Publications by authors named "Suguo Suzuki"

The gastrointestinal (GI) tract harbors trillions of microorganisms known to influence human health and disease, and next-generation sequencing (NGS) now enables the in-depth analysis of their diversity and functions. Although a significant amount of research has been conducted on the GI microbiome, comprehensive metagenomic datasets covering the entire tract are scarce due to cost and technical challenges. Despite the widespread use of fecal samples, integrated datasets encompassing the entire digestive process, beginning at the mouth and ending with feces, are lacking.

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A 62-year-old male with a history of stent graft replacement for an infectious aortic aneurysm, followed by multiple interventions for postoperative complications, was admitted with melena and anemia. Enhanced computed tomography (eCT) demonstrated fluffing and hyperdensities surrounding the graft, despite no evidence of an aortoenteric fistula (AEF). Emergency esophagogastroduodenoscopy (EGD) showed a massive bleeding in the reconstructed tract and the protruding lesion of postoperative granulation tissue with clots at the end of the blind pouch.

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Article Synopsis
  • Endoscopic hemostasis is crucial for treating gastrointestinal bleeding but traditionally involves high-risk training on real patients; a new simulator, "Medical Rising STAR-Ulcer type," offers a safer practice option.
  • A study with 50 gastroenterology residents showed significant improvements in success rates for clipping hemostasis after simulation training, with rates rising from 64% to 86%.
  • Trainees reported enhanced self-confidence and proficiency post-training, appreciating structured learning while also noting some limitations of the simulator and the importance of ongoing skill development.
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Article Synopsis
  • ERCP (Endoscopic Retrograde Cholangiopancreatography) and EST (Endoscopic Sphincterotomy) are critical but risky procedures, highlighting the need for safer training methods, particularly for inexperienced learners.
  • A new simulator model was created to help trainees practice these procedures using real endoscopic tools and aligned with skills assessed by the Bethesda ERCP Skill Assessment Tool (BESAT).
  • The simulator received positive feedback from 30 gastroenterology trainees, showing a significant increase in satisfaction after use, indicating its effectiveness in enhancing training experiences.
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Several endoscopic findings obtained by magnifying image-enhanced endoscopy (IEE) are reportedly correlated with gastric intestinal metaplasia (IM); however, the differences between magnifying and nonmagnifying IEE for the diagnosis of gastric IM remain unknown. This study included 100 consecutive patients who underwent narrow-band imaging endoscopy. Four areas of the stomach were evaluated using nonmagnifying and magnifying IEE.

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