Title Alternative A new training system for board-certified surgeons
Author Fujiwara, Toshiyoshi|
Publication Title Journal of Okayama Medical Association
Published Date 2018-08-01
Volume volume130
Issue issue2
Start Page 73
End Page 78
ISSN 0030-1558
Related Url isVersionOf https://doi.org/10.4044/joma.130.73
language 日本語
Copyright Holders Copyright (c) 2018 岡山医学会
File Version publisher
DOI 10.4044/joma.130.73
NAID 130007481047
Author Fujiwara, Toshiyoshi|
Keywords 特定臨床研究 ARO 患者申出療養
Publication Title Journal of Okayama Medical Association
Published Date 2017-12-01
Volume volume129
Issue issue3
Start Page 179
End Page 184
ISSN 0030-1558
Related Url isVersionOf https://doi.org/10.4044/joma.129.179
language 日本語
Copyright Holders Copyright (c) 2017 岡山医学会
File Version publisher
DOI 10.4044/joma.129.179
NAID 40021393886
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 日本語
Copyright Holders Copyright (c) 2016 岡山医学会
File Version publisher
DOI 10.4044/joma.128.27
NAID 130005149603
Title Alternative A case report of giant ectopic pheochromocytoma conversion therapy with radioisotope therapy and chemotherapy followed by curative resection
FullText URL 127_213.pdf
Author Yasui, Kazuya| Umeda, Yuzo| Kumano, Kenjiro| Tabata, Masahiro| Otsuka, Fumio| Yagi, Takahito| Fujiwara, Toshiyoshi|
Abstract A 46-year-old man was found to be positive for occult blood at a medical checkup and was revealed to have a 14-cm tumor on the right side of abdominal aorta by a subsequent abdominal CT scan. The endocrinology laboratory data showed elevations in the levels of serum noradrenaline, and ectopic pheochromocytoma was suspected. The tumor was compressing the inferior vena cava and portal vein, the superior mesenteric artery and the pancreas. Since it would be difficult to cure by operation, neoadjuvant therapy was started using radioisotope therapy by I-131 metaiodobenzylguanidine (131I-MIBG) and chemotherapy (CVD therapy ; cyclophosphamide, vincristine, dacarbazine). He was treated with three courses of radioisotope therapy and 16 courses of chemotherapy, which significantly reduced the tumor size. This made radical resection possible ; we were able to avoid the merger excision of great vessels and other organs. On pathological and immunopathological findings, the tumor was diagnosed as ectopic pheochromocytoma. Regarding the safety and curability of the treatment, neoadjuvant therapy may be useful in treating very large tumors that show invasion of other organs.
Keywords 異所性褐色細胞腫(ectopic pheochromocytoma) 化学療法(chemo therapy) 131I-MIBG
Publication Title 岡山医学会雑誌
Published Date 2015-12-01
Volume volume127
Issue issue3
Start Page 213
End Page 218
ISSN 0030-1558
Related Url isVersionOf https://doi.org/10.4044/joma.127.213
language 日本語
Copyright Holders Copyright (c) 2015 岡山医学会
File Version publisher
DOI 10.4044/joma.127.213
NAID 130005116814