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Japanese

“Colon Syndrome” and its Surgical Treatment: mesocolitis and abnormal fiexion of the colon causing various symptoms S. Sohma 1 , I. Takekawa 1 , T. Hayashida 1 , J. Ohara 2 , T. Sugisawa 3 1Dept. of Surgery, School of Medicine, Kyorin University 2Ohara Clinic 3Ogino Hospital pp.1315-1323
Published Date 1971/9/25
DOI https://doi.org/10.11477/mf.1403111577
  • Abstract
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 The number of out-patients having gastric symptoms has in recent years remarkably increased. Many of them, though free from pathological findings when examined by upper G-I x-ray series including the biliary tract and by gastrofiberscope, were found, on further inquiry into their history and the present illness, to have abnormal habit of defecation, fullsensation of the lower abdomen, or other various subjective symptoms all of long duration.

 A total of 1335 such cases have been subjected to barium enema examination of the colon (Aoyama's method). With the exception of 27 cases having organic diseases of the colon, organic in the narrow sense of the word such as its tumors, 1308 cases were further investigated. As a result, a close correlation has been found between the x-ray findings such as abnormal location, course and so-called membranous lifting-up of the colon, together with its traction or stenosis due to mesocolitis, and the patients' subjective symptoms and defecation habits. Based on this study, the authors attempted to designate those symptoms and radiological signs, including kinking of the splenic flexure or the descending colon, the so-called detour sign, cicatric mesocolitis of the splenic fiexure or cicatric mesosigmoiditis, as “colon syndrome” for the purpose of differentiating it from the “irritable colon.”

 One of the authors, Hayashida, attempted to remedy this syndrome by surgical intervention: one-stage modification of abnormal course kinking, cicatrices and so on of the colon together with left hemicolectomy. In 150 cases thus treated, 84.9 per cent have been free from any subjective symptoms six months after operation.


Copyright © 1971, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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