Publications by authors named "Kagawa Yasuyuki"

We describe a case of familial Mediterranean fever (FMF) with sigmoid colon stricture. The patient, a woman in her 30 s, had a 12-year history of ileocolitis-type Crohn's disease. The colonoscope could not pass because of the sigmoid colon stricture, and the patient was referred to our hospital with complaints of abdominal pain and fever.

View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to promote sustainable practices in endoscopy by examining how gowning techniques impact microbial contamination and carbon emissions, assessing the potential for reducing medical waste.* -
  • Involving 25 patients, researchers found a 56% contamination rate across isolation gowns, with higher rates among resident endoscopists compared to experts, particularly noting increased bacteria on the left arm of gowns.* -
  • The bacteria found were non-pathogenic, suggesting that complete changes of protective gear may not be necessary, supporting the initiative for "green endoscopy" to enhance sustainability in medical practices.*
View Article and Find Full Text PDF

Background: This study evaluated the association between the risk factors and prognosis for metachronous esophageal squamous cell carcinoma (ESCC) after endoscopic resection (ER) of esophageal cancer in older patients.

Methods: We conducted a retrospective observational study of 127 patients with ESCC who underwent ER from 2015 to 2020. Patients were classified as non-older (≤ 64 years), early older (65-74 years), and late older (≥ 75 years).

View Article and Find Full Text PDF

Background: Map-like redness is a newly identified endoscopic risk factor for gastric cancer in patients who received Helicobacter pylori eradication therapy. However, the incidence rate of map-like redness in patients who received eradication, and the risk factors for the development of map-like redness remain unclear. We hence aimed to investigate the incidence rate of map-like redness at 1-year post H.

View Article and Find Full Text PDF

Objective Acute hemorrhagic rectal ulcer (AHRU) is characterized by sudden, painless, and massive bleeding from rectal ulcers. To date, few studies have analyzed the risk factors for AHRU rebleeding. In this study, we clarified the risk factors of rebleeding after initial hemostasis of AHRU through a multicenter study.

View Article and Find Full Text PDF
Article Synopsis
  • * Lubiprostone, a chloride channel activator, shows promise for treating chronic constipation, but its long-term efficacy as a standalone therapy in new patients was previously unclear.
  • * A study of 74 patients on lubiprostone revealed that a 24 µg/day starting dose significantly improved chronic constipation for 76.1% of patients over six months, suggesting it reduces the risk of side effects like nausea and diarrhea.
View Article and Find Full Text PDF

We evaluated whether texture and color enhancement imaging (TXI) using a high-definition ultrathin transnasal endoscope (UTE) improves the visibility of early gastric cancer (EGC) compared with white-light imaging (WLI). This study included 31 EGCs observed by TXI mode 2 using a high-definition UTE prior to endoscopic submucosal dissection. The first outcome was to compare the color differences based on Commission Internationale de l'Eclairage L*a*b* color space between EGCs and the surrounding mucosa by WLI and TXI using the UTE (objective appearance of EGC).

View Article and Find Full Text PDF

Introduction: As the high mortality rate of gastric cancer (GC) is due to delayed diagnosis, early detection is vital for improved patient outcomes. Metabolic deregulation plays an important role in GC. Although various metabolite-level biomarkers for early detection have been assessed, there is still no unified early detection method.

View Article and Find Full Text PDF

Backgrounds: The pharynx has no muscularis mucosae, so it is unclear whether diagnostic techniques used for the esophagus can be applied to the pharynx. This study investigated the usefulness of magnifying endoscopy with narrowband imaging using the Japan Esophageal Society (JES) classification for predicting the depth of invasion and lymph node metastasis (LNM) in pharyngeal cancer.

Methods: A total of 123 superficial pharyngeal carcinoma lesions that had been observed preoperatively with magnifying endoscopy with narrowband imaging between January 2014 and June 2021 were analyzed.

View Article and Find Full Text PDF

Background: A new scoring system, the BEST-J score, using ten risk factors to assign cases to different post-endoscopic submucosal dissection (ESD) risk groups for bleeding, has been shown to be accurate for risk stratification. We first aimed to validate the BEST-J score at four hospitals not specialized in performing ESD and then aimed to identify other risk factors for post-ESD bleeding.

Methods: We evaluated the incidence of post-ESD bleeding in 791 cases of early gastric cancer (EGC) between October 2013 and December 2020 as a retrospective, multi-center observational study conducted at four hospitals.

View Article and Find Full Text PDF

Objectives: Useful indices to determine whether to reduce the dose of 5-aminosalicylic acid (5-ASA) in patients with ulcerative colitis (UC) during remission remain unclear. We aimed to analyze the rate and risk factors of relapse after reducing the dose of oral 5-ASA used for maintenance therapy of UC.

Methods: UC patients whose 5-ASA dose was reduced in clinical remission (partial Mayo score of ≤ 1) at our institution from 2012 to 2017 were analyzed.

View Article and Find Full Text PDF

An 86-year-old man was transferred to the Tokyo Medical University Hospital because of a temporary loss of consciousness and melena. We performed upper gastrointestinal endoscopy, which revealed Mallory-Weiss syndrome caused by a strong vomiting reflex. After an examination, he complained of abdominal pain, and his blood pressure decreased.

View Article and Find Full Text PDF

Objective: Endoscopic laryngopharyngeal surgery (ELPS) is an effective and minimally invasive treatment for pharyngeal cancers. However, the disadvantages of ELPS are the interference of instruments in the operative field and the difficulty in approaching certain areas. To overcome these drawbacks, we began to perform combination treatment of ELPS and endoscopic submucosal dissection (ESD).

View Article and Find Full Text PDF

A versatile approach for the preparation of micrometer-sized, monodisperse, "mushroom-like" Janus polymer particles in aqueous dispersed systems is proposed. The synthetic methodology of the Janus particles consists of the following two steps. The first step is the preparation of spherical poly(methyl methacrylate) (PMMA)/poly(styrene-2-(2-bromoisobutyryloxy)ethyl methacrylate) (P(S-BIEM)) Janus particles based on the internal phase separation induced by solvent evaporation from the solvent droplets dissolving the polymers.

View Article and Find Full Text PDF

The polymerization rate, control/livingness, and particle morphology in seeded activators generated by electron transfer for the atom-transfer radical polymerization of styrene with PiBMA-Br macroinitiator particles were investigated at 70, 90, and 110 degrees C. At 110 degrees C, the polymerization proceeded quickly until 60% conversion was reached, but control/livingness was not observed. This seems to be the reason for the high activation rate and spontaneous initiation of styrene, which significantly increased the radical concentration, resulting in a number of radical terminations.

View Article and Find Full Text PDF

Micrometer-sized, monodisperse polystyrene (PS)/poly[methyl methacrylate-(chloromethyl)styrene] [P(MMA-CMS)] composite particles having hemispherical structure were prepared by solvent evaporation from toluene droplets containing dissolved PS and P(MMA-CMS) dispersed in aqueous solution, which had been prepared using the membrane method. The formation of hemispherical ("Janus") morphology by phase separation between the PS and the P(MMA-CMS) was confirmed by both optical and electron microscopy. Atom transfer radical polymerization (ATRP) of 2-(dimethylamino)ethyl methacrylate (DM) was subsequently carried out in the presence of hemispherical PS/P(MMA-CMS) composite particles in an aqueous dispersed system.

View Article and Find Full Text PDF