A5056071241- Gallbladder and Bile Duct Disorders
- Esophageal and GI Pathology
- Pancreatic and Hepatic Oncology Research
- Pancreatitis Pathology and Treatment
- Pediatric Hepatobiliary Diseases and Treatments
- Liver Disease and Transplantation
- Gastric Cancer Management and Outcomes
- Gastrointestinal Tumor Research and Treatment
- Gastrointestinal disorders and treatments
- Gastrointestinal Bleeding Diagnosis and Treatment
- Cholangiocarcinoma and Gallbladder Cancer Studies
- Abdominal vascular conditions and treatments
- Metastasis and carcinoma case studies
- Amoebic Infections and Treatments
- Gastroesophageal reflux and treatments
- Cancer, Hypoxia, and Metabolism
- Hepatitis Viruses Studies and Epidemiology
- Liver Disease Diagnosis and Treatment
- Electrolyte and hormonal disorders
- Head and Neck Surgical Oncology
- Viral gastroenteritis research and epidemiology
- Organ Transplantation Techniques and Outcomes
- Genetic Neurodegenerative Diseases
- Neuroendocrine Tumor Research Advances
- Appendicitis Diagnosis and Management
Shonan Kamakura General Hospital
2015-2024
Kitasato University
2017-2022
University Gastroenterology
2017-2022
Tsurugi Hospital
2017
Shiga University of Medical Science
2000
Hiroshima University
1999
The aim of this study was to assess the effect branched-chain amino acid (BCAA) supplements on muscle strength and mass in patients with liver cirrhosis.We carried out a single-center, prospective adult cirrhotic receiving nutrition therapy at Shonan Kamakura General Hospital. A 28-day pretreatment observation period followed by 24-week treatment period. Patients who fulfilled criteria received one package oral BCAA supplement powder twice day response evaluated. responder defined as patient...
To assess the correlation between response to tolvaptan and treatment-related factors in liver cirrhosis patients.This single-center retrospective study was carried out at Shonan Kamakura General Hospital Kanagawa, Japan, October 2013 September 2015. Forty-three patients (mean age, 65.7 years) with insufficient responses conventional diuretics for least 7 days were enrolled. All received oral (7.5 mg/day days) guideline-directed medical therapy including sodium intake restrictions. A...
Adverse reactions to contrast medium during endoscopic retrograde cholangiopancreatography (ERCP) are rare [1]; however, once they occur, the subsequent ERCP becomes challenging. Although alternatives using carbon dioxide or gadolinium exist [2] [3], resolution issues persist. Stone removal a cholangioscope without fluoroscopy media in pregnant patients has been reported [4]; due thickness and rigidity of conventional cholangioscopes, this remains problematic. We report on common bile duct...
To assess the effects of a combination therapy with natriuretic and aquaretic drugs in cirrhotic ascites patients.
To prevent the increase of resistant bacteria, it is important to minimize use antimicrobial agents. Studies have found that administration for ≤3 days after successful endoscopic retrograde cholangiopancreatography (ERCP) appropriate. Therefore, present study aimed verify if agents can be further shortened ≤2 ERCP. We divided 390 patients with mild and moderate cholangitis who underwent technically ERCP from January 2018 June 2020 had positive blood or bile cultures into two groups:...
Bleeding can be a serious adverse event of endoscopic sphincterotomy (EST). However, the risk EST bleeding between direct oral anticoagulant (DOAC) users and those who received no antithrombotic agents has not been clarified. This study analyzed factors for after in patients on DOAC evaluated Japan Gastroenterological Endoscopy Society (JGES) guidelines gastroenterological endoscopy undergoing treatment.We retrospectively 524 treated with or drug from May 2016 to August 2019. We investigated...
Background: To evaluate esophageal varices (EVs) as predictors of poor prognosis with low tolerability after balloon-occluded retrograde transvenous obliteration (BRTO) in patients overt hepatic encephalopathy (HE). Methods: This study retrospectively enrolled 107 who underwent BRTO for uncontrollable HE. The were divided into two groups based on the presence EVs using propensity matching. present assessed technical success rate and safety both groups. Further, event-free survival, HE-free...
Objectives Considering that pathogens resistant to initial antibiotic therapies for cholangitis can affect mortality rates, appropriate empiric therapy is important. However, evidence regarding the influence of antibiotics in patients with who have undergone early endoscopic retrograde cholangiopancreatography (ERCP) limited, and conditions several cases improve ERCP even when are detected on time. Therefore, this study aimed assess course undergoing ERCP. Materials methods Patients (n=266)...
Vanishing bile duct syndrome (VBDS) is characterized by degeneration and necrosis, which result in loss stasis. A 70-year-old man had malaise after receiving celecoxib. Laboratory tests revealed elevated hepatobiliary enzymes. His condition worsened without response to medical treatment, he was transferred our hospital. liver biopsy severe injury mild cholestasis. He diagnosed with celecoxib-induced VBDS underwent bilirubin adsorption therapy. However, his continued deteriorate, died. An...
Abstract Background Upper gastrointestinal (GI) bleeding is the most important presentation of an aorto-duodenal fistula (ADF). Early diagnosis difficult, and disease associated with high mortality. The present study aimed to examine clinical endoscopic characteristics ADF in eight patients who presented our hospital. We also sought clarify diagnostic approach towards disease. Methods examined endoscopic/computed tomography (CT) were definitively diagnosed this condition a 12-year period at...
Abstract COVID‐19 afflicts patients with acute symptoms and longer term sequelae. One of the sequelae is myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS), which often difficult to diagnose, having no established tests. In this article, we synthesize information from literature reviews on ME/CFS that developed after recovery COVID‐19.
Over-the-scope clips (OTSCs) are used for treating gastrointestinal perforations, postoperative anastomotic leakages, and mucosal defect closure after endoscopic resections. However, OTSCs expensive associated with fatal complications; therefore, proper OTSC usage is necessary. Criteria of use duodenal submucosal dissection (ESD) scarce. We examined outcomes conventional in patients undergoing ESD, analyzed the resected specimen area, estimated preoperative size tumors treated each method,...
Focal ischemic necrosis of the liver associated with cirrhosis: radiologic findings.N Fukui, K Kitagawa, O Matsui, T Takashima, H Kidani, M Hirano, S Masuda and Y NakanumaAudio Available | Share
We herein describe an 82-year-old patient who presented with proteinuria and systemic edema. He was diagnosed minimal change disease (MCD) found to have stage III pancreatic cancer. could not undergo surgical resection due invasion the celiac artery he thus treated chemotherapy. After a month of chemotherapy, his improved normal level. two months computed tomography indicated partial response therapy. MCD can occur as paraneoplastic syndrome in patients malignant disease, chemotherapy be...
Abstract Rationale: Simple liver cysts are common, and usually benign asymptomatic, requiring little to no treatment. Liver with biliary communication, however, rare require effective treatment avoid recurrence. Patient concerns: A 70-year-old woman breast cancer visited our hospital for Physical examination revealed abdominal distension bilateral lower leg edema. Diagnosis: Abdominal contrast-enhanced computed tomography a giant cyst, inducing inferior vena cava compression that was causing...
An aberrant right posterior hepatic duct is one of the most common risk factors for bile injury during surgical procedures. Complete transection necessitates repair. Recently, endoscopic ultrasound (EUS)-guided hepaticojejunostomy using a forward-viewing echoendoscope to manage complete biliary obstruction in patients with surgically altered anatomy has been reported [1] [2] [3] [4]. Although reports described stenosis anastomoses pancreaticoduodenectomy and modified Child reconstruction,...
There are many reports of encrusted ureteral stents that difficult to remove.1Blutitude M.F. Tiptaft R.C. Glass J.M. et al.Management sents impacted in upper tract.Urology. 2003; 62: 6226Google Scholar However, it is relatively rare a biliary stent cannot be removed because encrustation.2Gromski M.A. Vuppalanchi R. Sherman S. al.A not-so-sweet diagnosis: secondary cirrhosis from "lollipop" stone.Gastrointest Endosc. 2016; 84: 198-200Abstract Full Text PDF Scopus (1) Google We describe case...