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32 results on '"Kishiki, Tomokazu"'

9. The Impact of the COVID-19 Pandemic on Colorectal Surgery in Japan

Author

Sunami, Eiji, primary, Kato, Shunsuke, additional, Suwa, Katsuhito, additional, Yamaguchi, Hirokazu, additional, Teranishi, Nobuhisa, additional, Koba, Yuuji, additional, Yahagi, Masashi, additional, Ookura, Fuminori, additional, Suzuki, Takafumi, additional, Yamamoto, Satoshi, additional, Shibuya, Jiro, additional, and Kishiki, Tomokazu, additional

Published
2022
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21. Laparoscopic Repair of Internal Transmesocolic Hernia of Transverse Colon

Author

Kishiki, Tomokazu, Mori, Toshiyuki, Hashimoto, Yoshikazu, Matsuoka, Hiroyoshi, Abe, Nobutsugu, Masaki, Tadahiko, and Sugiyama, Masanori

Subjects
stomatognathic diseases, surgical procedures, operative, Article Subject, education, digestive system diseases
Abstract

Introduction. Internal hernias are often misdiagnosed because of their rarity, with subsequent significant morbidity. Case Presentation. A 61-year-old Japanese man with no history of surgery was referred for intermittent abdominal pain. CT suggested the presence of a transmesocolic internal hernia. The patient underwent a surgical procedure and was diagnosed with transmesocolic internal hernia. We found internal herniation of the small intestine loop through a defect in the transverse mesocolon, without any strangulation of the small intestine. We were able to complete the operation laparoscopically. The patient’s postoperative course was uneventful and the patient was discharged on postoperative day 6. Discussion. Transmesocolic hernia of the transverse colon is very rare. Transmesocolic hernia of the sigmoid colon accounts for 60% of all other mesocolic hernias. Paraduodenal hernias are difficult to distinguish from internal mesocolic transverse hernias. We can rule out paraduodenal hernias with CT. Conclusion. The patient underwent a surgical procedure and was diagnosed with transmesocolic internal hernia. We report a case of a transmesocolic hernia of the transverse colon with intestinal obstruction that was diagnosed preoperatively and for which laparoscopic surgery was performed.

Published
2015
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24. Teaching peroral endoscopic myotomy (POEM) to surgeons in practice: an "into the fire" pre/post-test curriculum.

Author

Kishiki, Tomokazu, Lapin, Brittany, Wang, Chi, Jonson, Brandon, Patel, Lava, Zapf, Matthew, Gitelis, Matthew, Cassera, Maria A., Swanström, Lee L., and Ujiki, Michael B.

Subjects
*ESOPHAGEAL achalasia, *SURGICAL education, *SIMULATION methods & models, *ENDOSCOPIC surgery, *TEACHING, *THERAPEUTICS
Abstract

Introduction: With the increasing adoption of peroral endoscopic myotomy (POEM) as a first-line therapy for achalasia as well as a growing list of other indications, it is apparent that there is a need for effective training methods for both endoscopists in training and those already in practice. We present a hands-on-focused with pre- and post-testing methodology to teach these skills.Methods: Six POEM courses were taught by 11 experienced POEM endoscopists at two independent simulation laboratories. The training curriculum included a pre-training test, lectures and discussion, mentored hands-on instruction using live porcine and ex-plant models, and a post-training test. The scoring sheet for the pre- and post-tests assessed the POEM performance with a Likert-like scale measuring equipment setup, mucosotomy creation, endoscope navigation, visualization, myotomy, and closure. Participants were stratified by their experience with upper-GI endoscopy (Novices <100 cases vs. Experts ≥100 cases), and their data were analyzed and compared.Results: Sixty-five participants with varying degrees of experience in upper-GI endoscopy and laparoscopic achalasia cases completed the training curriculum. Participants improved knowledge scores from 69.7 ± 17.1 (pre-test) to 87.7 ± 10.8 (post-test) (p < 0.01). POEM performance increased from 15.1 ± 5.1 to 25.0 ± 5.5 (out of 30) (p < 0.01) with the greatest gains in mucosotomy [1.7-4.4 (out of 5), p < 0.01] and equipment (3.4-4.7, p < 0.01). Novices had significantly lower pre-test scores compared with Experts in upper-GI endoscopy (overall pre-score: 11.9 ± 5.6 vs. 16.3 ± 4.6, p < 0.01). Both groups improved significantly after the course, and there were no differences in post-test scores (overall post-score: 23.9 ± 6.6 vs. 25.4 ± 5.1, p = 0.34) between Novices and Experts.Conclusions: A multimodal curriculum with procedural practice was an effective curricular design for teaching POEM to practitioners. The curriculum was specifically helpful for training surgeons with less upper-GI endoscopy experience. [ABSTRACT FROM AUTHOR]

Published
2018
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30. A Case of Duodenal Obstruction due to Trichobezoar

Author

Kishiki, Tomokazu, primary, Miki, Kennji, additional, Teruya, Masanori, additional, Endo, Daisuke, additional, Takenaka, Yoshiharu, additional, Tanaka, Hozumi, additional, Kobayashi, Takashi, additional, Kobayashi, Kaoru, additional, Morita, Kouji, additional, and Kaminishi, Michio, additional

Published
2009
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