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Background and Aim: The use of a hood at the tip of a colonoscope enables aspiration, inversion of the diverticulum, and observation of the inside of the diverticulum. In most previous studies, a short hood was used; however, observation of the diverticulum is often inadequate. Long food is promising by previous research, but it was a retrospective study using propensity matching and has some limitations. We compared the identification rate of stigmata of recent hemorrhage (SRH) between the long and standard hoods in cases of suspected colonic diverticular hemorrhage (CDH) to confirm the usefulness of long hood by prospective randomized controlled trial. Methods: Eighty patients (42 in the long hood group [L group] and 38 in the short hood group [S group]) who visited the Saitama Medical University Hospital and Tokai University Hachioji Hospital between December 2018 and July 2021 with a chief complaint of bloody stool and suspected CDH, based on the clinical course and imaging studies, were included. Patients were randomly assigned to the L or S group. Results: Regarding patient background, age was significantly higher in the L group; however, no significant differences were found in medical history or history of antithrombotic medication or nonsteroidal anti‐inflammatory drug use. Identification rate of SRH was significantly higher in the L group (58.5%, 24/42 patients) than in the S group (26.3%, 10/38 patients) (P < 0.05). All patients were treated using the clip method, and the rate of rebleeding within 1 month was not significantly different between the two groups. Conclusion: A long hood was more useful compared with a short hood in identifying SRH of CDH (UMIN000034603). [ABSTRACT FROM AUTHOR]

Aims/Introduction: To assess the associations of working conditions, eating habits and glycemic control among young Japanese workers with type 2 diabetes. Materials and Methods: This hospital‐ and clinic‐based prospective study included 352 male and 126 female working patients with diabetes aged 20–40 years. Data were obtained from June to July 2012 and June to July 2013. Logistic regression analysis was used to estimate multivariable‐adjusted odds ratios (ORs) and 95% confidence intervals (CIs) for suboptimal glycemic control (glycosylated hemoglobin level of ≥7%) obtained from June to July 2013. Results: Multivariable logistic regression analysis showed that disease duration of ≥10 years (OR 2.43, 95% CI 1.02–5.80), glycosylated hemoglobin level of ≥7% in 2012 (OR 8.50, 95% CI 4.90–14.80), skipping breakfast and late evening meals (OR 2.50, 95% CI 1.25–5.00) and working ≥60 h/week (OR 2.92, 95% CI 1.16–7.40) were predictive of suboptimal glycemic control in male workers, whereas a glycosylated hemoglobin level of ≥7% in 2012 (OR 17.96, 95% CI 5.93–54.4), oral hyperglycemic agent therapy (OR 12.49, 95% CI 2.75–56.86) and insulin therapy (OR 11.60, 95% CI 2.35–57.63) were predictive of suboptimal glycemic control in female workers. Conclusions: Working ≥60 h/week and habitual skipping breakfast concomitant with late evening meals might affect the ability of young male workers with type 2 diabetes to achieve and maintain glycemic control. odds ratios (ORs); 95% confidence intervals (CIs); hemoglobin A1c (HbA1c); skipping breakfast (SB); late evening meals (LEMs). [ABSTRACT FROM AUTHOR]

Discusses the management of gastric fundal variceal bleeding in patients with cirrhosis. Use of cyanoacrylate or a Lincoln tube to achieve hemostasis of acutely bleeding fundal varices; Balloon-occluded retrograde transvenous obliteration; Use of three-dimensional computed tomography to detect gastrorenal shunt.

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