Japanese Journal of Gastroenterology最新文献_第9页

[Multiple ileal neuroendocrine tumors 10mm in diameter with lymph node metastasis detected on endoscopy:a case report]. [内镜检查发现直径 10 毫米的多发性回肠神经内分泌肿瘤伴淋巴结转移：病例报告]。

Japanese Journal of Gastroenterology Pub Date : 2024-01-01 DOI: 10.11405/nisshoshi.121.389

Yuho Nimura, Eiji Hamajima, Yasuyuki Nakae, Tsuguo Kamioka, Sayori Nakashima, Takeshi Kuno, Makoto Ito

{"title":"[Multiple ileal neuroendocrine tumors 10mm in diameter with lymph node metastasis detected on endoscopy:a case report].","authors":"Yuho Nimura, Eiji Hamajima, Yasuyuki Nakae, Tsuguo Kamioka, Sayori Nakashima, Takeshi Kuno, Makoto Ito","doi":"10.11405/nisshoshi.121.389","DOIUrl":"10.11405/nisshoshi.121.389","url":null,"abstract":"A 53-year-old man with an abnormal routine physical examination was referred to our hospital. Colonoscopy showed a 5-mm submucosal tumor that was 7cm proximal to the ileocecal valve. It was identified as a neuroendocrine tumor (NET) on biopsy. Preoperatively, we conducted a double balloon endoscopy to examine the entire small intestine. Another 7-mm submucosal tumor was found on the ileocecal valve, which was missed during the first colonoscopy. A final diagnosis of multiple ileal NETs (<10mm in diameter) was made, and the patient underwent ileocecal resection with lymphadenectomy. Histopathological evaluation of the surgical specimen verified the diagnosis of NET Grade 1 with submucosal invasion. Metastasis to lymph node #202 was also detected. He remained relapse-free for 5 years and 5 months after the operation. In conclusion, this was a case of multiple ileal NETs (<10mm in diameter) with lymph node metastasis that could not be detected preoperatively on contrast-enhanced computed tomography. This case highlights the significance of detailed endoscopic observation of the terminal ileum.","PeriodicalId":35808,"journal":{"name":"Japanese Journal of Gastroenterology","volume":"121 5","pages":"389-399"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140913098","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

[Cirrhosis up to date -advances in therapeutic approaches]. [肝硬化最新进展--治疗方法的进展]。

Japanese Journal of Gastroenterology Pub Date : 2024-01-01 DOI: 10.11405/nisshoshi.121.343

Hitoshi Yoshiji

引用次数: 0

[Pathogenesis and pathophysiology of liver cirrhosis]. [肝硬化的发病机制和病理生理学]。

Japanese Journal of Gastroenterology Pub Date : 2024-01-01 DOI: 10.11405/nisshoshi.121.356

Hayato Hikita

引用次数: 0

[Current status and future perspectives of interventional endoscopic ultrasound-guided treatment]. [介入性内窥镜超声引导治疗的现状和未来展望]。

Japanese Journal of Gastroenterology Pub Date : 2024-01-01 DOI: 10.11405/nisshoshi.121.621

Mamoru Takenaka, Masatoshi Kudo

引用次数: 0

[Current status and future perspectives of endoscopic ultrasound-guided pancreatic tumor treatment]. [内镜超声引导下胰腺肿瘤治疗的现状和未来展望]。

Japanese Journal of Gastroenterology Pub Date : 2024-01-01 DOI: 10.11405/nisshoshi.121.651

Shinpei Doi, Nobuhiro Katsukura, Takayuki Tsujikawa

引用次数: 0

[Utility of abdominal ultrasonography in the management of ulcerative colitis:proposal of a new scoring system]. [腹部超声波检查在溃疡性结肠炎治疗中的作用：新评分系统的建议]。

Japanese Journal of Gastroenterology Pub Date : 2024-01-01 DOI: 10.11405/nisshoshi.121.675

Shinsuke Sato, Kentaro Ikeya, Ryosuke Takano, Ai Matsuura, Yuji Ota, Hiroyuki Hanai

{"title":"[Utility of abdominal ultrasonography in the management of ulcerative colitis:proposal of a new scoring system].","authors":"Shinsuke Sato, Kentaro Ikeya, Ryosuke Takano, Ai Matsuura, Yuji Ota, Hiroyuki Hanai","doi":"10.11405/nisshoshi.121.675","DOIUrl":"https://doi.org/10.11405/nisshoshi.121.675","url":null,"abstract":"In the management of ulcerative colitis (UC), colonoscopy (CS) is considered essential for diagnosis;however, its invasiveness poses a challenge. Conversely, recent advancements in ultrasound diagnostic devices have improved imaging quality for the digestive tract, rendering them valuable in UC management. Therefore, this study aimed to elucidate the correlation between abdominal ultrasonography (AUS) and CS in assessing UC activity. The indices adopted for UC evaluation using AUS were as follows:1) bowel wall stratification, 2) bowel wall thickness, 3) bowel wall flow at power Doppler, 4) presence of increased brightness of inflammatory fat, and 5) presence of mesenteric lymph node swelling greater than 5mm. Subsequently, we developed a new AUS index for UC, termed the UCUS score, which comprises the aforementioned five indices. Finally, we compared the UCUS score with representative endoscopic indices, the Mayo endoscopic sub-score, and the Ulcerative Colitis Endoscopic Index of Severity. The results demonstrated that our proposed UCUS score better reflected disease activity than individual items assessed separately. ROC curve analysis revealed a UCUS score cutoff of 3 points. Therefore, a UCUS score of ≥3 points indicates the need for further examination with CS. Conversely, a score below 3 points suggests low disease activity, and in situations when evaluating treatment effectiveness, AUS could potentially substitute for CS. We believe that the UCUS score is an important source of information to understand the patient's condition and to motivate the patient to undergo endoscopy.","PeriodicalId":35808,"journal":{"name":"Japanese Journal of Gastroenterology","volume":"121 8","pages":"675-688"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141972013","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

Japanese Journal of Gastroenterology Pub Date : 2024-01-01 DOI: 10.11405/nisshoshi.121.296

引用次数: 0

[Gastric metastasis of breast cancer treated as primary gastric cancer due to difficulty in differentiating primary and metastatic cancer:a case report]. [因难以区分原发性和转移性癌症而被当作原发性胃癌治疗的乳腺癌胃转移：病例报告]。

Japanese Journal of Gastroenterology Pub Date : 2024-01-01 DOI: 10.11405/nisshoshi.121.117

Takayuki Nukui, Akihisa Minowa, Takashi Mizushima, Kenji Urakabe, Kohei Okayama, Taketo Suzuki, Yuta Suzuki, Kenichi Haneda, Satoru Takahashi, Fumihiro Okumura

引用次数: 0

[Nutritional management for chronic liver disease]. [慢性肝病的营养管理]。

Japanese Journal of Gastroenterology Pub Date : 2024-01-01 DOI: 10.11405/nisshoshi.121.454

Tatsunori Hanai, Masahito Shimizu

引用次数: 0

[A case of secondary immune thrombocytopenia induced by atezolizumab plus bevacizumab therapy for hepatocellular carcinoma resulting in death from intracranial hemorrhage]. [阿特珠单抗加贝伐单抗治疗肝癌诱发继发性免疫性血小板减少症导致颅内出血死亡的病例]。

Japanese Journal of Gastroenterology Pub Date : 2024-01-01 DOI: 10.11405/nisshoshi.121.754

Koji Rinka, Hideki Fujii, Atsushi Hagihara, Etsushi Kawamura, Masaru Enomoto, Norifumi Kawada

{"title":"[A case of secondary immune thrombocytopenia induced by atezolizumab plus bevacizumab therapy for hepatocellular carcinoma resulting in death from intracranial hemorrhage].","authors":"Koji Rinka, Hideki Fujii, Atsushi Hagihara, Etsushi Kawamura, Masaru Enomoto, Norifumi Kawada","doi":"10.11405/nisshoshi.121.754","DOIUrl":"10.11405/nisshoshi.121.754","url":null,"abstract":"An 84-year-old woman underwent laparoscopic partial hepatectomy for a single 3.0-cm-diameter nodule of hepatocellular carcinoma at segment 5. Although the postoperative condition was uneventful, multiple recurrences were observed six months after hepatic resection. Transcatheter arterial chemoembolization (TACE) was the second-line therapy. However, she was later diagnosed as TACE refractory due to residual tumor and presence of portal vein tumor thrombus. Third-line therapy was the combination of atezolizumab and bevacizumab, which was discontinued after 22 courses due to disease progression. Two months after the conclusion of chemotherapy, sudden onset of purpura was observed around her eyes and on her lower legs. Laboratory tests revealed severe thrombocytopenia, and she was diagnosed with secondary immune thrombocytopenic purpura. Steroids and immunoglobulin therapy were then administered. Although the immature platelet fraction increased after treatment, the platelet count did not. The patient died of intracranial hemorrhage 10 days after initiation of steroid and immunoglobulin therapy.","PeriodicalId":35808,"journal":{"name":"Japanese Journal of Gastroenterology","volume":"121 9","pages":"754-762"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297248","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