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Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.12001/4144

 
Title :[原著]内胆汁瘻症例 : 胆嚢病変の組織学的検討
Title alternative :Biliary Enteric Fistula-Its Histopathological Study of the Gallbladder
Authors :武藤, 良弘
正, 義之
外間, 章
山内, 和雄
栗原, 公太郎
山里, 将仁
日高, 修
甲斐田, 和雄
内村, 正幸
脇, 慎治
鮫島, 恭彦
山田, 護
Authors alternative :Muto, Yoshihiro
Sho, Yoshiyuki
Hokama, Akira
Yamauchi, Kazuo
Kurihara, Kotaro
Yamazato, Masahito
Hidaka, Osamu
Kaieda, Kazuhiro
Uchimura, Masayuki
Waki, Shinji
Sameshima, Yasuhiko
Yamada, Mamoru
Authors affiliation :琉球大学医学部第1外科
浜松医療センター外科
Issue Date :1982
Publisher :琉球大学医学部
Type Local :雑誌掲載論文
Type (NII) :Journal Article
ISSN :0285-9270
Abstract :A case of a 75 year - old female with mucosal carcinoma of the gallbladder in cholecystoduodenal fistula was described, and then the resected gallbladders in twenty one cases of biliary enteric fistula were histologically studied to investigate their morphological features, and discuss relation between fistula and genesis of gallbladder cancer. The gallbladders were small in size and contracted. The walls of the gllabladders were thickened. Histologically, they showed inflammatory changes ( fibrous thickening of the wall, inflammatory infiltrates and intimal thickening of the artery ) that were characteristic in this disease. On the other hand, the mucosa was relatively well preserved. It revealed mucous gland metaplasia in 95.2 per cent and goblet cell metaplasia in 52.4 per cent. The incidence of metaplasia was similar to that in patients with cholelithiasis, and lower than that in gallbladder cancer patients. Based on these results, reflux of enteric contents into the gallbladder may cause persistent inflammation of the gallbladder, but may not correlate to the genesis of the gallbladder cancer.
Rights :琉球医学会
URI :http://hdl.handle.net/20.500.12001/4144
Citation :琉球大学保健学医学雑誌=Ryukyu University Journal of Health Sciences and Medicine Vol.5 no.2 p.133 -142
Appears in Collections:Ryukyu University Journal of Health Sciences and Medicine

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