A5004794868- Gallbladder and Bile Duct Disorders
- Pancreatic and Hepatic Oncology Research
- Pediatric Hepatobiliary Diseases and Treatments
- Pancreatitis Pathology and Treatment
- Neuroendocrine Tumor Research Advances
- Esophageal and GI Pathology
- Gastrointestinal disorders and treatments
- Biliary and Gastrointestinal Fistulas
- Gastric Cancer Management and Outcomes
- Gastrointestinal Tumor Research and Treatment
- Esophageal Cancer Research and Treatment
- IgG4-Related and Inflammatory Diseases
- Pediatric Pain Management Techniques
- Cholangiocarcinoma and Gallbladder Cancer Studies
- Congenital gastrointestinal and neural anomalies
- Congenital Heart Disease Studies
- Helicobacter pylori-related gastroenterology studies
- Neuroblastoma Research and Treatments
- Neurosurgical Procedures and Complications
- Sarcoma Diagnosis and Treatment
- Cancer Diagnosis and Treatment
- Airway Management and Intubation Techniques
- Hepatocellular Carcinoma Treatment and Prognosis
- Lung Cancer Treatments and Mutations
- Enhanced Recovery After Surgery
Japanese Red Cross Society Wakayama Medical Center
2015-2024
Tokyo Women's Medical University
2018
Saitama Cancer Center
2018
Neurological Surgery
1999
The reported incidence of adverse events (AEs) in endoscopic retrograde cholangiopancreatography (ERCP) varies between 2.5% and 14%. aim this study was to evaluate the severity AEs biliary ERCP specify risk factors preventive measures for post-ERCP pancreatitis (PEP).Patients with disease intact papilla were prospectively enrolled at 36 hospitals April 2017 March 2018. primary outcomes AEs.A total 16,032 procedures performed during period 3739 patients enrolled. overall 10.1% ERCP-related...
Objectives Percutaneous transhepatic gallbladder drainage ( PTGBD ) is widely used for patients with acute cholecystitis. There are little data on the efficacy and safety of endoscopic ultrasound‐guided EUS ‐ GBD replacement in who cannot undergo cholecystectomy. Methods This multicenter retrospective study Japan reviewed records underwent to replace between January 2010 December 2017. Outcomes evaluated included technical success, defined as successful stent placement gastrointestinal lumen...
The prognostic factors associated with severe-to-fatal post-endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis (PEP) remain unclear despite the extensive number of studies on PEP. In total, 3739 ERCP patients biliary disease an intact papilla and indicated for were prospectively enrolled at 36 centers from April 2017 to March 2018. Those acute diagnosed before ERCP, altered gastrointestinal anatomy, American Society Anesthesiologists (ASA) physical status > 4 excluded....
Although the use of a long metal stent is favored for EUS-guided hepaticogastrostomy (EUS-HGS) relief malignant biliary obstruction (MBO), endoscopic reintervention (E-RI) at time recurrent (RBO) challenging due to intragastric portion. This study evaluated feasibility and safety E-RI after partially covered (L-PCMS) placement during EUS-HGS.We performed multicenter retrospective between January 2015 December 2019 examining patients with MBO who underwent RBO through EUS-HGS route L-PCMS...
Endoscopic submucosal dissection (ESD) is effective for the resection of colorectal intramucosal lesions. This study was performed to examine safety and effectiveness using dexmedetomidine (DEX) in anesthesia regimen patients with lesions undergoing ESD.We retrospectively examined 287 consecutive who underwent ESD our institution from January 2015 December 2021. Outcomes including frequency intraprocedural pain adverse events were compared between DEX no groups. Moreover, univariate...
An 82-year-old man with fever and back pain was referred to our hospital thus found be thrombocytopenic. A bone marrow biopsy revealed the diffuse infiltration of poorly differentiated neuroendocrine carcinoma (NEC). Computed tomography a large hepatic mass. Considering risk bleeding due thrombocytopenia, needle not performed. The patient rapidly deteriorated died 10 days after presentation. autopsy confirmed diagnosis primary NEC, metastasis spleen, marrow, systemic lymph nodes. This is an...
A multicenter, open-label randomized Phase II trial was conducted to determine whether low-dose gemcitabine plus nab-paclitaxel (GnP) could improve tolerability and show equivalent efficacy the standard-dose GnP for elderly patients with metastatic pancreatic cancer.Consecutive aged ≥65 years cancer who presented at one of four Japanese referral centers between November 2016 January 2021 were enrolled. The 60 randomly assigned low- or groups a 1:1 ratio. Patients in group received dose 250...
Abstract Background Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) was developed with the aim of further improving diagnostic performance endoscopic ultrasound. Although novel puncture needles have been specifically designed for collecting sufficient tissue specimens, clinical studies indicated no clear difference in between these and conventional needles. Recently, a needle Franseen geometry EUS-FNA biopsy. Due to characteristic shape its tip, is expected be effective...
We report results and problems of the endovascular treatment in 12 cases intradural vertebral dissecting aneurysm presenting with subarachnoid hemorrhage. There were four complications related to interventional procedure conventional angiography. In three patients (25%), VDAs ruptured immediately after injection contrast media or hypertension during procedure, which caused respiratory arrest. a case bilateral VA dissection (8%), proximal occlusion had been performed for unilateral VDA,...
A 65-year-old female presented with flank and back pain over a 2-month period. She had mastectomy for left breast invasive lobular carcinoma (T2N1M0) 17 years ago, no obvious recurrence or metastasis been observed during the ensuing 10 of postoperative follow-up. Contrast-enhanced computed tomography (CT) showed ascites around liver infiltrative mass soft-tissue attenuation that was gradually enhanced at retroperitoneum [Figure 1a b]. The cytological examination negative malignancy. Thus,...
The endoscopic bilateral stent-in-stent (SIS) deployment is a challenging procedure. Such difficulty mainly caused by sticking of the tip delivery sheath into self-expandable metal stents (SEMSs) mesh, requiring an additional dilating Herein, we assessed clinical results using cross-wired stent for SIS (BONASTENT M-Hilar) in patients with malignant hilar biliary obstruction (MHBO) both high-volume and non-high-volume centers.We prospectively enrolled consecutive MHBO between February 2016...
A 91-year-old woman was referred to our hospital with a primary complaint of hematochezia. rectal submucosal tumor and an acute hemorrhagic ulcer were noted on colonoscopy. After hemostasis achieved APC, the patient diagnosed GIST by EUS-FNA. We performed TAE middle inferior artery secure hemostasis, because these arteries also observed be bleeding during hospitalization. CT scan colonoscopy revealed that had reduced been successfully treated. report case in which used achieve reduction GIST.