Publications by authors named "H T Miyatani"
Evaluation of the Jichi Medical University diverticular hemorrhage score in the clinical management of acute diverticular bleeding with emergency or elective endoscopy: A pilot study.
PLoS One
August 2023
Article Synopsis
- Emergency endoscopic hemostasis is effective for treating colonic diverticular bleeding, but identifying the bleeding source can be challenging for patients and healthcare providers.
- A scoring system called the Jichi Medical University diverticular hemorrhage score (JD score) was developed to better predict bleeding sources based on specific clinical criteria.
- Results showed that a higher JD score significantly increased the rate of identifying the bleeding source (77% vs. 23%), ultimately leading to shorter hospital stays, but there was a greater incidence of rebleeding in high JD score patients.
Most cases of liver dysfunction in pregnancy are pregnancy-related, but the onset of systemic autoimmune diseases is also differentiated. A 24-year-old woman presented with liver dysfunction at 28 weeks' gestation with suspected autoimmune hepatitis and started taking ursodeoxycholic acid. She gave birth prematurely at 35 weeks' gestation, and the infant presented with pancytopenia and liver failure but survived because of liver transplantation.
View Article and Find Full Text PDFA 54-year-old man was admitted with obstructive jaundice. Computed tomography showed common bile duct stricture and a tumor around the celiac artery. Repeated endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) and endoscopic retrograde cholangiopancreatography (ERCP) as well as a laparotomic biopsy around the celiac artery were diagnostically unsuccessful.
View Article and Find Full Text PDFArticle Synopsis
- * Despite negative family screening tests, she was eventually diagnosed with WD at age 68 after a liver biopsy and genetic testing.
- * The case highlights that individuals with liver issues and a family history of WD should undergo thorough medical examinations, as the disease can develop at any age.