Explanipedia

Esophageal Impaction of a Large Chicken Bone in a Patient with Schizophrenia Open

Shusuke Yagi, Seitaro Murakawa, Miwako Kagawa, Tatsunao Sueuchi, Takanori Kashihara , et al. · 2025

Esophageal foreign body impaction is a common clinical issue, particularly among individuals with psychiatric disorders. Although most cases are managed successfully with endoscopic intervention, sharp or large foreign bodies can lead to s…

Successful Conservative Management of Mochi Retention in the Pylorus: A Case Report Open

Shusuke Yagi, Miwako Kagawa, Tatsunao Sueuchi, Takanori Kashihara, Kaori Inaba , et al. · 2025

A man in his 60s developed epigastric pain and anorexia due to pyloric obstruction caused by a retained mochi that had formed a large mass. Without endoscopic tools, conservative treatment with prokinetics and acid suppression leads to sym…

Anterior Cutaneous Nerve Entrapment Syndrome Triggered by Thoracic Compression Fracture and Weight Loss Open

Shusuke Yagi, Masayo Taoka, Kaori Inaba, Keisuke Inaba · 2025

Anterior cutaneous nerve entrapment syndrome (ACNES) and thoracic radiculopathy are rare forms of abdominal pain. Therefore, we herein report an older man with chronic right lower abdominal pain from coexisting ACNES and thoracic radiculop…

Colorectal Perforation Surgery in Elderly Patients Aged 80 Years or Older Open

Takafumi Kawamura, Takashi Harada, Keisuke Inaba, Kazuhisa Hirayama, Hideto Ochiai · 2024

The Respiratory Adjusted Shock Index at Admission Is a Valuable Predictor of In-Hospital Outcomes for Elderly Emergency Patients with Medical Diseases at a Japanese Community General Hospital Open

Taiki Hori, Ken‐ichi Aihara, Takeshi Watanabe, Kaori Inaba, Keisuke Inaba , et al. · 2024

Background: The respiratory adjusted shock index (RASI) is a risk score whose usefulness in patients with sepsis and trauma has previously been reported. However, its relevance in elderly emergency patients with medical diseases is yet to …

Usefulness of Palliative Prognostic Index, Objective Prognostic Score, and Neutrophil–Lymphocyte Ratio/Albumin Ratio As Prognostic Indicators for Patients Without Cancer Receiving Home-Visit Palliative Care: A Pilot Study at a Community General Hospital Open

Taiki Hori, Ken‐ichi Aihara, Koki Ishida, Kaori Inaba, Keisuke Inaba , et al. · 2024

Background: Although the palliative prognostic index (PPI), objective prognostic score (OPS), and neutrophil–lymphocyte ratio/albumin ratio (NLR/Alb) are well-known prognostic indicators for cancer patients, they do not provide clarity whe…

Comparison of therapeutic responses between polymyalgia rheumatica and remitting seronegative symmetrical synovitis with pitting edema syndrome Open

Harutaka Yamaguchi, Yoshihiro Okura, Kaori Inaba, Keisuke Inaba, Ryōsuke Takahashi , et al. · 2023

Polymyalgia rheumatica (PMR) and remitting seronegative symmetrical synovitis with pitting edema (RS3PE) syndrome are common inflammatory rheumatic diseases in the elderly. In this study, we investigated the difference of the therapeutic r…

Geospatial Assessments of DNA Adducts in the Human Stomach: A Model of Field Cancerization Open

Yuji Iwashita, Ippei Ohnishi, Yuto Matsushita, Shunsuke Ohtsuka, Takashi Yamashita , et al. · 2021

Background: Field cancerization is a popular concept regarding where cancer cells arise in a plane, such as the opened-up gastrointestinal mucosa. The geospatial distribution of DNA adducts, some of which are believed to initiate mutation,…

Mass spectrometric profiling of DNA adducts in the human stomach associated with damage from environmental factors Open

Ippei Ohnishi, Yuji Iwashita, Yuto Matsushita, Shunsuke Ohtsuka, Takashi Yamashita , et al. · 2021

Background A comprehensive understanding of DNA adducts, one of the most plausible origins of cancer mutations, is still elusive, especially in human tissues in clinical settings. Recent technological developments have facilitated the iden…

Additional file 2 of Mass spectrometric profiling of DNA adducts in the human stomach associated with damage from environmental factors Open

Ippei Ohnishi, Yuji Iwashita, Yuto Matsushita, Shunsuke Ohtsuka, Takashi Yamashita , et al. · 2021

Additional file 2 Supplementary Table S1: Mass transitions of DNA adducts. Seven mass transitions that assume a neutral loss of 116 units of deoxyribose in DNA adducts of deoxyribonucleosides were monitored by mass spectrometry. Supplement…

Past infections are associated with low levels of anti-citrullinated protein autoantibodies in rheumatoid arthritis Open

Kenji Tani, Minaho Kanamori, Yutaro Nagase, Yoshihiro Okura, Shingo Kawaminami , et al. · 2020

Background : Rheumatoid arthritis (RA), an autoimmune disease of unknown etiology, is believed to occur as the result of actions of genetic and environmental factors. In this study, we examined the relation of past histories about infectio…

Predictive factors associated with the therapeutic response in patients with polymyalgia rheumatica and remitting seronegative symmetrical synovitis with pitting edema syndrome Open

Kenji Tani, Shingo Kawaminami, Yoshihiro Okura, Ryo Tabata, Shino Yuasa , et al. · 2019

Polymyalgia rheumatica (PMR) and remitting seronegative symmetrical synovitis with pitting edema (RS3PE) syndrome are common inflammatory rheumatic diseases in the elderly. In this study, we investigate predictive factors which correspond …

Japanese elderly individuals wish for enteral tube feeding more strongly for their parents than for themselves Open

Harutaka Yamaguchi, Koj Sato, Keisuke Kawahito, Akiko Miyatake, Keisuke Kondo , et al. · 2019

[Introduction] The purpose of this study was to investigate the differences in the preference of enteral tube feeding between elderly inhabitants of Mugi town, Tokushima Prefecture, Japan, and their parents in various physical conditions. …

Predictive Factors of Conversion to Operation in Conservative Treatment of Acute Appendicitis Open

Sanshiro Kawata, A. Fukazawa, Hideto Ochiai, Ichirota Iino, Osamu Jindou , et al. · 2017

目的：急性虫垂炎に対する保存的治療の適応は拡大されてきたが，奏効しない例では穿孔性虫垂炎に至る危険性がある．当院における治療成績を後方視的に検討し，保存的治療が困難な症例の因子を明らかにする．方法：2012年6月から2014年9月までに当院で急性虫垂炎に対し治療を行った291例について，受診後24時間以内に手術を施行した群（早期手術群91例），24時間以上保存的治療を施行するも継続困難と判断し手術に至った群（手術移行群26例），保存的治療で軽快した群（保存的治療群174例）…

Characteristics of medical students who would like to be a generalist physician and contribute to remote area medicine Open

Kenji Tani, Yoshihiro Okura, Ryo Tabata, Shino Yuasa, Shingo Kawaminami , et al. · 2017

We administered a questionnaire to 5^th grade medical students to examine the effect of community-based clinical practice on their attitudes to remote area medicine and their course after the graduation. Data from 192 students we…

Laparoscopic Operation for Right Paraduodenal Hernia with Intestinal Malrotation in Adult: Report of a Case Open

Sanshiro Kawata, Keisuke Inaba, A. Fukazawa, Kazuhiko Fukumoto, Osamu Jindou , et al. · 2016

症例は50歳,男性.突然の腹痛を発症し,当院へ搬送された.CTで小腸が右上腹部に偏在し,小腸周囲に囊状構造を認めた.回盲部も正中寄りに偏位し,腸回転異常症を伴う右傍十二指腸ヘルニアによる腸閉塞と診断した.保存的に症状が改善したため,さらに画像診断を追加した後に待機的に腹腔鏡下手術を施行した.術中所見では右上腹部から右下腹部で全小腸が線維性膜様物(Ladd靱帯)に覆われ,回盲部付近にヘルニア門が形成されていた.Ladd靱帯をヘルニア門まで切開しヘルニア囊を開放した.虫垂切除を…

A Case of Small Intestinal Metastasis of Lung Cancer Presenting Intussusception Open

Kakeru Torii, Akihiro Uno, A. Fukazawa, Kazuhiko Fukumoto, Osamu Jindo , et al. · 2015

症例は68歳，男性．便秘，腹痛，食欲低下，左肩の痛みを主訴に近医を受診した．胸部X線検査で左肺の腫瘤陰影を指摘され，当院に入院となった．CT検査では左肺上葉に胸壁浸潤を伴った原発性肺癌を疑う径4.8cmの腫瘤と小腸腫瘤を先進部とする腸重積によるイレウス所見を認めた．イレウス管からの造影検査で回腸末端付近に小腸腫瘤を確認した．イレウス解除目的で開腹術を行った．回腸末端から約40cm口側の小腸腫瘍が先進部となり重積を惹起していたため，回腸部分切除を施行した．小腸腫瘍は病理組織学…

A Case of Resected Acinar Cell Carcinoma of the Pancreas with Tumor Thrombus into the Vein Open

Amane Hirotsu, Hideto Ochiai, A. Fukazawa, Keisuke Inaba, Keigo Matsumoto , et al. · 2015

症例は52歳，女性．胃潰瘍で近医通院中に心窩部痛・背部痛・食欲低下があり，腹部USで膵腫瘍を指摘され紹介となった．CTでは膵全体に14cm大の濃度不均一な多血性，分葉状の腫瘍を認めた．腫瘍は脾門部と左側大網の静脈内に腫瘍栓を形成し，上腸間膜静脈への浸潤も疑われた．また左腎静脈を圧排，左副腎への浸潤が疑われた．膵神経内分泌細胞腫瘍を疑い，リンパ節郭清を伴う膵全摘，門脈合併切除再建術を施行した．術中所見で左副腎および左腎静脈への浸潤が疑われ，左副腎と左腎を合併切除した．切除標本…

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