Publications by authors named "Shinya Hoki"
Background: EG-840TP is a novel small-caliber therapeutic endoscope with a large working channel. We aimed to evaluate the treatment outcomes of peroral endoscopic myotomy using EG-840TP compared to those using a conventional therapeutic endoscope (GIF-H290T).
Methods: Patients who underwent peroral endoscopic myotomy for achalasia and non-achalasia esophageal motility disorders were enrolled between March 2021 and March 2023.
A 61-year-old woman who had been taking olmesartan for 7 years complained of epigastric pain, diarrhea, loss of appetite, and weight loss. Esophagogastroduodenoscopy revealed roughened mucosa and erosions in the stomach and duodenum. An endoscopic biopsy failed to identify the cause of the mucosal disorder.
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- - The study develops a risk-scoring system to identify patients who may need additional hospital-specific care (HIC) after undergoing a procedure called peroral endoscopic myotomy (POEM) for esophageal issues.
- - It analyzed data from 589 patients over eight years, finding that 8.5% experienced HIC, with four key factors included in the scoring: age, nutritional status, surgical site complications, and pneumonia.
- - The scoring system showed strong predictive ability and is useful for optimizing patient discharge decisions post-surgery.
Article Synopsis
- A study evaluated the safety and effectiveness of same-day sodium picosulfate plus magnesium citrate (SP + MC) bowel preparation for colonoscopy in 145 Japanese patients, as Japan currently only approves day-before and split-dose methods.
- Out of 137 patients who had colonoscopies, 97.1% achieved adequate bowel cleansing, with a high mean Boston Bowel Preparation Score, and only five patients experienced minor adverse events.
- The majority of patients were satisfied with the same-day preparation method, with 99.2% expressing a preference for its use in future colonoscopies, indicating it’s a safe and effective option.
A 65-year-old man with ulcerative colitis presented with aggravated diabetes. Computed tomography showed two masses in the body and tail of the pancreas. Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) was performed, with histopathological findings suggesting autoimmune pancreatitis (AIP).
View Article and Find Full Text PDFA 28-year-old woman was referred to our hospital for liver dysfunction and neck pain. Blood tests revealed elevated liver enzymes and eosinophilia. Ultrasonography, computed tomography, and magnetic resonance imaging showed a mass lesion near the hepatic hilus.
View Article and Find Full Text PDFA 44-year-old woman presented to our hospital with abdominal pain. Abdominal ultrasonography and computed tomography showed a mass-like change in the lesser omentum between the liver and stomach. Esophagogastroduodenoscopy revealed a submucosal tumor-like change, and endoscopic ultrasonography (EUS) revealed that the mass was located outside of the stomach wall.
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