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resource typejournal article school大学院医学系研究科(医学)
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Creators : Matsui Tomohiro Publishers : 山口大学医学会 Date Issued : 2016-05-01
Creators : Yoshimine Sota | Murakami Junichi | Sano Fumiho | Hayashi Masataro | Ueda Kazuhiro | Hamano Kimikazu Publishers : 山口大学医学会 Date Issued : 2016-02-01
Creators : Fujimura Kazumi | Akizuki Yuri Publishers : 山口大学医学会 Date Issued : 2016-02-01
Creators : Tokuda Nobuko Publishers : 山口大学医学会 Date Issued : 2016-02-01
Creators : Yamasaki Takahiro Publishers : 山口大学医学会 Date Issued : 2016-02-01
Creators : Murakami Kyoko Publishers : 山口大学医学会 Date Issued : 2016-02-01
Creators : Okinaka Yosuke | Sugahara Kazuma | Tsuda Junko | Tanaka Kuniyoshi | Kanagawa Eiju | Shimogori Hiroaki | Yamashita Hiroshi Publishers : 山口大学医学会 Date Issued : 2015-08-01
Creators : Kurata Yusuke | Wakamatu Kenya | Nakamura Yoshitaka | Ichimiya Makoto | Muto Masahiko Publishers : 山口大学医学会 Date Issued : 2015-08-01
Creators : Nagata Chizuru | Matsumoto Kayo | Kitamura Ikuko | Kiyonaga Asako Publishers : 山口大学医学会 Date Issued : 2015-08-01
Creators : 岸 博子 | 張 影 | 小林 誠 Publishers : 山口大学医学会 Date Issued : 2015-08-01
Creators : Nga Bui Thi To | Luziga Claudius | Yamamoto Misa | Kusakabe Ken Takeshi | Yamamoto Yoshimi Publishers : 日本農芸化学会 Date Issued : 2015
Four cases of ruptured duodenal varices
山口医学 Volume 64 Issue 2
Duodenal varices(DV)are the most common of ectopic varices. Although bleeding from DV is rare, it is difficult to control bleeding and sometimes fatal. We have encountered four clinical cases of ruptured DV. Case 1:A man in his 80s presented with a history of partial gastrectomy with Billroth-II reconstruction and LC due to chronic hepatitis C. We performed single-balloon endoscopy and injected 67% N-butyl-2-cyanoacrylate(NBCA)for DV on the afferent loop with red plug. Case 2:A woman in her 40s with primary biliary cirrhosis complained of tarry stool and anemia. We performed endoscopic injection sclerotherapy(EIS)with 67% NBCA for spurting bleeding point in duodenum. Case 3:A man in his 50s with liver cirrhosis(LC)due to chronic hepatitis B complained of tarry stool. We performed endoscopic variceal ligation(EVL)and balloon-occluded retrograde transvenous obliteration(B-RTO)for DV. Case 4:A man in his 60s with alcoholic LC complained of tarry stool. We performed EIS with 67% NBCA for DV. We added EVL, clipping, and argon plasma coagulation after EIS to control bleeding. To control bleeding was achieved in all cases.
Creators : Sasaki Ryo | Matsuda Takashi | Aibe Yuki | Nakashima Takao | Shiratsuki Shogo | Iwamoto Takuya | Ishikawa Tsuyoshi | Terai Shuji | Sakaida Isao Publishers : 山口大学医学会 Date Issued : 2015-05-01
A case of early duodenal bulb carcinoma
山口医学 Volume 64 Issue 2
Creators : Dairaku Koji | Kawamura Daichi | Tokiyama Hiroshi | Kawano Hiroo Publishers : 山口大学医学会 Date Issued : 2015-05-01
Creators : Ogawa Ryo | Kaino Seiji | Shinoda Syuhei | Kawano Michitaka | Harima Hirofumi | Suenaga Shigeyuki | Ishikawa Tsuyoshi | Kaino Miyuki | Kurokawa Fumie | Sakaida Isao Publishers : 山口大学医学会 Date Issued : 2014-05-01
Creators : Takeuchi Kumiko | Murakami Kyoko | Tsujino Kumiko Publishers : 山口大学医学会 Date Issued : 2015-05-01
Creators : Kamezaki Akiko | Tanaka Mayumi Publishers : 山口大学医学会 Date Issued : 2015-05-01
Creators : Kawamura Atsuko | Inagaki Junko Publishers : 山口大学医学会 Date Issued : 2015-05-01
A 36-year-old man diagnosed with Charcot-Marie-Tooth(CMT)disease type 1B was treated in the department of neurology of this hospital. Due to a liver injury(AST 237IU/ml, ALT 496IU/ml)which occurred in November 200X, he was introduced to our department. As a result of scrutiny, we diagnosed him with chronic hepatitis C genotype 2a(HCV-RNA 5.4logIU/ml).He will be admitted to the hospital for Interferon(IFN)therapy in April next year. Although the mechanism is unknown, there are a few reports of peripheral neuropathy related to IFN therapy. Therefore, IFN therapy is generally unfavorable for patients with neuromuscular disorders. There are several IFN preparations used in Japan. IFN alfa associated peripheral neuropathy appears less than 0.1-5% of the time. While there is no report of peripheral neuropathy related to IFN beta, we performed IFN beta and Rivabirin combination therapy with a severe follow-up by a neurologist. We could accomplish treatment without the exacerbation of neurologic symptoms. He achieved sustained viral response. When IFN therapy was provided for chronic hepatitis B or chronic hepatitis C complicated with peripheral neuropathy, there is some possibility of performing antiviral therapy safely by using IFN beta.
Creators : Matsuura Keiji | Hidaka Isao | Hanazono Tadasuke | Saeki Issei | Iwamoto Takuya | Ishikawa Tsuyoshi | Takami Taro | Kawai Motoharu | Terai Shuji | Takashi Takashi | Sakaida Isao Publishers : 山口大学医学会 Date Issued : 2015-02-01
Creators : Yasuda Mayumi | Okamoto Takeshi | Nagao Misato | Sasaki Sho | Nishimura Junichi | Nakamura Munetaka | Nishikawa Jun | Iida Michihisa | Yoshino Shigefumi | Sakaida Isao Publishers : 山口大学医学会 Date Issued : 2015-02-01