{"title":"[Current status of strictureplasty surgery for Crohn's disease].","authors":"Yuki Horio, Hiroki Ikeuchi, Motoi Uchino","doi":"10.11405/nisshoshi.123.173","DOIUrl":"https://doi.org/10.11405/nisshoshi.123.173","url":null,"abstract":"","PeriodicalId":35808,"journal":{"name":"Japanese Journal of Gastroenterology","volume":"123 3","pages":"173-178"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147436531","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":"[Emphysematous pancreatitis improved by conservative treatment: a case report].","authors":"Soshi Oyama, Hidekazu Horiuchi, Shotaro Akiba, Kazuo Okumoto, Shigemi Hachinohe","doi":"10.11405/nisshoshi.123.66","DOIUrl":"10.11405/nisshoshi.123.66","url":null,"abstract":"<p><p>A 74-year-old male patient with upper abdominal pain visited the outpatient clinic. A computed tomography scan revealed pancreatic enlargement, increased density of the surrounding fatty tissue, and retroperitoneal emphysema, which collectively indicated to emphysematous pancreatitis. Upper gastrointestinal endoscopy revealed no gastrointestinal perforation. His treatment regimen included fasting, fluid replacement, antibiotics, and total parenteral nutrition. Temporary encapsulation was observed, but eventually improved. A common bile duct stone was later discovered, and thus endoscopic lithotripsy was performed. Acute pancreatitis-induced retroperitoneal emphysema is referred to as emphysematous pancreatitis and is considered a subtype of necrotizing pancreatitis. Emphysematous pancreatitis is a rare disease with a poor prognosis;nonetheless, early diagnosis including confirmation of gastrointestinal perforation, and antibiotic administration along with drainage are required.</p>","PeriodicalId":35808,"journal":{"name":"Japanese Journal of Gastroenterology","volume":"123 1","pages":"66-72"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145960493","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":"[Comprehensive management of malnutrition and sarcopenia in patients with cirrhosis].","authors":"Takao Miwa, Shinji Unome, Masahito Shimizu","doi":"10.11405/nisshoshi.123.338","DOIUrl":"https://doi.org/10.11405/nisshoshi.123.338","url":null,"abstract":"","PeriodicalId":35808,"journal":{"name":"Japanese Journal of Gastroenterology","volume":"123 5","pages":"338-349"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147933974","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":"[Recent advances in systemic therapy for unresectable biliary tract cancer: development of immunotherapy and personalized medicine].","authors":"Hiroshi Imaoka, Tomoyuki Satake, Masafumi Ikeda","doi":"10.11405/nisshoshi.123.255","DOIUrl":"https://doi.org/10.11405/nisshoshi.123.255","url":null,"abstract":"","PeriodicalId":35808,"journal":{"name":"Japanese Journal of Gastroenterology","volume":"123 4","pages":"255-267"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147677416","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":"[Unresectable advanced gastric cancer in which tumor shrinkage persisted for a long period even after the discontinuation of nivolumab third-line treatment due to immune-related adverse events:a case report].","authors":"Soichiro Torizawa, Takayuki Nakanishi, Hiroshi Araki, Makoto Kamei, Hiroyuki Makino, Ryotaro Nagao, Fumiya Kataoka, Takayuki Asano, Atsushi Tagami, Hisataka Moriwaki","doi":"10.11405/nisshoshi.123.291","DOIUrl":"10.11405/nisshoshi.123.291","url":null,"abstract":"<p><p>A 77-year-old man with unresectable advanced gastric cancer, complicated by multiple liver and distant lymph node metastases, began drug therapy. As a third-line treatment, nivolumab was administered for two courses;however, the patient developed destructive thyroiditis. Treatment with nivolumab was resumed after clinical improvement, but the patient developed interstitial pneumonia following a total of four courses, leading to discontinuation of treatment. Although nivolumab was discontinued and no further drug therapy was initiated, tumor shrinkage persisted for 15 months. Notably, the metastatic lesions remained stable and the tumor markers had not increased even 29 months later. The patient's clinical course differed from that typically observed in patients treated with conventional cytotoxic agents, as tumor shrinkage continued long after the discontinuation of nivolumab.</p>","PeriodicalId":35808,"journal":{"name":"Japanese Journal of Gastroenterology","volume":"123 4","pages":"291-299"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147677363","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":"[Current status and challenges of minimally invasive surgery for ulcerative colitis].","authors":"Shinichi Yamauchi, Hiroyasu Kagawa, Yusuke Kinugasa","doi":"10.11405/nisshoshi.123.185","DOIUrl":"https://doi.org/10.11405/nisshoshi.123.185","url":null,"abstract":"","PeriodicalId":35808,"journal":{"name":"Japanese Journal of Gastroenterology","volume":"123 3","pages":"185-190"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147436486","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":"[A case of primary biliary cholangitis whose pathology changed during autoimmune hepatitis].","authors":"Takumi Hanatani, Shotaro Akiba, Hidekazu Horiuchi, Kazuo Okumoto, Shigemi Hachinohe","doi":"10.11405/nisshoshi.123.428","DOIUrl":"10.11405/nisshoshi.123.428","url":null,"abstract":"<p><p>A 70-year-old female patient was diagnosed with autoimmune hepatitis (AIH) at the age of 58 years based on antinuclear antibodies (1:1280) and liver biopsy findings. She received prednisolone (PSL). Over time, elevated levels of liver enzymes and alkaline phosphatase were observed, and 12 years later, a repeat liver biopsy revealed no signs of AIH but showed characteristics of primary biliary cholangitis (PBC). After reducing the PSL dose and starting ursodeoxycholic acid and pemafibrate, the blood test results improved. A liver biopsy is useful if a change in the condition is suspected, even in a patient undergoing follow-up for AIH or PBC.</p>","PeriodicalId":35808,"journal":{"name":"Japanese Journal of Gastroenterology","volume":"123 6","pages":"428-434"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148220033","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}