Publications by authors named "Kohgo Y"

Introduction: Gastric cancer has been reported to occur with mild to moderate mucosal atrophy, particularly after the eradication of () more than 10 years previously. However, no conclusion has been reached on how many years of esophagogastroduodenoscopy should be performed after eradication.

Presentation Of Case: This was a case of gastric carcinoma of the fundic gland type (GCFGT) 32 years after the eradication of , which is the longest posteradication period reported.

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  • - The study introduces a new molecular-genetic method for detecting lung cancer using exosomes isolated from urine samples of 35 lung cancer patients and 40 healthy controls, measuring the expression ratio of MMP-1/CD63 and levels of two specific microRNAs (miRNA-21 and miRNA-486-5p).
  • - Results showed that the MMP-1/CD63 ratio was significantly higher in lung cancer patients compared to healthy individuals, and the sensitivity and specificity of MMP-1/CD63 and miRNA-486-5p varied by gender, with an impressive overall sensitivity and specificity when both markers were combined in a logistic regression model.
  • - The combination of these markers could potentially be used for early lung
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Unlabelled: Diagnosing the invasion depth of ulcerated early gastric cancer is usually inaccurate, especially for endoscopists in primary care clinics who are often not experts in this area. In reality, many patients with open ulcers who can be treated with endoscopic submucosal dissection (ESD) are referred for surgery.

Materials And Methods: Twelve patients with ulcerated early gastric cancer who were treated with proton pump inhibitors, including vonoprazan, and underwent ESD were included in the study.

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  • A 74-year-old man with no respiratory or abdominal symptoms was diagnosed with a non-hyperplastic polyp in the cecum during a follow-up gastrointestinal procedure.
  • The polyp was found to be small cell carcinoma with positive margins, and further testing revealed a lung mass, indicating it was a colorectal metastasis from primary small-cell lung cancer.
  • This case is notable as it is the first reported instance of colon metastasis from small cell carcinoma identified through endoscopic treatment.
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  • False cysts lack a cellular lining and often arise from previous abdominal injuries; however, this case presents a 23-year-old woman with a splenic false cyst despite no history of trauma.
  • Imaging techniques, such as CT scans, MRI, and ultrasound, revealed a cystic lesion with unusual internal structures, contradicting typical splenic false cyst characteristics.
  • Though non-traumatic splenic false cysts are uncommon and exhibit vague clinical signs, the standard treatment approach is surgical removal of the spleen (splenectomy).
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  • A unique case of malignant melanoma localized in the stomach is reported, marking the first such instance in the medical literature.
  • The patient, previously treated for melanoma on her heel, developed a melanotic lesion in her stomach which gradually increased in size over two years before being confirmed as malignant.
  • The lesion was successfully removed through endoscopic submucosal dissection, and findings indicated it was localized to the mucosa with no cancer spread, highlighting the importance of monitoring similar lesions even if initial biopsies are negative.
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Gel immersion endoscopy was developed by Yano for the treatment of bleeding. In this case, we performed gel immersion endoscopic mucosal resection to treat a bleeding gastric cancer. An 80-year-old man, with chronic renal failure and on aspirin treatment for ischemic heart disease, underwent endoscopic treatment for multiple early gastric cancers on the anterior and posterior walls of the pyloric ring.

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Objective One of the therapeutic goals for chronic infection with hepatitis B virus is the clearance of hepatitis B surface antigen (HBsAg) from the blood, as a high load of HBsAg has been proposed to induce antigen-specific immunotolerance. To achieve HBsAg reduction, Pegylated interferon and nucleos (t) ide analogs are used to treat chronic hepatitis B. Following the coronavirus disease 2019 (COVID-19) outbreak, the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection has rapidly spread worldwide, and vaccination with mRNA COVID-19 vaccines has been conducted since 2021 in Japan.

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Objective: The improvements of antitumor effects and tolerability on chemotherapy for advanced hepatocellular carcinoma (HCC) are warranted. Here, we aimed to elucidate the mechanism of the combining effect of tyrosine kinase inhibitor sorafenib (SOR) and iron chelator deferasirox (DFX) in human hepatoma cell lines, HepG2 and Huh-7.

Methods: The types of programmed cell deaths (PCDs); necrosis/necroptosis and apoptosis, were evaluated by flow cytometry and fluorescent microscopy.

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  • Colonic diverticular bleeding is the most frequent type of gastrointestinal bleeding, as illustrated by a case involving an 82-year-old man with melena.
  • Enhanced CT scans revealed multiple diverticula, but standard techniques couldn't locate the bleeding source until VISCOCLEAR gel was injected endoscopically.
  • The use of VISCOCLEAR improved visibility during the procedure, allowing for successful identification and hemostatic clipping of the bleeding point, leading to an uneventful recovery; further evaluations of this method are planned.
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Eosinophilic esophagitis (EoE) is a chronic inflammatory disease associated with eosinophilic infiltration of the esophageal mucosa mostly due to exposure to allergens. However, the causes and pathogenesis of EoE are not fully understood. We encountered a case of EoE that was triggered by sublingual immunotherapy (SLIT) for cedar pollen allergy.

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Cronkhite-Canada syndrome (CCS) is a rare disease characterized by diffuse gastrointestinal polyposis with chronic diarrhea and ectodermal change, but its etiology is unknown. We present a case at the age of 26 years complaining of epigastralgia and weight loss. Endoscopic examination revealed extensive diffuse polypoid lesions of the stomach and the terminal ileum, all of which showed hyperplastic polyps pathologically.

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Background: Vonoprazan has been more widely used for artificial ulcers after endoscopic submucosal dissection (ESD) for early gastric cancer; however, no reports have examined intragastric pH during ESD. The present study aimed to measure gastric pH at the time of ESD and the clinical course afterwards for patients treated with vonoprazan the night before undergoing ESD.

Materials And Methods: We examined medication status regarding gastric acid secretion and antithrombotic drugs, post-ESD bleeding as a perioperative complication, and the timing of upper gastrointestinal endoscopy after ESD and ulcer healing in 156 patients who underwent gastric ESD at our hospital from January 2014 to December 2019.

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Serum and tissue miR-21 expression in patients with breast cancer (BC) is a useful biomarker for cancer diagnosis, progression, and treatment. Matrix metalloproteinase-1 (MMP-1) is also important in breast cancer carcinogenesis. However, miR-21 and MMP-1/CD63 in urine exosomes in these patients have not been examined.

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Hepcidin is a main regulator of iron metabolism, of which abnormal expression affects intestinal absorption and reticuloendothelial sequestration of iron by interacting with ferroportin. It is also noted that abnormal iron accumulation is one of the key factors to facilitate promotion and progression of cancer including hepatoma. In this study, we firstly revealed that a new alternative HAMP transcript was found in hepatoma-derived cell line HLF, which was identical to the wild-type preprohepcidin sequence except lacking of an internal 60 bases.

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Background: We reported a cross-sectional study on causes of liver injury in Japanese type 2 diabetes mellitus (T2D) patients (JG 2013). We assessed overall and cause-specific mortality risk during follow-up of patients enrolled in JG 2013.

Methods: This was a longitudinal, multicenter cohort study.

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Background: All Helicobacter pylori-infected patients are recommended for eradication with an appropriate regimen in each geographic area. The choice of the therapy is somewhat dependent on the antimicrobial susceptibility. The rate of clarithromycin resistance has been increasing and is associated with failure; thus, susceptibility testing is recommended before triple therapy with clarithromycin.

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  • Patients with liver cirrhosis commonly suffer from zinc deficiency, which may relate to their clinical symptoms and liver function.
  • A study involving 235 cirrhosis patients found strong correlations between blood zinc levels and factors such as blood albumin, age, and liver test results.
  • The research emphasizes that low zinc levels are prevalent in patients with conditions like edema and hepatic encephalopathy, suggesting that those with nitrogen metabolic disorders should be evaluated for zinc deficiency.
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Background: Pancreatic cancer is associated with an extremely poor prognosis, so new biomarkers that can detect the initial stages are urgently needed. The significance of serum microRNA (miR) levels in pancreatic neoplasm such as pancreatic cancer and intraductal papillary mucinous neoplasm (IPMN) diagnosis remains unclear. We herein evaluated the usefulness of miRs enclosed in serum exosomes (ExmiRs) as diagnostic markers.

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Background: Eradication therapies for Helicobacter pylori infection are advancing as new acid inhibitory reagents approved. The aim of this study was to assess the efficacy and safety of vonoprazan-based triple treatment.

Materials And Methods: Triple therapy with vonoprazan and two antibiotics (amoxicillin and clarithromycin or metronidazole) received focus in this analysis.

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Transfusion is believed to be the main cause of iron overload in Japan. A nationwide survey on post-transfusional iron overload subsequently led to the establishment of guidelines for iron chelation therapy in this country. To date, however, detailed clinical information on the entire iron overload population in Japan has not been fully investigated.

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Chemopreventative properties of traditional medicines and underlying mechanisms of action are incompletely investigated. This study demonstrates that dietary daikenchuto (TU-100), comprised of ginger, ginseng, and Japanese pepper effectively suppresses intestinal tumor development and progression in the azoxymethane (AOM) and APC mouse models. For the AOM model, TU-100 was provided after the first of six biweekly AOM injections.

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The hedgehog pathway is known to promote proliferation of pancreatic ductal adenocarcinoma (PDA) and has been shown to restrain tumor progression. To understand how hedgehog causes these effects, we sought to carefully examine protein expression of hedgehog signaling components during different tumor stages. Genetically engineered mice, Pdx1-Cre;LSL-KrasG12D and Pdx1-Cre;LSL-KrasG12D;p53lox/+, were utilized to model distinct phases of tumorigenesis, pancreatic intraepithelial neoplasm (PanIN) and PDA.

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Bifidobacterium breve and other Gram-positive gut commensal microbes protect the gastrointestinal epithelium against inflammation-induced stress. However, the mechanisms whereby these bacteria accomplish this protection are poorly understood. In this study, we examined soluble factors derived from Bifidobacterium breve and their impact on the two major protein degradation systems within intestinal epithelial cells, proteasomes and autophagy.

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Previous reports have suggested that some probiotics inhibit tumorigenesis and cancer progression. However, the molecules involved have not yet been identified. Here, we show that the culture supernatant of Lactobacillus casei ATCC334 has a strong tumour-suppressive effect on colon cancer cells.

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