Publications by authors named "Shotaro Hanamura"

Objectives: Acute hemorrhagic rectal ulcer syndrome (AHRUS) causes massive bleeding and often recurrent rebleeding from rectal ulcers that form immediately above the dentate line. This study aimed to determine the clinical background and risk factors contributing to rebleeding in patients with AHRUS and the most appropriate method of hemostasis treatment.

Methods: This retrospective study included 93 patients diagnosed with AHRUS at Showa University Fujigaoka Hospital, Japan, between April 2009 and November 2018.

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In the present study, we aimed to clarify features of carcinomatous cirrhosis from breast cancer presenting as refractory transudate ascites and acute liver failure. In our systematic literature review, we identified 26 studies and 31 cases including our case of this rare condition. Our patient was a 49-year-old woman with a history of ascites and liver failure for the past 4 years and currently being treated for invasive ductal breast cancer.

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Background: Emphysematous liver abscesses are defined as liver abscesses accompanied by gas formation. The fatality rate is extremely high at 27%, necessitating prompt intensive care.

Case Presentation: The patient was a 69-year-old Japanese man with type 2 diabetes.

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Article Synopsis
  • A 49-year-old woman with pseudomembranous enterocolitis was admitted for treatment after not responding well to standard antibiotics like vancomycin and metronidazole.
  • She underwent fecal microbiota transplantation, which showed positive results quickly, with diarrhea resolving within 3 days.
  • A follow-up colonoscopy showed no signs of pseudomembranes, and there were no reported recurrences of the condition in the year following her discharge.
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Emphysematous gastritis is an extremely rare disease with an unfavorable prognosis. To date, very few studies have been conducted regarding the intragastric recovery process based on endoscopic findings. We herein report a case of emphysematous gastritis that improved with long-term (five months) conservative treatment in which we were able to observe the intragastric recovery process endoscopically.

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