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Your search keyword '"Jun Hihara"' showing total 7 results
Start Over Author "Jun Hihara" Journal nihon rinsho geka gakkai zasshi (journal of japan surgical association)
7 results on '"Jun Hihara"'

2. A Case of Strungulated Obstruction Squeezed by Mucinous Cystadenocarcinoma of the Appendix Coexisted with an Appendicular Schwannoma

Author

Mikihiro Kanou, Jun Hihara, Toshiaki Komo, Mayumi Kaneko, Hidenori Mukaida, and Naoki Hirabayashi

Subjects
medicine.medical_specialty, business.industry, Schwannoma, medicine.disease, Appendix, 03 medical and health sciences, 0302 clinical medicine, medicine.anatomical_structure, 030220 oncology & carcinogenesis, medicine, 030211 gastroenterology & hepatology, Radiology, Mucinous cystadenocarcinoma, business
Published
2017

3. A Late Mesh Infection after Surgical Repair of an Abdominal Incisional Hernia

Author

Jun Hihara, Hidenori Mukaida, Toshihiko Kohashi, Naoki Hirabayashi, Ichiro Ohmori, and Toshiaki Komo

Subjects
Surgical repair, 03 medical and health sciences, medicine.medical_specialty, 0302 clinical medicine, Incisional hernia, business.industry, 030220 oncology & carcinogenesis, General surgery, medicine, 030230 surgery, medicine.disease, business, Surgery
Published
2017

4. A CASE OF GIST OF DUODENUM SUCCESSFULLY TREATED WITH NEOADJUVANT IMATINIB AND LIMITED SURGERY

Author

Morihito Okada, Kazuhiro Yoshida, Jun Hihara, Yoshiyuki Yamaguchi, Yoichi Hamai, and Manabu Emi

Subjects
medicine.medical_specialty, Limited surgery, medicine.anatomical_structure, GiST, business.industry, Duodenum, Medicine, Imatinib, business, Surgery, medicine.drug
Abstract

症例は76歳の男性で, 貧血を指摘され上部消化管内視鏡検査にて十二指腸下行脚前壁にdelleを伴う粘膜下腫瘍を認めた. 腹部CTで同部に中心壊死を伴う55×52mm大の腫瘤を認め広く膵頭部に接しており浸潤が疑われた. 画像所見から十二指腸gastrointestinal stromal tumor (以下, GIST) と診断, 外科的切除では膵頭十二指腸切除術などの侵襲の高い手術になる可能性を回避するため, 縮小手術の導入を目的としてimatinibを用いた術前化学療法を開始した. 400mg/日の経口投与を開始し, 投与3カ月後の腹部CTにて腫瘤は34×32mmと縮小し, 膵頭部との境界も明瞭となったため4カ月後に手術を施行した. 手術所見では膵臓への浸潤を認めず十二指腸部分切除にて根治切除できた. 現在術後23カ月になるが, 無再発生存中である.

Published
2007

5. A CASE OF ASYMPTOMATIC TRAUMATIC RIGHT DIAPHRAGMATIC HERNIA WITH DISLOCATION OF THE WHOLE LIVER AND RIGHT HEMICOLON

Author

Kei Ukon, Manabu Emi, Yoshiyuki Yamaguchi, Katsuhiko Shimizu, Jun Hihara, and Kazuhiro Yoshida

Subjects
medicine.medical_specialty, business.industry, Dislocation (syntax), Whole liver, medicine, Right hemicolon, Diaphragmatic hernia, Radiology, medicine.symptom, medicine.disease, business, Asymptomatic, Surgery
Abstract

症例は46歳, 男性. 交通外傷後6カ月後に検診にて右横隔膜の挙上を指摘され前医受診, 胸部CTにて右横隔膜ヘルニアと診断されたが無症状のため経過観察となった. 3年後のCTにて所見が増悪していたため当科紹介となった. 胸腹部CTにて胆嚢を含む全肝臓, 右側結腸および胃前庭部の胸腔内への脱出を認めた. 横隔膜背側に約15×10cm大のヘルニア門を認め開胸開腹アプローチにて充填材を用い閉鎖した. 外傷性右横隔膜ヘルニアは稀であり, さらに無症状であるもののヘルニア内容が全肝・右側結腸など容量が多く, 開腹に加え開胸を要した症例を経験したので報告する.

Published
2007

6. A CASE OF ESOPHAGEAL CANCER WITH DERMATOMYOSITIS

Author

Jun Hihara, Kazuhiro Yoshida, Yoshiyuki Yamaguchi, Manabu Emi, and Yoichi Hamai

Subjects
medicine.medical_specialty, business.industry, Internal medicine, medicine, Esophageal cancer, Dermatomyositis, medicine.disease, business, Gastroenterology
Abstract

症例は58歳,男性, 2004年6月頃より後頸部に紅斑が出現,顔面・上肢・体幹に拡大したため近医を受診.皮疹部生検にて皮膚筋炎と診断された.悪性腫瘍の精査を行ったがその時点では異常所見を認めず皮膚筋炎の治療として外来にてbetamethasone 5mg/dayの経口投与を開始された. 2005年1月定期検査の腹部CTにて胃小彎のリンパ節腫大を指摘されたため上部消化管内視鏡を施行,胸部下部食道の扁平上皮癌と診断された.皮膚筋炎は安定していた為,右開胸開腹食道亜全摘,後縦隔経路全胃再建,頸部食道胃吻合術を施行した.病理組織学的診断は,深達度sm3の低分化扁平上皮癌であった.経過は良好で皮膚症状も改善した為,退院後betamethasone 3mg/dayにまで減量し投薬を続行したが皮膚筋炎の症状の増悪も認めず経過した.現在術後10カ月になるが再発なく経過している.

Published
2006

7. TRUTH TELLING AND QOL SCORE CHANGES IN ESOPHAGEAL CANCER PATIENTS

Author

Yoshinori Yamashita, Kazuhiro Yoshida, Hidenori Mukaida, Toshihiro Hirai, Tetuya Toge, Hideki Inoue, Masaki Kuwahara, and Jun Hihara

Subjects
Pediatrics, medicine.medical_specialty, Depression scale, business.industry, Advanced stage, Face scale, Esophageal cancer, Truth telling, After discharge, medicine.disease, humanities, Quality of life, medicine, Physical therapy, Daily living, business
Abstract

Truth telling to esophageal cancer patients was performed, and changes in their quality of life (QOL) were investigated. The patients who should not be told the truth were identified as follows; 1. patients who do not want to be told, 2. patients who can not understand, 3. patients whose family insists that they not be told, 4. patients who are depressed with scores over 60 on the Self-Rating Depression Scale (SDS). Inquiry on admission showed that 68.3% and 19.5% of patients to them and their family, respectively, to be told the truth. Actually, 59.7% of patients were told and 82.8% of the patients who were not told because their family refused. The rate of truth telling was low among female, aged, advanced stage, and non-resectable patients. Patients who were told had decreases in the QOL score in the categories ofactivities of daily living, appetite, and concentration, but an increase in the face scale score. Our results revealed the need for a supporting care system after discharge from the hospital.

Published
1999

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