Japanese Journal of Gastroenterology最新文献_第4页

[Malignant peritoneal mesothelioma detected by endoscopy after intractable stuttering:a case report]. [顽固性口吃后内镜检出腹膜恶性间皮瘤1例]。

Japanese Journal of Gastroenterology Pub Date : 2025-01-01 DOI: 10.11405/nisshoshi.122.505

Chiaki Toh, Yutaro Ihara, Hiroyuki Kawano, Shinichiro Yada, Yoshihiro Matsumoto, Masanori Hisaoka, Shinichiro Kawatoko, Takehiro Torisu

{"title":"[Malignant peritoneal mesothelioma detected by endoscopy after intractable stuttering:a case report].","authors":"Chiaki Toh, Yutaro Ihara, Hiroyuki Kawano, Shinichiro Yada, Yoshihiro Matsumoto, Masanori Hisaoka, Shinichiro Kawatoko, Takehiro Torisu","doi":"10.11405/nisshoshi.122.505","DOIUrl":"https://doi.org/10.11405/nisshoshi.122.505","url":null,"abstract":"A male patient in his 70s visited our hospital with persistent vomiting and hiccups. The barium enema demonstrated poor extension from the hepatic flexure to the middle of the transverse colon, with a fold companion on the side of the mesenteric attachment and lateral deformity. A colonoscopy revealed ulceration and submucosal tumor-like elevation, and the lumen was laterally deformed, indicating metastatic malignancy with peritoneal tumor dissemination. A computed tomography scan revealed fatty tissue opacity in the mesentery of the transverse colon and mild lymphadenopathy with heterogeneous contrast effect. Biopsy was suspicious of neuroendocrine carcinoma, and laparoscopically-assisted extended right semicolon resection was performed. Macroscopically, the tumor protruded on the serosal surface and invaded the colonic wall, probably causing digestive symptoms. Microscopically, the tumor was composed of sheets or nests or cribriform structures of atypical epithelioid cells, together with areas of the spindle or stellate-shaped cells with myxoid stroma. Immunohistochemically, the tumor cells were positive for cytokeratin, calretinin, WT-1, and D2-40 and negative for CEA, p63, and claudin-4. The histopathological diagnosis included biphasic malignant mesothelioma.","PeriodicalId":35808,"journal":{"name":"Japanese Journal of Gastroenterology","volume":"122 7","pages":"505-511"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144601766","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

[Surveillance of non-resected intraductal papillary mucinous neoplasms]. [未切除的导管内乳头状粘液瘤的监测]。

Japanese Journal of Gastroenterology Pub Date : 2025-01-01 DOI: 10.11405/nisshoshi.122.17

Yousuke Nakai, Tsuyoshi Hamada, Hiroki Oyama

引用次数: 0

[Short bowel syndrome in adults]. [成人短肠综合征]。

Japanese Journal of Gastroenterology Pub Date : 2025-01-01 DOI: 10.11405/nisshoshi.122.169

Kazuhiro Watanabe, Shinobu Ohnuma, Michiaki Unno

引用次数: 0

[Difficulty factors related to self-expandable metallic stent placement for malignant colonic obstruction]. 【恶性结肠梗阻自膨胀金属支架置入的相关困难因素】。

Japanese Journal of Gastroenterology Pub Date : 2025-01-01 DOI: 10.11405/nisshoshi.122.278

Kazuki Boda, Hideharu Okanobu, Tomohiko Kohno, Toshitsune Ikeda, Takuya Okamoto, Kaho Fukuda, Eisuke Miyaki, Ryo Yuge, Tomoyuki Minami, Yoshinari Furukawa

{"title":"[Difficulty factors related to self-expandable metallic stent placement for malignant colonic obstruction].","authors":"Kazuki Boda, Hideharu Okanobu, Tomohiko Kohno, Toshitsune Ikeda, Takuya Okamoto, Kaho Fukuda, Eisuke Miyaki, Ryo Yuge, Tomoyuki Minami, Yoshinari Furukawa","doi":"10.11405/nisshoshi.122.278","DOIUrl":"https://doi.org/10.11405/nisshoshi.122.278","url":null,"abstract":"Recently, the endoscopic placement of self-expandable metallic stents (SEMS) for malignant colorectal obstruction has been increasing, but the longer procedure time may cause serious complications. This study aimed to confirm the efficacy and factors that prolong the procedure time for SEMS placement. This study enrolled 92 patients who required SEMS placement for malignant colonic obstruction at the Hiroshima Red Cross Hospital and Atomic-bomb Survivors Hospital from June 2015 to July 2024. The technical success rate was 95.7% and the clinical success rate was 92.4%. The total median procedure time was 37 min and the median procedure time for SEMS placement was 23 min. The major adverse events included perforation (3.3%), stent migration (4.3%), and stent occlusion (4.3%). Deaths related to SEMS placement were not reported. Multivariate analyses revealed significant associations between technically difficult placement and stricture length of ≥5cm (odds ratio [OR]:6.34;p=0.022) as well as lesions invisible from the front (OR:34.30;p<0.001). Endoscopic placement of SEMS for malignant colorectal obstruction is an effective treatment with a high success rate but requires careful attention for lesions that are invisible from the front.","PeriodicalId":35808,"journal":{"name":"Japanese Journal of Gastroenterology","volume":"122 4","pages":"278-287"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144001354","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

[Evidence based medical care of MASLD/MASH -Future perspective of Japanese guideline]. [MASLD/MASH的循证医疗护理-日本指南的未来展望]。

Japanese Journal of Gastroenterology Pub Date : 2025-01-01 DOI: 10.11405/nisshoshi.122.319

Norio Akuta

引用次数: 0

Japanese Journal of Gastroenterology Pub Date : 2025-01-01 DOI: 10.11405/nisshoshi.122.496

引用次数: 0

[Autopsy of neuroendocrine carcinoma of the gallbladder diagnosed based on liver tumor biopsy and treated with chemotherapy:a case report]. [肝脏肿瘤活检诊断胆囊神经内分泌癌并化疗治疗尸检1例]。

Japanese Journal of Gastroenterology Pub Date : 2025-01-01 DOI: 10.11405/nisshoshi.122.512

Kenta Ido, Mitsuhiko Shibasaki, Yumeo Tateyama, Takahiro Abe, Daichi Takizawa, Hirotaka Arai, Yuki Shimoda, Mio Furuya, Munenori Ide, Toshio Uraoka

{"title":"[Autopsy of neuroendocrine carcinoma of the gallbladder diagnosed based on liver tumor biopsy and treated with chemotherapy:a case report].","authors":"Kenta Ido, Mitsuhiko Shibasaki, Yumeo Tateyama, Takahiro Abe, Daichi Takizawa, Hirotaka Arai, Yuki Shimoda, Mio Furuya, Munenori Ide, Toshio Uraoka","doi":"10.11405/nisshoshi.122.512","DOIUrl":"https://doi.org/10.11405/nisshoshi.122.512","url":null,"abstract":"A 71-year-old male patient with multiple liver and lymph node metastases of gallbladder cancer was diagnosed with gallbladder neuroendocrine carcinoma based on liver tumor biopsy. He received chemotherapy with attention to the medical history of interstitial pneumonia and achieved a partial response. The patient died of acute exacerbation of interstitial pneumonia 12 months after diagnosis. A pathological autopsy was performed which confirmed the diagnosis of primary neuroendocrine carcinoma of the gallbladder. The autopsy revealed no adenocarcinoma component, indicating the possibility of transformation from adenocarcinoma to neuroendocrine carcinoma or that the carcinoma originated from a small number of neuroendocrine cells that were originally present in the gallbladder. Gallbladder neuroendocrine carcinoma is very rare, and this case is valuable in that it was diagnosed medically and connected to treatment, and the diagnosis was corroborated with a general autopsy.","PeriodicalId":35808,"journal":{"name":"Japanese Journal of Gastroenterology","volume":"122 7","pages":"512-519"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144601763","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

[Advances and future prospects in chemotherapy for gastrointestinal and pancreatic neuroendocrine tumors]. [胃肠道和胰腺神经内分泌肿瘤的化疗进展及未来展望]。

Japanese Journal of Gastroenterology Pub Date : 2025-01-01 DOI: 10.11405/nisshoshi.122.541

Masafumi Ikeda, Hiroshi Imaoka, Shuichi Mitsunaga

引用次数: 0

[The current status of simultaneous liver kidney transplantation in Japan]. 【日本同期肝肾移植的现状】。

Japanese Journal of Gastroenterology Pub Date : 2025-01-01 DOI: 10.11405/nisshoshi.122.624

Ryugen Takahashi, Nobuhisa Akamatsu, Kiyoshi Hasegawa

引用次数: 0

Japanese Journal of Gastroenterology Pub Date : 2025-01-01 DOI: 10.11405/nisshoshi.122.39

引用次数: 0