@article{oai:dmu.repo.nii.ac.jp:00000126,
 author = {田口, 泰三 and 橋本, 龍二 and 椿, 昌裕 and 砂川, 正勝 and Taguchi, Taizo and Hashimoto, Ryuji and Tsubaki, Masahiro and Sunagawa, Masakatsu},
 issue = {1},
 journal = {Dokkyo journal of medical sciences},
 month = {Mar},
 note = {症例は72歳の男性。上腹部痛を主訴に近医受診し横行結腸癌と診断され手術目的にて当科紹介入院となった。大腸内視鏡検査では横行結腸に全周性の隆起性病変を認め,胃内視鏡検査では胃前庭部大弯に潰瘍性病変を認めた。上部消化管造影及び注腸造影を同時に施行したところ胃前庭部より横行結腸の狭窄部にガストログラフィンの流出が認められ瘻孔が確認された。手術は横行結腸切除術,D3郭清,胃局所切除術,4d,6番のリンパ節郭清を施行した。病理組織学的所見では組織型は,中分化腺癌でsi,n0,ly0,v0,ow(-),aw(-),stage III aであった。胃漿膜への浸潤が認められ,Curability Aであった。積極的な合併切除により予後は十分に期待できるものと思われた。, A 72-year-old male presented at a local hospital with upper abdominal pain. He was diagnosed with transverse colon cancer by colonoscopy, and he was admitted to our hospital to undergo surgery. Colonoscopy demonstrated a circumferential - type tumor located in the mid - transverse colon. A biopsy revealed a moderately differentiated adenocarcinoma. Gastroscopy showed an ulcerative lesion on the greater curvature side of the autrum of the stomach. Simultaneous upper gastrointestinal series and a barium enema revealed a flow of gastrografin through the fistula. This was believed to be due to a fistula between the transverse colon cancer and the stomach. A transverse colectomy with D3 lymph node dissection, including resection of the No. 4d and No. 6 lymph nodes, was performed with local excision of the area of the stomach that was connected to the colon by the fistula. Pathological findings revealed a moderately differentiated adenocarcinoma with invasion limited to the serosa of the stomach. It was stage III a (si, n0, ly0, v0, H0, P0) and the operation was curative A, according to the Japanese classification of cancer of the colon and rectum. The patient has had no recurrence 2 years and 10 months after the operation. Complete resection of the colon cancer and the other organs invaded by the cancer is expected to give the patient a good prognosis., 症例報告, Case Report},
 pages = {107--111},
 title = {胃結腸瘻をきたした横行結腸癌の1例},
 volume = {30},
 year = {2003},
 yomi = {タグチ, タイゾウ and ハシモト, リョウジ and ツバキ, マサヒロ and スナガワ, マサカツ}
}