{"title":"Virtual enterography,Virtual enteroscopyにて確認し得た日本海裂頭条虫症の1例","authors":"文彦 中村, 隼人 佐々木, 晋 春山, 良徳 松浦, 浩晃 須田, 克哉 服部, 良太 樋口, 寛徳 剛崎","doi":"10.11405/NISSHOSHI.107.1305","DOIUrl":"https://doi.org/10.11405/NISSHOSHI.107.1305","url":null,"abstract":": In October 2007, a woman in her early 30s presented, complaining of worm discharge in her stool. We identified it as Diphyllobothrium nihonkaiense, and identified it by virtual enterography and virtual enteroscopy. It was treated by 1500 mg/day praziquantel orally. We think these methods, of pathology as well as capsule enteroscopy and enteroscopy, are useful for the searching of the small intestinal lesions. We hope these examinations will become more widespread with reference to these cases.","PeriodicalId":341053,"journal":{"name":"The Japanese journal of gastro-enterology","volume":"98 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117213529","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}
{"title":"mFOLFOX-6/Bevacizumabが奏効した播種性骨髄癌症で発症した直腸低分化型腺癌の1例","authors":"野中 健太郎, 清悟 車, 通裕 伊東, 一彦 野中, 若樹 山中","doi":"10.11405/NISSHOSHI.107.1151","DOIUrl":"https://doi.org/10.11405/NISSHOSHI.107.1151","url":null,"abstract":": A 45-year-old woman, complaining of back pain and bloody stool was given a diagnosis of poorly differentiated adenocarcinoma of the rectum with disseminated carcinomatosis to bone marrow and disseminated intravascular coagulation syndrome (DIC). We started chemotherapy using mFOLFOX-6 with simultaneous DIC treatment. After we confirmed that DIC had improved following 2 courses of mFOLFOX-6, bevacizumab was added to mFOLFOX-6. Laboratory studies revealed a serum CEA level of 314.4ng/ml, which improved to 4.6ng/ml after a total of 6 courses of chemotherapy. Colonoscopy findings showed almost normal rectal mucosa after a total of 10 courses of chemotherapy. Outpatient treatment was started after 5 courses of chemotherapy, and was continuing according to schedule at 7 months from the onset of this disease.","PeriodicalId":341053,"journal":{"name":"The Japanese journal of gastro-enterology","volume":"1018 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116246630","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}
{"title":"胃食道逆流症(GERD)診療ガイドラインの作成を通して見えてきたもの","authors":"Y. Kinoshita, K. Furuta","doi":"10.11405/NISSHOSHI.107.531","DOIUrl":"https://doi.org/10.11405/NISSHOSHI.107.531","url":null,"abstract":"","PeriodicalId":341053,"journal":{"name":"The Japanese journal of gastro-enterology","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129681791","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}
{"title":"ウルソデオキシコール酸(UDCA)治療で肝機能異常の改善を認めた肝サルコイドーシスの1例","authors":"文子 齋藤, 真史 高野, 俊治 海瀬, 康文 内海, 直彦 郡司, 良一 石幡, 篤志 入澤, 弘正 大平","doi":"10.11405/NISSHOSHI.107.632","DOIUrl":"https://doi.org/10.11405/NISSHOSHI.107.632","url":null,"abstract":": A 38-year-old man was admitted to our hospital with a diagnosis of pulmonary sarcoidosis accompanied with elevated biliary enzyme levels. Various imaging modalities, and percutaneous liver biopsy confirmed the diagnosis of hepatic sarcoidosis. Abnormalities of biliary enzymes improved after the administration of ursodeoxycholic acid (UDCA). In this case, the mechanism of pharmacologic action was considered to be the glucocorticoid-like effect of UDCA. UDCA might be a therapeutic option for hepatic sarcoidosis without general symptoms.","PeriodicalId":341053,"journal":{"name":"The Japanese journal of gastro-enterology","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129822593","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}
{"title":"全身性エリテマトーデス(SLE)の経過中に急性膵炎を合併した1例","authors":"熊谷 今日子, 正也 玉野, 和夫 小嶋, 知津 前田, 圭一 富永, 敬 橋本, 崇 秋間, 正和 中野, 武史 菅谷, 貢 下田, 敬一 窪田, 秀幸 平石","doi":"10.11405/NISSHOSHI.107.278","DOIUrl":"https://doi.org/10.11405/NISSHOSHI.107.278","url":null,"abstract":": A 16-year-old girl had been given a diagnosis of systemic lupus erythematosus (SLE) at age 4, and a diagnosis of nephrotic syndrome caused by lupus nephritis at age 9. Medical treatment began with steroids from age 4. She developed acute pancreatitis in May 2007. Abdominal computed tomography showed cystic lesions in the abdominal cavity, and surgical drainage was performed for intracystic bleeding, infection and alimentary canal perforation.","PeriodicalId":341053,"journal":{"name":"The Japanese journal of gastro-enterology","volume":"314 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133270597","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}
{"title":"バルーン下逆行性経静脈的塞栓術(B-RTO)により軽快した下腸間膜静脈∼右内腸骨静脈短絡路による脳症の1例","authors":"香里 清水, 宗敏 中島, 真澄 藤本, 鶴田 正太郎, 茂樹 森田, 隆二 古河, 雅一 森","doi":"10.11405/NISSHOSHI.106.1764","DOIUrl":"https://doi.org/10.11405/NISSHOSHI.106.1764","url":null,"abstract":"We encountered a case of portal-systemic shunt encephalopathy cured by balloon-occluded retrograde transvenous obliteration (B-RTO). A 73-year-old man had been observed for membranous nephropathy at our hospital since 1987. There was no past history of liver dysfunction. He was admitted with encephalopathy. Abdominal enhanced computed tomography showed a portosystemic shunt through the inferior mesenteric vein and right internal iliac vein. We diagnosed hepatic encephalopathy due to this porto-systemic shunt, and B-RTO was performed. After B-RTO, he has not had repeated encephalopathy. B-RTO can be effective for portosystemic encephalopathy. Inferior mesenteric-right internal iliac shunt encephalopathy is rare and our patient is the first case of B-RTO performed in cases with this shunt.","PeriodicalId":341053,"journal":{"name":"The Japanese journal of gastro-enterology","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134356704","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}
{"title":"消化器症状を有する患者のQOL評価のための問診票「出雲スケール」の作成とその検証","authors":"賢司 古田, 俊治 石原, 秀一 佐藤, 達也 三宅, 典久 石村, 健司 越野, 博実 飛田, 一郎 森山, 祐二 天野, 経一 足立, 明廣 太田, 芳一 木下","doi":"10.11405/NISSHOSHI.106.1478","DOIUrl":"https://doi.org/10.11405/NISSHOSHI.106.1478","url":null,"abstract":": The Izumo Scale is a new questionnaire for the assessment of quality of life of the patients with gastrointestinal symptoms comprehensively. The validity and reliability of the scale were verified in 170 patients with gastrointestinal symptoms. Spearman's rank correlation coefficient between the Izumo Scale and visual analog scale (VAS) showed a positive correlation of 0.581-0.753. Internal consistency was also good with Cronbach's coefficient alpha of 0.616-0.805. The reproducibility was good with an intra-class correlation coefficient of 0.755-0.887. The results suggest that the Izumo Scale may be useful as a disease-specific quality of life assessment scale for patients with gastrointestinal symptoms.","PeriodicalId":341053,"journal":{"name":"The Japanese journal of gastro-enterology","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126205360","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}
{"title":"中・下咽頭表在癌の診断と治療 : 頭頸科の立場から","authors":"隆一 林","doi":"10.11405/NISSHOSHI.106.1287","DOIUrl":"https://doi.org/10.11405/NISSHOSHI.106.1287","url":null,"abstract":"","PeriodicalId":341053,"journal":{"name":"The Japanese journal of gastro-enterology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121837105","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}