A5023094849- Colorectal Cancer Surgical Treatments
- Inflammatory Bowel Disease
- Colorectal and Anal Carcinomas
- Gastrointestinal disorders and treatments
- Microscopic Colitis
- Diverticular Disease and Complications
- Anorectal Disease Treatments and Outcomes
- Autoimmune and Inflammatory Disorders
- Fetal and Pediatric Neurological Disorders
- Colorectal Cancer Treatments and Studies
- Metastasis and carcinoma case studies
- Intraperitoneal and Appendiceal Malignancies
- Pancreatic and Hepatic Oncology Research
- Genetic factors in colorectal cancer
- Appendicitis Diagnosis and Management
- Gastrointestinal Tumor Research and Treatment
- Eosinophilic Esophagitis
- Hepatocellular Carcinoma Treatment and Prognosis
- Cancer Immunotherapy and Biomarkers
- Cancer, Stress, Anesthesia, and Immune Response
- Neonatal Respiratory Health Research
- Omental and Epiploic Conditions
- IgG4-Related and Inflammatory Diseases
- Genetic and Kidney Cyst Diseases
- Pelvic and Acetabular Injuries
University of Miyazaki
2012-2023
Japan Pediatric Society
2019
Mie University
2019
Miyazaki Welfare Medical College
1990-2004
Miyazaki Prefectural Hospital
1997
Osaka City University
1991
Jejunogastric intussusception is a rare complication after gastric operation. Intussusception operation occurs mostly at the gastrojejunal anastomosis site and Braun of Billroth II reconstruction, Y Roux-en-Y reconstruction. However, jejunogastric distal gastrectomy with reconstruction very rare. We report surgical case for cancer treatment.
PURPOSE: Side-to-side strictureplasty is a useful procedure for preserving the bowel in patients with Crohn’s disease. However, resection required some patients, and diseased proximal disease-free distal exist after resection. We performed modified new technique called side-to-side-to-end strictureplasty. METHODS: Four disease underwent this procedure. After of that was not suitable strictureplasty, side-to-side use loop. Thereafter, end stricture anastomosed to manner. RESULTS: The length...
Summary The role of Stat6 (signal transducers and activators transcription) in the recruitment activation eosinophils has been studied detail asthma other allergic diseases. In this study, we demonstrated that eosinophil responses occur a Stat6‐independent manner mice infected with intestinal nematode, Nippostrongylus brasiliensis . Stat6‐deficient (Stat6 –/– ) cannot expel N. establish chronic infections. Prominent blood eosinophilia were induced after day 14 postinfection (p.i.) maintained...
Cancer metastasis from colon cancer to an anal fistula is very rare. We herein reported a rare case in which local excision was performed for metastatic originating rectal cancer. A 68-year-old man referred our institution with diagnosis of He had complained 5 years. Based on recent history cerebral infarction, Hartmann’s operation treat the after administration preoperative chemotherapy 3 months. However, 1 month operation, found have worsened. Pelvic magnetic resonance imaging (MRI)...
To investigate the efficacy of infliximab for complicated perianal Crohn's disease with special reference to maintenance therapy.Between June 2002 and April 2009, 20 patients (15 men 5 women, aged 31.4±2.9 years old (mean ± standard error)) fistulizing anal underwent seton placement. For induction therapy, intravenous infusion was given 3 times after surgical treatment. Thereafter, every 8 weeks as therapy. Patients were followed-up 31.8±4.2 months first infusion. The number treatments...
Mucosal immune dysregulation associated with T cells plays a critical role in the development of inflammatory bowel diseases (IBD). However, definite significances these IBD still remain unclear. Therefore, we investigated population and expression CD4+CD161+ colonic lamina propria mononuclear (LPMCs) patients by analyses using flow cytometry immunohistochemistry. Interleukin-10 (IL-10) mRNA levels both LPMCs CD4+ (LP-CD4+ cells) were measured real-time quantitative reverse...
Background. Oxaliplatin (OX)-based chemotherapy induces sinusoidal obstruction syndrome (SOS) in the nontumorous liver parenchyma, which can increase risk of resection due to colorectal metastasis (CRLM). The extracellular volume (ECV) calculated from contrast-enhanced computed tomography (CT) has been reported reflect morphological change hepatic fibrosis. present retrospective study aimed evaluate ECV fraction as a predictive factor for OX-induced SOS. Methods. Our included 26 patients who...
The present study analyzed the postoperative outcomes in patients who underwent hepatectomy or pancreatectomy, with a history of intra-abdominal surgery involving other organs, to elucidate surgical efficacy.We examined perioperative parameters 28 (n=12) and pancreatectomy (n=16) after receiving prior abdominal organ resection (esophagectomy, n=2; gastrectomy, n=5; small intestine, appendectomy, colorectal resection, n=9; hepatectomy, n=1; cholecystectomy, n=3; splenectomy, n=2, ,right...
Laparoscopic multi-visceral resection in patients with T4 colorectal cancer remains controversial. A 73-year-old man was admitted to the hospital for rectosigmoid directly invading urinary bladder trigone without distant metastasis. We successfully performed complete by laparoscopic anterior pelvic exenteration while preserving anus. After mobilization of rectum, bladder, and prostate, urethra urethral catheter were dissected reveal lower rectum. By pulling toward head, prostate excised...
The present case reports demonstrated the accompanying surgical support from hepato-biliary-pancreas (HBP) surgeons for urological surgery to secure operative safety because HBP are well experienced in dissecting techniques mobilization of liver or pancreas. We 9 consecutive patients who underwent nephrectomy, adrenectomy resection retroperitoneal tumors by surgeons. Cardiovascular intervention was also required cases long tumor thrombus into vena cava.All had no severe co-existing diseases...
Abstract An 86-year-old woman’s stool sample was positive for blood. Computed tomography (CT) showed wall thickening of the ascending colon at hepatic flexure. Colonoscopy near-complete obturation by cancer. Since she asymptomatic, elective surgery planned. Laparoscopic right hemicolectomy performed. Histopathological examination poorly differentiated carcinoma cells proliferating in a solid pattern with marked lymphocyte infiltration. The diagnosis lymphoepithelioma-like (LELC) associated...
症例は79歳女性.肛門部掻痒感,肛門部出血,肛門周囲皮膚の浸潤性紅斑を認め,肛門周囲Paget病を疑われた.肛門部皮膚生検の免疫染色結果,Paget様進展(pagetoid spread,PS)が疑われ,下部消化管内視鏡検査と腰椎麻酔下に十分な肛門視診も行ったが,肉眼的に明らかな腫瘤性病変は認めなかった.このため再度皮膚深層生検を行ったところ表皮内にはPaget様細胞の増殖と,真皮内には腫瘍性腺管を認め腺癌と診断された.免疫染色でCK7,CK20,CDX2が陽性,GCDFP-15が陰性であり肛門管癌のPSと診断され,手術は腹腔鏡下腹会陰式直腸切断術,両側側方郭清(D3)を施行した.切除標本病理では陰窩腺原発肛門管癌のPSと診断され,根治切除を行い得た.肛門管内に肉眼的に明らかな腫瘤性病変を認めない場合でも,肛門管癌のPSを念頭に置く必要があると思われた貴重な1症例であった.
55歳の女性．検診にて腹腔内腫瘤を指摘され当院へ紹介された．触診で左上腹部に手拳大で可動性不良の硬い腫瘤を触れた．腹部超音波では境界明瞭，内部エコー不均一な充実性腫瘤として認め，CT所見では80×70×45mm大の境界明瞭，造影効果の乏しい腫瘍であった．原発不明の腹腔内腫瘍との術前診断のもとに，腹腔鏡下に切除術を施行した．腫瘍は横行結腸間膜と茎状に連なる形で存在し，周囲組織への浸潤は認めなかった．摘出標本では割面が白色調の充実性腫瘍であった．病理所見では免疫染色にてc-kit，CD34が陰性，抗平滑筋アクチン染色が陽性であり腸間膜原発の平滑筋腫と診断された．腸間膜平滑筋腫は極めて稀な疾患であり，良悪性の鑑別が難しく，組織学的所見が生物学的悪性度とは必ずしも一致しない．術後2年以上経過するが再発兆候は認めていない．今回，横行結腸間膜原発の平滑筋腫の1切除例を経験したので文献的考察を含め報告する．
The indocyanine green test is a reliable liver function examination before major hepatectomy, and anaphylaxis rarely concern. A 65-year-old male patient without epigastralgia was diagnosed with 2.2-cm intrahepatic cholangiocarcinoma. He had no history of allergic reactions. Some dysfunction indicated by the laboratory data; however, there marked obstructive jaundice functional reserve maintained technetium-99m galactosyl serum albumin. routinely performed, but immediately demonstrated severe...
[b]BACKGROUND[/b] Stoma prolapse is the full-thickness protrusion of bowel through a stoma, which occurs in 2% to 26% colostomies. However, stoma complicated by small incarceration very rare, reported only 3 cases thus far. To our knowledge, present case first surgical treatment after preoperative manual reduction for incarceration. [b]CASE REPORT[/b] A 74-year-old male who had undergone sigmoid end colostomy right lower abdomen Hartmann’s operation rectal cancer visited emergency room...
Abstract This study aimed to investigate whether the initial indication for surgery or type of (strictureplasty resection) performed determines recurrence patterns in patients with Crohn disease. Recurrence 41 (31 patients: only resection and anastomosis intestine, 10 strictureplasty with/without anastomosis) who underwent operation recurrent disease (June 2002–December 2010) were evaluated. Strictureplasty nonperforating was at 17 sites, reoperation required 11 sites (10 1 site perforating...
Adult cases of retroperitoneal isolated enteric duplication cyst (IEDC) are rare, with only 17 case reports in the relevant literature. We herein present a case, which was characterized by changes intra-cystic density on computed tomography (CT), safely resected laparoscopic surgery.The patient 60-year-old male who received abdominal CT to investigate cause increased serum CA19-9 levels. revealed unilocular cystic mass located lower right retroperitoneum. The size from 5 10 cm three and half...