Author Kuroda, Muneaki| Iwagaki, Hiromi| Matsubara, Nagahide| Kimura, Toshikazu| Nonaka, Yasuyuki| Nezu, Masashi| Yoshinaga, Masao| Jikuhara, Atsushi| Hizuta, Akio| Orita, Kunzo|
Published Date 1993-02-27
Publication Title 岡山医学会雑誌
Volume volume105
Issue issue1-2
Content Type Journal Article
Author Tsunemitsu, Yosuke| Inagaki, Masaru| Hamano, Ryosuke| Nishie, Manabu| Tokunaga, Naoyuki| Otsuka, Shinya| Osaki, Toshihide| Iwagaki, Hiromi|
Published Date 2008-08-01
Publication Title 岡山医学会雑誌
Volume volume120
Issue issue2
Content Type Journal Article
Author Kimura, Yuji| Iwakawa, Kazuhide| Nishie, Manabu| Inagaki, Masaru| Iwagaki, Hiromi|
Published Date 2012-08-01
Publication Title 岡山医学会雑誌
Volume volume124
Issue issue2
Content Type Journal Article
Author Hamano, Ryosuke| Inagaki, Masaru| Kimura, Yuuji| Isoda, Kenta| Kitada, Koji| Nishie, Manabu| Nomura, Nagahisa| Tokunaga, Naoyuki| Takahashi, Kenji| Miyasou, Hideaki| Tsunemitsu, Yosuke| Ohtsuka, Shinya| Miyoshi, Kazuya| Iwakawa, Kazuhide| Takahashi, Masahiko| Iwagaki, Hiromi|
Published Date 2012-04-01
Publication Title 岡山医学会雑誌
Volume volume124
Issue issue1
Content Type Journal Article
Title Alternative Giant rectal gastrointestinal stromal tumor successfully resected by abdominoperineal resection combined with posterior vaginal wall resection
FullText URL 126_217.pdf
Author Iwakawa, Kazuhide| Nishie, Manabu| Tokunaga, Naoyuki| Miyaso, Hideaki| Iwagaki, Hiromi|
Abstract We report a case of giant rectal gastrointestinal stromal tumor (GIST) successfully resected by abdominoperineal resection combined with posterior vaginal wall resection. Our patient was a 79-year-old woman had been diagnosed as having von Recklinghausen disease at the age of 30 years. In 2006, a computed tomography (CT) scan revealed a tumor originating from the posterior wall of the rectum. In June 2010, she was admitted to our hospital with the chief complaint of bloody stool. A CT scan revealed a giant tumor that had increased to 9cm in size. Colonoscopy demonstrated a submucosal tumor, which was subsequently diagnosed by biopsy as a GIST. Due to the patient's continuous bleeding and abdominal pain, an emergent abdominoperineal resection was performed at that time. The tumor, which measured 8×9cm, was immunohistochemically positive for c-kit and CD34. Concomitant resection of the posterior wall of the vagina via the perineal approach provided a wide area to expose the tumor for a safe operation. The patient has been well with no sign of recurrence since the operation. This procedure is recommended as a useful approach for giant rectal GISTs or rectal cancer with invasion of the posterior pelvic wall.
Keywords 巨大直腸GIST(giant rectal GIST) 腹会陰式直腸切断術(abdominoperineal resection)
Publication Title 岡山医学会雑誌
Published Date 2014-12-01
Volume volume126
Issue issue3
Start Page 217
End Page 221
ISSN 0030-1558
language 日本語
Copyright Holders Copyright (c) 2014 岡山医学会
File Version publisher
DOI 10.4044/joma.126.217
NAID 130004903245
Author Iwagaki, Hiromi| Yunoki, Sho| Higuchi, Yasuhiko| Fuchimoto, Sadanori| Orita, Kunzo| Horie, Yasushi|
Published Date 1990-02
Publication Title 岡山医学会雑誌
Volume volume102
Issue issue1-2
Content Type Journal Article
Author Matsubara, Nagahide| Fuchimoto, Sadanori| Iwagaki, Hiromi| Ookura, Toshihiro| Akazai, Yoshihiro| Watanabe, Tetsuya| Suzaki, Kiichi| Yamashita, Hiroshi| Hamada, Fumihiro| Gouchi, Akira| Hizuta, Akio| Orita, Kunzo|
Published Date 1991-08
Publication Title 岡山医学会雑誌
Volume volume103
Issue issue7-8
Content Type Journal Article
Author Miyaso, Hideaki| Nishie, Manabu| Iwagaki, Hiromi| Ishii, Hiroo| Fujita, Isao| Tomoda, Jun|
Published Date 2010-08-02
Publication Title 岡山医学会雑誌
Volume volume122
Issue issue2
Content Type Journal Article
Author Inoguchi, Kazuhito| Iwagaki, Hiromi| Hamanaka, Sohei| Moreira, Luis Fernando| Nanba, Hiroshi| Okabayashi, Takahiro| Hizuta, Akio| Orita, Kunzo|
Published Date 1991
Publication Title 岡山医学会雑誌
Volume volume103
Issue issue11-12
Content Type Journal Article
Title Alternative Two cases of acute pulmonary embolism after esophageal cancer operation
FullText URL 118_41.pdf
Author Kanazawa, Takashi| Watababe, Nobuyuki| Naomoto, Yoshio| Kobayashi, Masahiko| Shirakawa, Yasuhiro| Yamatsuji, Tomoki| Kobayashi, Naoya| Fujiwara, Tohsiyoshi| Matsubara, Nagahide| Iwagaki, Hiromi| Matsuoka, Junji| Tanaka, Noriaki|
Abstract We encountered two cases of pulmonary embolism (PE)/venous thrombs (DVT) after surgery for esophageal cancer. The first case was a 58-year-old male. He underwent a subtotal esophagectomy and reconstruction using the stomach via the subcutaneus route. His postoperative course was stable; however, 13 days after the operation、 he had an elevated fever and pulmonary thrombi were observed on CT-scan screening. Scintigraphy confirmed the thrombi. An inferior vena cava filter (IVCF) was inserted and anti-coagulation therapy using heparin was started. His fever subsided, and 35 days after the operation, the thrombi disappeared. He was discharged thereafter and is being followed up using warfarin. The second case was a 74-year-old male. He also underwent subtotal esophagectomy and reconstruction using the stomach via the subcutaneus route. A central line was inserted via right femoral vein; however, the artery was injured and pressurization to the vessel was needed. His post-operative course was stable and symptom-free; however, ultrasound screening detected DVT in his right femoral vein. IVCF was mserted and anti-coagulation therapy was begun, thrombi disappeared 8 days after the therapy.
Keywords 食道癌 (esophageal cancer) 肺塞栓症 (pulmonary embolism) 深部静脈血栓症 (deep venous thrombs)
Publication Title 岡山医学会雑誌
Published Date 2006-05-01
Volume volume118
Issue issue1
Start Page 41
End Page 45
ISSN 0030-1558
language 日本語
Copyright Holders Copyright© 岡山医学会
File Version publisher
DOI 10.4044/joma1947.118.1_41
NAID 10017417131
Author Nishie, Manabu| Iwakawa, Kazuhide| Hamano, Ryousuke| Tokunaga, Naoyuki| Tunemitsu, Yousuke| Ootsuka, Shinya| Inagaki, Masaru| Iwagaki, Hiromi| Goubaru, Tomohiro| Fujita, Isao| Murakami, Takako| Tomoda, Jun|
Published Date 2011-08-01
Publication Title 岡山医学会雑誌
Volume volume123
Issue issue2
Content Type Journal Article
Author Iwagaki, Hiromi| Fuchimoto, Sadanori| Hamada, Fumihiro| Shiiki, Shigeo| Yasui, Yoshimasa| Matsubara, Nagahide| Akazai, Yoshihiro| Watanabe, Tetsuya| Gouchi, Akira| Hizuta, Akio| Kamikawa, Yasuaki| Orita, Kunzo|
Published Date 1991-08
Publication Title 岡山医学会雑誌
Volume volume103
Issue issue7-8
Content Type Journal Article
Author Watanabe, Kazuhiko| Iwagaki, Hiromi| Fuchimoto, Sadanori| Shiiki, Shigeo| Matubara, Nagahide| Akazai, Yoshihiro| Watanabe, Tetsuya| Suzaki, Kiichi| Hamada, Fumihiro| Gouchi, Akira| Hizuta, Akio| Orita, Kunzo|
Published Date 1991-08
Publication Title 岡山医学会雑誌
Volume volume103
Issue issue7-8
Content Type Journal Article
Author Kobayashi, Yuka| Yamada, Misa| Fujii, Hiromi| Ko, Yukiko| Uotani, Izumi| Tamoto, Mariko| Nada, Masako| Murai, Hiroyuki| Kado, Ei| Iwagaki, Hiromi| Tomoda, Jun| Saito, Shinya|
Published Date 2010-12-01
Publication Title 岡山医学会雑誌
Volume volume122
Issue issue3
Content Type Journal Article
Author Hamano, Ryosuke| Ohtsuka, Shinya| Fujii, Sayaka| Nishie, Manabu| Tokunaga, Naoyuki| Tsunemitsu, Yosuke| Iwakawa, Kazuhide| Inagaki, Masaru| Ohsaki, Toshihide| Iwagaki, Hiromi|
Published Date 2009-12-01
Publication Title 岡山医学会雑誌
Volume volume121
Issue issue3
Content Type Journal Article
Author Miyasou, Hideaki| Iwakawa, Kazuhide| Inagaki, Masaru| Kimura, Yuuji| Nishie, Manabu| Hamano, Ryousuke| Tokunaga, Naoyuki| Tunemitsu, Yousuke| Otsuka, Shinya| Iwagaki, Hiromi|
Published Date 2012-04-01
Publication Title 岡山医学会雑誌
Volume volume124
Issue issue1
Content Type Journal Article
Author Hamano, Ryosuke| Inagaki, Masaru| Nishie, Manabu| Tokunaga, Naoyuki| Tsunemitsu, Yosuke| Ohtsuka, Shinya| Iwakawa, Kazuhide| Iwagaki, Hiromi| Sonobe, Hiroshi|
Published Date 2010-04-01
Publication Title 岡山医学会雑誌
Volume volume122
Issue issue1
Content Type Journal Article
Author Hamano, Ryosuke| Inagaki, Masaru| Nishie, Manabu| Tokunaga, Naoyuki| Tsunemitsu, Yosuke| Ohtsuka, Shinya| Iwakawa, Kazuhide| Iwagaki, Hiromi| Sonobe, Hiroshi|
Published Date 2010-08-02
Publication Title 岡山医学会雑誌
Volume volume122
Issue issue2
Content Type Journal Article
Author Shiiki, Shigeo| Fuchimoto, Sadanori| Iwagaki, Hiromi| Hamada, Fumihiro| Hizuta, Akio| Orita, Kunzo|
Published Date 1991-10
Publication Title 岡山医学会雑誌
Volume volume103
Issue issue9-10
Content Type Journal Article
Author Iwagaki, Hiromi| Hizuta, Akio| Matsubara, Nagahide| Shiiki, Shigeo| Hamada, Fumihiro| Gouchi, Akira| Kamikawa, Yasuaki| Orita, Kunzo| Fuchimoto, Sadanori| Mizobuchi, Koichi|
Published Date 1991-10
Publication Title 岡山医学会雑誌
Volume volume103
Issue issue9-10
Content Type Journal Article