| Title Alternative | The 179th Okayama Surgical Society |
|---|---|
| FullText URL | 129_69.pdf |
| Author | 岡山医学会| |
| Publication Title | Journal of Okayama Medical Association |
| Published Date | 2017-04-03 |
| Volume | volume129 |
| Issue | issue1 |
| Start Page | 69 |
| End Page | 72 |
| ISSN | 0030-1558 |
| language | Japanese |
| Copyright Holders | Copyright (c) 2017 岡山医学会 |
| File Version | publisher |
| DOI | 10.4044/joma.129.69 |
| NAID | 130005632039 |
| Title Alternative | The 47th Okayama Rheumatology Conference |
|---|---|
| FullText URL | 129_65.pdf |
| Author | 岡山医学会| |
| Publication Title | Journal of Okayama Medical Association |
| Published Date | 2017-04-03 |
| Volume | volume129 |
| Issue | issue1 |
| Start Page | 65 |
| End Page | 68 |
| ISSN | 0030-1558 |
| Official Url | http://www.okayama-u.ac.jp/user/oma/| |
| language | Japanese |
| Copyright Holders | Copyright (c) 2017 岡山医学会 |
| File Version | publisher |
| DOI | 10.4044/joma.129.65 |
| NAID | 130005632020 |
| Title Alternative | The 69th Annual Scientific Meeting of the Japanese Association for Thoracic Surgery |
|---|---|
| FullText URL | 129_63.pdf |
| Author | Miyoshi, Shinichiro| |
| Publication Title | Journal of Okayama Medical Association |
| Published Date | 2017-04-03 |
| Volume | volume129 |
| Issue | issue1 |
| Start Page | 63 |
| End Page | 64 |
| ISSN | 0030-1558 |
| language | Japanese |
| Copyright Holders | Copyright (c) 2017 岡山医学会 |
| File Version | publisher |
| DOI | 10.4044/joma.129.63 |
| NAID | 130005632076 |
| FullText URL | 129_61.pdf |
|---|---|
| Author | 寺岡 俊人| |
| Publication Title | Journal of Okayama Medical Association |
| Published Date | 2017-04-03 |
| Volume | volume129 |
| Issue | issue1 |
| Start Page | 61 |
| End Page | 62 |
| ISSN | 0030-1558 |
| language | Japanese |
| Copyright Holders | Copyright (c) 2017 岡山医学会 |
| File Version | publisher |
| Title Alternative | Precision Medicine |
|---|---|
| FullText URL | 129_59.pdf |
| Author | Tomida, Shuta| Toyooka, Shinichi| |
| Publication Title | Journal of Okayama Medical Association |
| Published Date | 2017-04-03 |
| Volume | volume129 |
| Issue | issue1 |
| Start Page | 59 |
| End Page | 60 |
| ISSN | 0030-1558 |
| language | Japanese |
| Copyright Holders | Copyright (c) 2017 岡山医学会 |
| File Version | publisher |
| DOI | 10.4044/joma.129.59 |
| NAID | 130005632074 |
| 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 | Q15・Q16 |
|---|---|
| FullText URL | 129_51.pdf |
| Author | Okayama Medical Association| |
| Publication Title | Journal of Okayama Medical Association |
| Published Date | 2017-04-03 |
| Volume | volume129 |
| Issue | issue1 |
| Start Page | 51 |
| End Page | 52 |
| ISSN | 0030-1558 |
| language | Japanese |
| Copyright Holders | Copyright (c) 2017 岡山医学会 |
| File Version | publisher |
| DOI | 10.4044/joma.129.51 |
| NAID | 130005632072 |
| Title Alternative | Thoracoscopic esophagectomy was effective in a case of lower esophageal stenosis due to recurrence of achalasia after myotomy 40 years previously |
|---|---|
| FullText URL | 129_41.pdf |
| Author | Katsura, Yuki| Shirakawa, Yasuhiro| Tanabe, Shunsuke| Maeda, Naomi| Noma, Kazuhiro| Fujiwara, Toshiyoshi| |
| Abstract | When planning surgery for achalasia, it is important to plan for adequate myotomy and prevention of reflux. However, achalasia may recur if the procedure was inadequate or in patients with a long-term course. The present case is a 68-year-old woman who underwent myotomy of the lower esophageal sphincter 40 years ago, but recently reported difficulty in swallowing. Dilatation of the thoracic esophagus and stenosis of the abdominal esophagus were identified by examination, and the patient was diagnosed with recurrence of achalasia. After percutaneous endoscopic gastrostomy was performed to recover nutritional status, thoracoscopic esophagectomy was carried out. The patient'spost-operative course was uneventful and oral intake was enabled. At the time of writing, there has been no re-recurrence. There is no standard therapy for post-operative recurrence of achalasia. We believe that thoracoscopic esophagectomy for the recurrence of achalasia is a safe and minimally invasive alternative to conventional surgery. |
| Keywords | 食道アカラシア (achalasia) 再手術 (reoperation) 食道亜全摘 (esophagectomy) |
| Publication Title | Journal of Okayama Medical Association |
| Published Date | 2017-04-03 |
| Volume | volume129 |
| Issue | issue1 |
| Start Page | 41 |
| End Page | 44 |
| ISSN | 0030-1558 |
| language | Japanese |
| Copyright Holders | Copyright (c) 2017 岡山医学会 |
| File Version | publisher |
| DOI | 10.4044/joma.129.41 |
| NAID | 130005632071 |
| Title Alternative | A refractory cutaneous-rectovesical fistula complicated with abdominal actinomycosis successfully treated with antibiotic therapy |
|---|---|
| FullText URL | 129_35.pdf |
| Author | Katsura, Yuki| Matsukawa, Hiroyoshi| Kato, Takuya| Sugihara, Masahiro| Ojima, Yasutomo| Shiozaki, Shigehiro| |
| Abstract | The patient was a 35-year-old Japanese man diagnosed with appendicitis with abscess formation. An appendectomy was performed, but a refractory surgical wound infection developed, and eventually a cutaneous-rectovesical fistula was detected. In a review of the first-time CT scan, a small high-density construction resembling a bone from a fish was detected in the ileum. The histopathological examination revealed granules of actinomyces. These findings suggested that abdominal actinomycosis due to intestinal mucosal breakage by the fish bone caused the secondary appendicitis, and that after the appendectomy, residual actinomyces caused the cutaneous-rectovesical fistula. After the diagnosis, total parenteral nutrition and a long-term administration of antibiotics improved the patient's clinical symptoms, and the fistula closed within a month. Antibiotics were administered for 6 months, and there has been no recurrence for 6-1/2 years. Because actinomycosis is difficult to diagnose based on the typical clinical features, a direct identification of the infecting organism from a tissue sample or from sulfur granules is required for the definitive diagnosis. Actinomyces is also known to cause fistula formation, and intestinal penetration caused by a fish bone may indicate abdominal actinomycosis. A rectovesical fistula requires surgical intervention in most cases, but in cases caused by abdominal actinomycosis, such a fistula may be cured by conservative therapy, as in our patient's case. It is important to consider the possibility of actinomycosis when a refractory rectovesical fistula is observed. |
| Keywords | 放線菌症 (actinomycosis) 皮膚直腸膀胱瘻 (cutaneous-rectovesical fistula) 急性虫垂炎 (appendicitis) |
| Publication Title | Journal of Okayama Medical Association |
| Published Date | 2017-04-03 |
| Volume | volume129 |
| Issue | issue1 |
| Start Page | 35 |
| End Page | 39 |
| ISSN | 0030-1558 |
| language | Japanese |
| Copyright Holders | Copyright (c) 2017 岡山医学会 |
| File Version | publisher |
| DOI | 10.4044/joma.129.35 |
| NAID | 130005632060 |
| Title Alternative | A prophylactic approach to postoperative delirium through collaborative practice |
|---|---|
| FullText URL | 129_31.pdf |
| Author | Oda, Koji| Oyanagi, Kie| Yamaguchi, Megumi| Baba, Kanako| Esumi, Satoru| Senda, Mayuko| Inoue, Shinichirou| Kawata, Kiyohiro| Okabe, Nobuyuki| Yamada, Norihito| |
| Abstract | We launched our Psychiatry Liaison Team in the Department of Neuropsychiatry of Okayama University Hospital in 2009. Since nearly half of all new cases had suffered delirium, we subsequently launched our Delirium Control Team in 2011. The main purposes of the Delirium Control Team are to prevent the occurrence of delirium through early interventions by various medical staff, and to educate co-medical staff about delirium care. In this article, we present the recent activities and future outlook of both the Psychiatry Liaison Team and the Delirium Control Team. |
| Keywords | せん妄対策チーム (delirium control team) せん妄予防 (delirium prevention) せん妄ハイリスク患者 (patients at risk of delirium) 精神科リエゾンチーム (psychiatry liaison team) 周術期 (perioperative period) |
| Publication Title | Journal of Okayama Medical Association |
| Published Date | 2017-04-03 |
| Volume | volume129 |
| Issue | issue1 |
| Start Page | 31 |
| End Page | 34 |
| ISSN | 0030-1558 |
| language | Japanese |
| Copyright Holders | Copyright (c) 2017 岡山医学会 |
| File Version | publisher |
| DOI | 10.4044/joma.129.31 |
| NAID | 130005632062 |
| Title Alternative | Changes of colonic mucosa caused by long-term use and discontinuation of anthraquinone |
|---|---|
| FullText URL | 129_23.pdf |
| Author | Iwano, Eiji| Iwamuro, Masaya| 岡田 裕之| |
| Abstract | Anthraquinone, an anthracene derivatives, is widely used as a purgative medicine. The long-term use of anthraquinone is known to cause melanosis coli and elevated lesions in the colon. However, the clinical course of patients who take anthraquinone over a long term and those who discontinue the drug has not been fully investigated. Here we investigated 22 patients who had colonic mucosal changes ( i.e., melanosis coli and elevated lesions) who had been taking anthraquinone for at least one year and discontinued it. We classified the elevated lesions into two subtypes:the small-lesion, which included multiple small nodules that were ＜ 2 mm in dia., and the large-lesion, which included a single or multiple nodules of ≥ 2-mm dia. We used colonoscopy to investigate the changes of colonic lesions between before and after the discontinuation of anthraquinone. The results indicated that the nodules of the small-lesion group were lymphoid follicle hyperplasia. In the large-lesion group, adenoma was most frequently observed ( n＝118) , followed by hyperplastic polyp ( n＝52) and inflammatory changes with edema ( n＝22) . Melanosis coli and elevated lesions were decreased or invisible after the discontinuation of anthraquinone. Our findings thus suggest that the long-term use of anthraquinone may cause some type of elevated lesions due to chronic inflammation. It is recommended that the use of anthraquinone be limited to a short term. |
| Keywords | アントラセン誘導体（anthracene derivatives) アントラキノン（anthraquinone） 大腸黒皮症（melanosis coli） 大腸メラノーシス（pseudomelanosis coli） リンパ濾胞過形成（lymphoid follicle hyperplasia） |
| Publication Title | Journal of Okayama Medical Association |
| Published Date | 2017-04-03 |
| Volume | volume129 |
| Issue | issue1 |
| Start Page | 23 |
| End Page | 30 |
| ISSN | 0030-1558 |
| language | Japanese |
| Copyright Holders | Copyright (c) 2017 岡山医学会 |
| File Version | publisher |
| DOI | 10.4044/joma.129.23 |
| NAID | 130005632078 |
| Title Alternative | Clinical Research Core Center and Okayama University |
|---|---|
| FullText URL | 129_45.pdf |
| Author | Makino, Hirofumi| |
| Keywords | オール岡山大学 臨床研究中核病院 橋渡し研究加速ネットワークプログラム事業 |
| Publication Title | Journal of Okayama Medical Association |
| Published Date | 2017-04-03 |
| Volume | volume129 |
| Issue | issue1 |
| Start Page | 45 |
| End Page | 49 |
| ISSN | 0030-1558 |
| language | Japanese |
| Copyright Holders | Copyright (c) 2017 岡山医学会 |
| File Version | publisher |
| DOI | 10.4044/joma.129.45 |
| NAID | 130005632070 |
| Title Alternative | Sexual function before and after a tension-free vaginal mesh procedure for pelvic organ prolapse |
|---|---|
| FullText URL | 129_17.pdf |
| Author | Matsumoto, Yuko| |
| Abstract | We prospectively assessed sexual function before and after a tension-free vaginal mesh ( TVM) procedure for pelvic organ prolapse ( POP) . From April 2007 to March 2009, a total of 42 patients, who reported having an active sex life preoperatively underwent TVM for POP. Female sexual function was evaluated with the self-reporting, multiple-domain Female Sexual Function Index (FSFI) . We administered the FSFI to all of the patients before and at 3, 6, and 12 months after surgery. The mean age at surgery was 61.3±7.1 years. Before the TVM surgery, the FSFI score was very low ( 12.5±9.0) . The total FSFI score was improved significantly at 12 months after surgery ( 17.4±7.7) . The Arousal, Lubrication and Orgasm domains were significantly improved at 12 months after surgery. POP appears to have a significant negative impact on female sexual function. Our findings indicate that TVM for POP improved sexual function in a group of Japanese women with POP. |
| Keywords | 骨盤臓器脱 (pelvic organ prolapse) TVM (tension-free vaginal mesh) 女性泌尿器科 (female urology) 性機能 (sexual function) |
| Publication Title | Journal of Okayama Medical Association |
| Published Date | 2017-04-03 |
| Volume | volume129 |
| Issue | issue1 |
| Start Page | 17 |
| End Page | 22 |
| ISSN | 0030-1558 |
| language | Japanese |
| Copyright Holders | Copyright (c) 2017 岡山医学会 |
| File Version | publisher |
| DOI | 10.4044/joma.129.17 |
| NAID | 130005632051 |
| Title Alternative | Does hydrogen-rich water really work? |
|---|---|
| FullText URL | 129_9.pdf |
| Author | Nakao, Atsunori| |
| Keywords | 水素水 抗酸化作用 抗炎症作用 臨床応用 疑似科学 |
| Publication Title | Journal of Okayama Medical Association |
| Published Date | 2017-04-03 |
| Volume | volume129 |
| Issue | issue1 |
| Start Page | 9 |
| End Page | 15 |
| ISSN | 0030-1558 |
| language | Japanese |
| Copyright Holders | Copyright (c) 2017 岡山医学会 |
| File Version | publisher |
| DOI | 10.4044/joma.129.9 |
| NAID | 130005632038 |
| Title Alternative | The 2015 Incentive Award of the Okayama Medical Association in Cancer Research (2015 Hayashibara Prize and Yamada Prize) |
|---|---|
| FullText URL | 129_5.pdf |
| Author | Isozaki, Hideko| |
| Publication Title | Journal of Okayama Medical Association |
| Published Date | 2017-04-03 |
| Volume | volume129 |
| Issue | issue1 |
| Start Page | 5 |
| End Page | 8 |
| ISSN | 0030-1558 |
| Related Url | isVersionOf https://doi.org/10.1158/0008-5472.CAN-15-1010 |
| language | Japanese |
| Copyright Holders | Copyright (c) 2017 岡山医学会 |
| File Version | publisher |
| DOI | 10.4044/joma.129.5 |
| NAID | 130005632073 |
| 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 |
