A5101683756- Esophageal and GI Pathology
- Colorectal Cancer Surgical Treatments
- Biliary and Gastrointestinal Fistulas
- Anorectal Disease Treatments and Outcomes
- Cardiac, Anesthesia and Surgical Outcomes
- Liver Disease and Transplantation
- Metastasis and carcinoma case studies
- Diverticular Disease and Complications
- Intestinal and Peritoneal Adhesions
- Hepatocellular Carcinoma Treatment and Prognosis
- Traumatic Brain Injury and Neurovascular Disturbances
- Foreign Body Medical Cases
- Vascular Malformations Diagnosis and Treatment
- Abdominal Trauma and Injuries
- Colorectal and Anal Carcinomas
- Esophageal Cancer Research and Treatment
- MRI in cancer diagnosis
- Intracerebral and Subarachnoid Hemorrhage Research
- Congenital gastrointestinal and neural anomalies
- IgG4-Related and Inflammatory Diseases
- Bauxite Residue and Utilization
- Genetic and Kidney Cyst Diseases
- Hematological disorders and diagnostics
- Chromatin Remodeling and Cancer
- Liver Diseases and Immunity
Japanese Red Cross Nagoya Daini Hospital
2015-2025
Oita University
2025
Osaka Minami Medical Center
2009
Osaka Medical Center for Cancer and Cardiovascular Diseases
2008
Iwata City Hospital
2003
Asahikawa Medical College Hospital
1999-2000
Osaka University
2000
Gojo (France)
1998
Nara Medical University
1996
Self-expandable metallic stenting (SEMS) for malignant colorectal obstruction (MCO) as a bridge to elective surgery (BTS) is widely used procedure. The aim of this study was assess short-term outcomes SEMS MCO BTS. This analyzed pooled data from BTS patients who were enrolled in two multicenter prospective single-arm observational clinical studies that different stent types. Both conducted by the Japan Colonic Stent Safe Procedure Research Group (JCSSPRG). first evaluated WallFlex™ colonic...
Background and Aim Colorectal cancer patients often present with large bowel obstruction. Elective placement of a self‐expandable metallic stent ( SEMS ) can relieve obstruction, but be challenging. Previous studies have compared cases by outcomes only, the study investigated successful only to identify factors related prolonged difficult in malignant colonic Methods A post‐hoc analysis multicenter clinical trial conducted between March 2012 October 2013 at 46 facilities across Japan...
Bone marrow metastasis (BMM) causes pancytopenia and disseminated intravascular coagulation (DIC), resulting in rapid mortality. The incidence of this disease is likely underestimated, with confirmed BMM occurring at approximately twice the rates expected clinically. present study describes two detailed cases includes a literature review caused by ovarian cancer. existing medical records patients admitted to Oita University Hospital (Yufu, Japan) Saitama Medical International Center (Hidaka,...
Bile duct cannulation via balloon endoscopy-assisted endoscopic retrograde cholangiopancreatography (ERCP) can be challenging, particularly in complex anatomical scenarios [1] [2]. This case report emphasizes the clinical application of a novel rotatable sphincterotome 75-year-old man who presented to local clinic with 1-week history bilirubinuria. The patient had gastric cancer and undergone distal gastrectomy Roux-en-Y reconstruction 6 years previously. Laboratory tests revealed elevated...
The purpose of this work was to evaluate the ability breath-hold gadolinium-enhanced three-dimensional (3D) MR angiography assess invasion pulmonary vein and left atrium by lung cancer.Gadolinium-enhanced 3D performed in 20 consecutive patients with cancer.At two sites atrial shown angiography, associated partial resection performed. At five proximal within 1.5 cm from on MR, at one site, resected intrapericardial portion three sites. more distal atrium, extrapericardial portion.Breath-hold...
Abstract Purpose This study compared the feasibility and safety of endoscopic placement self-expandable metallic stents (SEMSs) as a bridge to surgery (BTS) between patients with obstructive colorectal cancer (CRC) classified ColoRectal Obstruction Scoring System (CROSS) 0 those CROSS 1 or 2. Methods We conducted post hoc analysis two prospective, observational, single-arm multicenter clinical trials performed pooled data. In total, 336 consecutive malignant obstruction underwent SEMS...
The oncological outcomes, especially high recurrence rate, of bridge-to-surgery (BTS) self-expandable metallic stent (SEMS) placement remain concerning, emphasizing the necessity standardized SEMS placement. However, its impact on long-term BTS outcomes is unknown. We investigated colonic stenting using
Self-expandable metallic stents (SEMS) have been widely accepted as palliation therapy for malignant gastric outlet obstruction (GOO). However, the factors predictive of poor oral intake after SEMS placement not elucidated sufficiently. We aimed to clarify both patient and stent-related factors.We retrospectively reviewed 126 consecutive patients who underwent uncovered GOO between April 2010 March 2013 at a university hospital two tertiary care referral centers.Technical success was...
The influence of chemotherapy on placement self-expandable metallic stents (SEMS) for malignant gastric outlet obstruction (MGOO) has not been evaluated extensively. We investigated the clinical outcomes SEMS MGOO.A total 152 cancer patients with MGOO from a university hospital and affiliate hospitals were included. classified according to status palliative efficacy safety placement.Technical success rate, time oral intake, parameters indicating improvement physical condition did differ...
(1) Background: Endoscopic colorectal stenting with high technical success and safety is essential in discussing the oncological outcomes for management of malignant obstruction. Mechanical properties self-expandable metal stents are usually considered to affect clinical outcomes. (2) Methods: A multicenter, prospective study was conducted Japan. stent low axial force inserted endoscopically. The primary endpoint success, defined as resolution symptoms radiological findings within 24 h....
Forty-four patients with cervical spondylotic myelopathy who underwent a ventral surgical approach were evaluated respect to the results of surgery. The neurological status was categorized according modified Japanese Orthopedic Association scale (0-18). Three had functional score 8, one patient 9, five 10, 11, seven 12, 13, 14, and nine 15, preoperatively. Twenty-three one-level corpectomy, 15 two-level six three-level corpectomy. Forty-one (93.1%) 44 plate fixation. Complications among...
A focal area of increased activity (a hot spot) in the hepatic hilum on a radiocolloid liver scan has been well documented patients with superior vena cava obstruction. Portal-systemic shunting that developed between and portal vein is thought to be cause this finding. Although known, direct correlation other anatomic imaging methods rarely shown. The authors present case complete obstruction, which Tc-99m stannous colloid SPECT could clearly locate spot anterior part quadrate lobe, where...
Evidence of the efficacy and safety colorectal stent placement for palliation remains insufficient. This single-arm, prospective, multicenter study with WallFlex enteral colonic included 200 consecutive patients malignant large bowl obstruction in cohort. The technical clinical success, as well patency complications short-term (≤ 7 days) long-term (> 7days) outcomes, high axial force self-expandable metal (SEMS) was evaluated. success rates were 98.5% 94.5%, respectively. Non...
Evidence of the efficacy and safety colorectal stent placement for palliation remains insufficient. This single-arm, prospective, multicenter study with a WallFlex enteral colonic included 200 consecutive patients malignant large bowl obstruction in cohort. The technical clinical success, as well patency complications short-term (≤7 days) long-term (>7 outcomes, high axial force self-expandable metal (SEMS) was evaluated. success rates were 98.5% 94.5%, respectively. Non-recurrent at 1 year...
両側慢性硬膜下血腫に対して穿頭血腫洗浄除去術, 硬膜下ドレナージ術を施行したところ, 術後, 患者は傾眠傾向が持続し, 左片麻痺が増悪した.頭部CTにて多発性脳内出血が認められた.長期にわたる脳圧迫のため脳血流不全下で自動調節機構が障害されていた脳血管に, 急激な頭蓋内圧減少により血流量が増大し血管内圧が突然上昇した結果, 血液成分が脳組織内に漏出したのが原因と思われるが, 潜在する静脈遷流障害の関与も考えられた.高齢者で脳血管障害や高血圧を有する患者, 重度の頭部外傷があった患者が慢性硬膜下血腫をきたした場合は, 特に手術時の急激な血腫排出を避け, 閉鎖式ドレナージ術など緩徐な減圧が得られる工夫がなされるべきである.
The authors report a rare case of an anterior sacral meningocele (ASM) associated with epidermoid cyst, manifesting as increasingly enlarged subcutaneous mass in the gluteal region. A 66-year-old male presented pygal lesion. Plain radiographs and three-dimensional computed tomography (CT) demonstrated scimitar defect sacrum. Magnetic resonance images (MRI) revealed two cystic components presacral region, which appeared to be continuous dural sac. Subsequent laminectomy, exploration ostium...
前頭葉の脳内出血で発症した内頸動脈前壁動脈瘤を報告した.この部の動脈瘤はその特徴的な解剖学的位置関係より, 前頭葉底面, 側頭葉内側面に癒着していることが多いとされているが, くも膜下出血所見に乏しく, 脳内出血で発症したという報告はほとんどみられない.脳内血腫を合併した場合は減圧により薄く脆弱な動脈瘤壁が再破裂する可能性があるため, 必ず血腫の除去は動脈瘤の処置を確実に行ってから行うべきであり, 決して最初に行ってはならないこと, また前頭葉底面, 側頭葉内側面の脳内出血をみた場合には, 内頸動脈前壁動脈瘤を鑑別疾患の一つとして考えるべきであることを強調したい.