A5014260031- Pancreatic and Hepatic Oncology Research
- Gallbladder and Bile Duct Disorders
- Pancreatitis Pathology and Treatment
- Pediatric Hepatobiliary Diseases and Treatments
- Esophageal and GI Pathology
- Cholangiocarcinoma and Gallbladder Cancer Studies
- Biliary and Gastrointestinal Fistulas
- Neuroendocrine Tumor Research Advances
- Gastric Cancer Management and Outcomes
- Medical Imaging and Pathology Studies
- IgG4-Related and Inflammatory Diseases
- Lung Cancer Diagnosis and Treatment
- Gastrointestinal disorders and treatments
- Advanced X-ray and CT Imaging
- Parathyroid Disorders and Treatments
- Liver Disease Diagnosis and Treatment
- Hepatocellular Carcinoma Treatment and Prognosis
- Medical Imaging Techniques and Applications
- Neuroblastoma Research and Treatments
- Anesthesia and Sedative Agents
- Cancer Diagnosis and Treatment
- Endometrial and Cervical Cancer Treatments
- Genetic and Kidney Cyst Diseases
- Salivary Gland Tumors Diagnosis and Treatment
- Lymphatic Disorders and Treatments
Sendai Medical Center
2018-2025
Naha City Hospital
2024
Creative Commons
2022
Okayama University
2019
The factors affecting the detection rate of lymphoplasmacytic sclerosing pancreatitis (LPSP) using endoscopic ultrasound-guided tissue acquisition (EUS-TA) in patients with type 1 autoimmune (AIP) have not been thoroughly studied. Therefore, we conducted a retrospective study to identify predictive for histologically detecting level or 2 LPSP EUS-TA. Fifty AIP were included this study, and primary outcome measures Multivariate analysis identified use fine needle biopsy (FNB) needles as...
The aim of this study was to evaluate outcomes inside plastic stents (iPSs) versus those metal (MSs) for treating unresectable perihilar malignant obstructions.For all patients who underwent endoscopic suprapapillary placement iPS(s) or MS(s) as the first permanent biliary drainage obstructions between January 2014 and August 2019, clinical using iPSs (n=20) MSs (n=85), including efficacy, adverse events, time recurrence obstruction (RBO), were retrospectively evaluated.There no differences...
Background/Aims: Endoscopic biliary drainage using self-expandable metallic stents (SEMSs) for malignant strictures occasionally induces acute cholecystitis (AC). This study evaluated the efficacy of prophylactic gallbladder (GBS) during SEMS placement.Methods: Among 158 patients who underwent placement between January 2018 and March 2023, 30 attempted to undergo GBS before were included.Results: Technical success was achieved in 21 cases (70.0%). The mean diameter cystic duct more...
In this study, we aimed to evaluate the predictive value of localized stenosis main pancreatic duct (MPD) for early detection cancer.Among 689 patients who underwent endoscopic retrograde pancreatography from January 2008 September 2018, 19 with MPD findings were enrolled. These showed indicating suspicious cancer at an stage (FiCE); FiCE was defined as a single, in without detectable mass (using any other imaging methods) and diseases, such definite chronic pancreatitis, intraductal...
Abstract Background and study aims A newly developed peroral cholangioscopy (POCS) system, SpyGlassDS has high maneuverability. This aimed to evaluate acceptability of the accuracy accompanied by simultaneous POCS-guided biopsy compared with that a traditional POCS scope, CHF-B260, diagnose lateral extent extrahepatic cholangiocarcinoma (LEC). Patients methods who underwent surgical resection after preoperative examinations LEC were evaluated. CHF-B260 was performed if there discrepancy...
It is often difficult to manage acute cholecystitis after metal stent (MS) placement in unresectable malignant biliary strictures. The aim of this study was evaluate the feasibility endoscopic ultrasonography-guided gallbladder drainage (EUS-GBD) for cholecystitis.The clinical outcomes 10 patients who underwent EUS-GBD MS between January 2011 and August 2018 were retrospectively evaluated. procedural percutaneous transhepatic (PTGBD) with tube (n=11 cases) aspiration (PTGBA) (n=27 during...
Objective Recently, a new digital peroral cholangioscopy (POCS) system, the SpyGlass DS (SpyDS), has been used for POCS-guided lithotripsy difficult bile duct stones (DBDSs). The aim of this retrospective study was to compare efficacy SpyDS-guided electrohydraulic (EHL) DBDS with that conventional cholangioscope.
Abstract Objectives A difficult step in endoscopic ultrasound (EUS)‐guided drainage procedures is dilation of the puncture tract before stent deployment. The efficacy and safety a novel spiral dilator, Tornus ES, for EUS‐guided were investigated this study. Methods This study was conducted as prospective, single‐arm, observational at Sendai City Medical center. Dilation using dilator attempted all cases. primary outcome technical success rate which defined successful placement tract....
We have encountered rare cases of two types gastrointestinal amyloidosis, amyloid light chain (AL) type and A protein (AA) type. Case 1: An 83-year-old man developed hematochezia after percutaneous coronary intervention. CT scans showed wall thickening the colon. Colonoscopy revealed submucosal tumor-like protrusions with ulceration in Biopsies confirmed diagnosis colonic amyloidosis. Multiple myeloma-associated AL amyloidosis was suspected based on positive serum M-protein. 2: 79-year-old...
We present the case of a 54-year-old woman who was diagnosed with intraductal papillary neoplasm bile duct (IPNB) in remnant intrapancreatic duct, 37 years after surgery for congenital biliary dilatation. Endoscopic ultrasonography revealed papillary, low-echoic mass and peroral cholangioscopy mucosa. A pancreaticoduodenectomy performed, patient pathologically type 1 pancreatobiliary-type IPNB associated invasive carcinoma. As similar atypical epithelium identified pancreatic it suggested...
This study aimed to identify the predictive factors for inaccurate endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) diagnosis of swollen lymph nodes without rapid on-site cytopathological evaluation.Eighty-three consecutive patients who underwent EUS-FNA abdominal or mediastinal from January 2008 June 2017 were included a prospectively maintained database and retrospectively reviewed. The sensitivity, specificity, accuracy detection neoplastic diseases calculated. Candidate...
Objective Endoscopic papillary large-balloon dilation (EPLBD) for common bile duct (CBD) stone removal has been confirmed to be safe and effective in the short term. The long-term outcomes of EPLBD, which have not sufficiently evaluated, were therefore investigated this study. Methods For patients who had undergone endoscopic CBD with EPLBD between October 2011 December 2015, follow-up surveys conducted using a postal survey, telephone interview, or medical record review August 2017. main...
Background/Aims The aim of this study was to evaluate the safety sedation with propofol as an alternative benzodiazepine drugs in outpatient endoscopy. Methods In prospective study, examinees who underwent endoscopy under and submitted a nextday questionnaire providing informed consent were evaluated. Periprocedural acute responses, late adverse events within 24 hours, examinee satisfaction Results Among 4,122 patients received 17,978 outpatient-based endoscopic examinations performed...
In patients with Roux-en-Y (RY) reconstruction for gastric resection, the newly defined "fold disruption" (FD) sign can be useful to distinguish afferent limb from efferent at Y anastomosis when balloon endoscopy-assisted endoscopic retrograde cholangiopancreatography (BE-ERCP) is performed. The FD was as findings of internal folds disrupted toward and continued anastomosis. this prospective observational study, accuracy evaluated those who underwent BE-ERCP after resection RY...
感染性肝囊胞は比較的稀な疾患とされているが画像診断の進歩により診断する機会が増加しており，当院では2009年から2018年の間に23例を経験した．今回は画像検査の所見と囊胞液の検査結果，治療経過について検討した．腹部超音波検査では22例に囊胞内のスラッジエコーを認め，腹部造影CT検査では5例に囊胞壁の造影効果を認めた．腹部MRI検査を14例に行い全例でT2強調画像での囊胞内部の信号低下を認め，拡散強調画像を追加した12例では囊胞内部や囊胞辺縁の拡散低下を認めた．囊胞液の培養は12例が陽性で血液培養も10例で陽性であり，起因菌はKlebsiella pneumoniaeが最多であった．治療は全例に抗菌薬投与と囊胞内容液の穿刺吸引または持続ドレナージを施行して11例は塩酸ミノサイクリンによる硬化療法を追加した．1例はドレナージにて改善が得られず外科手術に至ったが，最終的に全例が軽快退院した．
A 47-year-old man who had undergone subtotal stomach-preserving pancreatoduodenectomy presented with recurrent cholangitis, possibly due to a hepaticojejunostomy anastomosis (HJA) stricture ([Fig. 1]). Endoscopic retrograde cholangiopancreatography using short-type single-balloon endoscopy was planned. However, as the HJA completely occluded by fibrous membrane, we could not insert cannula into bile duct. Therefore, performed endoscopic ultrasound-guided hepaticogastrostomy (EUS-HGS).
This study aimed to clarify the efficacy and safety of pancreatic duct lavage cytology combined with a cell-block method (PLC-CB) for possible ductal adenocarcinomas (PDACs).This included 41 patients suspected PDACs who underwent PLC-CB mainly because they were unfit undergoing endoscopic ultrasonography-guided fine needle aspiration. A 6-Fr double lumen catheter was used perform PLC-CB. Final diagnoses obtained from findings resected specimens or clinical outcomes during surveillance after...
Aims: Surgery is recommended for large pedunculated gallbladder polyps (PGPs), which measure 10 mm or more in size, because they tend to be neoplastic (NPs), such as adenomas and adenocarcinomas. However, after resection, are often found non-neoplastic (non-NPs). This study aimed evaluate the usefulness of plain CT distinguishing NPs from non-NPs. Methods: Of 80 patients who underwent cholecystectomy PGPs ( between January 2008 February 2021, 46 contrast-enhanced (CE-CT) before resection...
Abstract Background and study aims Because more than a few patients have intraductal papillary mucinous neoplasms of the pancreas (IPMNs) with mural nodules (MNs) that are benign, clinical plans should be determined by using histocytological specimens especially, for high risk surgery or small MN. Patients methods This included 27 to evaluate efficacy peroral pancreatoscopy SpyGlass DS system (POPS-DS) MN-positive IPMN, mainly focusing on ability POPS-DS detect malignancy. Results Biopsy...