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71.
Successful vasodilator therapy of a 27-year-old woman with primary pulmonary hypertension is described. Prazosin 2 mg, orally in combination with isosorbide dinitrate 10 mg, sublingually caused a marked fall in pulmonary vascular resistance. Pulmonary hemodynamics reevaluated after 3 months of combination therapy with prazosin 1 mg qid and isosorbide dinitrate 5 mg qid showed sustained improvement. Therefore, in selected patients with primary pulmonary hypertension, this combination therapy can be used. 相似文献
72.
A case of right adrenal pheochromocytoma masquerading as a dilated cardiomyopathy is described. This patient was normotensive throughout 8 years of observation. Hyperglycemia and an abnormal glucose tolerance test were a clue to the diagnosis which was confirmed by the findings of increased plasma and urinary epinephrine and norepinephrine values. In patients with dilated cardiomyopathy the possibility of a pheochromocytoma should be considered. 相似文献
73.
Hironori Koga Yoshitaka Tamiya Keiichi Mitsuyama Masahiko Ishibashi Satoshi Matsumoto Akemi Imaoka Taeko Hara Masatoshi Nakano Kazutoshi Ooeda Yoshinori Umezaki Michio Sata 《Hepatology International》2013,7(2):767-774
Background and aims
Accumulating evidence suggests that deterioration of the gut flora contributes to the pathogenesis of alcoholic liver cirrhosis (ALC). However, the ALC flora profile and its response to probiotic treatment have not been fully examined. This double-blind placebo-controlled study aimed to evaluate whether the probiotic beverage Yakult 400 (Y400), which contains Lactobacillus casei strain Shirota, improves liver function in ALC patients, and to analyze the precise gut flora profile by real-time quantitative PCR (qPCR).Methods
A total of 37 hospitalized ALC patients were randomly allocated to Y400 (n = 18) and placebo (n = 19) groups. Y400 or placebo was served twice a day during the first half of the four-week study. Serum concentrations of rapid-turnover proteins (i.e., transthyretin and transferrin), hypersensitive C-reactive protein, and interleukin-6 were measured weekly. qPCR analysis of fecal bacteria was performed biweekly; stocked fecal samples from 46 healthy subjects were used as references.Results
Serum transthyretin levels significantly increased in the Y400 group in week 3; similar—although statistically insignificant—increases were seen for transferrin and albumin. Levels of hypersensitive C-reactive protein, but not interleukin-6, significantly decreased in week 4. Before treatment, populations of obligate anerobic bacteria were significantly smaller and those of Enterobacteriaceae were larger in patients than in healthy subjects examined in a previous study. Y400 corrected this imbalance.Conclusions
This is the first report describing the unique gut flora of ALC patients. Y400 treatment normalized the gut flora and improved liver function. These promising findings warrant further investigation in larger, multicenter studies. 相似文献74.
75.
H Furukawa T Iwanaga M Hiratsuka S Imaoka I Fukuda T Kabuto H Koyama 《Nihon Geka Gakkai zasshi》1989,90(9):1322-1325
Before 1982, total gastrectomy with pancreaticosplenectomy was performed for advanced gastric carcinoma which exposed to the serosa and was located in the middle of the stomach (M). The results of that surgical treatment were evaluated, and new surgical approaches were expected to provide a much better prognosis to patients. (1) A radical surgical operation, left upper abdominal evisceration + Appleby's method (LUAE + Apl), was tried for Borrmann type 4 gastric cancers from 1983. The 3-year survival after LUAE + Apl (77.9%) was better than that after total gastrectomy with pancreaticosplenectomy (35.0%) (p less than 0.05). In terms of the postoperative condition, no significant differences were observed between both operations. (2) As a conservative operation, total gastrectomy with resection of the spleen and splenic artery (Group A) was compared with total gastrectomy plus pancreaticosplenectomy (Group B) in patients with advanced gastric carcinoma other than Borrmann type 4. The 5-year survival was similar in both groups. The incidence of postoperative disorders was lower in Group A than in Group B (p less than 0.05). LUAE + Apl for Borrmann type 4 and total gastrectomy with resection of the spleen and splenic artery for the other advanced gastric cancers led to good results. These rational surgical operations will be necessary to achieve a good quality of life for the patients. 相似文献
76.
S. Noguchi T. Aihara K. Motomura H. Inaji S. Imaoka H. Koyama H. Tanaka 《Virchows Archiv : an international journal of pathology》1995,427(3):343-347
We have shown that fibroadenoma of the breast is polyclonal and that phyllodes tumour is monoclonal in origin. It is not known whether a giant fibroadenoma which is histologically identical to the more usual type of fibroadenoma but grows to be a huge mass, like a phyllodes tumour, is polyclonal or monoclona. Clonal analysis was conducted on the DNA samples extracted from the paraffin sections of a giant fibroadenoma resected from a 21-year-old woman. The method used was based on trinucleotide repeat polymorphism of the X-chromosome-linked androgen receptor gene and on random inactivation of the gene by methylation. Clonal analysis showed that the giant fibroadenoma and the adjacent normal breast tissue are polyclonal in origin. Although the term giant fibroadenoma has often been used interchangeably with the term benign phyllodes tumour, because of their similarity in clinical appearance, our present results demonstrate that a giant fibroadenoma is a polyclonal fibroadenoma that has attained an immense size and is different from the monoclonal phyllodes tumour. 相似文献
77.
Takahashi Kentaro; Okada Saori; Okada Masako; Kitao Manabu; Imaoka Izumi; Sugimura Kazuro 《Human reproduction (Oxford, England)》1996,11(5):1083-1085
We evaluated the usefulness of magnetic resonance imaging (MRI)for assessing the response of patients with endometri-omas tomedical therapy. MRI was performed before and after treatmentin 20 consecutive patients with at least one endometrioma witha maximal diameter >10 mm diagnosed by laparoscopy who received900 µg of buserelin acetate daily for 6 months. Patientswere categorized as good responders (group I, n = 13) and poorresponders (group n, n = 7) depending on the results of a third-looklaparoscopy performed 6 months after treatment We determinedthe ratio of the signal intensity (SI) of the endometrioma tothe SI of the gluteus maximus muscle on T2-weighted images [T2SI/M(muscle) SI] and the volume of the endometrioma. The volumedecreased by >50% in 61.5% of the good-response group and57.1% of the poor-response group. There was no significant differencebetween the two groups. The T2SI/MSI decreased in 12 of 13 patientsin group I but in only one of seven patients in group II, asignificant difference (P < 0.05) between the two groups.In the good-response group, there was a positive linear correlationbetween the decrease in the volume of the endometrioma and thedecrease in the T2SI/MSI after treatment (r = 0.561, P <0.05). Therefore, the T2SI/MSI determined from MR images maybe useful in assessing the therapeutic response of patientswith endometriomas. 相似文献
78.
Kazuhide Ayajiki Hideyuki Fujioka Noboru Toda Shigeru Okada Yukiko Minamiyama Susumu Imaoka Yoshihiko Funae Shuji Watanabe Akio Nakamura Tomio Okamura 《Hypertension research》2003,26(3):237-243
We investigated mechanisms of endothelium-dependent relaxation by acetylcholine resistant to indomethacin and N(G)-nitro-L-arginine and sensitive to cytochrome P-450 (CYP) inhibitors or charybdotoxin + apamin in the monkey lingual artery. Treatment with quinacrine, an inhibitor of phospholipase A2, abolished the relaxation by acetylcholine. However, treatment with alpha-glycyrrhetinic acid, an inhibitor of gap junctions, or catalase, an enzyme which dismutates hydrogen peroxide to form water and oxygen, did not affect the relaxation by acetylcholine. Immunohistochemistry demonstrated the presence of CYP3A4 in endothelial cells of the artery. Anti-CYP3A4 antibody inhibited relaxations by products of arachidonic acid incubated with human liver microsomes rich in CYPs in the endothelium-denuded artery. Purified CYP3A4 produced epoxyeicosatrienoic acids (EETs) from arachidonic acid, and the production was abolished by a selective CYP3A inhibitor, ketoconazole. It may be concluded that endothelium-derived relaxing substance(s) other than nitric oxide and prostanoids in the monkey lingual artery opens charybdotoxin + apamin-sensitive K+ channels in smooth muscle cells, and arachidonic acid metabolite(s) produced by endothelial CYP3A4 is likely to be the major substance. 相似文献
79.
80.
S Imaoka Y Sasaki T Shibata M Fujita O Ishikawa H Ohigashi H Furukawa H Koyama T Iwanaga N Hirose 《Gan to kagaku ryoho. Cancer & chemotherapy》1988,15(8):2335-2338
A 65-year-old man was diagnosed as having hepatoma (HCC) in the area of S5 and S8. Anterior segmentectomy was performed on September, 1984. TAE (Sandwich therapy) via r. hepatic artery was performed for the intrahepatic recurrence one and half years after hepatectomy. However, the tumor embolus in the l. portal vein with intrahepatic recurrence occurred, and intraarterial infusion chemotherapy (IAC) using CDDP 150 mg was performed via proper hepatic artery. The decrement of AFP value was observed for a short time after IAC therapy. Therefore, UFT 300 mg daily, was administered. For two and half months after UFT administration, the elevation of AFP value continued from 665 ng/ml to 4150 ng/ml, and decreased rapidly below 20 ng/ml in the following 2 months. The tumor embolus in the l. portal vein was remarkably reduced on computed tomogram examination. This case suggests the usefulness of UFT for the intrahepatic recurrence with tumor embolus in the portal vein after hepatectomy for HCC. 相似文献