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41.
Tanaka H Hiramatsu K Iida T Inoue T Yasuoka H Koja A Saitoh S Hiromatsu T 《Nihon Shokakibyo Gakkai zasshi》2012,109(3):418-424
A 20-year-old man with Duchenne muscular dystrophy (DMD) with recurrent gastric volvulus underwent percutaneous endoscopic gastrostomy (PEG). Four months later, he developed vomiting and consciousness disturbance. CT revealed gastric volvulus recurrence along the gastrostomy axis. Endoscopic repositioning failed and fistula perforation necessitated emergency surgery. The upper position of the stomach was twisted counter-clockwise and revolved on the gastrostomy axis sliding between the lower stomach and abdominal wall. The fistula showed necrotic perforation and was thus resected. The anterior stomach wall was fixed to the abdominal wall at 3 triangular points. Thereafter, gastric volvulus did not recur. PEG is reportedly effective for preventing gastric volvulus, but there are rare cases of postgastrostomy recurrence. This successfully managed case provides valuable clinical insights. 相似文献
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Hideaki Teshima Naoto Nakamura Qin-Yi Li Yasuyuki Takata Koji Takahashi 《RSC advances》2020,10(73):44854
We report for the first time a zigzag-shaped gas phase at a highly-ordered pyrolytic graphite/water interface. The novel shape of the gaseous domain is triggered by the holes of the underlying solid-like layers, which are composed of air molecules. Specifically, many holes were created by heating in the thin solid-like layers, which roughened them. The gas domains that formed on these layers deformed from circular to zigzag-shaped as the contact lines expanded while avoiding the holes of the underlying layers. We explained the formation and growth processes of these gas structures in terms of thin film growth, which varies with the mobility of the constituent molecules.Heating induces the formation of novel zigzag gas phases on the holey adsorbed air layers. 相似文献
44.
Value of preoperative 3T multiparametric MRI for surgical margin status in patients with prostate cancer
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Three-field dissection or two-field dissection?--A proposal of new algorithm for lymphadenectomy 总被引:3,自引:0,他引:3
Tabira Y Okuma T Sakaguchi T Kuhara H Teshima K Kawasuji M 《Hepato-gastroenterology》2004,51(58):1015-1020
BACKGROUND/AIMS: There are no systematic criteria for cervical lymphadenectomy in esophageal carcinoma. We provide a new algorithm for deciding whether to use three-field dissection or two-field dissection. METHODOLOGY: Ninety-eight patients underwent curative esophagectomies with three-field lymph node dissections for squamous cell carcinoma of the thoracic esophagus. We examined the outcomes and predictors for survival of these patients. Therefore, we devised a new decision tree for deciding whether to use three-field dissection or two-field dissection. RESULTS: The overall 5-year survival rate for the 98 patients was 41.3%. The number of positive nodes was the only significant predictor for survival in the multivariate Cox proportional hazard model. The outcomes of patients with positive supraclavicular/internal jugular nodes were poor. On the other hand, positive cervical paraesophageal nodes do not worsen prognosis. We provided a new algorithm for selecting procedure of lymphadenectomy based on the presence of lymph node metastases. This algorithm is decided by the number of positive nodes, the presence of cervical node metastasis and recurrent nerve node metastasis. According to this decision tree, there were a few patients who needed absolutely three-field dissections. CONCLUSIONS: The new algorithm may be helpful for deciding three-field dissection or two-field dissection for thoracic esophageal carcinoma. 相似文献
47.
Takeshi Fujita Akinobu Kakigi Natsumi Uehara Jun Yokoi Makiko Hara Hirotaka Shinomiya Masanori Teshima Ken-ichi Nibu 《Auris, nasus, larynx》2021,48(5):830-833
ObjectiveTo present our results of the external auditory canal (EAC) reconstruction procedure using rolled-up full-thickness skin graft with tympanoplasty after lateral temporal bone resection (LTBR) for early-stage EAC carcinoma.Patients and MethodsA retrospective review of 15 patients who had undergone LTBR with reconstruction of the EAC for T1 and T2 EAC cancer between 2016 and 2020.ResultsPostoperative mean air-bone gap was 30.7 decibel hearing level. Although a few patients experienced chronic granulation, persistent otorrhea, and/or laterization of the tympanic membrane, most patients showed no serious complications related to the EAC reconstruction.ConclusionEAC reconstruction using a full-thickness skin graft in combination with tympanoplasty is useful for minimizing the hearing loss, maintaining the cosmetic appearance, and facilitating the observation into the ear cavity. 相似文献
48.
Tatsuya Furukawa Naoki Otsuki Masahiro Tomotsu Shun Tatehara Naruhiko Morita Yasutaka Kojima Masanori Teshima Hirotaka Shinomiya Ken-ichi Nibu 《Auris, nasus, larynx》2021,48(2):317-321
Non-recurrent inferior laryngeal nerve (NRILN) is rare but one of the important anatomical variations in thyroid and parathyroid surgery. Almost all cases were observed on the right side with aberrant right subclavian artery and left NRILN have been reported in only five cases so far. Here, we reported a 38 year-old Japanese male with left NRILN accompanying adenomatous goiter. He was referred to our hospital for the surgical treatment of left thyroid goiter. Preoperative computed tomography revealed right-sided aortic arch and aberrant left subclavian artery with no signs of complete situs inversus viscerum, suggesting possible left NRLN. Left hemithyroidectomy was performed using nerve monitoring system. Intraoperatively, left recurrent laryngeal nerve was not identified along tracheoesophageal groove, but directly originated from vagal nerve and was running horizontally to larynx. Mobility of vocal cords were not impaired and postoperative course was uneventful. During thyroid surgery for the patients with right-sided aortic arch, meticulous care should be taken using nerve monitoring system to avoid nerve injury. 相似文献
49.
A. Sakai S. Ikeda N. Okimoto H. Matsumoto K. Teshima Y. Okazaki F. Fukuda S. Arita H. Tsurukami M. Nagashima T. Yoshioka 《Osteoporosis international》2014,25(9):2245-2253