A5003279032- Gallbladder and Bile Duct Disorders
- Pancreatic and Hepatic Oncology Research
- Pediatric Hepatobiliary Diseases and Treatments
- Biliary and Gastrointestinal Fistulas
- Cholangiocarcinoma and Gallbladder Cancer Studies
- Esophageal and GI Pathology
- Pancreatitis Pathology and Treatment
- Gastrointestinal disorders and treatments
- Anesthesia and Sedative Agents
- Neuroendocrine Tumor Research Advances
- Diverticular Disease and Complications
- Cancer Genomics and Diagnostics
- Renal cell carcinoma treatment
- Intensive Care Unit Cognitive Disorders
- IgG4-Related and Inflammatory Diseases
- Radiomics and Machine Learning in Medical Imaging
- Liver Diseases and Immunity
- Vasculitis and related conditions
- Cancer, Stress, Anesthesia, and Immune Response
- Anesthesia and Neurotoxicity Research
- Gastric Cancer Management and Outcomes
- Urticaria and Related Conditions
- Eosinophilic Disorders and Syndromes
- Adrenal and Paraganglionic Tumors
- Sarcoidosis and Beryllium Toxicity Research
Fukuyama City Hospital
2021-2024
Hiroshima City Asa Citizens Hospital
2017-2019
City Hospital
2012-2015
Okayama University
1999-2011
Weatherford College
2007
Okayama Saiseikai General Hospital
2005-2006
Patients with malignant pancreatobiliary neoplasm sometimes manifest duodenal obstruction and biliary stricture synchronously or metachronously. In this paper, we reviewed our experience technique for combined endoscopic stent placement ultrasonography (EUS)‐guided drainage. Between May 2007 September 2009, was performed on seven patients distal strictures obstructions. The clinical success rate of the procedure, complications, patency periods stents were retrospectively evaluated. Clinical...
Objective: Conscious sedation for colorectal endoscopic submucosal dissection (ESD) has not been standardized, and there are no studies of ESD. Methods: We conducted a prospective double-blind randomized controlled trial to clarify the usefulness DEX during In total 80 patients with ESD from April 2016 May 2017 were assigned placebo group or (40 cases each). The primary outcome was patient satisfaction (visual analogue scale: VAS). Secondary outcomes evaluated 13 factors, including pain...
Hepaticojejunostomy anastomotic stricture (HJAS) is a significant complication of biliary reconstruction surgery. Endoscopic management HJAS using double-balloon enteroscopy has expanded; however, retrospective reports in this setting are limited. This study aimed to evaluate the efficacy endoscopic balloon dilatation combined with stent deployment for HJAS.This was single-arm prospective clinical trial involving 40 patients treatment-naïve enrolled between March 2016 and August 2019 at four...
Background: Endoscopic retrograde cholangiopancreatography (ERCP) for extraction of common bile duct (CBD) stones in patients with Roux-en-Y gastrectomy (RYG) remains technically challenging. Methods: Seventy-nine RYG (median 79 years old) underwent short-type double-balloon enteroscopy-assisted ERCP (sDBE-ERCP) CBD at three referral hospitals from 2011–2020. We retrospectively investigated the treatment outcomes and potential factors affecting complete stone extraction. Results: The initial...
Steroids are the first-line drugs for induction of remission in patients with type 1 autoimmune pancreatitis (AIP), and usefulness steroid maintenance therapy to prevent relapse has recently been reported. However, even during therapy, a relatively large percentage predictive factors have not yet elucidated. The aim this study was clarify AIP therapy.The medical records 76 continued after were analyzed retrospectively. rate evaluated, risk investigated by univariate multivariate analysis...
A 66-year-old woman presented with jaundice, elevated liver enzymes, peripheral eosinophilia and increased levels of immunoglobulin (Ig) G4. The image findings the biliary tree revealed multifocal strictures mimicking primary sclerosing cholangitis. biopsy specimen demonstrated an infiltration inflammatory cells consisting several eosinophils IgG4-positive plasma cells. enzymes eosinophil count were normalized immediately after administration oral steroid. Finally, patient was diagnosed...
One or more patterns of 6 K-ras mutations are detected in cells from the pancreatic juice patients with intraductal papillary mucinous neoplasms (IPMNs). We investigated whether these associated malignant progression.Between January 2002 and December 2007, 53 IPMN were subjected to collection pure evaluate mutation. According histological radiological findings, IPMNs classified into 4 groups: carcinoma group, adenoma high-risk low-risk group. retrospectively mutation groups.In a positive...
Little is known about the management of occluded multiple metallic stent (MS) deployed in malignant hilar biliary strictures (HBS). The purpose this study was to evaluate endoscopic MSs HBS.Fifty-five patients with unresectable tract carcinoma had inserted due HBS. intervention through duodenal papilla performed on 30 cases that MS occlusion. procedure success rate, survival time after and number interventions before death were analyzed, retrospectively.The causes obstruction tissue ingrowth...
A 74-year-old man was admitted to our hospital for further evaluation of a pancreatic cystic lesion. Abdominal computed tomography and magnetic resonance cholangiopancreatography showed dilatation the main duct lesion head (Figure [1]). Endoscopic retrograde demonstrated that in partially narrowed distal dilated [2]), although could not be seen. Transpapillary intraductal ultrasound clearly depicted protruding tumor with height about 4.5 mm [3]). peroral pancreatoscopic examination then...
The objective of this study was to evaluate the efficacy a pancreatic stent regarding prevention post-endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis after aspiration pure juice in patients with intraductal papillary mucinous neoplasms.A retrospective made assess outcome 121 consecutive neoplasms who underwent endoscopic for cytologic examination between July 2001 and October 2007. From March 2004, 58 did not undergo insertion (the no-stent [nS] group). remaining 63 (stent...