result 9856 件
| JaLCDOI | 10.18926/AMO/56645 |
|---|---|
| FullText URL | 73_2_101.pdf |
| Author | Iida, Atsuyoshi| Naito, Hiromichi| Yorifuji, Takashi| Zamami, Yoshito| Yamada, Akane| Koga, Tadashi| Imai, Toru| Sendo, Toshiaki| Nakao, Atsunori| Ichiba, Shingo| |
| Abstract | Sedatives are administered during extracorporeal membrane oxygenation (ECMO) therapy to ensure patient safety, reduce the metabolic rate and correct the oxygen supply-demand balance. However, the concentrations of sedatives can be decreased due to absorption into the circuit. This study examined factors affecting the absorption of a commonly used sedative, midazolam (MDZ). Using multiple ex vivo simulation models, three factors that may influence MDZ levels in the ECMO circuit were examined: polyvinyl chloride (PVC) tubing in the circuit, use of a membrane oxygenator in the circuit, and heparin coating of the circuit. We also assessed changes in drug concentration when MDZ was re-injected in a circuit. The MDZ level decreased to approximately 60% of the initial concentration in simulated circuits within the first 30 minutes. The strongest factor in this phenomenon was contact with the PVC tubing. Membrane oxygenator use tended to increase MDZ loss, whereas heparin circuit coating had no influence on MDZ absorption. Similar results were obtained when a second dose of MDZ was injected to the second-use circuits. |
| Keywords | sedatives ECMO polyvinyl chloride pharmacokinetics pharmacodynamics |
| Amo Type | Original Article |
| Publication Title | Acta Medica Okayama |
| Published Date | 2019-04 |
| Volume | volume73 |
| Issue | issue2 |
| Publisher | Okayama University Medical School |
| Start Page | 101 |
| End Page | 107 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| Content Type | Journal Article |
| language | English |
| Copyright Holders | CopyrightⒸ 2019 by Okayama University Medical School |
| File Version | publisher |
| Refereed | True |
| PubMed ID | 31015744 |
| JaLCDOI | 10.18926/AMO/56644 |
|---|---|
| FullText URL | 73_2_95.pdf |
| Author | Ercan, Sabriye| Başkurt, Ferdi| Başkurt, Zeliha| Çetin, Cem| |
| Abstract | The aim of this study was to examine effect of fatigue levels on functional mobility and balance in middle-aged obese females. The study included 98 healthy females aged 40-60 years with BMI ≥ 30 kg/m2. Self-perceived fatigue was evaluated with a self-administered questionnaire, the Checklist of Individual Strength in Turkish (CIS-T), on which 62.3% of the study subjects identified themselves as fatigued. The body weight and BMI values of fatigued subjects were found to be higher than those of the non-fatigue group (p<0.05). The reported exercise habits of the fatigue group were found to be significantly lower than their non-fatigued peers (p<0.05). The level of functional mobility (Timed Up and Go Test), static balance (One-Legged Stance Test with Eyes Open) and dynamic balance (Functional Reach Test and the 3-meter Timed Tandem Walk Test) were measured, and statistically significant differences were found between fatigue and non-fatigue groups on all of them (p<0.05). In addition, correlations were found between the sub-parameters of the CIS-T scale and the functional tests at |
| Keywords | fatigue obesity mobility balance woman |
| Amo Type | Original Article |
| Publication Title | Acta Medica Okayama |
| Published Date | 2019-04 |
| Volume | volume73 |
| Issue | issue2 |
| Publisher | Okayama University Medical School |
| Start Page | 95 |
| End Page | 100 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| Content Type | Journal Article |
| language | English |
| Copyright Holders | CopyrightⒸ 2019 by Okayama University Medical School |
| File Version | publisher |
| Refereed | True |
| PubMed ID | 31015743 |
| JaLCDOI | 10.18926/AMO/56458 |
|---|---|
| FullText URL | 73_1_51.pdf |
| Author | Fujii, Masakuni| Fujimoto, Kenji| Yabe, Syuntaro| Nasu, Junichiro| Miyaike, Jiro| Yoshioka, Masao| Shiode, Junji| Yamamoto, Kazuhide| Matsuda, Shinya| |
| Abstract | We investigated the relationship between body mass index (BMI) and postoperative outcomes in 450 gallbladder cancer patients in Japan. We collected patient information, including sex, age, underlying disease, BMI, stage, surgery method, postoperative time to discharge, and postoperative Medicare fees, from the Japanese administrative database associated with the Diagnosis Procedure Combination system. We classified patient BMIs as underweight (BMI<18.5 kg/m2), normal (BMI≥18.5 kg/m2 and <25 kg/m2) or overweight/obese (BMI≥25 kg/m2), then investigated the relationship between these categories and two postoperative outcomes: time to discharge and postoperative Medicare fees. The median postoperative time to discharge was 12 days in all patients, and 12 days in each of the three weight groups (p=0.62, n.s.). The median postoperative Medicare fees from surgery until discharge were (USD): all patients, $5,002; underweight, $5,875; normal weight, $4,797; and overweight/obese, $5,179 (p=0.146, n.s.). A multivariate analysis with adjustment for competing risk factors revealed that BMI was not associated with increased risk of longer postoperative time to discharge (normal weight: HR 1.17, p=0.29; overweight/obese: HR 1.17, p=0.37) or higher postoperative Medicare fees (OR 0.99, p=0.86, n.s.). Thus, high BMI was not found to be a factor for poor postoperative outcomes in Japanese patients with gallbladder cancer. |
| Keywords | body mass index gallbladder cancer surgery obesity |
| Amo Type | Original Article |
| Publication Title | Acta Medica Okayama |
| Published Date | 2019-02 |
| Volume | volume73 |
| Issue | issue1 |
| Publisher | Okayama University Medical School |
| Start Page | 51 |
| End Page | 59 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| Content Type | Journal Article |
| language | English |
| Copyright Holders | CopyrightⒸ 2019 by Okayama University Medical School |
| File Version | publisher |
| Refereed | True |
| PubMed ID | 30820054 |
| JaLCDOI | 10.18926/AMO/56455 |
|---|---|
| FullText URL | 73_1_21.pdf |
| Author | Oiwa, Yuko| Watanabe, Toyohiko| Sadahira, Takuya| Ishii, Ayano| Sako, Tomoko| Inoue, Miyabi| Wada, Koichiro| Kobayashi, Yasuyuki| Araki, Motoo| Nasu, Yasutomo| |
| Abstract | We measured basal clitoral blood flow by Doppler sonography to determine whether tension-free vaginal mesh(TVM) affects the clitoral blood flow and sexual function in women with pelvic organ prolapse (POP). We performed a prospective study of 22 patients who underwent TVM for POP. Clitoral blood flow was measured by Doppler ultrasound. The resistance index (RI), pulsatility index (PI), peak systolic velocity (PSV), and end-diastolic velocity (EDV) of the clitoral arteries were measured preoperatively and at 1, 3, and 6 months postoperatively. Female sexual function was also investigated with the Female Sexual Function Index (FSFI). The mean PI and RI were increased at 1 month and significantly decreased at 6 months postoperatively (p<0.05). In contrast, the mean PSV and EDV decreased at 1 month postoperatively and increased at 6 months postoperatively. These four parameters recovered to baseline levels at 6 months following surgery. Total FSFI scores improved significantly from 10.2±7.9 at baseline to 18.2±8.9 at 6 months postoperatively. Color Doppler ultrasonography is potentially useful in measuring clitoral blood flow in patients treated with TVM for POP. Prospective long-term studies are needed to evaluate the utility of this modality as a diagnostic and prognostic tool for female sexual dysfunction. |
| Keywords | clitoris pelvic organ prolapse Doppler ultrasound |
| Amo Type | Original Article |
| Publication Title | Acta Medica Okayama |
| Published Date | 2019-02 |
| Volume | volume73 |
| Issue | issue1 |
| Publisher | Okayama University Medical School |
| Start Page | 21 |
| End Page | 27 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| Content Type | Journal Article |
| language | English |
| Copyright Holders | CopyrightⒸ 2019 by Okayama University Medical School |
| File Version | publisher |
| Refereed | True |
| PubMed ID | 30820051 |
| JaLCDOI | 10.18926/AMO/56454 |
|---|---|
| FullText URL | 73_1_15.pdf |
| Author | Shioji, Naohiro| Kanazawa, Tomoyuki| Iwasaki, Tatsuo| Shimizu, Kazuyoshi| Suemori, Tomohiko| Kuroe, Yasutoshi| Morimatsu, Hiroshi| |
| Abstract | We compared the reintubation rate in children who received high-flow nasal cannula (HFNC) therapy to the rate in children who received noninvasive ventilation (NIV) therapy for acute respiratory failure (ARF) after cardiac surgery. This was a retrospective analysis of 35 children who received HFNC therapy for ARF after cardiac surgery in 2014-2015 (the HFNC group). We selected 35 children who had received NIV therapy for ARF after cardiac surgery in 2009-2012 as a control group. The matching parameters were body weight and risk adjustment for congenital heart surgery category 1. The reintubation rate within 48 h in the HFNC group tended to be lower than that in the NIV group (3% vs. 17%, p=0.06). The reintubation rate within 28 days was significantly lower in the HFNC group compared to the NIV group (3% vs. 26%, p=0.04). The HFNC group’s ICU stays were significantly shorter than those of the NIV group: 10 (IQR: 7-17) days vs. 17 (11-32) days, p=0.009. HFNC therapy might be associated with a reduced reintubation rate in children with ARF after cardiac surgery. |
| Keywords | high-flow nasal cannula noninvasive ventilation reintubation congenital heart disease acute respiratory failure |
| Amo Type | Original Article |
| Publication Title | Acta Medica Okayama |
| Published Date | 2019-02 |
| Volume | volume73 |
| Issue | issue1 |
| Publisher | Okayama University Medical School |
| Start Page | 15 |
| End Page | 20 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| Content Type | Journal Article |
| language | English |
| Copyright Holders | CopyrightⒸ 2019 by Okayama University Medical School |
| File Version | publisher |
| Refereed | True |
| PubMed ID | 30820050 |
| JaLCDOI | 10.18926/AMO/56453 |
|---|---|
| FullText URL | 73_1_7.pdf |
| Author | Fukumori, Norio| Sonohata, Motoki| Kitajima, Masaru| Kawano, Shunsuke| Kurata, Tsuyoshi| Sakanishi, Yuta| Sugioka, Takashi| Mawatari, Masaaki| |
| Abstract | We evaluated the analgesic effects of multimodal pain control in which intravenous acetaminophen (IV APAP) was added to the standard protocol for Japanese patients who had undergone a total hip arthroplasty (THA). We performed a retrospective cohort study of 180 patients aged 66.4±10.5 years (30% male) who had undergone a THA (Oct. 2014 to Feb. 2015) at our hospital. The control patients were administered the standard analgesic protocol: flurbiprofen axetil as a continuous intravenous infusion and oral celecoxib (NAPAP; n=109). The patients in the new analgesic protocol group received IV APAP in addition to the standard analgesic protocol (APAP; n=71). The primary outcome was the maximum value of postoperative pain the patients reported on a numerical rating scale (NRS) during the first 24 h post-surgery. A univariate analysis and multivariate analyses adjusted for age, sex, the stage of hip osteoarthritis, preoperative pain, and surgical time showed that the maximum postoperative pain NRS scores during the first 24 h after surgery was significantly lower when the APAP protocol was used. The addition of IV APAP to the current standard multimodal analgesia protocol for Japanese patients who have undergone a THA may decrease the patients’ postoperative pain. |
| Keywords | intravenous acetaminophen postoperative pain total hip arthroplasty osteoarthritis |
| Amo Type | Original Article |
| Publication Title | Acta Medica Okayama |
| Published Date | 2019-02 |
| Volume | volume73 |
| Issue | issue1 |
| Publisher | Okayama University Medical School |
| Start Page | 7 |
| End Page | 14 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| Content Type | Journal Article |
| language | English |
| Copyright Holders | CopyrightⒸ 2019 by Okayama University Medical School |
| File Version | publisher |
| Refereed | True |
| PubMed ID | 30820049 |
| JaLCDOI | 10.18926/AMO/56452 |
|---|---|
| FullText URL | 73_1_1.pdf |
| Author | Morizane, Shin| |
| Abstract | Excessive protease activity is a characteristic abnormality that affects the epidermal barrier in patients with atopic dermatitis (AD). Kallikrein-related peptidases (KLKs) are excessively expressed in AD lesions, and it is suggested that the abnormal action of KLKs is involved in the skin barrier dysfunction in AD. In other words, overexpressed KLKs disrupt the normal barrier function, and due to that breakdown, external substances that can become antigens of AD easily invade the epidermis, resulting in dermatitis, coupled with the induction of Th2 cytokines. Further investigations are required to elucidate the role of KLKs in AD; this knowledge could contribute to the design of new therapeutic and prophylactic drugs for AD. |
| Keywords | atopic dermatitis kallikrein-related peptidases epidermal barrier dysfunction |
| Amo Type | Review |
| Publication Title | Acta Medica Okayama |
| Published Date | 2019-02 |
| Volume | volume73 |
| Issue | issue1 |
| Publisher | Okayama University Medical School |
| Start Page | 1 |
| End Page | 6 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| Content Type | Journal Article |
| language | English |
| Copyright Holders | CopyrightⒸ 2019 by Okayama University Medical School |
| File Version | publisher |
| Refereed | True |
| PubMed ID | 30820048 |
| Title Alternative | Discovery Program for Global Learners at Okayama University and IB Education: Reflections on My University Experiences in Japan and the United States of America |
|---|---|
| FullText URL | 2017_001_010_017.pdf |
| Author | Chung, Haeng-ja| |
| Keywords | 日米比較 文化人類学 振り返り Discovery Program for Global Learners at Okayama University グローバル・ディスカバリー・プログラム 国際バカロレア IB |
| Note | 寄稿論文| |
| Published Date | 2017-12 |
| Publication Title | 国際バカロレア教育研究 |
| Issue | issue1 |
| Publisher | 日本国際バカロレア教育学会 |
| Start Page | 10 |
| End Page | 17 |
| Content Type | Journal Article |
| language | Japanese |
| OAI-PMH Set | 岡山大学 |
| File Version | publisher |
| FullText URL | K0005295_other1.pdf |
|---|---|
| Author | Onoda, Satoshi| Kimata, Yoshihiro| Matsumoto, Kumiko| |
| Keywords | anastmosis style patency rate rat animal model lymphaticovenular anastomosis |
| Note | 学位審査副論文| |
| Published Date | 2016-03 |
| Publication Title | Annals of Plastic Surgery |
| Volume | volume76 |
| Issue | issue3 |
| Publisher | Little Brown |
| Start Page | 332 |
| End Page | 335 |
| ISSN | 0148-7043 |
| NCID | AA00533030 |
| Content Type | Journal Article |
| language | English |
| OAI-PMH Set | 岡山大学 |
| Copyright Holders | https://creativecommons.org/licenses/by-nc-nd/4.0/deed.ja |
| File Version | author |
| PubMed ID | 26207544 |
| DOI | 10.1097/SAP.0000000000000571 |
| Web of Science KeyUT | 000370489200017 |
| Related Url | https://doi.org/10.1097/SAP.0000000000000571 http://ousar.lib.okayama-u.ac.jp/ja/54278 |
| JaLCDOI | 10.18926/CTED/54938 |
|---|---|
| Title Alternative | A Comparison between Prefectures of Result of National Achievement Test in Japan Ⅱ |
| FullText URL | cted_007_127_136.pdf |
| Author | Ojima, Taku| |
| Abstract | 本稿は、2016（平成28）年に文部科学省が実施した「全国学力・学習状況調査」（メインタイトルを含め、以下本稿では、全国学力テストと略記）の結果のうち、テスト受験者の解答した児童質問紙および教員（多くの場合は管理職）が解答した学校質問紙の結果を検討し、学力向上を目指す取組の評価のもととなるデータの整理を主な目的としている。具体的には、 年間の学力調査において結果が常に上位を占める秋田県の結果を、学力向上を中心的な行政課題と位置づけてきた岡山県の結果と比較した。この結果、７年前に拙論で指摘された課題と全国的な分析および教科外の取組といった三つの範疇に属する項目において、二つの県では顕著な違いが見られた。 |
| Keywords | 秋田県 (Akita Prefecture) 岡山県 (Okayama Prefecture) 全国学力・学習状況調査 (National Assessment of Academic Ability) |
| Publication Title | Bulletin of Center for Teacher Education and Development, Okayama University |
| Published Date | 2017-03-27 |
| Volume | volume7 |
| Start Page | 127 |
| End Page | 136 |
| ISSN | 2186-1323 |
| Related Url | http://ousar.lib.okayama-u.ac.jp/ja/48209 |
| language | Japanese |
| Copyright Holders | Copyright © 2017 岡山大学教師教育開発センター |
| File Version | publisher |
| JaLCDOI | 10.18926/CTED/54926 |
|---|---|
| Title Alternative | How Can We Practice Life-Education as Moral Education in Junior High School?（2） |
| FullText URL | cted_007_011_020.pdf |
| Author | Watanabe, Michiru| Kokayashi, Mariko| |
| Abstract | 阪神・淡路大震災と東日本大震災では，大人だけでなく，多くの子どもたちが犠牲となった。改めて｢命の教育｣の重要性が指摘されている。また，青少年，特に中学生による殺傷事件やいじめによる自殺も後を絶たない現状にある。一方，2019（平成31）年度から中学校の「道徳の時間」は「特別の教科 道徳」という名称の教科となる。その理由は様々であるが，教育再生実行会議の第一次提言によれば，同会議が教科化提言に踏み切った直接の要因は，いじめ問題への実効性のある道徳教育を求めることにあった。しかし，学校の道徳教育や「命の教育」は役に立たないという指摘もあり，教科となった道徳科における道徳教育は，これまでの諸課題を確実に見直し，確たる実践的基盤を打ち立てなければならない。本稿（２）では，前号の（１）で論じた〈いのち〉とその教育に関する独自の観点によりながら，「〈いのち〉の教育」に取り組む「道徳科の授業」の新しい展開を提案したい。 |
| Keywords | ビオスとゾーエー (bios and zoé) 〈いのち〉の教育 (life-education) 発達段階 (development stages) コミュニケーション的行為 (communicative action) 討議 (Diskurs) |
| Publication Title | Bulletin of Center for Teacher Education and Development, Okayama University |
| Published Date | 2017-03-27 |
| Volume | volume7 |
| Start Page | 11 |
| End Page | 20 |
| ISSN | 2186-1323 |
| Related Url | http://ousar.lib.okayama-u.ac.jp/ja/54026 |
| language | Japanese |
| Copyright Holders | Copyright © 2017 岡山大学教師教育開発センター |
| File Version | publisher |
| Title Alternative | Drug interaction (38. Combination with novel hypnotic drugs : ramelteon and suvorexant) |
|---|---|
| FullText URL | 129_53.pdf |
| Author | Kubo, Kazuko| Esumi, Satoru| Kitamura, Yoshihisa| Sendo, Toshiaki| |
| Publication Title | Journal of Okayama Medical Association |
| Published Date | 2017-04-03 |
| Volume | volume129 |
| Issue | issue1 |
| Start Page | 53 |
| End Page | 57 |
| ISSN | 0030-1558 |
| language | Japanese |
| Copyright Holders | Copyright (c) 2017 岡山医学会 |
| File Version | publisher |
| DOI | 10.4044/joma.129.53 |
| NAID | 130005632075 |
| Title Alternative | The 2015 Incentive Award of the Okayama Medical Association in Cardiovascular and Pulmonary Research (2015 Sunada Prize) |
|---|---|
| FullText URL | 129_1.pdf |
| Author | Ishigami, Shuta| |
| Publication Title | Journal of Okayama Medical Association |
| Published Date | 2017-04-03 |
| Volume | volume129 |
| Issue | issue1 |
| Start Page | 1 |
| End Page | 4 |
| ISSN | 0030-1558 |
| Related Url | isVersionOf https://doi.org/10.1161/CIRCRESAHA.116.304671 |
| language | Japanese |
| Copyright Holders | Copyright (c) 2017 岡山医学会 |
| File Version | publisher |
| DOI | 10.4044/joma.129.1 |
| NAID | 130005632052 |
| FullText URL | fulltext.pdf |
|---|---|
| Author | Yoshihara, S.| Fukuda, H.| Tamura, M.| Arisaka, O.| Ikeda, M.| Fukuda, N.| Tsuji, T.| Hasegawa, S.| Kanno, N.| Teraoka, M.| Wakiguchi, H.| Aoki, Y.| Terada, A.| Hasegawa, M.| Manki, A.| Igarashi, H.| |
| Keywords | salmeterol/fluticasone combination asthma infant preschool children nighttime sleep disorder score long-acting beta-agonist inhaled corticosteroid |
| Published Date | 2016-07 |
| Publication Title | Drug Research |
| Volume | volume66 |
| Issue | issue7 |
| Publisher | Georg Thieme |
| Start Page | 371 |
| End Page | 376 |
| ISSN | 2194-9379 |
| Content Type | Journal Article |
| language | English |
| OAI-PMH Set | 岡山大学 |
| Copyright Holders | © Georg Thieme Verlag |
| File Version | publisher |
| PubMed ID | 27273710 |
| DOI | 10.1055/s-0042-108852 |
| Web of Science KeyUT | 000379389100007 |
| Related Url | isVersionOf https://doi.org/10.1055/s-0042-108852 |
| Author | Kunisue, Mitsuhisa| |
|---|---|
| Published Date | 2016-12-01 |
| Publication Title | Journal of Okayama Medical Association |
| Volume | volume128 |
| Issue | issue3 |
| Content Type | Journal Article |
| Title Alternative | The effectiveness of team-based learning (TBL) as a new teaching approach |
|---|---|
| FullText URL | 128_125.pdf |
| Author | Suno, Manabu| |
| Keywords | アクティブラーニング（active learning） チーム基盤型学習（team-based learning） 問題基盤型学習（problem-based learning） |
| Publication Title | Journal of Okayama Medical Association |
| Published Date | 2016-08-01 |
| Volume | volume128 |
| Issue | issue2 |
| Start Page | 125 |
| End Page | 128 |
| ISSN | 0030-1558 |
| Related Url | isVersionOf https://doi.org/10.4044/joma.128.125 |
| language | Japanese |
| Copyright Holders | Copyright (c) 2016 岡山医学会 |
| File Version | publisher |
| DOI | 10.4044/joma.128.125 |
| NAID | 130005262530 |
| Title Alternative | Incisional hernia repair after wide excision of the iliac bone |
|---|---|
| FullText URL | 128_117.pdf |
| Author | Tsukuda, Kazunori| Asano, Hiroaki| Mandai, Yasuhiro| Fujiwara, Toshiyoshi| |
| Abstract | The patient was a 46-year old Japanese female who had undergone wide excision of the iliac bone and hip transposition at our institute's orthopedics department 2 years earlier. She presented with a growing incisional hernia and was transferred to our gastroenterological surgery department for surgical treatment. We planned a mesh repair for the incisional hernia, which protruded over the right iliac bone. The dimensions of the abdominal defect were 15×9 cm, and we used prolene mesh to repair the defect. The mesh was fixed at the inner part of the iliac bone, folded back at the iliac horn and fixed to the abdominal oblique muscles. The postoperative course was smooth, and recurrence was not seen at 3.5 years after the operation. An incisional hernia as seen in this patient's case is very rare, but we found that the underlay technique and prolene mesh were very useful for the three-dimensional hernia repair. |
| Keywords | 腹壁瘢痕ヘルニア（incisional hernia） 腸骨軟骨肉腫（chondrosarcoma of the iliac bone） 腸骨広範囲切除術（wide excision of the iliac bone） プロリーンメッシュ（prolene mesh） |
| Publication Title | Journal of Okayama Medical Association |
| Published Date | 2016-08-01 |
| Volume | volume128 |
| Issue | issue2 |
| Start Page | 117 |
| End Page | 120 |
| ISSN | 0030-1558 |
| Related Url | isVersionOf https://doi.org/10.4044/joma.128.117 |
| language | Japanese |
| Copyright Holders | Copyright (c) 2016 岡山医学会 |
| File Version | publisher |
| DOI | 10.4044/joma.128.117 |
| NAID | 130005262528 |
| FullText URL | K0005301_abstract_review.pdf K0005301_fulltext.pdf K0005301_summary.pdf |
|---|---|
| Author | Gotoda, Tatsuhiro| |
| Published Date | 2016-03-25 |
| Content Type | Thesis or Dissertation |
| Grant Number | 甲第5301号 |
| Granted Date | 2016-03-25 |
| Thesis Type | Doctor of Philosophy in Medical Science |
| Grantor | 岡山大学 |
| language | English |
| Title Alternative | Mechanosensor |
|---|---|
| FullText URL | 128_61.pdf |
| Author | Takahashi, Ken| |
| Publication Title | 岡山医学会雑誌 |
| Published Date | 2016-04-01 |
| Volume | volume128 |
| Issue | issue1 |
| Start Page | 61 |
| End Page | 62 |
| ISSN | 0030-1558 |
| Related Url | isVersionOf https://doi.org/10.4044/joma.128.61 |
| language | Japanese |
| Copyright Holders | Copyright (c) 2016 岡山医学会 |
| File Version | publisher |
| DOI | 10.4044/joma.128.61 |
| NAID | 130005149609 |
| Title Alternative | Behçetʼs disease complicated by ileocecal and esophageal perforation |
|---|---|
| FullText URL | 128_27.pdf |
| Author | Tsukumo, Yuta| Kawamoto, Kazuyuki| Takagi, Kosei| Chin, Kai| Matsuba, Yuri| Nagahisa, Yoshio| Okabe, Michio| Shirakawa, Yasuhiro| Itoh, Tadashi| Fujiwara, Toshiyoshi| |
| Abstract | A 36-year-old Japanese man known to have incomplete Behçet’s disease (oral aphthous ulcers, genital ulcers, skin lesions, and esophageal and ileocecal ulcers) was admitted to our hospital in January 2011 for abdominal pain. We administered corticosteroids and immunosuppressants. Two months later, we performed an ileocecal resection to control gastrointestinal bleeding from the ileocecal ulcers. High fever persisted after this surgery, and upper gastrointestinal endoscopy demonstrated ulcer penetration between the lower and abdominal esophagus. Eighteen days after the initial ileocecal resection, we performed a lower esophagus resection, gastric tube reconstruction and enterostomy, during which we confirmed a 5-mm-dia. perforated site at the posterior wall of the abdominal esophagus. Postoperative anastomotic leakage and empyema occurred, but they were relieved by thoracic drainage and empyema dissection. |
| Keywords | ベーチェット病（Behçet’s disease） 食道（esophagus） 回盲部（ileocecal） 穿孔（perforation） 手術（surgery） |
| Publication Title | 岡山医学会雑誌 |
| Published Date | 2016-04-01 |
| Volume | volume128 |
| Issue | issue1 |
| Start Page | 27 |
| End Page | 32 |
| ISSN | 0030-1558 |
| Related Url | isVersionOf https://doi.org/10.4044/joma.128.27 |
| language | Japanese |
| Copyright Holders | Copyright (c) 2016 岡山医学会 |
| File Version | publisher |
| DOI | 10.4044/joma.128.27 |
| NAID | 130005149603 |
