Publications by authors named "Joji Shunto"

Article Synopsis
  • A 44-year-old woman with a history of gastric cancer and fundic gland polyposis was referred for diagnosis and treatment, having previously been treated for Helicobacter pylori infection.
  • After years of monitoring, she developed fundic gland polyps that increased in size, leading to suspicion of a genetic disorder known as GAPPS.
  • A robotic total gastrectomy was performed, revealing gastric cancer without lymph node metastasis, highlighting how gastric phenotypes may vary with H. pylori infection status.
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Background: Autoimmune gastritis is known to be associated with neoplastic lesions but the relationship between autoimmunity and tumorigenesis have not been sufficiently clarified. The aim of this study is to assess the clinicopathological characteristics of gastric cancer cases associated with autoimmune gastritis.

Methods: A total of 24 patients diagnosed as early gastric cancer with autoimmune gastritis were registered.

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A 37-year-old male with tarry stool presented to our hospital. Esophagogastroduodenoscopy revealed advanced gastric cancer, fundic gland polyposis (FGPsis), and negativity for Helicobacter pylori (HP) infection. Computed tomography exhibited multiple liver tumors.

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Endoclip migration into the common bile duct following laparoscopic cholecystectomy (LC) is an extremely rare complication. Migrated endoclip into the common bile duct can cause obstruction, serve as a nidus for stone formation, and cause cholangitis. We report a case of cholangitis due to a migrated endoclip and consequent choledocholithiasis 6 years after LC, which was successfully treated by endoscopic extraction.

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