Publications by authors named "Y Funayama"
A 36-year-old woman presented to our hospital with a complaint of melena. Examinations revealed type 3 gastric cancer with left supraclavicular lymph node(Virchow's node)and para-aortic lymph node(PAN)metastases. The patient was treated with S-1 and CDDP combination chemotherapy.
View Article and Find Full Text PDFBiologic therapy for ulcerative colitis associated with immune thrombocytopenia.
Clin J Gastroenterol
October 2024
Article Synopsis
- Ulcerative colitis (UC) can sometimes lead to issues outside the intestines, such as immune thrombocytopenia (ITP), a condition where platelet levels drop.
- A 51-year-old man with severe UC and ITP did not respond to standard treatments, but treatment with biologic drugs like ustekinumab and adalimumab helped him achieve remission in both conditions.
- This case highlights how effective biologics can be in treating difficult UC cases accompanied by ITP, suggesting they might help avoid the need for surgery.
Although recent propagation of carbapenemase-producing Enterobacterales (CPE) has become a problem worldwide, the picture of CPE infection in Japan has not fully been elucidated. In this study, we examined clinical and microbiological characteristics of invasive CPE infection occurring at 8 hospitals in Minami Ibaraki Area between July 2001 to June 2017. Of 7294 Enterobacterales strains isolated from independent cases of bacteremia and/or meningitis, 10 (0.
View Article and Find Full Text PDFObjective: The purpose of this study was to determine the sleep stage during which isolated snoring occurs in children and adults, and to analyze changes after treatment of obstructive sleep apnea (OSA).
Methods: This retrospective study examined duration of snoring time and respiratory events during each sleep stage in adults and children who underwent polysomnography, had an apnea-hypopnea index (AHI) < 15/h and had snoring time ≥ 10% of total sleep time. Changes in duration of snoring time were also examined in adult patients after treatment with an oral appliance (OA).
Article Synopsis
- - Before double-balloon enteroscopy (DBE), surgery was the main way to treat small-bowel polyposis, which could lead to complications like short bowel syndrome.
- - New enteroscopy techniques like DBE and single-balloon enteroscopy allow for less invasive treatments, making it easier to diagnose and treat conditions like Peutz-Jeghers syndrome (PJS) and familial adenomatous polyposis (FAP) in the small bowel.
- - While polyps in PJS often recur, repeat endoscopic procedures can help manage them, and for FAP patients, surveillance and endoscopic removal are necessary due to the heightened cancer risk from polyps.