Publications by authors named "Akihito Mizukami"

Article Synopsis
  • Nonocclusive mesenteric ischemia (NOMI) involves intestinal ischemia from spasms in small blood vessels, which can become life-threatening if not diagnosed and treated quickly.
  • In this case, an 81-year-old man was diagnosed with NOMI after imaging showed signs of intestinal distress, leading to emergency surgery where ICG fluorescence was used to assess blood flow in the intestines.
  • The use of ICG fluorescence allowed for the precise removal of ischemic areas, improving outcomes and suggesting that more research on this technique could enhance future diagnostics and treatment of NOMI.
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Background/aim: We investigated the postoperative treatment status for diabetes mellitus and perioperative HbA1c levels in patients with diabetes mellitus and examined the effects of clinical factors on the remission of diabetes mellitus.

Patients And Methods: In this study, 126 patients with gastric cancer were considered to have diabetes mellitus preoperatively, of whom 79 were treated with oral antidiabetic drugs and/or insulin treatment. We compared diabetic treatment status and HbA1c values between the preoperative and postoperative periods in patients who underwent gastrectomy and examined the effects of clinical factors on improving diabetes mellitus.

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A 69-year-old female patient visited the previous hospital with anorexia and vomiting. She had weight loss and emaciation and was admitted to the hospital with a duodenal stenosis diagnosis due to superior mesenteric artery syndrome by computed tomography (CT). Conservative treatment with nutritional therapy was performed, but with no improvement;thus, the patient was referred to our hospital.

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We divided the patients with biliary tract cancer who underwent pancreaticoduodenectomy(PD)at our hospital into the 5-year recurrence-free and recurrence groups and investigated the prognostic factors. Additionally, we investigated the efficacy of adjuvant chemotherapy in patients with and without lymph node (LN) metastasis. There was no significant difference between the two groups for patient characteristics and perioperative factors.

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