Publications by authors named "I Yoshinaka"

Gastric neuroendocrine carcinoma (NEC) is an aggressive disease with high metastatic ability. Gastric cancer has intra-tumoral and intra-patient heterogeneity and may contain NEC. We discuss the case of a 75-year-old man who underwent distal gastrectomy for early gastric cancer.

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Article Synopsis
  • Duodenal omental filling is an effective surgical treatment for perforated duodenal ulcers, but achieving adequate omentum insertion can be challenging.
  • The authors successfully used intraoperative endoscopy during a laparoscopic procedure to fill the ulcer site, resulting in a 110-minute operation with minimal blood loss and a smooth postoperative recovery.
  • The combination of intraoperative endoscopy and laparoscopic surgery not only improves outcomes for larger perforations but also lowers the likelihood of needing to switch to open surgery.
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We herein report a case of cecal volvulus successfully treated with endoscopic colopexy. A 73-year-old man with a high fever and abdominal fullness was diagnosed with ileus caused by cecal volvulus. CT showed a dilated cecum and small intestine without bowel strangulation as well as acute pneumonia.

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Purpose: To investigate the efficacy of the projection onto convex sets (POCS) algorithm at Gd-EOB-DTPA-enhanced hepatobiliary-phase MRI.

Methods: In phantom study, we scanned a phantom and obtained images by conventional means (P1 images), by partial-Fourier image reconstruction (PF, P2 images) and by PF with the POCS algorithm (P3 images). Then we acquired and compared subtraction images (P2-P1 images and P3-P1 images).

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Acute gastric volvulus is a torsion of the stomach by more than 180° and a life-threatening condition. We present a 50-year-old male patient with acute abdominal pain who has Down syndrome/trisomy 21. Computed tomography showed a significant distended stomach with features of a severe gastric volvulus.

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