Natsuko Sugimasa
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View article: Hangeshashinto-Associated Mesenteric Phlebosclerosis and Highly Atypical Adenoma Requiring Laparoscopic Right Hemicolectomy
Hangeshashinto-Associated Mesenteric Phlebosclerosis and Highly Atypical Adenoma Requiring Laparoscopic Right Hemicolectomy Open
Mesenteric phlebosclerosis is a rare ischemic colonic disorder caused by impaired venous drainage. Its prevalence is higher in East Asia, where herbal medicine is widely used. Treatment remains controversial. A 76-year-old woman who had ta…
View article: Elevated plasma and bile levels of corisin, a microbiota-derived proapoptotic peptide, in patients with severe acute cholangitis
Elevated plasma and bile levels of corisin, a microbiota-derived proapoptotic peptide, in patients with severe acute cholangitis Open
Background Acute cholangitis is a severe, life-threatening infection of the biliary system that requires early diagnosis and treatment. The Tokyo Guidelines recommend a combination of clinical, laboratory, and imaging findings for diagnosi…
View article: Acute Calculous Cholecystitis Caused by Streptococcus gallolyticus subspecies pasteurianus: A Case Report
Acute Calculous Cholecystitis Caused by Streptococcus gallolyticus subspecies pasteurianus: A Case Report Open
Acute cholecystitis is an infectious disease of the gallbladder caused mainly by Escherichia coli, Klebsiella, and Enterococcus species. Streptococcus gallolyticus subsp. pasteurianus, previously known as Streptococcus bovis biotype II/2, …
View article: Acute necrotizing calculous cholecystitis after treatment with ceftriaxone in an elderly patient: a case report
Acute necrotizing calculous cholecystitis after treatment with ceftriaxone in an elderly patient: a case report Open
View article: Hepatic portal venous gas without gastroenterological symptom may be a good sign.
Hepatic portal venous gas without gastroenterological symptom may be a good sign. Open
View article: Hepatic portal venous gas without gastroenterological symptom may be a good sign
Hepatic portal venous gas without gastroenterological symptom may be a good sign Open
View article: A Case of Death by Pneumocystis Pneumonia in a Patient Undergoing Chemotherapy with Glucocorticoid Therapy for Colorectal Cancer
A Case of Death by Pneumocystis Pneumonia in a Patient Undergoing Chemotherapy with Glucocorticoid Therapy for Colorectal Cancer Open
症例は67歳女性．再発大腸癌に対する2次治療としてFOLFIRI+Bevacizumab療法を施行していた．2017年10月，全身倦怠感と食思不振に対してデキサメタゾン（以下，DEX）4mg/日を開始した．2週間後，症状軽快したため化学療法を再開した．さらに4週間後，呼吸困難と発熱を主訴に当科外来を受診した．DEXを長期内服中であったことからニューモシスチス肺炎（以下，PCP）が強く疑われ入院となった．ST合剤とステロイドハーフパルス療法で治療を開始し，入院2日目に採取した…
View article: Components Separation Technique for the Transverse Colon Cancer with an Abscess in the Abdominal Wall
Components Separation Technique for the Transverse Colon Cancer with an Abscess in the Abdominal Wall Open
View article: Clinical Experience with an Easy Resection Procedure for Stoma Prolapse
Clinical Experience with an Easy Resection Procedure for Stoma Prolapse Open
ストーマ造設術後のストーマ脱は,ストーマ関連合併症でしばしばみられる.その治療法は,標準的なものが確立されておらず,文献を検索しても少数の報告しかない.これまで,ボタン固定術,自動吻合器による修復術,腹腔鏡下での腸管切除術,Delorme手術を応用した治療,Altemeier法を応用した治療などの報告がある.今回われわれは,直腸脱のAltemeier手術を応用した方法を4例に施行したので報告する.1例は再発を認め,同手術を再度行った.4例とも大きな合併症なく施行することがで…
View article: An Esophageal Perforation Caused by a Displaced Bone Graft after Anterior Cervical Internal Fixation
An Esophageal Perforation Caused by a Displaced Bone Graft after Anterior Cervical Internal Fixation Open
症例は24歳の男性で,墜落外傷による頸椎脱臼骨折に対して,自家骨移植を伴う頸椎前方固定術を施行した.術後2週間で頸部皮下膿瘍を認めたため,切開排膿ドレナージを行ったところ,唾液様の排液を認めたため食道穿孔が疑われた.食道造影で造影剤の膿瘍腔への漏出を認め,食道穿孔の診断で緊急手術を施行した.椎体前面に移植された骨片は前方に脱転しており,骨片の大きさに一致して長径3 cmの食道穿孔を認めた.移植骨による圧挫が原因の穿孔が疑われたため,整形外科医師に依頼し骨片は除去の方針とし,…
View article: Long-term outcomes and prognostic factors of patients with obstructive colorectal cancer: A multicenter retrospective cohort study
Long-term outcomes and prognostic factors of patients with obstructive colorectal cancer: A multicenter retrospective cohort study Open
The outcomes of patients with obstructive CRC was poor. T4 tumor and R1 resection were found to be independent prognostic factors for both recurrence and survival in patients with obstructive CRC.
View article: A Case of Laparoscopic Cholecystectomy for a Left-Side Gallbladder
A Case of Laparoscopic Cholecystectomy for a Left-Side Gallbladder Open
今回われわれは，左側胆囊胆管結石症に対し，腹腔鏡下胆囊摘出術（LC）を行った１例を経験したので報告する．症例は65歳女性．心窩部痛を主訴に来院．肝酵素逸脱を認め，精査目的で入院となった．腹部造影CT検査，磁気共鳴膵胆管造影検査（MRCP），内視鏡的逆行性胆道膵管造影検査（ERCP）で胆囊壁肥厚，胆囊内結石，総胆管結石像を認めた．門脈臍部から門脈右枝が分岐し，胆囊の肝左葉への付着を認め左側胆囊（LSG）を疑った．内視鏡的乳頭括約筋切開術（EST）を行い，総胆管結石を摘出し一時…