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Japanese Journal of Gastroenterology最新文献

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[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
{"title":"[Importance of perioperative nutritional management in gastrointestinal cancer].","authors":"Yoshihiko Kawaguchi, Katsutoshi Shoda, Daisuke Ichikawa","doi":"10.11405/nisshoshi.121.472","DOIUrl":"https://doi.org/10.11405/nisshoshi.121.472","url":null,"abstract":"","PeriodicalId":35808,"journal":{"name":"Japanese Journal of Gastroenterology","volume":"121 6","pages":"472-480"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141296906","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
[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":"<p><p>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.</p>","PeriodicalId":35808,"journal":{"name":"Japanese Journal of Gastroenterology","volume":"121 7","pages":"580-588"},"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
{"title":"[A case of R0 resection in conversion surgery after duodenal stent placement for locally advanced unresectable pancreatic cancer with duodenal stenosis].","authors":"Yuta Iwai, Yuriko Fujita, Takeshi Takamoto, Tomohiro Fukuda, Satoshi Imamura, Yuya Tsunoda, Shuichi Nagakubo, Yuichi Morohoshi, Yuji Koike, Hirokazu Komatsu","doi":"10.11405/nisshoshi.121.407","DOIUrl":"10.11405/nisshoshi.121.407","url":null,"abstract":"<p><p>A 67-year-old man presented to our hospital with vomiting. Esophagogastroduodenoscopy revealed duodenal stenosis and atypical epithelium. A tumor in the pancreatic head, about 30mm in size, involving the superior mesenteric artery and a superior mesenteric vein was identified using abdominal contrast computed tomography (CT). Locally advanced pancreatic cancer was diagnosed in the patient through an endoscopic biopsy. Due to the duodenal stenosis complication, duodenal stent placement was conducted. After stent placement, oral intake was resumed, and improvement of the systemic condition led to chemotherapy (modified FOLFIRINOX). After chemotherapy, CT revealed decreased carcinoma progression and vascular invasion. Conversion surgery was improved, and R0 resection was achieved. Our study showed that duodenal stent placement could enhance prognosis;as a result, it was regarded as a good choice for multidisciplinary therapy.</p>","PeriodicalId":35808,"journal":{"name":"Japanese Journal of Gastroenterology","volume":"121 5","pages":"407-414"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140913083","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
[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
{"title":"[Cystic duct carcinoma in a patient with a history of cholecystectomy: a case report].","authors":"Ichiro Sakakihara, Masaki Wato, Sawako Ishihama, Shunsuke Hugh Colvin, Tomo Kagawa, Koichi Izumikawa, Sakuma Takahashi, Shigetomi Tanaka, Shigenao Ishikawa, Tomoki Inaba","doi":"10.11405/nisshoshi.121.330","DOIUrl":"https://doi.org/10.11405/nisshoshi.121.330","url":null,"abstract":"<p><p>An 83-year-old Japanese man who underwent cholecystectomy for cholecystolithiasis 17 years ago visited our hospital owing to epigastric pain. He was initially diagnosed with choledocholithiasis and acute cholangitis following white blood cell, C-reactive protein, total bilirubin, alkaline phosphatase, and γ-glutamyltranspeptidase level elevations along with common bile duct stones on computed tomography (CT). Moreover, CT, magnetic resonance imaging, endoscopic retrograde cholangiography (ERC), and endoscopic ultrasonography (EUS) also revealed a 2-cm-diameter mass arising from the remnant cystic duct. The cytology of the bile at the time of ERC was not conclusive. However, EUS-assisted fine needle aspiration (EUS-FNA) of the mass confirmed the diagnosis of adenocarcinoma of the remnant cystic duct. The patient underwent extrahepatic bile duct resection. Cystic duct carcinoma following cholecystectomy is rare. We report a case diagnosed by EUS-FNA.</p>","PeriodicalId":35808,"journal":{"name":"Japanese Journal of Gastroenterology","volume":"121 4","pages":"330-337"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140866688","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
[Obstructive colitis induced by laxatives during colonoscopy preparation after ischemic enteritis and improved by endoscopic fecal removal: a case report]. [缺血性肠炎后在结肠镜检查准备期间服用泻药诱发的梗阻性结肠炎，经内镜清除粪便后病情好转：病例报告]。
Japanese Journal of Gastroenterology Pub Date : 2024-01-01 DOI: 10.11405/nisshoshi.121.904
Hidekazu Horiuchi, Yamato Nagata, Shotaro Akiba, Kazuo Okumoto, Shigemi Hachinohe
{"title":"[Obstructive colitis induced by laxatives during colonoscopy preparation after ischemic enteritis and improved by endoscopic fecal removal: a case report].","authors":"Hidekazu Horiuchi, Yamato Nagata, Shotaro Akiba, Kazuo Okumoto, Shigemi Hachinohe","doi":"10.11405/nisshoshi.121.904","DOIUrl":"10.11405/nisshoshi.121.904","url":null,"abstract":"<p><p>An 84-year-old male patient who was diagnosed with melena was admitted to the hospital with ischemic colitis. During the preparatory procedure for colonoscopy, he reported severe abdominal pain and exhibited decreased blood pressure. Obstructive colitis was suspected, and a colonoscopy was performed. A large amount of hard stool was found in the sigmoid colon, with ulcers and erosions exposing the submucosal layer observed on the proximal side. The endoscope was able to pass through the ileocecal region, and the patient's symptoms subsequently improved. The decline in intestinal function following ischemic enteritis may have contributed to the passage obstruction. Although fecal obstructive enterocolitis is extremely rare, caution is warranted during colonoscopy preparation.</p>","PeriodicalId":35808,"journal":{"name":"Japanese Journal of Gastroenterology","volume":"121 11","pages":"904-909"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629614","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
[Small intestinal perforation manifesting as post-transplant lymphoproliferative disorder occurring 23 years after living lung transplantation: a case report]. [活体肺移植 23 年后发生的表现为移植后淋巴增生性疾病的小肠穿孔：病例报告]。
Japanese Journal of Gastroenterology Pub Date : 2024-01-01 DOI: 10.11405/nisshoshi.121.896
Daisuke Kametaka, Masaya Iwamuro, Shoko Inoo, Seiji Kawano, Takehiro Tanaka, Yoshiro Kawahara, Motoyuki Otsuka
{"title":"[Small intestinal perforation manifesting as post-transplant lymphoproliferative disorder occurring 23 years after living lung transplantation: a case report].","authors":"Daisuke Kametaka, Masaya Iwamuro, Shoko Inoo, Seiji Kawano, Takehiro Tanaka, Yoshiro Kawahara, Motoyuki Otsuka","doi":"10.11405/nisshoshi.121.896","DOIUrl":"10.11405/nisshoshi.121.896","url":null,"abstract":"<p><p>A Japanese female patient underwent a living lung transplant at age 29 and has been on immunomodulatory drug therapy since then. At age 52, she presented with sudden hematochezia. Despite abdominal computed tomography scan, esophagogastroduodenoscopy, and colonoscopy, no definitive source of bleeding was identified. Considering the possibility of small bowel bleeding, video capsule endoscopy was performed, which revealed a suspected ulcerative lesion in the jejunum. Subsequent per-oral double-balloon endoscopy confirmed the presence of an ulcerative lesion in the jejunum. A potential pathological diagnosis of post-transplant lymphoproliferative disorder (PTLD) was considered based on endoscopic biopsy specimens from the jejunal lesion. However, before the pathologic biopsy results were available, the patient experienced small intestinal perforation, necessitating emergency partial resection. Pathologic examination revealed a dense proliferation of medium-to-large atypical lymphocytes with neutrophilic infiltration in the perforated area of the small intestinal wall. Immunostaining showed lymphoid cells positive for CD20 but negative for CD3. Epstein-Barr virus (EBV) -encoded RNA was detected by in situ hybridization, and Ki-67 staining demonstrated a higher percentage of positive cells. Consequently, an EBV-positive diffuse large B-cell lymphoma, developed as PTLD, was diagnosed. Complete remission was achieved with a reduced immunomodulatory drug dosage and rituximab therapy. She has been alive for 8 months postoperatively without recurrence. This case suggests that PTLD should be considered in assessing patients presenting with abdominal symptoms following organ transplantation.</p>","PeriodicalId":35808,"journal":{"name":"Japanese Journal of Gastroenterology","volume":"121 11","pages":"896-903"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629632","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
[ICI-induced liver injury].
Japanese Journal of Gastroenterology Pub Date : 2024-01-01 DOI: 10.11405/nisshoshi.121.948
Takanori Ito, Hiroki Kawashima
{"title":"[ICI-induced liver injury].","authors":"Takanori Ito, Hiroki Kawashima","doi":"10.11405/nisshoshi.121.948","DOIUrl":"https://doi.org/10.11405/nisshoshi.121.948","url":null,"abstract":"","PeriodicalId":35808,"journal":{"name":"Japanese Journal of Gastroenterology","volume":"121 12","pages":"948-956"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142813754","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
[Diagnosis and treatment of tamoxifen-induced liver injury].
Japanese Journal of Gastroenterology Pub Date : 2024-01-01 DOI: 10.11405/nisshoshi.121.940
Masayuki Ueno, Ayako Ueno, Atsushi Takai
{"title":"[Diagnosis and treatment of tamoxifen-induced liver injury].","authors":"Masayuki Ueno, Ayako Ueno, Atsushi Takai","doi":"10.11405/nisshoshi.121.940","DOIUrl":"https://doi.org/10.11405/nisshoshi.121.940","url":null,"abstract":"","PeriodicalId":35808,"journal":{"name":"Japanese Journal of Gastroenterology","volume":"121 12","pages":"940-947"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142813474","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
[EUS-guided gastroenterostomy up-to-date]. [胃肠造口术的最新进展］
Japanese Journal of Gastroenterology Pub Date : 2024-01-01 DOI: 10.11405/nisshoshi.121.659
Takayoshi Tsuchiya, Ryosuke Tonozuka, Takao Itoi
{"title":"[EUS-guided gastroenterostomy up-to-date].","authors":"Takayoshi Tsuchiya, Ryosuke Tonozuka, Takao Itoi","doi":"10.11405/nisshoshi.121.659","DOIUrl":"https://doi.org/10.11405/nisshoshi.121.659","url":null,"abstract":"","PeriodicalId":35808,"journal":{"name":"Japanese Journal of Gastroenterology","volume":"121 8","pages":"659-666"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141972010","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 situation of endoscopic ultrasound-guided pancreatic intervention]. [内镜超声引导下胰腺介入治疗的现状]。
Japanese Journal of Gastroenterology Pub Date : 2024-01-01 DOI: 10.11405/nisshoshi.121.645
Takuji Iwashita, Shinya Uemura, Masahito Shimizu
{"title":"[Current situation of endoscopic ultrasound-guided pancreatic intervention].","authors":"Takuji Iwashita, Shinya Uemura, Masahito Shimizu","doi":"10.11405/nisshoshi.121.645","DOIUrl":"https://doi.org/10.11405/nisshoshi.121.645","url":null,"abstract":"","PeriodicalId":35808,"journal":{"name":"Japanese Journal of Gastroenterology","volume":"121 8","pages":"645-650"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141972005","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
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