Tsuyoshi Yabana

Non-invasive down-staging after transurethral resection of bladder tumor plus systemic chemotherapy is an optimal selection criteria for bladder-sparing strategy in muscle-invasive bladder cancer

T Onishi, Sho Sekito, Takuji Shibahara, Takashi Terabe et autres

[Mechanisms of direct gastric mucosal damage by NSAIDs].

Takeaki Kobayashi, Tsuyoshi Yabana

Since gastric mucosal membrane, that is the most important part of mucosal barrier, is a lipid-protein layer, ionized and water-soluble NSAIDs are restricted in their transport. In the highly acidic condition of gastric juice, however most of NSAIDs are non-ionized and fat-soluble, …

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Adjuvant postoperative chemotherapy for Dukes C colorectal cancer; weekly low-dose Irinotecan (CPT-11) plus oral 5-FU versus oral 5-FU only

Koichi Sasaki, Hajime Takasaka, K Kiriyama, Yoshiko Inafuku et autres

3735 Background: We have already reported that the weekly low dose CPT-11 + oral 5-FU is effective in the treatment of advanced colorectal carcinoma (CRC) with the minimal toxities (Sasaki, ASCO 2002). Oral 5-FU also have single agent activity in CRC. The …

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[Involvement of neuromuscular disorders in maternally inherited diabetes with deafness (MIDD)].

Toyoko Hirayama, Yuu Kaneshige, Satoshi Okahara, Yasuyo Adachi et autres

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BOWEL, PREPARATION NFOR CONLONOSCOPY ANFTER COLORNECTAL CANCER OPERATED PATIENTS

Kazuaki Sasaki, Kei Ohno, Keisuke Ohno, Tomomichi Yoshikawa et autres

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A Case Report of Incarcerated Internal Hernia in Paracolic Gutter of the Descending Colon

Hiroyuki Kawasaki, Kazuaki Sasaki, Hajime Takasaka, Keisuke Ohno et autres

内ヘルニアは比較的まれな疾患である. イレウスで発症する場合が少なくないが特徴的所見に乏しく術前診断の困難ことが多い. 今回, 傍下行結腸窩に発生した極めてまれな腹膜窩内ヘルニアの1例を経験した. 本邦2例目の報告と考えられ文献的考察を含め報告する. 患者は72歳の女性. 精神分裂病で通院していたが突然, 腹痛, 嘔吐を生じ近医を受診した. 腹部単純X線写真で小腸広範に拡張像とガス像を認め, イレウスの診断で紹介入院となった. イレウス管挿入後の造影検査で小腸の先細り像, 閉塞を左側腹部に認め, 癒着あるいは内ヘルニアを成因としたイレウスを考慮したものの確定診断を得られず, イレウスの診断で開腹手術を施行した. 開腹所見は, 下行結腸外側の直径1.5cm大の後腹膜陥凹部に生じた内ヘルニアに小腸が嵌頓したイレウスであった. 手術内容は陥入腸管を還納し陥凹部を開放のままとした. 手術後2年経過し再発徴候なく順調に経過している. 下行結腸外側に閉塞部位を同定できる場合には本症を考慮すべきである.

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Involvement of neuromuscular disorders in maternally inherited diabetes with deafness (MIDD)

Toyoko Hirayama, Yuu Kaneshige, Satoshi Okahara, Yasuyo Adachi et autres

症例: 30歳,女性.両親は糖尿病で母親に感音性難聴あり.幼児期より難聴, 27歳時意識障害発作,糖尿病初発.インスリン使用で血糖は安定したが,軽度筋力低下,筋萎縮を自覚.白血球検索でミトコンドリアDNA (mt-DNA) (A→G) 3243に10%の変異を認めた. IgM, IgG型風疹抗体価は持続陽性.脳波でθ波の出現,画像上脳萎縮は著明.筋生検では特徴的なragged red fiber (RRF)を認めた.

A pancreatic abscess 7 years after a pancreatojejunostomy for calcifying chronic pancreatitis

Asako Suzuki, Takahiro Matsunaga, Shigeo Aoki, Toyoko Hirayama et autres

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[Physiopathology of Helicobacter pylori infection: Gastric mucosal protection].

Takeaki Kobayashi, Satoshi Okahara, Tsuyoshi Yabana

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[Weekly low dose CPT-11 for multiple lung metastases of colon cancer on an out-patient treatment: a case report].

Koichi Sasaki, Hajime Takasaka, Hideki Kawasaki, K. Oono et autres

Eosinophilia-preceded myelodysplastic syndrome associated with deletion of chromosome 20q and isochromosome 17q.

Tohru Takahashi, Mahito Kamishima, Tsuyoshi Yabana, Yuji Hinoda et autres

Gastric Carcinogenesis and H. pylori Infection

Tsuyoshi Yabana, Takeaki Kobayashi, Toshiro Sugiyama

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