A5066266880- Gastrointestinal Bleeding Diagnosis and Treatment
- Trauma and Emergency Care Studies
- Abdominal Trauma and Injuries
- Cardiac Arrest and Resuscitation
- Gastrointestinal disorders and treatments
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Pelvic and Acetabular Injuries
- Traumatic Brain Injury and Neurovascular Disturbances
- Catalytic Processes in Materials Science
- Catalysis and Oxidation Reactions
- Esophageal and GI Pathology
- Oxidative Organic Chemistry Reactions
- Diverticular Disease and Complications
- Trauma Management and Diagnosis
- Abdominal vascular conditions and treatments
- Abdominal Surgery and Complications
- Radiation Dose and Imaging
- Metallic Glasses and Amorphous Alloys
- Liver Disease and Transplantation
- Gastric Cancer Management and Outcomes
- Ultrasound in Clinical Applications
- Chemical Synthesis and Reactions
- Acute Kidney Injury Research
- Transition Metal Oxide Nanomaterials
- Pancreatitis Pathology and Treatment
Fujita Health University Hospital
2021-2024
Fujita Health University
1991-2024
American Society for Gastrointestinal Endoscopy
2022
Saiseikai Ibaraki Hospital
2021
Japanese Society of Medical Oncology
2019
Toyooka Hospital
2018
Kawasaki Hospital
2018
University of Maryland, Baltimore
2016
St. Marianna University School of Medicine
2016
Hachinohe Gakuin University
2016
Colonic diverticular disease has been increasing in prevalence Japan due to the rapidly aging population. bleeding can result hemorrhagic shock requiring blood transfusion, and it carries a high risk of recurrence within 1 year. diverticulitis cause abscess, fistula formation, perforation colon that may require surgery, often recurs. As result, patients with colonic are bothered by required frequent examinations, re-hospitalization, consequent decrease quality life. However, management...
Large arterial sheaths currently used for resuscitative endovascular balloon occlusion of the aorta (REBOA) may be associated with severe complications. Smaller diameter catheters compatible 7Fr improve safety profile.A retrospective review patients receiving REBOA through a sheath refractory traumatic hemorrhagic shock was performed from January 2014 to June 2015 at five tertiary-care hospitals in Japan. Demographics were collected including method access; outcomes included mortality and...
Background Resuscitative endovascular balloon occlusion of the aorta (REBOA) performed by emergency physicians has been gaining acceptance as a less invasive technique than resuscitative thoracotomy. Objective To evaluate access-related complications and duration occlusions during REBOA. Methods Patients with haemorrhagic shock requiring REBOA, from 18 hospitals in Japan, included DIRECT-IABO Registry were studied. REBOA-related characteristics compared between non-survivors survivors at 24...
Resuscitative endovascular balloon occlusion of the aorta (REBOA) has been used in refractory hemorrhagic shock patients. Since optimal timing arterial access remains unclear, we evaluated preocclusion status patients, and elapsed time from arrival to hospital is associated with survival outcomes REBOA patients.From August 2011 December 2016, The Diagnostic Interventional Radiology Emergency, Critical care Trauma-Intra-Aortic Balloon Occlusion (DIRECT-IABO) investigators registered patients...
INTRODUCTION: The bleeding source of hematochezia is unknown without performing colonoscopy. We sought to identify whether colonoscopy a risk-stratifying tool etiology and predict outcomes presenting symptoms can differentiate the etiologies in patients with hematochezia. METHODS: This multicenter retrospective cohort study conducted at 49 hospitals across Japan analyzed 10,342 admitted for outpatient-onset acute RESULTS: Patients were mostly elderly population, 29.5% had hemodynamic...
Abstract Background Direct and indirect clipping treatments are used worldwide to treat colonic diverticular bleeding (CDB), but their effectiveness has not been examined in multicenter studies with more than 100 cases. Objective We sought determine the short‐ long‐term of direct versus for CDB a nationwide cohort. Methods studied 1041 patients who underwent ( n = 360) or 681) at 49 hospitals across Japan (CODE BLUE‐J Study). Results Multivariate analysis adjusted age, sex, important...
Although videos of surgical procedures are useful as an educational tool, the recording trauma surgeries in emergency situations is difficult. We describe inexpensive and practical shooting method using a commercially available head-mounted video camera.We used ContourHD 1080p Helmet Camera (Contour Inc., Seattle, Washington, USA.). This small, self-contained camera system was originally designed for easy videography outdoor sports by participants.We were able to easily make high-quality...
Currently, large, nationwide, long-term follow-up data on acute lower gastrointestinal bleeding (ALGIB) are scarce. We investigated risks of recurrence after hospital discharge for ALGIB using a large multicenter dataset.
The study aimed to identify prognostic factors for patients with acute lower gastrointestinal bleeding and develop a high-accuracy prediction tool. analysis included 8254 cases of hematochezia who were admitted urgently based on the judgment emergency physicians or gastroenterology consultants (from CODE BLUE J-study). Patients randomly assigned derivation cohort validation in 2:1 ratio using random number table. Assuming that present at time admission are involved mortality within 30 days...
Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a viable alternative to resuscitative thoracotomy (RT) in refractory hemorrhagic patients. We evaluated REBOA strategies using Japanese multi-institutional data.The DIRECT-IABO investigators registered trauma patients requiring from 18 hospitals. Patients' characteristics, outcomes, and time initial treatment were collected analyzed.From August 2011 December 2015, 106 analyzed. The majority men (67%) (median BMI 22 kg/m,...
Background and AimsWe aimed to determine the optimal timing of colonoscopy factors that benefit patients who undergo early for acute lower GI bleeding.MethodsWe identified 10,342 with hematochezia (CODE BLUE-J study) admitted 49 hospitals in Japan. Of these, 6270 underwent a within 120 hours were included this study. The inverse probability treatment weighting method was used adjust baseline characteristics among (≤24 hours, n = 4133), elective (24-48 1137), late (48-120 1000) colonoscopy....
A 53-year-old Japanese man with recurrent interstitial pneumonia was referred to us. The patient had taken a traditional herb medicine, otsu-ji-to, before the onset of pneumonia. provocation test for each herbal ingredient contained in otsu-ji-to revealed that pneumonitis been induced by ou-gon (scullcap). Lymphocytosis CD8+ T-cell subset predominance found bronchoalveolar lavage fluid and lymphocytic alveolitis noted transbronchial lung biopsy specimen after test. Ou-gon, or scullcap,...
We aimed to investigate the value of diameter inferior vena cava (IVC) on initial computed tomography (CT) predict hemodynamic deterioration in patients with blunt torso trauma.We reviewed CT scans, taken after admission emergency room (ER), 114 trauma who were consecutively admitted during a 24-month period. measured maximal anteroposterior and transverse diameters IVC at level renal vein. Flat (FVC) was defined as ratio less than 4:1. According status, categorized into three groups....
Abstract Objective Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a less‐invasive method for temporary hemostasis compared with cross‐clamping through resuscitative thoracotomy (RT). Although survival benefits REBOA remained unclear, pathophysiological were identified in patients traumatic out‐of‐hospital cardiac arrest (t‐OHCA). We examined clinical outcomes t‐OHCA hypothesis that would be associated higher to discharge RT. Methods A retrospective cohort study was...
Ligation therapy, including endoscopic detachable snare ligation (EDSL) and band (EBL), has emerged as an treatment for colonic diverticular bleeding (CDB); its comparative effectiveness risk of recurrent remain unclear, however. Our goal was to compare the outcomes EDSL EBL in treating CDB identify factors after therapy.We reviewed data 518 patients with who underwent (n = 77) or 441) a multicenter cohort study named Colonic Diverticular Bleeding Leaders Update Evidence From Multicenter...