Patients with gastrointestinal tract disorders receiving parenteral nutrition need a higher dose of vitamin C.

Background/aims: Appropriateness of the vitamin doses in Japanese commercial multi-vitamin preparations for parenteral nutrition therapy was investigated in patients with gastrointestinal tract disorder by evaluating the vitamin status (blood concentrations and urinary excretions of vitamins B1, B2, B6, and C) of them.

Methodology: Commercial multivitamin preparations were administered continuously with a commercial PN solution over 5 days to 10 patients with gastrointestinal tract disorder. Blood concentrations of vitamins B1, B2, B6, and C were measured on the mornings of day 1, day 4, and day 6.

[A case of ruptured hepatocellular carcinoma originated from nonalcoholic steatohepatitis (NASH)].

A 69-year-old woman visited our emergency room because of sudden right lower quadrant abdominal pain. Abdominal CT revealed a ruptured tumor in the anterior segment of the liver. Emergency laparotomy was selected due to interventional radiology was not available.

[A case of adenosquamous carcinoma of the liver].

A 60-year-old man underwent abdominal computed tomography due to the chest pressure. Then, a 10 cm sized tumor in the right lobe of the liver was detected. Tumor marker was normal except that CA19-9 was as high as 703 U/mL.

[A case of hepatocellular carcinoma with advanced gastric cancer treated by radio frequency ablation].

A 69-year-old male patient has been diagnosed hepatitis B a couple of years ago at our hospital. His follow up CT revealed multiple hepatocellular carcinomas (HCCs) in May 2007. Transarterialchemoembolization was selected for treatment.

[A case of locally recurrent rectal cancer responding to radiation and chemotherapy with S-1].

We describe a case of locally recurrent rectal cancer that was successfully treated with radiation and chemotherapy with S-1; this treatment resulted in long-term survival of the patient with a good performance status. A 51-year-old man underwent Hartmann's operation for advanced rectal cancer. At 6 months after the surgery, a pelvic computed tomography (CT) scan showed a local recurrence of the rectal cancer.

[Adjuvant chemotherapy of S-1 and CDDP for undifferentiated adenocarcinoma of the stomach].

A 67-year-old female visited our department complaining a general fatigue. Gastrointestinal endoscopy revealed a giant ulcer at distal portion of the stomach. NSE was the only tumor marker showing an abnormal value.