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4. Validation Study of Fibrinogen and Albumin Score in Esophageal Cancer Patients Who Underwent Esophagectomy: Multicenter Prospective Cohort Study

Author

Matsuda, Satoru, Takeuchi, Hiroya, Kawakubo, Hirofumi, Takemura, Ryo, Maeda, Yusuke, Hirata, Yuki, Kaburagi, Takuji, Egawa, Tomohisa, Nishi, Tomohiko, Ogura, Masaharu, Miyasho, Taku, Okamura, Akihiko, Mayanagi, Shuhei, Fukuda, Kazumasa, Nakamura, Rieko, Irino, Tomoyuki, Wada, Norihito, and Kitagawa, Yuko

Published
2021
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8. ASO Author Reflections: Fibrinogen and Albumin Score Validated as a Prognostic Factor to Refine the Treatment Strategy for Esophageal Cancer Patients

Author

Matsuda, Satoru, Takeuchi, Hiroya, Kawakubo, Hirofumi, Takemura, Ryo, Maeda, Yusuke, Hirata, Yuki, Kaburagi, Takuji, Egawa, Tomohisa, Nishi, Tomohiko, Ogura, Masaharu, Miyasho, Taku, Okamura, Akihiko, Mayanagi, Shuhei, Fukuda, Kazumasa, Nakamura, Rieko, Irino, Tomoyuki, Wada, Norihito, and Kitagawa, Yuko

Published
2020
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10. Validation Study of Fibrinogen and Albumin Score in Esophageal Cancer Patients Who Underwent Esophagectomy: Multicenter Prospective Cohort Study

Author

Matsuda, Satoru, Takeuchi, Hiroya, Kawakubo, Hirofumi, Takemura, Ryo, Maeda, Yusuke, Hirata, Yuki, Kaburagi, Takuji, Egawa, Tomohisa, Nishi, Tomohiko, Ogura, Masaharu, Miyasho, Taku, Okamura, Akihiko, Mayanagi, Shuhei, Fukuda, Kazumasa, Nakamura, Rieko, Irino, Tomoyuki, Wada, Norihito, Kitagawa, Yuko, Matsuda, Satoru, Takeuchi, Hiroya, Kawakubo, Hirofumi, Takemura, Ryo, Maeda, Yusuke, Hirata, Yuki, Kaburagi, Takuji, Egawa, Tomohisa, Nishi, Tomohiko, Ogura, Masaharu, Miyasho, Taku, Okamura, Akihiko, Mayanagi, Shuhei, Fukuda, Kazumasa, Nakamura, Rieko, Irino, Tomoyuki, Wada, Norihito, and Kitagawa, Yuko

Abstract

type:Article

Published
2023

12. ASO Author Reflections : Fibrinogen and Albumin Score Validated as a Prognostic Factor to Refine the Treatment Strategy for Esophageal Cancer Patients

Author

Matsuda, Satoru, Takeuchi, Hiroya, Kawakubo, Hirofumi, Takemura, Ryo, Maeda, Yusuke, Hirata, Yuki, Kaburagi, Takuji, Egawa, Tomohisa, Nishi, Tomohiko, Ogura, Masaharu, Miyasho, Taku, Okamura, Akihiko, Mayanagi, Shuhei, Fukuda, Kazumasa, Nakamura, Rieko, Irino, Tomoyuki, Wada, Norihito, Kitagawa, Yuko, Matsuda, Satoru, Takeuchi, Hiroya, Kawakubo, Hirofumi, Takemura, Ryo, Maeda, Yusuke, Hirata, Yuki, Kaburagi, Takuji, Egawa, Tomohisa, Nishi, Tomohiko, Ogura, Masaharu, Miyasho, Taku, Okamura, Akihiko, Mayanagi, Shuhei, Fukuda, Kazumasa, Nakamura, Rieko, Irino, Tomoyuki, Wada, Norihito, and Kitagawa, Yuko

Abstract

type:Article

Published
2022

13. Clinical characteristics and predictive factors of postoperative intra-abdominal abscess after distal pancreatectomy

Author

Nakano, Yutaka, primary, Endo, Yutaka, additional, Kitago, Minoru, additional, Nishiyama, Ryo, additional, Yagi, Hiroshi, additional, Abe, Yuta, additional, Hasegawa, Yasushi, additional, Hori, Shutaro, additional, Tanaka, Masayuki, additional, Shimane, Gaku, additional, Soga, Shigeyoshi, additional, Egawa, Tomohisa, additional, Okuda, Shigeo, additional, and Kitagawa, Yuko, additional

Published
2022
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19. Validation Study of Fibrinogen and Albumin Score in Esophageal Cancer Patients Who Underwent Esophagectomy: Multicenter Prospective Cohort Study

Author

Matsuda, Satoru, primary, Takeuchi, Hiroya, additional, Kawakubo, Hirofumi, additional, Takemura, Ryo, additional, Maeda, Yusuke, additional, Hirata, Yuki, additional, Kaburagi, Takuji, additional, Egawa, Tomohisa, additional, Nishi, Tomohiko, additional, Ogura, Masaharu, additional, Miyasho, Taku, additional, Okamura, Akihiko, additional, Mayanagi, Shuhei, additional, Fukuda, Kazumasa, additional, Nakamura, Rieko, additional, Irino, Tomoyuki, additional, Wada, Norihito, additional, and Kitagawa, Yuko, additional

Published
2020
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22. Endoscopic management of pancreatic duct injury by endoscopic stent placement: a case report and literature review

Author

Ito Yasuhiro, Kenmochi Takeshi, Irino Tomoyuki, Egawa Tomohisa, Hayashi Shinobu, Nagashima Atsushi, Hiroe Nao, Kitano Mitsuhide, and Kitagawa Yuko

Subjects
Pancreatic injury, Endoscopic, Pancreatic stent, Endoscopic nasopancreatic drainage, Surgery, RD1-811, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9
Abstract

Abstract Recently, the diagnostic evaluation of pancreatic injury has improved dramatically. On the other hand, it is occasionally difficult to diagnose pancreatic injury, because there are no specific signs, symptoms, or laboratory findings. Radiological imaging also often fails to identify pancreatic injury in the acute phase. Delayed diagnosis results in significant morbidity and mortality. Most cases of pancreatic injury with suspicion or pancreatic duct disruption require surgery. Endoscopic retrograde cholangiopancreatography is one of the most accurate modalities for ductal evaluation and therapy and might enable one to avoid unnecessary surgery. We describe endoscopic management of pancreatic duct injury by endoscopic stent placement. A 45-year-old woman was admitted after a traffic accident. A computed tomography scan showed pancreatic parenchyma disruption at the pancreatic head. Endoscopic retrograde cholangiopancreatography demonstrated disruption of the pancreatic duct with extravasation into the peripancreatic fluid collection. A 5-French endoscopic nasopancreatic drainage (ENPD) tube was placed. Her symptoms dramatically improved. ENPD tube was exchanged for a 5-French 5-cm pancreatic stent. Subsequent follow-up CT revealed remarkable improvement. On the 26th day, the patient was discharged from the hospital without symptoms or complications. In this report, a pancreatic stent may lead to rapid clinical improvement and enable surgery to be avoided. On the other hand, the reported complications of long-term follow-up make the role of stenting uncertain. Thus, close attention should be paid to stenting management in the follow-up period. A pancreatic stent is useful for pancreatic ductal injury. If pancreatic ductal injury is managed appropriately, a pancreatic stent may improve the clinical condition, and also prevent unnecessary surgery.

Published
2012
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24. The impact of surgical outcome after pancreaticoduodenectomy in elderly patients

Author

Nagashima Atsushi, Hayashi Shinobu, Egawa Tomohisa, Irino Tomoyuki, Kenmochi Takeshi, Ito Yasuhiro, and Kitagawa Yuko

Subjects
Pancreaticoduodenectomy, Elderly patients, Outcome, Surgery, RD1-811, Neoplasms. Tumors. Oncology. Including cancer and carcinogens, RC254-282
Abstract

Abstract Background The elderly population has increased in many countries. Indications for cancer treatment in elderly patients have expanded, because surgical techniques and medical management have improved remarkably. Pancreaticoduodenectomy (PD) requires high-quality techniques and perioperative management methods. If it is possible for elderly patients to withstand an aggressive surgery, age should not be considered a contraindication for PD. Appropriate preoperative evaluation of elderly patients will lead to their safer management. The purpose of the present study was to evaluate the safety of PD in patients older than 75 years and to show the influence of advanced age on the morbidity and mortality associated with this operation. Patients and methods Subjects were 98 patients who underwent PD during the time period from April 2005 to April 2011. During this study, 31 patients were 75 years of age or older (group A), and the other 67 patients were less than 75 years old (group B). Preoperative demographic and clinical data, surgical procedure, pathologic diagnosis, postoperative course and complication details were collected prospectively and they were analyzed in two group. Results There was no statistical difference between patient groups in terms of gender, comorbidity, preoperative drainage, diagnosis, or laboratory data. Preoperative albumin values were lower in group A (P = 0.04). The mean surgical time in group A was 408.1 ± 73.47 min. Blood loss and blood transfusion were not significantly different between both groups. There was no statistical differences in mortality rate (P = 0.14), morbidity rate (P = 0.43), and mean length of hospital stay (P = 0.22) between both groups. Long-term survival was also no statistically significant difference between the two groups using the log-rank test (P = 0.10). Conclusion It cannot be ignored that the elderly population is getting larger. We must investigate the management of elderly patients after PD and prepare further for more experiences of PD. If appropriate surgical management is provided to elderly patients, we suggest that PD will lead to no adverse effects after surgery, and PD can be performed safely in elderly patients. We conclude that age should not be a contraindication to PD.

Published
2011
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31. Prospective Multicenter Study on the Prognostic and Predictive Impact of Tumor Budding in Stage II Colon Cancer: Results From the SACURA Trial.

Author

Ueno, Hideki, Ishiguro, Megumi, Nakatani, Eiji, Ishikawa, Toshiaki, Uetake, Hiroyuki, Matsuda, Chu, Nakamoto, Yoshihiko, Kotake, Masanori, Kurachi, Kiyotaka, Egawa, Tomohisa, Yasumasa, Keigo, Murata, Kohei, Ikawa, Osamu, Shinji, Seiichi, Murotani, Kenta, Matsui, Shigeyuki, Teramukai, Satoshi, Tomita, Naohiro, and Sugihara, Kenichi

Published
2019
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32. A Case of Jejunal Serosal Patch for Repair of Local Excision of Duodenal Leiomyoma

Author

Matsubara Kentaro, Kitano Mitsuhide, Hayashi Shinobu, Nagashima Atsushi, Kiguchi Eiko, Yoshii Hiroshi, Doi Masakazu, and Egawa Tomohisa

Subjects
medicine.medical_specialty, Local excision, Leiomyoma, business.industry, Gastroenterology, medicine, Surgery, business, medicine.disease
Abstract

症例は30歳の男性で, 下血を主訴に当院を紹介受診した. 上部消化管内視鏡検査で十二指腸下行脚に粘膜下腫瘍と同部からの出血を認めた. 循環動態が不安定となったため, 緊急手術を施行した. ファーター乳頭部の対側に粘膜下腫瘍を認め, 十分な切除縁を確保し局所切除を行った. 十二指腸の欠損は半周以上に及んだため空腸漿膜パッチ術を施行した. 摘出標本の免疫組織化学的検索で平滑筋腫と診断した. 術後経過は良好であった. 術後の低緊張性十二指腸造影検査で変形狭窄は認められなかった. また, 術後の上部消化管内視鏡検査では, 術後1年で完全に粘膜再生が生じていた. 十二指腸平滑筋腫に対して局所切除を行い欠損部が半周以上となった場合, 空腸漿膜パッチ術は変形や狭窄を来さず, パッチ部に粘膜の再生も起こり奨励できる術式と考えられた.

Published
2005
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35. Laparoscopic total gastrectomy for remnant gastric cancer: A single‐institution experience.

Author

Booka, Eisuke, Kaihara, Masaki, Mihara, Koki, Nishiya, Shin, Handa, Kan, Ito, Yasuhiro, Shibutani, Shintaro, Egawa, Tomohisa, and Nagashima, Atsushi

Subjects
SURGICAL complications, GASTRECTOMY, PEPTIC ulcer
Abstract

Introduction: The incidence of remnant gastric cancer is increasing because of past use of subtotal gastrectomy to treat peptic ulcer and increased survival rates after radical gastrectomy for gastric cancer. The feasibility and advantages of laparoscopic total gastrectomy (LTG) for remnant gastric cancer remain unclear. Therefore, we aimed to investigate the safety, feasibility, and clinical short‐term outcomes of LTG for remnant gastric cancer. Methods: Patients who underwent completion total gastrectomy for remnant gastric cancer between April 2007 and October 2017 were divided into two groups: the open total gastrectomy (OTG) group and the LTG group. Clinicopathological data and short‐term outcomes were analyzed. Results: A total of 31 remnant gastrectomies (23 OTG, 8 LTG) were performed. Blood loss was significantly lower in the LTG group than in the OTG group (135.5 vs 568.3 mL, P = 0.013). However, there was no significant difference in the operation time, days to food intake, or length of hospital stay between the two groups. Additionally, there was no significant difference in the postoperative complications, number of retrieved lymph nodes, or pathological findings. Two LTG patients (25.0%) required conversion to open surgery. There was no mortality in either group. Conclusions: LTG for remnant gastric cancer can be a safe treatment option and may have an advantage of less blood loss than OTG. [ABSTRACT FROM AUTHOR]

Published
2019
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36. Delayed Pancreatic Fistula After Pancreaticoduodenectomy. A Case Report

Author

Ito, Yasuhiro, Irino, Tomoyuki, Egawa, Tomohisa, Hayashi, Shinobu, and Nagashima, Atsushi

Subjects
Pancreatic Fistula, Postoperative Complications, Pancreaticoduodenectomy
Abstract

Context Pancreatic fistulas still occur despite refinements in both surgical technique and perioperative management after a pancreaticoduodenectomy. However, the occurrence of delayed pancreatic fistulas is very rare. Case report A 62-year-old woman diagnosed with a lower biliary carcinoma had undergone a pylorus-preserving pancreaticoduodenectomy. The postoperative course was uneventful and the patient was discharged from the hospital after 16 days. One year after surgery, she was admitted to our hospital with a fluid collection around the pancreaticojejunal anastomosis. A catheter was inserted percutaneously and the fluid collection was drained. The amylase value of the discharge was significantly elevated (119,500 IU/L). One week later, a fistulography showed no significant collection and the tube was clamped. The patient was discharged from the hospital without symptoms. Conclusions It is important to consider the occurrence of a delayed pancreatic fistula if the patient suffers from any symptoms. It is then necessary to proceed rapidly. Image: Fistulography showing the disappearance of the fluid collection around the pancreaticojejunal anastomosis., JOP. Journal of the Pancreas, Vol 12, No 4 (2011): July - p. 316-434

Published
2011
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37. Computed tomographic scanning and selective laparoscopy in the diagnosis of blunt bowel injury: a prospective study

Author

Egawa Tomohisa, Doi Masakazu, Hayashi Shinobu, Nagashima Atsushi, Yoshii Hiroshi, Sasaki Jun'ichi, and Kitano Mitsuhide

Subjects
Adult, Male, medicine.medical_specialty, Abdominal pain, Adolescent, medicine.medical_treatment, Physical examination, Peritonitis, Critical Care and Intensive Care Medicine, Wounds, Nonpenetrating, Pneumoperitoneum, Clinical Protocols, Laparotomy, Intestine, Small, medicine, Humans, Local anesthesia, Hemoperitoneum, Prospective Studies, Laparoscopy, Child, Aged, Aged, 80 and over, medicine.diagnostic_test, business.industry, Middle Aged, medicine.disease, Surgery, Endoscopy, Intestinal Perforation, Child, Preschool, Female, Radiology, medicine.symptom, business, Tomography, X-Ray Computed
Abstract

Background We prospectively evaluated whether computed tomographic (CT) scanning and selective laparoscopy (LP) for the diagnosis of blunt bowel injury (BBI) could prevent nontherapeutic laparotomy and delayed diagnosis. Methods Between April 1994 and May 2002, hemodynamically stable patients suspected of having BBI were enrolled in this study. Patients with hemodynamic instability or solid organ injuries with hemoperitoneum were excluded. All patients underwent a physical examination and contrast CT scanning at admission and once again approximately 12 hours (range, 6-24 hours) after admission. LP was performed under general anesthesia in patients who had local peritoneal signs and indirect CT signs (bowel thickening or isolated intraperitoneal fluid) or in whom abdominal pain or tenderness increased or intraperitoneal fluid increased on the repeat CT scan. The indications for a celiotomy were diffuse peritonitis, pneumoperitoneum on the abdominal CT scan, or bowel perforation visible on LP. Results During the study period, 399 of 1,074 patients admitted for blunt torso injuries were enrolled in this study. Eleven patients underwent emergency celiotomy and 11 underwent LP immediately after admission to the emergency department. One nontherapeutic laparotomy was performed among the patients who underwent celiotomy. The LPs revealed seven bowel perforations and one mesenteric laceration. After a repeat CT scan, three and seven of the patients underwent laparotomy and LP, respectively. Four bowel perforations were found by LP. The remaining 198 patients were treated conservatively, and no complications related to a delayed BBI diagnosis occurred. Conclusion CT scanning and selective LP can prevent nontherapeutic laparotomy and delayed diagnosis in patients with suspected BBI.

Published
2005

41. Reintroduction of oxaliplatin for patients with metastatic colorectal cancer refractory to standard chemotherapy regimens.

Author

Sasaki, Tohru, primary, Azuma, Mizutomo, additional, Koizumi, Wasaburo, additional, Egawa, Tomohisa, additional, Nagashima, Atsushi, additional, Kenmochi, Takeshi, additional, Shimada, Ken, additional, Takinishi, Yasutaka, additional, Kobayashi, Kouji, additional, Saito, Yusuke, additional, Akatsuka, Sotaro, additional, Arioka, Hitoshi, additional, Nakayama, Norisuke, additional, Nishimura, Ken, additional, Takagi, Seiichi, additional, Shirahata, Atsushi, additional, and Soda, Hitoshi, additional

Published
2014
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42. Examination of Clinical Efficacy of Keishibukuryogan on Non-Specific Complaints Associated with Varicose Veins of the Lower Extremity

Author

Hayashi, Shinobu, primary, Shibutani, Shintaro, additional, Okubo, Hirotoki, additional, Shimogawara, Tatsuya, additional, Ichinose, Tsuyoshi, additional, Ito, Yasuhiro, additional, Mihara, Kouki, additional, Egawa, Tomohisa, additional, Nagashima, Atsushi, additional, Obara, Hideaki, additional, and Kitagawa, Yuko, additional

Published
2014
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