5 results match your criteria: "Department of Gastroenterology Toyonaka Municipal Hospital Osaka Japan.[Affiliation]"

Background And Aim: Various techniques for direct biopsy from gastrointestinal subepithelial tumors (SETs) have been reported, although no standard method has been established. A common feature of these techniques is the removal of overlaying mucosa to enable direct biopsies from the SETs. These methods have been synthesized under the collective term "unroofing technique".

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  • Endoscopic treatment is the primary therapy for uncomplicated sigmoid volvulus (SV), but there is limited research on its clinical outcomes.
  • A study was conducted over nearly 13 years involving 70 patients to evaluate the effectiveness of endoscopic detorsion versus decompression for bowel decompression in SV cases.
  • Results showed a 28.6% success rate for detorsion, longer hospital stays for decompression, but no significant differences in recurrence rates or readmission days, suggesting that decompression is a viable alternative to detorsion.
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  • A follow-up survey conducted in 2022 assessed radiation protection practices among medical staff in endoscopy-fluoroscopy departments in Japan, following a 2020 study that reported low protective equipment usage and insufficient knowledge.
  • The survey included 464 participants, with high lead apron usage (98%) but much lower rates for other gear like thyroid collars (27%) and lead glasses (35%), indicating limited improvement since the 2020 survey.
  • While many staff attended radiation protection lectures (76%) and were aware of key concepts such as cancer risk related to radiation exposure, knowledge about specific dosage limits and diagnostic reference levels remained low, signaling further educational needs.
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  • * A questionnaire survey conducted with 282 participants revealed that while most staff wore lead aprons, very few used other protective gear like thyroid collars (32%) and lead glasses (21%), and only 69% wore radiation dosimeters.
  • * The findings suggest that knowledge about radiation exposure correlates with better adherence to protective measures, emphasizing the need for improved education and training on radiation safety for medical professionals.
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Background And Aim: Although gastric acid suppressants such as proton pump inhibitors (PPIs) and histamine-2 receptor antagonists (H2RAs) are considered safe, the consequences of hypochlorhydria and hypergastrinemia caused by chronic use are unclear. This study aimed to investigate the association between the chronic use of gastric acid suppressants and high-risk colorectal polyps, focusing on polyp size.

Methods: A population-based, nested case-control study was conducted using data from the Japanese Diagnosis Procedure Combination database between 2014 and 2019.

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