Japanese Journal of Gastroenterology最新文献_第3页

[A case of aortic thrombus during chemotherapy for esophageal cancer]. [食管癌化疗期间的主动脉血栓病例]。

Japanese Journal of Gastroenterology Pub Date : 2024-01-01 DOI: 10.11405/nisshoshi.121.212

Yuichi Tahara, Akira Hashimoto, Hirono Owa, Takahiro Ono, Naoki Kuroda, Masatoshi Aoki, Hiroyuki Fuke, Hiroyuki Kawabata, Yoshihiro Wakita, Atsuya Shimizu

{"title":"[A case of aortic thrombus during chemotherapy for esophageal cancer].","authors":"Yuichi Tahara, Akira Hashimoto, Hirono Owa, Takahiro Ono, Naoki Kuroda, Masatoshi Aoki, Hiroyuki Fuke, Hiroyuki Kawabata, Yoshihiro Wakita, Atsuya Shimizu","doi":"10.11405/nisshoshi.121.212","DOIUrl":"10.11405/nisshoshi.121.212","url":null,"abstract":"A 59-year-old man presented to our hospital with a chief complaint of epigastric pain. Pertinent history included a distal gastrectomy for gastric cancer and alcohol dependence. He underwent contrast-enhanced computed tomography (CT) and esophagogastroduodenoscopy, which led to a diagnosis of esophageal cancer (cT2N2M1, stage IVb). Subsequently, he underwent chemotherapy using 5-fluorouracil and cis-diamminedichloroplatinum and radiotherapy. A total of 44 days after treatment initiation, the patient experienced nausea and hepatobiliary enzyme elevation. CT and abdominal ultrasonography were performed, and he was diagnosed with an abdominal aortic thrombus. Intravenous heparin was administered as an anticoagulant therapy. Twenty-two days after treatment initiation, the thrombus was no longer visible on abdominal ultrasonography. The patient was then treated with warfarin. It cannot be ruled out that the patient's hepatobiliary enzyme elevation was induced by the anticancer drugs. However, enzyme elevation improved with the disappearance of the abdominal aortic thrombus, suggesting that the aortic thrombus may have contributed to the hepatobiliary enzyme elevation. No thrombus recurrence was observed until the patient's death after an initial treatment with antithrombotic agents. This case indicates that malignant tumors and chemotherapy can cause aortic thrombi, and thus, care should be exercised in monitoring this potential complication.","PeriodicalId":35808,"journal":{"name":"Japanese Journal of Gastroenterology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140094755","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: 0

[Current status and issues of colorectal cancer screening - toward the introduction of colonoscopy into the population-based screening program]. [大肠癌筛查的现状和问题--将结肠镜检查引入人群筛查计划]。

Japanese Journal of Gastroenterology Pub Date : 2024-01-01 DOI: 10.11405/nisshoshi.121.177

Takahisa Matsuda, Masau Sekiguchi, Nozomu Kobayashi

引用次数: 0

[Importance of perioperative nutritional management in gastrointestinal cancer]. [胃肠道癌症围手术期营养管理的重要性]。

Japanese Journal of Gastroenterology Pub Date : 2024-01-01 DOI: 10.11405/nisshoshi.121.472

Yoshihiko Kawaguchi, Katsutoshi Shoda, Daisuke Ichikawa

引用次数: 0

[Change in intraperitoneal shunt after DAA treatment for hepatitis C]. [DAA治疗丙型肝炎后腹腔分流的变化]。

Japanese Journal of Gastroenterology Pub Date : 2024-01-01 DOI: 10.11405/nisshoshi.121.580

Michio Kubota, Yasuharu Kikuchi, Shintaro Kamimukai, Nobuhiro Yamada, Yusuke Masuda, Kaori Kinjo, Naoto Fujita, Akihiko Nakagawa, Masami Shinozaki

{"title":"[Change in intraperitoneal shunt after DAA treatment for hepatitis C].","authors":"Michio Kubota, Yasuharu Kikuchi, Shintaro Kamimukai, Nobuhiro Yamada, Yusuke Masuda, Kaori Kinjo, Naoto Fujita, Akihiko Nakagawa, Masami Shinozaki","doi":"10.11405/nisshoshi.121.580","DOIUrl":"https://doi.org/10.11405/nisshoshi.121.580","url":null,"abstract":"Improvement and worsening of portal hypertension after direct acting antiviral agent (DAA) treatment for hepatitis C virus-related cirrhosis have been reported, and a consensus remains elusive. In this study, we underscored on the intraperitoneal shunt formed via portal hypertension and examined how the shunt system confirmed by computed tomography (CT) changes before and after treatment in cases in which sustained virological response (SVR) was attained with DAAs. Of the cases in which we achieved an SVR of 24 with DAA treatment for hepatitis C virus-related cirrhosis at our hospital, 83 cases in which CT images were taken before and after treatment were investigated. If the intraperitoneal shunt diameter changed by 20% or more, it was analyzed as an increase or decrease. In 29 patients, intraperitoneal shunt enlargement was noted. When examining factors related to the increase, multivariate analysis detected the FIB4 index at the end of the DAA treatment. Conversely, only four cases were observed in which the size decreased. At the end of treatment, the FIB4 index was the most important factor in increasing the intraperitoneal shunt after DAA treatment for hepatitis C virus-related cirrhosis, and fibrosis was believed to be an influencing factor.","PeriodicalId":35808,"journal":{"name":"Japanese Journal of Gastroenterology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141581038","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: 0

[A case of R0 resection in conversion surgery after duodenal stent placement for locally advanced unresectable pancreatic cancer with duodenal stenosis]. [十二指肠狭窄的局部晚期不可切除胰腺癌十二指肠支架置入术后转换手术中的 R0 切除术病例]。

Japanese Journal of Gastroenterology Pub Date : 2024-01-01 DOI: 10.11405/nisshoshi.121.407

Yuta Iwai, Yuriko Fujita, Takeshi Takamoto, Tomohiro Fukuda, Satoshi Imamura, Yuya Tsunoda, Shuichi Nagakubo, Yuichi Morohoshi, Yuji Koike, Hirokazu Komatsu

引用次数: 0

[Cystic duct carcinoma in a patient with a history of cholecystectomy: a case report]. [曾接受胆囊切除术的患者患囊管癌：病例报告]。

Japanese Journal of Gastroenterology Pub Date : 2024-01-01 DOI: 10.11405/nisshoshi.121.330

Ichiro Sakakihara, Masaki Wato, Sawako Ishihama, Shunsuke Hugh Colvin, Tomo Kagawa, Koichi Izumikawa, Sakuma Takahashi, Shigetomi Tanaka, Shigenao Ishikawa, Tomoki Inaba

引用次数: 0

[Ulcerative colitis diagnosed with facial pyoderma gangrenosum: a case report]. [诊断为面部脓皮病的溃疡性结肠炎：病例报告]。

Japanese Journal of Gastroenterology Pub Date : 2024-01-01 DOI: 10.11405/nisshoshi.121.481

Yudai Ogata, Atsuko Soeda, Isao Saura, Emi Nemoto, Yoshitaka Tange, Chiaki Enami, Daisuke Ochi, Yuichi Dai, Shintaro Akiyama, Kazuto Ikezawa

{"title":"[Ulcerative colitis diagnosed with facial pyoderma gangrenosum: a case report].","authors":"Yudai Ogata, Atsuko Soeda, Isao Saura, Emi Nemoto, Yoshitaka Tange, Chiaki Enami, Daisuke Ochi, Yuichi Dai, Shintaro Akiyama, Kazuto Ikezawa","doi":"10.11405/nisshoshi.121.481","DOIUrl":"10.11405/nisshoshi.121.481","url":null,"abstract":"Pyoderma gangrenosum (PG) is a sterile inflammatory skin condition that is frequently associated with immune-related diseases, including inflammatory bowel disease (IBD). PG causes noninfectious ulcers. Facial PG is uncommon while PG usually occurs on the trunk and lower limbs. Herein, we report a case of a male teenager with fever, pustules, ulcers, and necrosis on both cheeks. He was initially diagnosed with complicated acne with bacterial infection, but the condition progressed to subcutaneous ulcers despite treatment. Biopsy revealed inflammatory lesions in dermal and subcutaneous tissue with neutrophil infiltration, consistent with PG. Although lacking typical IBD symptoms, blood tests revealed anemia and positive fecal occult blood. Sigmoidoscopy revealed inflammation, ulcers, and pseudopolyps in the colon and rectum, thereby diagnosing ulcerative colitis (UC). After treating PG and UC with prednisolone and skin grafts, golimumab was prescribed. The patient is now in remission. Necrotic tissue buildup can complicate closure in PG cases;this emphasizes the need for effective IBD treatment to facilitate procedures such as skin grafts.","PeriodicalId":35808,"journal":{"name":"Japanese Journal of Gastroenterology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141296839","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: 0

[Gallbladder carcinosarcoma associated with pancreaticobiliary maljunction with biliary dilation:a case report]. [胆囊癌肉瘤伴有胰胆连接不良和胆道扩张：病例报告]。

Japanese Journal of Gastroenterology Pub Date : 2024-01-01 DOI: 10.11405/nisshoshi.121.505

Moeka Watahiki, Junichi Kaneko, Ryota Kiuchi, Daijiro Suzuki, Toshikatsu Kosugi, Daisuke Kusama, Hiroki Tamakoshi, Tomoyuki Niwa, Masaki Takinami, Atsushi Tsuji, Masafumi Nishino, Yurimi Takahashi, Osamu Jindo, Atsuko Fukazawa, Yuzo Sasada, Takanori Yamada, Takanori Sakaguchi

引用次数: 0

[Treatment of hepatocellular carcinoma and risk of decompensation and liver failure]. [肝细胞癌的治疗与肝功能失代偿和肝衰竭的风险]。

Japanese Journal of Gastroenterology Pub Date : 2024-01-01 DOI: 10.11405/nisshoshi.121.723

Tatsuya Minami, Ryosuke Tateishi, Mitsuhiro Fujishiro

引用次数: 0

[Gastrointestinal bleeding and mucosal injury induced by antithrombotic drugs]. [抗血栓药物引起的消化道出血和粘膜损伤]。

Japanese Journal of Gastroenterology Pub Date : 2024-01-01 DOI: 10.11405/nisshoshi.121.807

Takatsugu Yamamoto, Koichiro Abe, Shinya Kodashima

引用次数: 0