Publications by authors named "Yoshito Ishiki"

Injuries of the celiac artery and its branches are rare, but potentially lethal. Ligation of these arteries is performed to control significant hemorrhage. However, few reports have described the adverse effects of ligating these arteries.

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Background And Importance: Complex pelvic injuries are among the types of trauma with the highest mortality. Treatment strategies should be based on the hemodynamic status, the anatomical type of fracture, and the associated injuries. Combination therapies, including preperitoneal pelvic packing, temporary mechanical stabilization, resuscitative endovascular balloon occlusion of the aorta, and angioembolization, are recommended for pelvic injuries.

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Background: Only a few studies have reported the association between age and mortality in COVID-19 patients who require invasive mechanical ventilation (IMV). We aimed to evaluate the effect of age on COVID-19-related mortality among patients undergoing IMV therapy.

Methods: This cohort study was conducted using the COVID-19 Registry Japan database, a nationwide multi-centre study of hospitalized patients with laboratory-confirmed COVID-19.

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Article Synopsis
  • Coagulation disorders significantly contribute to deaths in sepsis patients, leading to the development of the sepsis-induced coagulopathy (SIC) scoring system for assessing coagulopathy-related sepsis.
  • A multicenter study from 2011 to 2013 found that SIC was present in 66.4% of patients using vasopressors and was linked to higher in-hospital mortality for these patients (35.8% vs. 27.9% for non-SIC).
  • The SIC score was significantly associated with increased mortality risk in patients requiring vasopressors, suggesting it may serve as a valuable diagnostic tool for identifying severe coagulopathy in this group.
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Background: Portal venous gas (PVG) and pneumatosis intestinalis (PI) are rare pathologic findings, and a delayed appearance of portal vein thrombosis (PVT) in such patients is extremely rare.

Case Presentation: A 51-year-old man complaining of epigastric pain was referred to our hospital. Computed tomography (CT) at admission revealed massive PVG and extensive PI, but no PVT.

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