9 results match your criteria: "National Hospital Organization Higashi Hiroshima Medical Center[Affiliation]"

Background: Hepatocellular carcinoma (HCC) ranks third in cancer-related deaths globally. Despite treatment advances, high post-hepatectomy recurrence rates (RR), especially with liver fibrosis and hepatitis C virus infection, remain challenging. Key prognostic factors include vascular invasion and perioperative blood loss, impacting extrahepatic recurrence.

View Article and Find Full Text PDF

Background: Symptomatic gastric hypomotility (SGH) is a rare but major complication of atrial fibrillation (AF) ablation, but data on this are scarce.

Objective: We compared the clinical course of SGH occurring with different energy sources.

Methods: This multicenter study retrospectively collected the characteristics and clinical outcomes of patients with SGH after AF ablation.

View Article and Find Full Text PDF

Although small bowel cancer is rare, cases of carcinoma arising from the abdominal wall have not been reported. We report a case of a tumor arising from a stoma scar site, following ileostomy closure that was performed 60 years earlier. The tumor was resected for both therapeutic and diagnostic purposes and was found to be a primary cancer of the small intestine.

View Article and Find Full Text PDF
Article Synopsis
  • - Hepatic cysts are generally harmless and often don't show symptoms, but larger ones can lead to issues like jaundice and portal hypertension, although they rarely obstruct the gastrointestinal tract.
  • - In a reported case, a large hepatic cyst caused a blockage in the duodenum, requiring an emergency procedure where the cyst was punctured to relieve pressure and examine the fluid for malignancy, which returned negative results.
  • - To treat the cyst, laparoscopic deroofing was performed, but due to the cyst being strongly attached to the duodenal wall, the wall was left intact, demonstrating that a two-step method of cyst puncture followed by surgery might be effective in urgent cases.
View Article and Find Full Text PDF

A case of effective Delorme's procedure for colonic mucosal prolapse after intersphincteric resection.

J Surg Case Rep

September 2021

Gastroenterological and Transplant Surgery, Applied Life Sciences, Institute of Biomedical & Health Sciences, Hiroshima University Hospital, Hiroshima, Japan.

Recent surgical technical improvements, such as endoscopic surgery with intersphincteric resection (ISR), could help avoid a permanent colostomy for patients with low-lying rectal tumors. However, the problems associated with anal dysfunction following ISR remain unresolved. We performed ISR and temporary ileostomy in a patient with low-lying rectal cancer.

View Article and Find Full Text PDF

Relationship between interleukin-1β gene expression in epicardial adipose tissue and coronary atherosclerosis based on computed tomographic analysis.

J Cardiovasc Comput Tomogr

July 2021

Department of Cardiovascular Medicine, Hiroshima University Graduate School of Biomedical and Health Sciences, 1-2-3 Kasumi, Minami-Ku, Hiroshima, 734-8551, Japan; Kobe City Medical Center General Hospital, 2-1-1 Minatojimaminamimachi, Chuo-Ku, Kobe, 650-0047, Japan.

Background: Anti-inflammatory therapy targeting interleukin (IL)-1β reduced cardiovascular events in a randomized trial. We evaluated the relationship between IL-1β mRNA expression in epicardial adipose tissue (EAT) and clinically-assessed coronary atherosclerosis on computed tomography (CT).

Methods: We studied 45 patients before cardiac surgery (coronary artery bypass grafting [CABG], n ​= ​18; non-CABG, n ​= ​27).

View Article and Find Full Text PDF

McArdle disease (glycogen storage disease type V) is a rare hereditary metabolic myopathy. It can be overlooked clinically because it often presents as chronic asymptomatic hypercreatine phosphokinasemia (hyperCKemia). However, vigorous exercise or infections can trigger severe rhabdomyolysis.

View Article and Find Full Text PDF

The patient was a 71-year-old man referred to our department because of asymptomatic gross hematuria. Detailed examination led to a diagnosis of bilateral ureteral cancer and prostate cancer. Total nephroureterectomy was performed for bilateral ureteral cancers on separate occasions, while prostate cancer was managed with hormone therapy.

View Article and Find Full Text PDF

To investigate why the development of a completely circular striated sphincter is so rare, we examined histological sections of 11 female and 11 male mid-term human fetuses. In male fetuses, the striated muscle initially extended in the frontal, rather than in the horizontal plane. However, a knee-like portion was absent in the female fetal urethra because, on the inferior side of the vaginal end, a wide groove for the future vestibule opened inferiorly.

View Article and Find Full Text PDF