- Gastric Cancer Management and Outcomes
- Gastrointestinal Tumor Research and Treatment
- Gastrointestinal disorders and treatments
- Gallbladder and Bile Duct Disorders
- Esophageal and GI Pathology
- Pancreatic and Hepatic Oncology Research
- Esophageal Cancer Research and Treatment
- Colorectal Cancer Screening and Detection
- Gastrointestinal Bleeding Diagnosis and Treatment
- Diverticular Disease and Complications
- Pediatric Hepatobiliary Diseases and Treatments
- Metastasis and carcinoma case studies
- Neuroendocrine Tumor Research Advances
- Colorectal Cancer Surgical Treatments
- Diagnosis and treatment of tuberculosis
- Helicobacter pylori-related gastroenterology studies
- Hip and Femur Fractures
- Inflammatory Bowel Disease
- Microscopic Colitis
- Cardiac, Anesthesia and Surgical Outcomes
- Lymphoma Diagnosis and Treatment
- Cytomegalovirus and herpesvirus research
- Lung Cancer Diagnosis and Treatment
- Amoebic Infections and Treatments
- Eosinophilic Esophagitis
Saitama Medical University
2018-2025
Saitama Medical University Hospital
2019-2023
Saitama International Medical Center
2022
RELX Group (Netherlands)
2022
Sapporo Kosei General Hospital
2020
Nara City Hospital
2018
Creative Research Enterprises (United States)
2018
Abstract Background Adenoma detection rate (ADR) is an important indicator of colonoscopy quality and colorectal cancer incidence. Both linked-color imaging (LCI) with artificial intelligence (LCA) LCI alone increase adenoma during colonoscopy, although it remains unclear whether one modality superior. This study compared ADR between LCA alone, including according to endoscopists’ experience (experts trainees) polyp size. Methods Patients undergoing for positive fecal immunochemical tests,...
The adenoma detection rate is an important indicator of colonoscopy quality and colorectal cancer incidence. We compared the rates between white light imaging (WLI) linked color (LCI) colonoscopy.Patients undergoing for positive fecal immunochemical tests, follow-up colon polyps, abdominal symptoms at three institutions were randomly assigned to LCI or WLI groups. Mean number per patient (including based on endoscopists' experience), rate, cecal intubation time, withdrawal mean location,...
The endoscopic channel can be damaged by instruments during use and cleaning, leading to contamination, infection, increased repair costs. However, few devices are available observe the inside of channel. This study employed an ultrafine-diameter scope examine damage in Fifty-eight endoscopes used at our institution were examined for scratches, discoloration, or deformation using scope. Damage was observed seven 24 observation 27 34 therapeutic endoscopes, with being more common endoscopes....
Introduction: Eosinophilic gastrointestinal disease (EGID) is divided into eosinophilic esophagitis (EoE) and non-eosinophilic (non-EoE-EGID), based on the involved organs. The present survey was performed to provide an overview of current status epidemiology, diagnosis, treatment EGID in Asia. Methods: Responses questionnaire were obtained from 228 doctors at various institutions eight Asian countries. consisted 52 questions EoE non-EoE EGID. Results: Questionnaire most common participation...
Biologics against interleukin-5 were administered to five patients with eosinophilic gastroenteritis (EGE) and bronchial asthma (BA). BA abdominal symptoms as well changes in steroid dose the blood eosinophil count examined. The man-to-woman ratio was 1:4. average age of onset 63 years old. duration disease three nine years. Four showed improved mepolizumab or benralizumab, successfully discontinued steroids. Regarding symptoms, effective one cases, while benralizumab four cases. targeting...
ABSTRACT Background and Aims Laser endoscopy has a linked color imaging (LCI) mode which been reported to be superior white light (WLI) in detecting early gastric cancer (EGC). In this study, we retrospectively investigated the characteristics of superficial neoplasms detected not by WLI but LCI. Patients Methods From April 2018 May 2023, EGC or adenoma identified EGD was observed using LCI after WLI. The size, location, macroscopic type, color, skill level endoscopists, treatment were...
Abstract Background and study aims Endoscopic resection of duodenal neuroendocrine tumors (DNETs) remains controversial, its indications are still unclear. This aimed to evaluate short-term outcomes a newly developed endoscopic muscularis (EMR) method that utilizes an over-the-scope clip (OTSC), termed EMRO, for treating DNETs. Patients methods In total, 13 consecutive patients with 14 small (≤ 10 mm) DNETs who underwent EMRO from September 2017 March 2020 were retrospectively enrolled. was...
Abstract Colorectal endoscopic submucosal dissection (ESD) is a difficult procedure, and its introduction to trainees has been debated. Although the criteria for performing colorectal ESD vary among institutions, it often allowed after gaining experience surgeries in animals upper gastrointestinal ESD. This pilot study aimed compare treatment outcomes of performed by using multi-loop traction device (MLTD group) those conventional experts (control group). It also determine whether MLTD can...
Transparent hood-assisted colonoscopy (TAC) has been reported to improve the cecal insertion rate and adenoma detection (ADR). An endoscopic cap (Endocuff) with two rows of soft wings was recently developed ADR, by flattening mucosal folds during withdrawal. This randomized prospective control study aimed compare ADR between Endocuff-assisted (EAC) TAC.A total 513 patients undergoing colon screening were included. EAC performed in 256 TAC 260 patients. Cecal intubation rate, time, mean...
Abstract Objectives Understanding the exact morphology of bile duct opening is important for determining success cannulation. Texture and color enhancement imaging (TXI) has been reported to enhance slight changes in tone structure that are difficult see with white light imaging. This study investigated whether TXI mode1 could improve papillary recognition by trainees inexperienced endoscopic retrograde cholangiopancreatography. Methods We included 31 patients naive papilla Vater at a single...
Laser endoscopy involves blue laser imaging in bright mode (BLI-bright). Linked color (LCI) is superior to white light (WLI) for detecting gastric cancers. This study aimed detect cancers on screening using not only WLI but also BLI-bright and LCI patients with atrophic gastritis.A total of 500 gastritis undergoing esophagogastroduodenoscopy were included. The lumen was observed the mode, followed by modes. When neoplasms suspected, changed WLI, we sprayed indigo carmine. Finally, biopsy...
Accurate diagnosis of benign and malignant lymphadenopathy is important for determining the appropriate treatment prognosis. This study evaluated diagnostic accuracy usefulness endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) with a conventional needle compared to biopsy (EUS-FNB) Franseen diagnosing lymphadenopathy.Patients who underwent EUS-FNA or EUS-FNB mediastinal abdominal between July 2013 August 2020 were enrolled in study. The outcomes patients (July January 2017;...
Objectives This study aimed to evaluate the efficacy and safety of stone extraction in patients who underwent Roux-en-Y gastrectomy using short-type single-balloon enteroscopy (SBE) clarify factors affecting complete initial procedure.Methods The data with endoscopic short SBE between September 2011 January 2022 was analyzed.Results Overall, 85 were scheduled undergo extraction. 77 intended after successful biliary cannulation. success procedure, overall including repeated procedures,...
Objective: The intensity of pain after surgical treatment hip fracture has a negative effect on functional recovery. However, the effects acute postoperative recovery walking ability surgery remain unclear. This study aimed to investigate association between and gait among patients who had independent prior fracture. Methods: was an observational that included 41 with mean age 81.3±7.3 years underwent for traumatic at general hospital. primary outcome time postsurgery. Based median recovery,...
A 49-year-old man complained of chronic palpitation and shortness breath, which had recently become exacerbated. blood examination indicated severe refractory anemia hypoproteinemia. Physical examinations revealed anemia, a systolic murmur, spoon nails. Multiple nonspecific ileal ulcers were observed. pathological small granuloma with CD68-positive histiocytes. He deeply wrinkled forehead, chiseled face, clubbed fingers. Radiography periostosis the fingers long bones in limb. was diagnosed...
To evaluate whether laser-cut covered self-expandable metallic stents (LC-CSEMSs) can be the first choice for patients with unresectable distal malignant biliary obstruction (DMBO).Patients DMBO who received LC-CSEMS (September 2014-December 2020) or braided CSEMS (B-CSEMS) (July 2013-December placement drainage were enrolled. Outcomes, including endoscopic removal, of LC-CSEMSs and B-CSEMSs compared.Overall, 124 placement, 121 B-CSEMSs. Technical success, clinical procedure-related adverse...
Endoscopic retrograde cholangiopancreatography (ERCP) using a short-type single-balloon enteroscope (short SBE) (SIF-H290; Olympus Medical Systems, Tokyo, Japan), with working length of 152 cm and channel diameter 3.2 mm, has been reported to be effective in patients surgically altered anatomy (SAA) [1] [2] [3]. However, endoscopic sphincterotomy (ES) such is challenging, as the appearance papilla inverted position frequently tangential, which makes visualizing correct incision direction...
This study aimed to evaluate the trainees' practice and learning curve in short-type single-balloon enteroscopy (short SBE)-assisted endoscopic retrograde cholangiopancreatography (ERCP) for patients with surgically altered anatomy (SAA) determine how train these trainees.The data of short SBE-assisted ERCP procedures between September 2011 June 2021 were analyzed.Three trainees 180 cases included analysis. Each trainee performed 60 April 2016 2021. The completion rate was 73.9% (95%...
Zinc intake has reduced hospitalizations in patients with ulcerative colitis (UC), highlighting the need to maintain blood zinc levels. This prospective study investigated whether promotion of and a Japanese diet (high n-3 fatty acids) could induce clinical remission mild active UC. Patients UC were randomly assigned either (1) continue an unrestricted or (2) receive nutritional guidance promoting diet. The primary endpoint was at 24 weeks. Secondary endpoints Ulcerative Colitis Endoscopic...
Pneumatosis cystoides intestinalis is an uncommon disease that rarely causes intussusception. We report the case of a 16-year-old male patient with intermittent abdominal pain who was diagnosed The had no history raw food ingestion, fever, diarrhea, or hematochezia. Computed tomography revealed intussusception characterized by crab-finger appearance, and pneumatosis colonoscopy. Treatment hyperbaric enema low-flow oxygen therapy resulted in prominent improvement lesion. No recurrence...