Publications by authors named "K Aratani"

Article Synopsis
  • Foreign body granulomas (FBGs) can develop from chronic inflammation due to leftover foreign materials, with intraperitoneal foreign body granulomas (IPFBGs) commonly arising from surgical materials but rarely from food residue.
  • The case involves a 74-year-old male who experienced anastomotic leakage after rectal cancer surgery, leading to difficulty distinguishing his IPFBG caused by food from peritoneal dissemination identified through imaging.
  • The findings suggest that food residue can indeed trigger IPFBG, highlighting the importance of considering this condition in treatment decisions for peritoneal nodules.
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An 83-year-old woman underwent an examination for right lower abdominal pain and was diagnosed with highly advanced cecal cancer. CT showed no metastasis; thus, we attempted resection or bypass surgery. While no liver metastasis or peritoneal dissemination was observed intraoperatively, the circumflex region was highly infiltrated to the peritoneum and retroperitoneum.

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Background:  Primary neuroendocrine tumors of the gallbladder (GB-NETs) are rare, accounting for 0.5% of all NETs and 2.1% of all gallbladder cancers.

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An 84-year-old man on hemodialysis was referred to our department for an advanced gastric cancer with pyloric stenosis. Pre-operative CT showed thickening of the stomach wall at the primary lesion and regional lymph node metastasis, while no clear peritoneal metastasis was found. However, we found peritoneal disseminations during the operation, so gastrojejunal bypass was performed.

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In general, gastrojejunal bypass is performed for unresectable gastric cancers with stenosis. It enables patients to take food and be discharged from the hospital earlier. Previously, we used to primarily perform open gastrojejunal bypass; however, recently, we perform laparoscopic gastrojejunal bypass because it is minimally invasive.

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