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991.
Masafumi Nakamura Junji Ueda Hiroshi Kohno Mohamed Yahia F. Aly Shunichi Takahata Shuji Shimizu Masao Tanaka 《Surgical endoscopy》2011,25(3):867-871
Background
Laparoscopic distal pancreatectomy (Lap-DP) is one of the most accepted laparoscopic procedures in the field of pancreatic surgery. However, pancreatic fistula remains a major and frequent complication in Lap-DP, as in open surgery. The aim of this retrospective study is to clarify the advantages of prolonged peri-firing compression (PFC) with a linear stapler for prevention of pancreatic fistula after laparoscopic distal pancreatectomy. 相似文献992.
Ninchoji T Kaito H Nozu K Hashimura Y Kanda K Kamioka I Shima Y Hamahira K Nakanishi K Tanaka R Yoshikawa N Iijima K Matsuo M 《Pediatric nephrology (Berlin, Germany)》2011,26(4):563-569
The management of Henoch-Sch?nlein purpura nephritis (HSPN) is controversial. It has been revealed that some patients develop end-stage renal disease and aggressive treatment with drugs such as steroids is increasing, and some of them may be overzealous. At our institutes, our treatment decisions are based on the clinical and pathological severity of the case in an attempt to limit the indications for aggressive therapies such as steroids and immunosuppressive agents. Here, we retrospectively examined the efficacy of treatment for HSPN. Renal biopsy was performed in patients with nephrotic syndrome or persistent proteinuria for more than 3 months and patients were classified by treatment. Patients (n=31) with moderately severe HSPN (histological grade I-III and serum albumin [Alb] >2.5 g/dl) were treated with angiotensin-converting enzyme inhibitors and/or angiotensin receptor blockers. Patients (n=19) with HSPN exceeding grade III or Alb ≤ 2.5 g/dl received combination therapy comprising prednisolone, immunosuppressants, warfarin, and dipyridamole. All patients showed resolution of proteinuria without renal dysfunction during the observation period (3.76 ± 0.37 years). Our findings support those of some earlier reports that treatment strategies for HSPN should depend on the histological and clinical severity. Furthermore, aggressive therapies, particularly combination therapies, are unnecessary for moderate-severe HSPN. 相似文献
993.
Purpose
We investigated the functional outcome and health-related quality of life (QOL) of patients who underwent a surgical resection of colorectal cancer, and reviewed the efficacy of probiotics for improving bowel function. 相似文献994.
Masafumi Nishizawa Takeshi Fujiwara Satoshi Hoshide Keiko Sato Yukie Okawara Naoko Tomitani Takefumi Matsuo Kazuomi Kario 《Journal of clinical hypertension (Greenwich, Conn.)》2019,21(2):208-216
This study investigated the association between winter morning surge in systolic blood pressure (SBP) as measured by ambulatory BP monitoring and the housing conditions of subjects in an area damaged by the Great East Japan Earthquake. In 2013, 2 years after disaster, hypertensives who lived in homes that they had purchased before the disaster (n = 299, 74.6 ± 8.1 years) showed significant winter morning surge in SBP (+5.0 ± 20.8 mmHg, P < 0.001), while those who lived in temporary housing (n = 113, 76.2 ± 7.6 years) did not. When we divided the winter morning surge in SBP into quintiles, the factors of age ≥75 years and occupant‐owned housing were significant determinants for the highest quintile (≥20 mmHg) after adjustment for covariates. The hypertensives aged ≥75 years who lived in their own homes showed a significant risk for the highest quintile (odds ratio 5.21, 95% confidence interval 1.49‐18.22, P = 0.010). It is thus crucial to prepare suitable housing conditions for elderly hypertensives following a disaster. 相似文献
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996.
Ichiro Kobayashi Yuka Okura Masahiro Ueki Yusuke Tozawa Shunichiro Takezaki Masafumi Yamada 《Modern rheumatology / the Japan Rheumatism Association》2019,29(1):130-133
Objectives: The purpose of this study is to evaluate systemic disease activity of pediatric Sjögren’s syndrome (SS) using European League Against Rheumatism (EULAR) Sjögren’s syndrome disease activity index (ESSDAI).Methods: We retrospectively reviewed medical records of patients with SS who have been diagnosed according to 1999 Japanese diagnostic criteria for SS before 16 years old at KKR Sapporo Medical Center, Hokkaido University Hospital, and affiliated hospitals. We analyzed clinical and laboratory data and calculated ESSDAI at both diagnosis and peak activity.Results: Twenty-five patients (2 boys and 23 girls) were enrolled. Only 4 patients had sicca symptoms at diagnosis. Mean ESSDAI scores at diagnosis and peak activity were 12.68 (2–31) and 15.08 (2–38), respectively. Only 3 patients were inactive (ESSDAI score?<5) at diagnosis. Frequently involved domains at diagnosis were the biological (96%) followed by the constitutional (68%), glandular (44%), articular (44%), cutaneous domains (28%), renal (16%), and central nervous system (12%). At peak activity, biological domain (96%) was followed by the constitutional (72%), glandular (60%), articular (44%), cutaneous (28%), central nervous system (20%), and renal domains (16%).Conclusion: Pediatric SS is suspected from active systemic manifestations. The items of ESSDAI are useful clues to the diagnosis of pediatric SS. 相似文献
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