked improvement of symptoms.<br> Because of the failure of the endoscopic treatment, the patient underwent pyloroplasty of the Heinecke-Mikulica type when the pylorus showed extramural hypertrophic protrusion.<br> Histologic examination of the resected specimen showed hypertrophy of pyloric circular smooth muscles.<br> A diagnosis of adult hypertrophic pyloric stenosis was made on the basis of the radiographic, endoscopic and histologic findings described above.<br> Postoperative roentgenographic examination disclosed no passage disturbance of the pylorus.<br> The patient has been well for about a year postoperatively without serious symptoms from this particular disorder.
Journal
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- The journal of the Japanese Practical Surgeon Society
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The journal of the Japanese Practical Surgeon Society 46 (3), 374-378, 1985
Japan Surgical Association
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Details 詳細情報について
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- CRID
- 1390001205304205568
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- NII Article ID
- 130003431379
- 50002092130
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- ISSN
- 21892075
- 03869776
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed