Japanese Journal of Gastroenterology最新文献_第5页

[A case of rectal varices with recurrent hepatic encephalopathy successfully treated with percutaneous embolization]. [经皮栓塞成功治疗直肠静脉曲张伴复发性肝性脑病1例]。

Japanese Journal of Gastroenterology Pub Date : 2025-01-01 DOI: 10.11405/nisshoshi.122.368

Shohei Amioka, Kohei Fukumoto, Yasuhide Mitsumoto, Keiichiro Okuda, Kei Terasaki, Hirohisa Oya, Takayuki Katayama, Chiemi Mizuno, Toshihide Shima, Takeshi Okanoue

{"title":"[A case of rectal varices with recurrent hepatic encephalopathy successfully treated with percutaneous embolization].","authors":"Shohei Amioka, Kohei Fukumoto, Yasuhide Mitsumoto, Keiichiro Okuda, Kei Terasaki, Hirohisa Oya, Takayuki Katayama, Chiemi Mizuno, Toshihide Shima, Takeshi Okanoue","doi":"10.11405/nisshoshi.122.368","DOIUrl":"https://doi.org/10.11405/nisshoshi.122.368","url":null,"abstract":"We report the case of an 81-year-old woman with a history of primary biliary cholangitis who had been hospitalized multiple times for hepatic encephalopathy. She presented with fresh bloody stools, and contrast-enhanced abdominal computed tomography (CT) revealed a dilated inferior mesenteric vein and varices protruding into the rectal lumen. A colonoscopy confirmed the presence of rectal varices (Rb), leading to a diagnosis of rectal variceal bleeding as the source of the hematochezia. Given her history of recurrent hepatic encephalopathy, percutaneous embolization was performed via a direct approach to the superior rectal vein to occlude the rectal varices and their feeding vessels. A follow-up colonoscopy performed 2 days after embolization showed that the rectal varices had decreased in size and had changed in color from red to blue. Contrast-enhanced CT conducted 5 days post-treatment demonstrated the disappearance of contrast enhancement in the rectal varices and thrombus formation leading to cessation of blood flow in the inferior mesenteric vein. The patient was subsequently discharged without further episodes of rectal variceal bleeding or recurrence of hepatic encephalopathy.","PeriodicalId":35808,"journal":{"name":"Japanese Journal of Gastroenterology","volume":"122 5","pages":"368-374"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044204","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

[Diagnostic criteria for primary sclerosing cholangitis]. 【原发性硬化性胆管炎诊断标准】。

Japanese Journal of Gastroenterology Pub Date : 2025-01-01 DOI: 10.11405/nisshoshi.122.248

Itaru Naitoh, Takahiro Nakazawa

引用次数: 0

[BRAF V600E-positive intrahepatic cholangiocarcinoma with suspected malignant transformation of the bile duct adenoma:a case report]. [BRAF v600e阳性肝内胆管癌合并胆管腺瘤疑似恶性转化1例]。

Japanese Journal of Gastroenterology Pub Date : 2025-01-01 DOI: 10.11405/nisshoshi.122.288

Masayuki Miyazaki, Keisuke Sakaguchi, Yuichi Tachibana, Akihiro Ueda, Seiya Kato, Osamu Nakashima, Tetsuro Akashi

引用次数: 0

[Crohn's disease complicated with squamous cell carcinoma originating from an enterocutaneous fistula:a case report]. [克罗恩病并发肠表皮瘘源性鳞状细胞癌1例]。

Japanese Journal of Gastroenterology Pub Date : 2025-01-01 DOI: 10.11405/nisshoshi.122.51

Ayako Komatsu, Kazutaka Koganei, Kenji Tatsumi, Hirosuke Kuroki, Nao Obara, Sayumi Saito, Akira Sugita, Hiroyuki Hayashi

{"title":"[Crohn's disease complicated with squamous cell carcinoma originating from an enterocutaneous fistula:a case report].","authors":"Ayako Komatsu, Kazutaka Koganei, Kenji Tatsumi, Hirosuke Kuroki, Nao Obara, Sayumi Saito, Akira Sugita, Hiroyuki Hayashi","doi":"10.11405/nisshoshi.122.51","DOIUrl":"10.11405/nisshoshi.122.51","url":null,"abstract":"This case report describes Crohn's disease complicated by squamous cell carcinoma in an enterocutaneous fistula. A 48-year-old male patient was diagnosed with Crohn's disease 24 years ago and has undergone five surgical operations. An enterocutaneous fistula originated from the midline abdominal wound 11 years after the onset. Azathioprine was initiated instead of surgery due to frequent recurrence of the fistula and his short residual small intestine (approximately 170cm). We followed him every 3 months and continued prescribing azathioprine as his fistula secretions decreased and became manageable. He noticed a mass at the same site 13 years after the appearance of the enterocutaneous fistula which was diagnosed as squamous cell carcinoma through biopsy. The tumor was markedly reduced after preoperative chemoradiotherapy. We resected the affected intestinal tract and abdominal wall associated with the enterocutaneous fistula, and he acheived a pathological complete response. Squamous cell carcinoma originating from an enterocutaneous fistula in Crohn's disease is rare;however, long-standing inflammatory lesions should be carefully monitored for carcinogenesis.","PeriodicalId":35808,"journal":{"name":"Japanese Journal of Gastroenterology","volume":"122 1","pages":"51-58"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980225","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 of intestinal transplantation]. [肠移植的现状]。

Japanese Journal of Gastroenterology Pub Date : 2025-01-01 DOI: 10.11405/nisshoshi.122.189

Takehisa Ueno

引用次数: 0

[Hepatocellular carcinoma developing autoimmune hemolytic anemia after atezolizumab and bevacizumab combination therapy, transitioning to second-line treatment following improvement:a case report]. [肝细胞癌在阿特唑单抗和贝伐单抗联合治疗后发生自身免疫性溶血性贫血，改善后过渡到二线治疗：1例报告]。

Japanese Journal of Gastroenterology Pub Date : 2025-01-01 DOI: 10.11405/nisshoshi.122.138

Masayoshi Ko, Kota Fujimaki, Shohei Igarashi, Takato Maeda, Koji Shimaya, Norihiro Hanabata, Kosuke Kanazawa, Hiroshi Numao, Masaki Munakata

引用次数: 0

[Debrief of the 66th Annual Meeting of the Japanese Society of Gastroenterology]. [第66届日本胃肠病学会年会报告]。

Japanese Journal of Gastroenterology Pub Date : 2025-01-01 DOI: 10.11405/nisshoshi.122.381

Naoya Sakamoto

引用次数: 0

[Diagnosis of functional dyspepsia]. 功能性消化不良的诊断。

Japanese Journal of Gastroenterology Pub Date : 2025-01-01 DOI: 10.11405/nisshoshi.122.402

Masafumi Wada, Yosuke Minoda, Eikichi Ihara

引用次数: 0

[Treatment of functional dyspepsia -psychological approach]. 功能性消化不良的治疗——心理学方法。

Japanese Journal of Gastroenterology Pub Date : 2025-01-01 DOI: 10.11405/nisshoshi.122.418

Ayumu Tateno, Kohei Handa

引用次数: 0

[Pathogenesis of functional dyspepsia]. [功能性消化不良的发病机制]。

Japanese Journal of Gastroenterology Pub Date : 2025-01-01 DOI: 10.11405/nisshoshi.122.394

Hidekazu Suzuki

引用次数: 0