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school大学院医学系研究科(医学)
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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
Creators : Ueda Takaaki | Tokuda Osamu | Harada Yuko | Iida Etsushi | Shirasawa Kenzo | Yamashita Akihisa | Hosoda Bungo | Matsunaga Naofumi Publishers : Yamaguchi University School of Medicine Date Issued : 2015
Creators : Ogino Yasuaki | Kaneda Kotaro | Nakahara Takashi | Todani Masaki | Miyauchi Takashi | Fujita Motoki | Kawamura Yoshikatsu | Oda Yasutaka | Tsuruta Ryosuke Publishers : Yamaguchi University School of Medicine 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
Creators : Nishimura Tatsuro | Hashimoto Shinichi | Kawasato Ryo | Shirasawa Tomohiro | Yokota Yasuyuki | Shibata Taimei | Okamoto Takeshi | Nishikawa Jun | Sakaida Isao Publishers : 山口大学医学会 Date Issued : 2015-02-01
Spontaneous rupture of hepatocellular carcinoma(HCC)is well known. However, rupture of HCC after transcatheter arterial chemoembolization(TACE)is a rare but potentially fatal complication. Herein, we report a case of ruptured HCC after TACE in a 73-year-old man with chronic liver injury(non-B and non-C).He had previously undergone subsegmental resection of S7 of the liver for HCC. One year later, multiple HCCs were detected. TACE was performed for the recurrent HCCs located on the surface of S2 of the liver. Epigastric pain and decreased blood pressure were observed after the treatment. Although his symptoms improved immediately, the patient gradually became anemic. Radiological examination after TACE revealed a hematoma around the S2 lesion. Therefore, we diagnosed rupture of HCC. We performed TAE and could control the bleeding. Few possible mechanisms of ruptured HCC after TACE include increasing pressure inside the tumor and capsular injury due to TACE. Consequently, HCC which has a high risk of rupture after TACE should be assured embolization and careful observation.
Creators : Fukui Yumi | Saeki Issei | Hanazono Tadasuke | Tanabe Norikazu | Urata Yohei | Hidaka Isao | Terai Shuji | Sakaida Isao Publishers : 山口大学医学会 Date Issued : 2015-02-01
Creators : Kimura Kazuhiro Publishers : 山口大学医学会 Date Issued : 2015-02-01
Fascinated by plateles
山口医学 Volume 64 Issue 1
Creators : Okano Kozue Publishers : 山口大学医学会 Date Issued : 2015-02-01
Creators : Bando Yasuhiko | Yamamoto Miyuki | Sakiyama Koji | Inoue Katsuyuki | Takizawa Shota | Owada Yuji | Iseki Shoichi | Kondo Hisatake | Amano Osamu Publishers : Springer Netherlands Date Issued : 2014
Creators : Nozawa Masahiro | Inagaki Takeshi | Nagao Kazuhiro | Nishioka Tsukasa | Komura Takahiro | Esa Atsunobu | Kitagawa Michiko | Imanishi Masaaki | Uekado Yasunari | Ogawa Takatoshi | Kajikawa Hiroshi | Uejima Shigeya | Matsuyama Hideyasu | Hara Isao | Uemura Hirotsugu Publishers : 日本癌治療学会 Date Issued : 2014-08
Lymphoproliferative disorders: Epstein-Barr virus and heritable predisposition
The Japanese journal of clinical hematology Volume 55 Issue 10
Creators : 大賀 正一 Publishers : 日本血液学会 Date Issued : 2014
Creators : Fujioka Nami | 池田 苗子 | 前川 千晶 Publishers : 日本母性衛生学会 Date Issued : 2014-07
Creators : Fujioka Nami | Murakami Ayano | Yamashina Hisako Publishers : 日本母性衛生学会 Date Issued : 2014-04
Related Journals
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