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1.

図書

図書
北島政樹 [ほか] 編集
出版情報: 東京 : 医学書院, 2007.5
シリーズ名: Standard textbook
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2.

図書

図書
研究代表者 畠山勝義
出版情報: [新潟] : [畠山勝義], 2005.4
シリーズ名: 科学研究費補助金(基盤研究(B)(2))研究成果報告書 ; 平成14年度~平成16年度
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3.

論文(リポジトリ)

論文(リポジトリ)
岡本, 春彦 ; 富田, 広 ; 石川, 裕之 ; 千田, 匡 ; 斉藤, 英俊 ; 村上, 博史 ; 牛山, 信 ; 須田, 武保 ; 畠山, 勝義 ; 武藤, 輝一
出版情報: 新潟医学会雑誌 = 新潟医学会雑誌.  111  pp.275-275,  1997-04.  新潟医学会
本文リンク: http://hdl.handle.net/10191/44795
4.

論文(リポジトリ)

論文(リポジトリ)
岡田, 貴幸 ; 谷, 達夫 ; 長谷川, 潤 ; 藤田, みちよ ; 村上, 博史 ; 滝井, 康公 ; 神田, 達夫 ; 岡本, 春彦 ; 須田, 武保 ; 酒井, 靖夫 ; 畠山, 勝義
出版情報: 新潟医学会雑誌 = 新潟医学会雑誌.  111  pp.278-278,  1997-04.  新潟医学会
本文リンク: http://hdl.handle.net/10191/44803
5.

論文(リポジトリ)

論文(リポジトリ)
島村, 公年 ; 畠山, 勝義 ; 須田, 武保 ; 酒井, 靖夫
出版情報: 新潟医学会雑誌 = 新潟医学会雑誌.  111  pp.142-146,  1997-03.  新潟医学会
本文リンク: http://hdl.handle.net/10191/44492
概要: Recently, function-preserving surgery has become more widely applied to patients with rectal cancer. Compared with abdom ioperineal resection, sphincter-saving procedure generally leads to an improved quality of life(QOL). However, straight colo-anal anastomsis(St type)for extremely low rectal carcinoma often causes a deterioration. Therefore, we have performed colonic J pouch-anal anastomosis(J type)since 1988. Forty patients who received the J type and 14 who received the St type are discussed. Mean daily stool frequency was 2.4 at 12 months after surgery in the J group, significantly lower than 5.0 in the St group. Frequent bowel movements and urgency placed restrictions on daily life in 29% of the St group, while there were no severe restrictions in the J group. An increased number of patients are undergoing autonomic nerve-preserving procedures, and good functional results have been obtained. The incidence of urinary dysfunction requiring consultation with a urologist was lower in the autonomic nerve-preserving group(3.4%)than in the non-preserving group(34.8%). Some sexual dysfunction was found in 14.3% of the autonomic nerve-preserving group, and in 92.3% of the non-preserving group. These results that the sphincter and autonomic nerve-preserving procedures produce good postoperative QOL. 続きを見る
6.

論文(リポジトリ)

論文(リポジトリ)
須田, 武保 ; 島村, 公年 ; 神田, 達夫 ; 岡本, 春彦 ; 酒井, 靖夫 ; 畠山, 勝義
出版情報: 新潟医学会雑誌 = 新潟医学会雑誌.  111  pp.1-6,  1997-01.  新潟医学会
本文リンク: http://hdl.handle.net/10191/44411
概要: The aim of this study was to investigate the curability of a sphincter-saving operation using a colonic J pouch-anal ana stomosis for lower rectal carcinoma and the postoperative result of urinary function after an autonomic nerve preservation procedure. Materials and methods:Forty-three patients who were treated with coloanal anastomosis, 33 of whom received the J type and 10 the straight type, were discussed. Results:The total rate of recurrence of rectal carcinoma(n=39)was 20.5%, with a 17.9% rate of distant metastasis and a pelvic recurrence rate of 2.6%, but no anastomotic recurrence. The five-year survival rate after curative resection was 84.3% in all cases. The incidence of neurogenic bladder was a lower rate in autonomic nerve preserving group(16.7%)than in autonomic nerve non-preserving group(53.8%). Conclusion:The sphincter-saving operation with colonic J pouch-anal anastomosis does not prejudice cure of this carcinoma. And the autonomic nerve preservation procedure was successful in minimizing urinary dysfunction. 続きを見る
7.

論文(リポジトリ)

論文(リポジトリ)
丸田, 智章 ; 畠山, 勝義 ; 本間, 信治
出版情報: 新潟医学会雑誌 = 新潟医学会雑誌.  111  pp.34-46,  1997-01.  新潟医学会
本文リンク: http://hdl.handle.net/10191/44416
概要: Ileal pouch anal anastomosis(IPAA)has relieved many patients of Ulcerative colitis and familial adenomatous polyposis co li from their many complaints and made enabled them to defecate transanaly. However, some patients who underwent IPAA still have poorly functioning pouches and they suffer from new complaints such as frequent defecation, incontinence and so on. Therefore, functional assessment seems necessary for the ileal W pouch. We measured the compliance and motility of the ileal W pouch. In addition, the electrical activities from the parasacral skin were recorded, if they reflect the motility of the ileal W pouch. These indices were correlated to clinical scores, if they reflect the clinical status. Chord compliance when the subject had the initial or first sensation to evacuate was correlated well with the maximal volume of the ileal W pouch, or with the “permitted volume”(the volume the subject could not tolerate any more to evacuate, minus the minimum volume when the subject had the initial or 1st feeling to defecate). The spectral frequency of the phasic intraluminal wave of the ileal W pouch decreased as the postoperative duration. The clinical score increased as the spectral frequency of the pouch wave decreased. This probably indicates the improved function of the ileal pouch. The motility ileal pouch seemed to be reflected, in some cases, by the electrograph by surface electrodes. 続きを見る
8.

論文(リポジトリ)

論文(リポジトリ)
田邊, 匡 ; 小向, 慎太郎 ; 小杉, 伸一 ; 中川, 悟 ; 桑原, 史郎 ; 武者, 信行 ; 林, 達彦 ; 岡, 至明 ; 藍沢, 喜久雄 ; 西巻, 正 ; 鈴木, 力 ; 畠山, 勝義
出版情報: 新潟医学会雑誌 = 新潟医学会雑誌.  110  pp.587-587,  1996-12.  新潟医学会
本文リンク: http://hdl.handle.net/10191/43567
9.

論文(リポジトリ)

論文(リポジトリ)
村上, 博史 ; 酒井, 靖夫 ; 須田, 武保 ; 畠山, 勝義
出版情報: 新潟医学会雑誌 = 新潟医学会雑誌.  110  pp.533-533,  1996-11.  新潟医学会
本文リンク: http://hdl.handle.net/10191/43514
10.

論文(リポジトリ)

論文(リポジトリ)
酒井, 靖夫 ; 須田, 武保 ; 岡本, 春彦 ; 千田, 匡 ; 島村, 公年 ; 斉藤, 英俊 ; 岡田, 貴幸 ; 谷, 達夫 ; 小出, 則彦 ; 斉藤, 義之 ; 佐々木, 正貴 ; 丸田, 智章 ; 桑原, 明史 ; 多々, 孝 ; 畠山, 勝義
出版情報: 新潟医学会雑誌 = 新潟医学会雑誌.  110  pp.460-460,  1996-10.  新潟医学会
本文リンク: http://hdl.handle.net/10191/43386