A5079771621- Gastrointestinal Bleeding Diagnosis and Treatment
- Gastrointestinal disorders and treatments
- Gastric Cancer Management and Outcomes
- Esophageal and GI Pathology
- Diverticular Disease and Complications
- Gastrointestinal Tumor Research and Treatment
- Colorectal Cancer Screening and Detection
- Liver Disease and Transplantation
- Metastasis and carcinoma case studies
- Gastroesophageal reflux and treatments
- Liver Disease Diagnosis and Treatment
- Helicobacter pylori-related gastroenterology studies
- Abdominal vascular conditions and treatments
- Pancreatitis Pathology and Treatment
- Colorectal Cancer Surgical Treatments
- Esophageal Cancer Research and Treatment
- Gastrointestinal motility and disorders
- Hospital Admissions and Outcomes
- Appendicitis Diagnosis and Management
- Foreign Body Medical Cases
- Inflammatory mediators and NSAID effects
- Potassium and Related Disorders
- Hidradenitis Suppurativa and Treatments
- Autoimmune and Inflammatory Disorders
- Airway Management and Intubation Techniques
Hiroshima City Asa Citizens Hospital
2016-2025
North Medical Center
2022-2025
Citizens Specialty Hospitals
2024
American Society for Gastrointestinal Endoscopy
2022
Yokohama City University
2017
Hiroshima University Hospital
2014-2016
Hiroshima University
2011-2015
Sophia University
2015
Kagoshima University
1966-1968
Small-bowel angioectasias are frequently diagnosed with capsule endoscopy (CE) or balloon however, major predictors have not been defined and the indications for endoscopic treatment standardized. The aim of this study was to evaluate management small-bowel angioectasia.Among patients obscure gastrointestinal bleeding (OGIB) who underwent both CE double-balloon at our institution, we enrolled 64 angioectasia (angioectasia group) 97 without (non-angioectasia group). group subdivided into type...
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...
Background The rebleeding risks and outcomes of endoscopic treatment for acute lower gastrointestinal bleeding (ALGIB) may differ depending on the location, type, etiology stigmata recent hemorrhage (SRH) but have yet to be fully investigated. We aimed identify high risk SRH propose an optimal strategy. Methods retrospectively analyzed 2699 ALGIB patients with at 49 hospitals (CODE BLUE-J Study), whom 88.6 % received treatment. Results 30-day rates untreated significantly differed among...
The usefulness of capsule endoscopy (CE) and double-balloon (DBE) for detection small-bowel lesions is widely accepted. We compared CE- DBE-based in patients with obscure gastrointestinal bleeding (OGIB) who underwent total enteroscopy by both CE DBE.One hundred eighteen consecutive (70 men, 48 women; mean age 62.9±18.4 years) OGIB DBE. was performed DBE then within 1 week retrograde antegrade approaches. Differences rates were analyzed.Overall, detected 53 (44.9%) 63 (53.4%) (p=0.01);...
Treatment of low-dose aspirin (LDA)-induced small-bowel injury has not been established. Polaprezinc, a chelate zinc and L-carnosine, may be efficacious for such injury. We conducted pilot randomized controlled study to investigate whether polaprezinc is effective against LDA-induced injuries.Consecutive patients under long-term (>3 months) LDA treatment who agreed participate in our underwent initial capsule endoscopy (CE). Patients with apparent upon CE (n = 20) were into (150 mg/day 4...
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...
To determine the clinical outcomes of endoscopic submucosal dissection (ESD) for colorectal tumors in older patients and predictors mortality. We retrospectively evaluated 207 lesions 195 consecutive aged ≥ 75 years who underwent ESD between January 2007 December 2018. Outcomes were evaluated, prognosis was assessed terms both curability patient's baseline physical condition as determined by several indices. Cox regression analyses performed to identify factors associated with reduced...
To assess the clinical usefulness of transabdominal ultrasonography (TUS) for detection small-bowel stricture.Subjects were 796 patients undergoing double-balloon endoscopy (DBE), December 2003-October 2011. All underwent TUS prior to DBE. The findings classified by type as intestinal narrowing and distension at oral side (Type A); extensive bowel wall thickening B); focal C) or no abnormality detected D). We compared against DBE with respect stricture, defined failure enteroscope pass...
Although capsule endoscopy is available as a minimally invasive imaging technique that contributes significantly to the detection of small bowel lesions, there are only very few published descriptions abnormalities in patients with portal hypertension. The aim this study was characterize occurrence lesions by means hypertension, particularly those compensated liver cirrhosis and associated anemia. Sixty consecutive who met our criteria underwent endoscopy. frequency, type, distribution were...
Abstract Background and Aim Portal hypertensive enteropathy ( PHE ) is acknowledged as a source of bleeding, predicting its presence has become more important. We assessed using capsule endoscopy CE investigated factors that may predict presence, including portosystemic shunts PSs ). Methods analyzed data from 134 consecutive patients with liver cirrhosis, F ebruary 2009 to S eptember 2013. All had undergone dynamic computed tomography esophagogastroduodenoscopy before examination. The...
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....
Bowel preparation is burdensome because of long cleansing times and large dose volumes conventional polyethylene glycol (PEG) lavage solution Niflec
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...
Effectiveness of capsule endoscopy (CE) for screening the small bowel in patients with portal hypertension (PHT) has been reported. However, few reports discuss CE detection specific esophagogastric lesions related to PHT. Thus, we assessed whether is useful detecting such lesions.One hundred nineteen consecutive PHT comprised study group. All had undergone esophagogastroduodenoscopy (EGD) prior CE. The diagnostic yield esophageal varices (EVs), gastric (GVs), and hypertensive gastropathy...
<b><i>Background/Aims:</i></b> The differences in the severity of small-bowel toxicity induced by aspirin and non-aspirin non-steroidal anti-inflammatory drugs (NSAIDs) remain unclear. This study aimed at clarifying these mucosal injury using capsule endoscopy (CE). <b><i>Methods:</i></b> We retrospectively compared records 78 40 obscure gastrointestinal bleeding patients receiving low-dose (LDA) NSAIDs, respectively. All were found to have...
Background/Aim. Usefulness of capsule endoscopy (CE) for diagnosing small-bowel lesions in patients with obscure gastrointestinal bleeding (OGIB) has been reported. Most reports have addressed the clinical features overt OGIB, few addressing occult OGIB. We aimed to clarify whether OGIB is a definite indication CE. Methods. retrospectively compared cases 102 and 325 all having undergone The diagnostic yield CE identification various lesion types were determined versus Results. There was no...
Benign colonic anastomotic stenosis sometimes occurs after surgical resection and usually requires or endoscopic dilation. Limited data are available on the effectiveness safety of radial incision cutting (RIC) method at sites other than esophagus. The aim this retrospective study was to investigate RIC dilation for severe benign stenosis. Subjects were 3 men (median age 72 years, range 65 - 76 years) who developed colorectal carcinoma subsequently treated by Hiroshima City Asa Citizens...
Small-bowel hemangiomas are a possible source of gastrointestinal bleeding for which there is no established treatment approach. In this report, we describe the case 58-year-old woman who presented with hematochezia and was diagnosed small bowel hemangioma. She successfully treated using endoscopic sclerotherapy. Initial capsule endoscopy revealed in ileum. Subsequent double-balloon enteroscopy showed 2-cm, bluish-purple, ileal submucosal tumor an overlying protrusion. The lesion responsible...
Abstract Background The value of endoscopy for acute lower GI bleeding (ALGIB) remains unclear, given few large cohort studies. We aim to provide detailed clinical data ALGIB management and identify patients at risk adverse outcomes based on endoscopic diagnosis. Methods conducted a multicenter, retrospective study, named CODE BLUE J-Study, in 49 hospitals throughout Japan studied 10,342 cases admitted outpatient-onset hematochezia. Results Cases were mostly elderly, with 29.5% hemodynamic...