34 results match your criteria: "Yamashita Hospital[Affiliation]"
TOKYO criteria 2024 for the assessment of clinical outcomes of endoscopic biliary drainage.
Dig Endosc
November 2024
Department of Gastroenterology, Yamashita Hospital, Aichi, Japan.
Article Synopsis
- The TOKYO criteria, initially proposed for standardized reporting of endoscopic transpapillary biliary drainage outcomes, face limitations in newer techniques like endoscopic ultrasound and device-assisted endoscopy.
- A new committee is updating these criteria to better reflect current clinical practices in managing various biliary conditions, recognizing the need for comprehensive outcome evaluations beyond just stent patency.
- The revised TOKYO criteria 2024 aim to enhance the design and reporting of clinical studies by introducing a "stent-demanding time" concept for a more thorough assessment of endoscopic biliary drainage outcomes.
Pros and cons of using rapid sequence induction in all cases requiring general anesthesia.
JA Clin Rep
June 2024
Department of Anesthesiology, Fukushima Medical University School of Medicine, 1 Hikariga-Oka, Fukushima, 960-1295, Japan.
A Predictive Strategy for Nonsurgical Management of Pancreatic Stones.
Pancreas
April 2024
Department of Gastroenterology, Fujita Health University Okazaki Medical Center, Okazaki, Japan.
Article Synopsis
- The study aimed to predict the success of nonsurgical treatment, specifically extracorporeal shock wave lithotripsy (ESWL), for removing pancreatic stones in patients and to find the optimal number of treatment sessions needed.
- Data from 164 patients treated between 1992 and 2020 indicated that 79% achieved total stone clearance, with an average of 3 ESWL sessions, and an optimal threshold of 7 sessions was identified for effective treatment.
- Results showed that patients who underwent 7 or fewer sessions had a higher clearance rate (87%) compared to those with more sessions (48%), leading to the recommendation to consider other medical or surgical options if stones remain after 7 sessions.
Pancreatolithiasis with an anatomic variant of Wirsung duct: a case report.
Gastroenterol Rep (Oxf)
October 2023
Department of Gastroenterology, Fujita Health University Okazaki Medical Center, Harisakicho, Okazaki, Aichi, Japan.
Large or multiple pseudocysts can impede or complicate the nonsurgical treatment of pancreatolithiasis.
Fujita Med J
May 2023
Department of Gastroenterology, Fujita Health University Okazaki Medical Center, Okazaki, Aichi, Japan.
Objectives: We aimed to determine when a coexisting pseudocyst was likely to complicate the nonsurgical treatment of pancreatolithiasis.
Methods: We treated 165 patients with pancreatolithiasis nonsurgically between 1992 and 2020, including 21 with pseudocysts. Twelve patients had a single pseudocyst less than 60 mm in diameter.
Primary sclerosing cholangitis with partial steroid responsiveness: a case report.
Fujita Med J
May 2023
Department of Anatomic Pathology, Kurashiki Central Hospital, Kurashiki, Okayama, Japan.
Article Synopsis
- * Imaging suggested primary sclerosing cholangitis, and while steroid therapy improved some symptoms, a bile duct biopsy indicated a possible adenocarcinoma leading to surgery.
- * After surgery complications arose, leading to the need for additional surgery, and prednisolone was reintroduced to manage recurring symptoms and increased eosinophil infiltration was observed in the tissue samples.
Clinical characteristics and long-term prognosis of type 1 gastric neuroendocrine tumors in a large Japanese national cohort.
Dig Endosc
September 2023
Division of Gastroenterology, Department of Internal Medicine 2, Kawasaki Medical School, Okayama, Japan.
Objectives: Optimal management of type 1 gastric neuroendocrine tumors (T1-GNETs) remains unknown, with few reports on their long-term prognosis. This study investigated the clinical characteristics and long-term prognosis of T1-GNETs.
Methods: We reviewed the medical records of patients diagnosed with T1-GNET during 1991-2019 at 40 institutions in Japan.
Manual for abdominal ultrasound in cancer screening and health checkups, revised edition (2021).
J Med Ultrason (2001)
January 2023
Medical Check-Up Center, JA Hokkaido P.W.F.A.C. Obihiro Kosei General Hospital, Hokkaido, Japan.
Nonsurgical treatment for asymptomatic pancreatolithiasis is meaning: A case report.
Medicine (Baltimore)
October 2022
Department of Gastroenterology, Yamashita Hospital, Ichinomiya, Japan.
Background: Many guidelines for nonsurgical treatment of pancreatolithiasis suggest little guidance for patients with pancreatolithiasis who do not have abdominal pain. Some patients with pancreatolithiasis whom we have treated nonsurgically with extracorporeal shock-wave lithotripsy did not have abdominal pain, and we describe one of them here.
Methods And Results: A 42-year-old man complaining of an 8-kg weight loss over 6 months was admitted to a nearby hospital, where fasting blood sugar and hemoglobin A1c values were 500 mg/dL and 11.
Characterization of Nutrient Intake in Biopsy-Confirmed NAFLD Patients.
Nutrients
August 2022
Department of Gastroenterology and Hepatology, Yokohama City University School of Medicine Graduate School of Medicine, 3-9, Fukuura, Kanazawa-Ku, Yokohama 236-0004, Japan.
Weight loss improves the liver pathophysiological status of nonalcoholic fatty liver disease (NAFLD) patients. However, there are few studies that investigate the accurate relationships between nutritional intake and disease progression in NAFLD patients. A total of 37 biopsy-confirmed NAFLD patients were enrolled in this study.
View Article and Find Full Text PDFPromoting endoscopists' health through cutting-edge motion analysis technology: Accuracy and precision of ergonomic motion tracking system for endoscopy suite (EMTES).
J Occup Health
January 2022
Department of Occupational and Environmental Health, Nagoya City University Graduate School of Medical Sciences/Medical School, Nagoya, Japan.
Objectives: Endoscopists often suffer from musculoskeletal disorders due to posture-specific workloads imposed by precise maneuvering or long procedural duration. An ergonomic motion tracking system for endoscopy suite (EMTES) was developed using Azure Kinect sensors to evaluate the occlusion, accuracy, and precision, focusing mainly on upper and lower limb movements.
Methods: Three healthy male participants pointed the prescribed points for 5 s on the designated work envelopes and their coordinates were measured.
Benefit From Nonsurgical Treatment for Asymptomatic Pancreatolithiasis.
Pancreas
May 2022
Department of Gastroenterology, Fujita Health University Okazaki Medical Center, Okazaki, Japan.
Objective: Clinical guidelines consider abdominal pain an indication for nonsurgical treatment of pancreatolithiasis. We examined benefit from nonsurgically treating asymptomatic pancreatolithiasis.
Methods: We retrospectively reviewed 165 patients with pancreatolithiasis who underwent nonsurgical treatment between 1992 and 2020.
Pancreatic Stones: Clinical Outcomes With Nonsurgical Treatment in a Japanese Single-Center Study.
Pancreas
February 2022
From the Department of Gastroenterology, Fujita Health University Bantane Hospital, Nagoya, Japan.
Objectives: While chronic pancreatitis associated with pancreatolithiasis presents with pain, exocrine and endocrine pancreatic functions worsen with time. We examined outcomes of nonsurgical treatment.
Methods: Between 1992 and 2020, we treated pancreatolithiasis nonsurgically in 165 patients with chronic pancreatitis using extracorporeal shock wave lithotripsy alone or followed by endoscopic procedures.
Amendment of the Japanese consensus guidelines for autoimmune pancreatitis, 2020.
J Gastroenterol
April 2022
Faculty of Medicine, Department of Surgery, Kindai University, Osakasayama, Osaka, Japan.
Article Synopsis
- Due to new insights and updates to the Japanese autoimmune pancreatitis (AIP) diagnostic criteria in 2018, the existing 2013 consensus guidelines needed revision.
- A group of 20 AIP specialists analyzed 5218 articles from 1963 to 2019 to extract clinical statements and developed 39 clinical questions and statements across various aspects of AIP.
- A modified Delphi method was used to validate these statements, and with moderator evaluation, the revised Japanese consensus guidelines for AIP were proposed in 2020.
Effects of endoscopy-related procedure time on musculoskeletal disorders in Japanese endoscopists: a cross-sectional study.
Endosc Int Open
May 2021
Department of Gastroenterology and Hepatology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
There has been little evidence assessing the prevalence of musculoskeletal disorders (MSDs) among endoscopists performing recent diagnostic and therapeutic endoscopic procedures requiring prolonged procedural times. We evaluated the prevalence and identified the risk factors for developing MSDs, focusing on procedural time. An electronic survey of endoscopists (n = 213) employed at the Nagoya University Hospital and its affiliated hospitals was developed by a multidisciplinary group.
View Article and Find Full Text PDFSit-stand endoscopic workstations with wobble stools for the endoscopist, assistant, and endoscopy nurses in an endoscopy unit.
Endoscopy
September 2020
Department of Gastroenterology and Hepatology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Sit-stand endoscopic workstations equipped with a wearable chair.
VideoGIE
November 2019
Department of Gastroenterology and Hepatology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Clip-on-clip closure method for a mucosal defect after colorectal endoscopic submucosal dissection: a prospective feasibility study.
Surg Endosc
March 2020
Department of Gastroenterology, Yokkaichi Municipal Hospital, Yokkaichi, Mie, Japan.
Background: The closure of mucosal defects after colorectal endoscopic submucosal dissection (ESD) remains difficult. Therefore, various methods and devices have been developed to aid in this procedure. However, a standard method for mucosal defect closure after ESD has not been established.
View Article and Find Full Text PDFMagnetic anchor-guided endoscopic submucosal dissection for colorectal tumors (with video).
Surg Endosc
February 2020
Department of Gastroenterology and Hepatology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Background: The feasibility of magnetic anchor-guided endoscopic submucosal dissection (MAG-ESD) using a neodymium magnet for colorectal tumors has not been evaluated. The aim of this study was to clarify the feasibility of MAG-ESD for colorectal tumors.
Methods: This prospective trial was conducted at Yamashita Hospital.
Magnetic anchor-guided endoscopic submucosal dissection using a stainless steel anchor.
Endoscopy
February 2020
Department of Gastroenterology, Yamashita Hospital, Ichinomiya, Japan.
The Prevalence of Mixed Hepatitis C Virus Genotype Infection and Its Effect on the Response to Direct-Acting Antivirals Therapy.
Intervirology
November 2019
Department of Gastroenterology and Hepatology, Federation of National Public Service Personnel Mutual Aid Associations Meijo Hospital, Nagoya, Japan.
Background: The incidence of mixed hepatitis C virus (HCV) genotype infection is variable, and a few reports exist regarding the efficacy of direct-acting antivirals (DAA) therapy for mixed genotype. We aimed to investigate the prevalence of mixed genotype and its impact on the virologic response to DAA therapy.
Methods: A total of 365 patients with chronic HCV infection who completed antiviral therapy were recruited.
Randomized Phase II Study of Consecutive-Day versus Alternate-Day Treatment with S-1 as Second-Line Chemotherapy in Advanced Pancreatic Cancer.
Oncology
December 2018
Department of Endoscopy, Nagoya University Hospital, Nagoya,
Article Synopsis
- The study aimed to assess the effectiveness and safety of administering S-1 chemotherapy on alternate days as a second-line treatment for patients with unresectable pancreatic cancer.
- A total of 77 patients were involved, with similar median overall survival between those taking S-1 daily (4.5 months) and those taking it every other day (4.4 months), and low response rates in both groups.
- While alternate-day treatment showed a lower incidence of severe side effects (25.6% vs. 47.2% for daily treatment), it ultimately did not prove to be noninferior in effectiveness to daily dosing.
Endoscopic submucosal dissection with the use of liquid ceramic coating at endoscopic lens.
VideoGIE
August 2018
Department of Gastroenterology, Yamashita Hospital, Ichinomiya, Japan.
Late relapse of hepatitis C virus in patients with sustained virological response after daclatasvir and asunaprevir therapy.
J Viral Hepat
December 2018
Department of Gastroenterology and Hepatology, Meijo Hospital, Nagoya, Japan.
The optimal term of follow-up for patients who achieve sustained virological responses (SVR) is an important topic because of the widespread use of direct-acting antivirals (DAA), which achieve a high SVR rate. Investigations of long-term follow-up among patients with SVR after interferon (IFN) therapy have reported that approximately 80%-100% of patients maintained SVR. However, the long-term durability of SVR to DAA treatment is unknown.
View Article and Find Full Text PDFMagnetic anchor-guided endoscopic submucosal dissection for gastric lesions (with video).
Gastrointest Endosc
June 2018
Department of Gastroenterology and Hepatology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Background And Aims: The feasibility of magnetic anchor-guided endoscopic submucosal dissection (MAG-ESD) using a neodymium magnet for gastric lesions has not been clarified. The aim of study was to evaluate the feasibility of MAG-ESD using neodymium magnets while treating gastric lesions.
Methods: This prospective trial was conducted at the Yamashita Hospital.