The Japanese journal of gastro-enterology最新文献

腸管スピロヘータ症(human intestinal spirochetosis;HIS)の臨床的意義についての検討肠螺旋体症(human intestinal spirochetosis;HIS)临床意义的探讨

The Japanese journal of gastro-enterology Pub Date : 2017-02-05 DOI: 10.11405/NISSHOSHI.114.230

智子梅田, 宏芹澤, 拓小林, 貴彦豊永, 詠子齊藤, 雅嗣中野, 肇樋口, 令常松, 憲明渡邊, 紀文日比, 森永正二郎

{"title":"腸管スピロヘータ症(human intestinal spirochetosis;HIS)の臨床的意義についての検討","authors":"智子梅田, 宏芹澤, 拓小林, 貴彦豊永, 詠子齊藤, 雅嗣中野, 肇樋口, 令常松, 憲明渡邊, 紀文日比, 森永正二郎","doi":"10.11405/NISSHOSHI.114.230","DOIUrl":"https://doi.org/10.11405/NISSHOSHI.114.230","url":null,"abstract":": The clinical and pathological features of human intestinal spirochetosis (HIS) are not well known. Here we report 55 patients with HIS who were diagnosed at our institution during the past 5 years. Seven patients presented with symptoms such as abdominal pain or diarrhea, while the others were incidentally diagnosed during screening colonoscopy. Most patients had non-specific endoscopic findings, including intestinal edema or erosion. The diagnosis of HIS was histologically confirmed via hematoxylin and eosin staining, periodic acid-Schiff staining, and/or immunohistochemistry using anti-Treponema pallidum antibody. Among the 55 patients, five were diagnosed with diseases other than HIS (amoebic colitis, three;ulcerative colitis, one). Sixteen patients were treated with either amoxicillin or metronidazole;only metronidazole proved to be effective. The clinical significance of asymptomatic HIS remains unknown. Some case reports suggest a risk for increased severity in patients with immunodeficiency and/or sexually transmitted diseases. Therefore, aggressive treatment for HIS should be considered, particularly in high-risk patients.","PeriodicalId":341053,"journal":{"name":"The Japanese journal of gastro-enterology","volume":"452 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124549800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

内視鏡的粘膜下層剥離術（endoscopic submucosal dissection）の1年10カ月後に異時性肝転移をきたした胃神経内分泌癌（neuroendocrine carcinoma）の1例胃神经内分泌癌(neuroendocrine)发生异时性肝转移，1年10个月后接受内窥镜粘膜下层剥离术(endoscopic submucosal dissection)carcinoma)的一个例子

The Japanese journal of gastro-enterology Pub Date : 2017-02-05 DOI: 10.11405/NISSHOSHI.114.238

M. Hashiguchi, Tsutomu Tamai, Y. Nasu, Fumisato Sasaki, Michiyo Higashi, Kaoru Hijikuro, Hisatomo Futawatari, Kouichirou Shigeta, Susumu Hasegawa, Akio Ido

{"title":"内視鏡的粘膜下層剥離術（endoscopic submucosal dissection）の1年10カ月後に異時性肝転移をきたした胃神経内分泌癌（neuroendocrine carcinoma）の1例","authors":"M. Hashiguchi, Tsutomu Tamai, Y. Nasu, Fumisato Sasaki, Michiyo Higashi, Kaoru Hijikuro, Hisatomo Futawatari, Kouichirou Shigeta, Susumu Hasegawa, Akio Ido","doi":"10.11405/NISSHOSHI.114.238","DOIUrl":"https://doi.org/10.11405/NISSHOSHI.114.238","url":null,"abstract":"Abstract A 77-year-old man underwent endoscopic submucosal dissection (ESD) of a type 0-IIc tumor located in the cardiac part of the stomach. The pathological diagnosis of the tumor was poorly differentiated tubular adenocarcinoma with submucosal invasion depth;therefore, radical gastrectomy was also performed. After 1 year and 10 months, liver metastasis was detected because of which partial liver resection was performed. The pathological diagnosis of the tumor was neuroendocrine carcinoma (NEC). The pathology of the ESD specimen was re-examined, and a diagnosis of gastric NEC was made;furthermore, the liver tumor was regarded as metachronous metastasis. Despite the radical excision of the stage IA tumor, metastasis occurred. Chemotherapy with S-1 alone was successfully performed after the liver resection while considering the advanced age of the patient. Follow-up revealed no signs of recurrence at 1 year and 4 months after the treatment, indicating that the S-1 therapy may be considered for treating NEC in elderly and medically compromised patients owing to its mild side effects.","PeriodicalId":341053,"journal":{"name":"The Japanese journal of gastro-enterology","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125753351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Helicobacter pylori未感染の胃粘膜に生じた0-IIa＋IIc型分化型癌の1例 Helicobacter pylori发生在未感染的胃粘膜上的0-IIa + IIc分化型癌症的一个例子

The Japanese journal of gastro-enterology Pub Date : 2017-01-05 DOI: 10.11405/NISSHOSHI.114.78

Narihiro Shibukawa, Shuji Wakamatsu, Shohei Ouchi, Yuhei Wakahara, N. Tatsumi, A. Kaneko

引用次数: 1

Trousseau症候群として発症した腸間膜への播種をともなった胃mucosa-associated lymphoid tissue（MALT）リンパ腫の1症例 1例mucus -associated lymphoid tissue (MALT)淋巴瘤病例，伴随向肠系膜播撒的Trousseau综合征

The Japanese journal of gastro-enterology Pub Date : 2017-01-05 DOI: 10.11405/NISSHOSHI.114.84

Yoshiaki Hayashi, Yasuharu Kaizaki, M. Utsunomiya, A. Aritsuka, Y. Naito, H. Fujinaga, Kenkei Hasatani, Hiroyuki Aoyagi, N. Ibe, Tamon Miyanaga

引用次数: 0

食道covered self-expandable metallic stent留置により腫瘍出血を制御し得た進行食道癌の1例通过食道covered self-expandable metallic stent留置控制肿瘤出血的进展食道癌一例

The Japanese journal of gastro-enterology Pub Date : 2016-12-05 DOI: 10.11405/NISSHOSHI.113.2029

Yoshiaki Isono, T. Saito, Tomomasa Tochio, Hiroaki Kumazawa, Hiroki Tanaka, Shimpei Matsusaki, Tomohiro Sase, Hiroshi Okano, Y. Baba, K. Mukai

引用次数: 2

Low-dose FP療法が奏効した切除不能混合型肝癌の1例低-dose FP疗法奏效的无法切除混合型肝癌一例

The Japanese journal of gastro-enterology Pub Date : 2016-12-05 DOI: 10.11405/NISSHOSHI.113.2050

Sayuri Kato, Yasuto Takeuchi, Nozomu Wada, Yuuki Morimoto, Kenji Kuwaki, Hideki Ohnishi, Shinichirou Nakamura, Hidenori Shiraha, Akinobu Takaki, Hiroyuki Okada

{"title":"Low-dose FP療法が奏効した切除不能混合型肝癌の1例","authors":"Sayuri Kato, Yasuto Takeuchi, Nozomu Wada, Yuuki Morimoto, Kenji Kuwaki, Hideki Ohnishi, Shinichirou Nakamura, Hidenori Shiraha, Akinobu Takaki, Hiroyuki Okada","doi":"10.11405/NISSHOSHI.113.2050","DOIUrl":"https://doi.org/10.11405/NISSHOSHI.113.2050","url":null,"abstract":"A woman in her 50s was admitted to our hospital because of multiple tumors detected in her liver. She was diagnosed with combined hepatocellular cholangiocarcinoma using gadolinium-ethoxybenzyl-diethylenetriamine pentaacetic acid (Gd-EOB-DTPA)-enhanced magnetic resonance imaging (MRI) and biopsy of the liver tumors. We judged the tumors to be unresectable because they were found in both lobes of the liver, with a tumor thrombus being found in the main left portal vein. The pathological findings showed that the tumors exhibited characteristics of hepatocellular carcinoma. Therefore, sorafenib was administered;however, 6 months later, the disease progressed. Consequently, she received second-line chemotherapy with a one-shot intra-arterial injection of cisplatin, but this too was ineffective, and her general condition worsened. As hence, we changed the regimen to 5-fluorouracil continuous infusion and consecutive low dose cisplatin (LFP) therapy. After one cycle of chemotherapy with LFP, Gd-EOB-DTPA-enhanced MRI showed markedly decreased sizes and numbers of tumors. To date, she has completed six cycles of LFP therapy, and almost all her tumors are no longer visible on MRI. She has recovered to a good state and has achieved long-term survival. Thus, this case indicates that although LFP therapy is generally selected for cases of advanced hepatocellular carcinoma, it also appears to be effective for long-term disease control in cases of hepatocellular cholangiocarcinoma.","PeriodicalId":341053,"journal":{"name":"The Japanese journal of gastro-enterology","volume":"74 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115738013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

著明な低血糖症状をともなった高分子型insulin-like growth factor II産生肝細胞癌の1剖検例伴有明显低血糖症状的高分子型insulin-like growth factor II产生肝细胞癌的1个剖检案例

The Japanese journal of gastro-enterology Pub Date : 2016-12-05 DOI: 10.11405/NISSHOSHI.113.2057

Hirohito Naruse, Norihiko Shimoyama, Tsugumi Satoh, Y. Yamamoto, Kazuteru Hatanaka, Taiki Kudo, Masayoshi Ohno, Kazuharu Suzuki, Hajime Hirata, Marina Suzuki

引用次数: 1

術前診断が困難であった胃mixed adenoneuroendocrine carcinomaの1例一例胃mixed adenoneuroendocrine carcinoma术前诊断困难

The Japanese journal of gastro-enterology Pub Date : 2016-11-05 DOI: 10.11405/NISSHOSHI.113.1909

Akihiko Sakatani, Shinichiro Shinzaki, Yoshito Hayashi, Akira Maekawa, Satoshi Hiyama, Takayuki Yakushijin, Tomohide Tatsumi, Hideki Iijima, Naoki Hiramatsu, Eiichi Morii, Tetsuo Takehara

引用次数: 7

縦隔・皮下気腫を合併した重症潰瘍性大腸炎の1例―本邦報告例の文献的考察― 纵隔、皮下气肿合并重症溃疡性大肠炎1例—本例文献考察—

The Japanese journal of gastro-enterology Pub Date : 2016-03-05 DOI: 10.11405/NISSHOSHI.113.457

K. Terasaki, Y. Okuyama, Tomohiro Ueda, K. Matsuyama, Y. Urata, N. Yoshida

引用次数: 1

副腎皮質シンチグラフィが有用であった肝adrenal rest tumorの1例肾上腺皮质造影有用的肝adrenal rest tumor的一个例子

The Japanese journal of gastro-enterology Pub Date : 2014-10-05 DOI: 10.11405/NISSHOSHI.111.2004

晃介石田, 里和堀井, 竜也山下, 邦明荒井, 太郎山下, 尚史加賀谷, 佳夫酒井, 水腰英四郎, 政夫本多, 周一金子

引用次数: 0