山本和秀

3 年間の内視鏡所見の変化を観察できた食道異所性皮脂腺の1 例

著者	岩室雅也\| 岡田裕之\| 原田馨太\| 神崎洋光\| 堀圭介\| 喜多雅英\| 川野誠司\| 河原祥朗\| 田中健大\| 山本和秀\|
発行日	2016-12-01
出版物タイトル	岡山医学会雑誌
巻	128巻
号	3号
資料タイプ	学術雑誌論文

Aberrant Expression of Keratin 7 in Hepatocytes as a Predictive Marker of Rapid Progression to Hepatic Failure in Asymptomatic Primary Biliary Cirrhosis

JaLCDOI	10.18926/AMO/53520
フルテキストURL	69_3_137.pdf
著者	Seki, Hiroyuki\| Ikeda, Fusao\| Nanba, Shintaro\| Moritou, Yuki\| Takeuchi, Yasuto\| Yasunaka, Tetsuya\| Onishi, Hideki\| Miyake, Yasuhiro\| Takaki, Akinobu\| Nouso, Kazuhiro\| Iwasaki, Yoshiaki\| Nakamura, Minoru\| Yamamoto, Kazuhide\|
抄録	A predictive marker of the rapid progression to hepatic failure is desired for patients with asymptomatic primary biliary cirrhosis (aPBC). We performed a systematic cohort analysis of 101 patients diagnosed as having aPBC and the rapid progression to liver failure in some, by focusing on cholestasis. Cholestasis was assessed by aberrant keratin7 (K-7) expressions in the patientsʼ hepatocytes. Intralobular expressions of K-7 were found in 9 of the 101 patients. The grades of K-7 expression were significantly associated with the levels of alanine aminotransferase, alkaline phosphatase, and total bilirubin at the time of diagnosis, but not with bile duct loss or cholestasis. Stepwise logistic regression analysis revealed that high grades of K-7 expression correlated positively with high levels of total bilirubin. During the follow-up period, 8 patients developed jaundice, and the mean period until the development of jaundice was 5.2 years. The proportional hazards models for the risk of developing jaundice identified a high grade of aberrant K-7 expression in hepatocytes as the only significant risk factor. Aberrant K-7 expression in hepatocytes can be used as an additional marker to predict rapid progression to liver failure in patients with aPBC at the time of diagnosis.
キーワード	primary biliary cirrhosis keratin 7 hepatic failure
Amo Type	Original Article
出版物タイトル	Acta Medica Okayama
発行日	2015-06
巻	69巻
号	3号
出版者	Okayama University Medical School
開始ページ	137
終了ページ	144
ISSN	0386-300X
NCID	AA00508441
資料タイプ	学術雑誌論文
言語	英語
著作権者	CopyrightⒸ 2015 by Okayama University Medical School
論文のバージョン	publisher
査読	有り
PubMed ID	26101189
Web of Science KeyUT	000356903000002

Laparoscopic findings of reddish markings predict hepatocellular carcinoma in patients with hepatitis B virus-related liver disease

著者	Shoji, Bon\| Ikeda, Fusao\| Fujioka, Shin-ichi\| Kobashi, Haruhiko\| Yasunaka, Tetsuya\| Miyake, Yasuhiro\| Shiraha, Hidenori\| Takaki, Akinobu\| Nouso, Kazuhiro\| Iwasaki, Yoshiaki\| Yamamoto, Kazuhide\|
発行日	2010-11
出版物タイトル	Journal of Gastroenterology
巻	45巻
号	11号
資料タイプ	学術雑誌論文

L-Carnitine Prevents Progression of Non-Alcoholic Steatohepatitis in a Mouse Model with Upregulation of Mitochondrial Pathway

著者	Ishikawa, Hisashi\| Takaki, Akinobu\| Tsuzaki, Ryuichiro\| Yasunaka, Tetsuya\| Koike, Kazuko\| Shimomura, Yasuyuki\| Seki, Hiroyuki\| Matsushita, Hiroshi\| Miyake, Yasuhiro\| Ikeda, Fusao\| Shiraha, Hidenori\| Nouso, Kazuhiro\| Yamamoto, Kazuhide\|
発行日	2014-07-01
出版物タイトル	PLoS ONE
巻	9巻
号	7号
資料タイプ	学術雑誌論文

Comprehensive investigation of areae gastricae pattern in gastric corpus using magnifying narrow band imaging endoscopy in patients with chronic atrophic fundic gastritis.

著者	Kanzaki, Hiromitsu\| Uedo, Noriya\| Ishihara, Ryu\| Nagai, Kengo\| Matsui, Fumi\| Ohta, Takashi\| Hanafusa, Masao\| Hanaoka, Noboru\| Takeuchi, Yoji\| Higashino, Koji\| Iishi, Hiroyasu\| Tomita, Yasuhiko\| Tatsuta, Masaharu\| Yamamoto, Kazuhide\|
発行日	2012-06
出版物タイトル	Helicobacter
巻	17巻
号	3号
資料タイプ	学術雑誌論文

Magnified Endoscopic Features of Duodenal Follicular Lymphoma and Other Whitish Lesions

JaLCDOI	10.18926/AMO/53120
フルテキストURL	69_1_37.pdf
著者	Iwamuro, Masaya\| Okada, Hiroyuki\| Takata, Katsuyoshi\| Kawai, Yoshinari\| Kawano, Seiji\| Nasu, Junichiro\| Kawahara, Yoshiro\| Tanaka, Takehiro\| Yoshino, Tadashi\| Yamamoto, Kazuhide\|
抄録	The sensitivity and specificity of magnified endoscopic features for differentiating follicular lymphoma from other diseases with duodenal whitish lesions have never been investigated. Here we compared the magnified endoscopic features of duodenal follicular lymphoma with those of other whitish lesions. We retrospectively reviewed the cases of patients with follicular lymphoma (n＝9), lymphangiectasia (n＝7), adenoma (n＝10), duodenitis (n＝4), erosion (n＝1), lymphangioma (n＝1), and hyperplastic polyp (n＝1). The magnified features of the nine follicular lymphomas included enlarged villi (n＝8), dilated microvessels (n＝5), and opaque white spots of various sizes (n＝9). The lymphangiectasias showed enlarged villi, dilated microvessels, and white spots, but the sizes of the white spots were relatively homogeneous and their margin was clear. Observation of the adenoma and duodenitis revealed only whitish villi. Although the lymphangioma was indistinguishable from the follicular lymphomas by magnified features, it was easily diagnosed based on the macroscopic morphology. In conclusion, magnified endoscopic features, in combination with macroscopic features, are useful for differentiating follicular lymphomas from other duodenal diseases presenting whitish lesions.
キーワード	duodenal neoplasm follicular lymphoma gastrointestinal lymphoma magnifying endoscopy
Amo Type	Original Article
出版物タイトル	Acta Medica Okayama
発行日	2015-02
巻	69巻
号	1号
出版者	Okayama University Medical School
開始ページ	37
終了ページ	44
ISSN	0386-300X
NCID	AA00508441
資料タイプ	学術雑誌論文
言語	英語
著作権者	CopyrightⒸ 2015 by Okayama University Medical School
論文のバージョン	publisher
査読	有り
PubMed ID	25703169
Web of Science KeyUT	000349740300004

Ultrastructural Analysis of an Enterolith Composed of Deoxycholic Acid

JaLCDOI	10.18926/AMO/53026
フルテキストURL	68_6_369.pdf
著者	Iwamuro, Masaya\| Miyashima, Yuichi\| Yoshioka, Takahiro\| Murata, Toshihiro\| Miyabe, Yoshio\| Kawai, Yoshinari\| Urata, Haruo\| Shiraha, Hidenori\| Okada, Hiroyuki\| Yamamoto, Kazuhide\|
抄録	A 67-year-old Japanese man underwent enterotomy because of enterolith ileus. Component analysis by infrared spectroscopy revealed that the enterolith was composed of a high concentration of deoxycholic acid. We further analyzed and compared the ultrastructure of the enterolith and a commercially available powdered form of deoxycholic acid by means of scanning electron microscopy and energy dispersive X-ray spectroscopy. Energy dispersive X-ray spectroscopy analysis revealed that the ratios of carbon and oxygen in the enterolith were equal to those in the deoxycholic acid powder. Scanning electron microscopy analysis showed rectangular prism-shaped particles on the surface of the enterolith. This structure was similar to that of the deoxycholic acid powder. The surgically removed enterolith had a twisted and coiled appearance. Possible mechanisms underlying the formation of this unique form are discussed.
キーワード	enterolith deoxycholic acid scanning electron microscopy infrared spectroscopy energy dispersive X-ray spectroscopy
Amo Type	Case Report
出版物タイトル	Acta Medica Okayama
発行日	2014-12
巻	68巻
号	6号
出版者	Okayama University Medical School
開始ページ	369
終了ページ	374
ISSN	0386-300X
NCID	AA00508441
資料タイプ	学術雑誌論文
言語	英語
著作権者	CopyrightⒸ 2014 by Okayama University Medical School
論文のバージョン	publisher
査読	有り
PubMed ID	25519031
Web of Science KeyUT	000346882200007

Potential of adenovirus-mediated REIC/Dkk-3 gene therapy for use in the treatment of pancreatic cancer

著者	Uchida, Daisuke\| Shiraha, Hidenori\| Kato, Hironari\| Nagahara, Teruya\| Iwamuro, Masaya\| Kataoka, Junro\| Horiguchi, Shigeru\| Watanabe, Masami\| Takaki, Akinobu\| Nouso, Kazuhiro\| Nasu, Yasutomo\| Yagi, Takahito\| Kumon, Hiromi\| Yamamoto, Kazuhide\|
発行日	2014-05
出版物タイトル	Journal of Gastroenterology and Hepatology
巻	29巻
号	5号
資料タイプ	学術雑誌論文

The impact of patatin-like phospholipase domain-containing protein 3 polymorphism on hepatocellular carcinoma prognosis

著者	Takeuchi, Yasuto\| Ikeda, Fusao\| Moritou, Yuki\| Hagihara, Hiroaki\| Yasunaka, Tetsuya\| Kuwaki, Kenji\| Miyake, Yasuhiro\| Ohnishi, Hideki\| Nakamura, Shinichiro\| Shiraha, Hidenori\| Takaki, Akinobu\| Iwasaki, Yoshiaki\| Nouso, Kazuhiro\| Yamamoto, Kazuhide\|
発行日	2013-03
出版物タイトル	Journal of Gastroenterology
巻	48巻
号	3号
資料タイプ	学術雑誌論文

Necessity for Reassessment of Patients with Serogroup 2 Hepatitis C Virus (HCV) and Undetectable Serum HCV RNA

著者	Moritou, Yuki\| Ikeda, Fusao\| Takeuchi, Yasuto\| Seki, Hiroyuki\| Nanba, Shintaro\| Iwasaki, Yoshiaki\| Yamamoto, Kazuhide\|
発行日	2014-02
出版物タイトル	Journal of Clinical Microbiology
巻	52巻
号	2号
資料タイプ	学術雑誌論文

Prompt Resolution of Hypoglycemia by Hepatic Transarterial Embolization for Malignant Insulinoma with Multiple Liver Metastases

JaLCDOI	10.18926/AMO/52900
フルテキストURL	68_5_307.pdf
著者	Muro, Shinichiro\| Nasu, Junichiro\| Harada, Ryo\| Matsubara, Minoru\| Nakarai, Asuka\| Kanzaki, Hiromitsu\| Tsutsumi, Kouichiro\| Kato, Hironari\| Tanaka, Takehiro\| Fujiwara, Hiroyasu\| Uno, Masatoshi\| Okada, Hiroyuki\| Yamamoto, Kazuhide\|
抄録	A 45-year-old female who presented with loss of consciousness and a cold sweat was found to have a pancreatic tumor and multiple liver metastases. Laboratory studies showed marked hypoglycemia and inappropriately elevated serum insulin, C-peptide, and serum tumor markers. Fine needle aspiration revealed Grade 3 small-cell type primary pancreatic neuroendocrine carcinoma. Consequently, the diagnosis of malignant insulinoma was made. Transarterial embolization (TAE) for hepatic metastases resulted in the reduction of tumor volume and prompt resolution of hypoglycemic attacks, whereas diazoxide and systemic chemotherapy had been ineffective for controlling blood glucose levels, and octreotide was unavailable due to the allergic effect. This case report highlights the potential usefulness of TAE for malignant insulinomas in the management of hypoglycemia.
キーワード	malignant insulinoma hypoglycemia liver metastases transarterial embolization neuroendocrinetumor
Amo Type	Case Report
出版物タイトル	Acta Medica Okayama
発行日	2014-10
巻	68巻
号	5号
出版者	Okayama University Medical School
開始ページ	307
終了ページ	311
ISSN	0386-300X
NCID	AA00508441
資料タイプ	学術雑誌論文
言語	英語
著作権者	CopyrightⒸ 2014 by Okayama University Medical School
論文のバージョン	publisher
査読	有り
PubMed ID	25338488
Web of Science KeyUT	000343269300008

Hepatitis C Virus-specific T-cell Response Correlates with Hepatitis Activity and Donor IL28B Genotype Early after Liver Transplantation

JaLCDOI	10.18926/AMO/52898
フルテキストURL	68_5_291.pdf
著者	Tsuzaki, Ryuichiro\| Takaki, Akinobu\| Yagi, Takahito\| Ikeda, Fusao\| Koike, Kazuko\| Iwasaki, Yoshiaki\| Shiraha, Hidenori\| Miyake, Yasuhiro\| Sadamori, Hiroshi\| Shinoura, Susumu\| Umeda, Yuzo\| Yoshida, Ryuichi\| Nobuoka, Daisuke\| Utsumi, Masashi\| Nakayama, Eiichi\| Fujiwara, Toshiyoshi\| Yamamoto, Kazuhide\|
抄録	It is not known how the immune system targets hepatitis C virus (HCV)-infected HLA-mismatched hepatocytes under immune-suppressed conditions after orthotopic liver transplantation (OLT). In addition, the relationship between the HCV-specific immune response and IL28B variants as predictors of HCV clearance has not been well-characterized. We determined the IL28B polymorphisms for 57 post-OLT HCV carriers, and we assessed the HCV-specific immune responses by measuring the peripheral blood mononuclear cell-derived HCV-specific interferon-gamma (IFN-γ) response using an enzyme-linked immunospot assay. At 1-3 years after OLT, patients with no active hepatitis showed higher total spots on the immunospot assay. At＞3 years after OLT, patients with resolved HCV showed higher levels of core, NS3, NS5A, and total spots compared to the chronic hepatitis patients. The IL28B major genotype in the donors correlated with higher spot counts for NS5A and NS5B proteins at 1-3 years after OLT. In the post-OLT setting, the HCV-specific immune response could be strongly induced in patients with no active hepatitis with an IL28B major donor or sustained virological response. Strong immune responses in the patients with no active hepatitis could only be maintained for 3 years and diminished later. It may be beneficial to administer IFN treatment starting 3 years after OLT, to induce the maximum immunological effect.
キーワード	interferon gamma ELISPOT assay single nucleotide polymorphisms dendritic cell CD4 T cell
Amo Type	Original Article
出版物タイトル	Acta Medica Okayama
発行日	2014-10
巻	68巻
号	5号
出版者	Okayama University Medical School
開始ページ	291
終了ページ	302
ISSN	0386-300X
NCID	AA00508441
資料タイプ	学術雑誌論文
言語	英語
著作権者	CopyrightⒸ 2014 by Okayama University Medical School
論文のバージョン	publisher
査読	有り
PubMed ID	25338486
Web of Science KeyUT	000343269300006
関連URL	http://ousar.lib.okayama-u.ac.jp/metadata/53129

Nursing Support Increases the Efficacy of Interferon Therapy in Patients with Chronic Hepatitis C

JaLCDOI	10.18926/AMO/52894
フルテキストURL	68_5_263.pdf
著者	Namba, Shihoko\| Miyake, Kayoko\| Ikeda, Fusao\| Hazama, Tomoko\| Hitobe, Yu\| Yamasaki, Noriko\| Shiraha, Hidenori\| Takaki, Akinobu\| Nouso, Kazuhiro\| Iwasaki, Yoshiaki\| Yamamoto, Kazuhide\|
抄録	Nursing support might help patients with chronic hepatitis C (CHC) remain in good mental and physical condition during interferon (IFN) therapy. However, the effects of nursing support have not been studied adequately in this context. This case-control study evaluated the effects of nursing support during IFN therapy. Twenty-four CHC patients who received pegylated IFN and ribavirin were enrolled. Nurses advised patients on the maintenance of their mental and physical condition at weekly visits, based on the results of written questionnaires. An additional 24 patients who received IFN therapy without nursing support and who were matched for age, sex, platelet count, viral serogroup and IFN regimen were selected with propensity score matching as controls. The patients with nursing support during IFN therapy achieved higher sustained virological responses (79%) than those without nursing support (58%). Adherence to the IFN and ribavirin regimens at 24 weeks of therapy were slightly higher in the patients with nursing support than those without it, but these differences were not statistically significant. Adherence to ribavirin after 24 weeks of therapy was significantly higher in those with nursing support than those without it (93% and 66%, p＝0.045). These results suggested that nursing support services could contribute to the virological responses of CHC patients by promoting drug-regimen adherence.
キーワード	chronic hepatitis C nursing support interferon therapy
Amo Type	Original Article
出版物タイトル	Acta Medica Okayama
発行日	2014-10
巻	68巻
号	5号
出版者	Okayama University Medical School
開始ページ	263
終了ページ	268
ISSN	0386-300X
NCID	AA00508441
資料タイプ	学術雑誌論文
言語	英語
著作権者	CopyrightⒸ 2014 by Okayama University Medical School
論文のバージョン	publisher
査読	有り
PubMed ID	25338482
Web of Science KeyUT	000343269300002

Assessment of health-related quality of life and how it predicts the outcome of pegylated interferon and ribavirin therapy for chronic hepatitis C

著者	Matsushita, Hiroshi\| Ikeda, Fusao\| Iwasaki, Yoshiaki\| Seki, Hiroyuki\| Nanba, Shintaro\| Takeuchi, Yasuto\| Moritou, Yuki\| Yasunaka, Tetsuya\| Onishi, Hideki\| Miyake, Yasuhiro\| Takaki, Akinobu\| Nouso, Kazuhiro\| Yamamoto, Kazuhide\|
発行日	2014-02
出版物タイトル	Journal of Gastroenterology and Hepatology
巻	29巻
号	2号
資料タイプ	学術雑誌論文

Serum Levels of Soluble Adhesion Molecules as Prognostic Factors for Acute Liver Failure

著者	Ohnishi, Atsuyuki\| Miyake, Yasuhiro\| Matsushita, Hiroshi\| Matsumoto, Kazuyuki\| Takaki, Akinobu\| Yasunaka, Tetsuya\| Koike, Kazuko\| Ikeda, Fusao\| Shiraha, Hidenori\| Nouso, Kazuhiro\| Yamamoto, Kazuhide\|
発行日	2012
出版物タイトル	Digestion
巻	86巻
号	2号
資料タイプ	学術雑誌論文

Prevalence and Outcomes of Acute Hepatitis B in Okayama, Japan, 2006-2010

JaLCDOI	10.18926/AMO/52790
フルテキストURL	68_4_243.pdf
著者	Wada, Nozomu\| Yasunaka, Tetsuya\| Ikeda, Fusao\| Nishina, Sohji\| Korenaga, Masaaki\| Hino, Keisuke\| Fujioka, Shin-ichi\| Osawa, Toshiya\| Itoshima, Tatsuya\| Kawanaka, Miwa\| Yamada, Gotaro\| Kariyama, Kazuya\| Takayama, Hiroki\| Kubota, Junichi\| Morimoto, Yoichi\| Mizushima, Takaaki\| Yamashita, Haruhiko\| Tanioka, Hiroaki\| Negoro, Yuji\| Toshimori, Junichi\| Kobashi, Haruhiko\| Hirano, Atsushi\| Itano, Yasuo\| Takaki, Akinobu\| Yamamoto, Kazuhide\|
抄録	Hepatitis B virus (HBV) is one of the major viruses causing acute hepatitis. Recently, the incidence of acute hepatitis with genotype A has been increasing in Japan. The aim of this study was to investigate acute hepatitis B (AHB) in Okayama prefecture, with special attention to HBV genotype A. AHB patients who visited one of 12 general hospitals in Okayama prefecture between 2006 and 2010 were retrospectively analyzed. Over the course of the study period, 128 patients were diagnosed with AHB. Sexual transmission was supposed in the majority of patients (78 patients, 61%), including 59 (76%) having sex with heterosexual partners. The genotypes of HBV were assessed in 90 patients (70%), of whom 27 patients were infected with genotype A, 5 with genotype B, and 58 with genotype C. The prevalence of genotype A was significantly higher among male patients (28.7%), aged 20-29 (35.6%, p＜0.01), among men who had sex with men (100%, p＜0.005), and among patients having sex with unspecified partners (44.8%, p＜0.005). Genotype A was not a significant factor associated with delayed HBsAg disappearance. Caution should be exercised with regard to sexually transmissible diseases in order to slow the pandemic spread of AHB due to genotype A.
キーワード	acute hepatitis hepatitis B virus
Amo Type	Original Article
出版物タイトル	Acta Medica Okayama
発行日	2014-08
巻	68巻
号	4号
出版者	Okayama University Medical School
開始ページ	243
終了ページ	247
ISSN	0386-300X
NCID	AA00508441
資料タイプ	学術雑誌論文
言語	英語
著作権者	CopyrightⒸ 2014 by Okayama University Medical School
論文のバージョン	publisher
査読	有り
PubMed ID	25145410
Web of Science KeyUT	000340687500006

IL-7 promotes long-term in vitro survival of unique long-lived memory subset generated from mucosal effector memory CD4(+) T cells in chronic colitis mice

著者	Takahara, Masahiro\| Nemoto, Yasuhiro\| Oshima, Shigeru\| Matsuzawa, Yu\| Kanai, Takanori\| Okamoto, Ryuichi\| Tsuchiya, Kiichiro\| Nakamura, Tetsuya\| Yamamoto, Kazuhide\| Watanabe, Mamoru\|
発行日	2013-12
出版物タイトル	Immunology Letters
巻	156巻
号	1-2号
資料タイプ	学術雑誌論文

Serum levels of platelet-derived growth factor-BB and vascular endothelial growth factor as prognostic factors for patients with fulminant hepatic failure

著者	Takayama, Hiroki\| Miyake, Yasuhiro\| Nouso, Kazuhiro\| Ikeda, Fusao\| Shiraha, Hidenori\| Takaki, Akinobu\| Kobashi, Haruhiko\| Yamamoto, Kazuhide\|
発行日	2011-01
出版物タイトル	Journal of Gastroenterology and Hepatology
巻	26巻
号	1号
資料タイプ	学術雑誌論文

Diagnostic accuracy of narrow-band imaging and pit pattern analysis significantly improved for less-experienced endoscopists after an expanded training program

著者	Higashi, Reiji\| Uraoka, Toshio\| Kato, Jun\| Kuwaki, Kenji\| Ishikawa, Shin\| Saito, Yutaka\| Matsuda, Takahisa\| Ikematsu, Hiroaki\| Sano, Yasushi\| Suzuki, Seiyuu\| Murakami, Yoshitaka\| Yamamoto, Kazuhide\|
発行日	2010-07
出版物タイトル	Gastrointestinal Endoscopy
巻	72巻
号	1号
資料タイプ	学術雑誌論文

柿胃石の成分分析における標準物質としての柿渋の有用性

タイトル（別表記）	Fermented persimmon extract (kaki-shibu) is useful as a standard for component analyses of persimmon phytobezoars
フルテキストURL	126_127.pdf
著者	岩室雅也\| 岡本裕子\| 村田年弘\| 河合良成\| 白羽英則\| 岡田裕之\| 山本和秀\|
抄録	The definite diagnosis of persimmon phytobezoar (i.e., diospyrobezoar) is often accomplished by a component analysis using infrared spectroscopy. However, no studies have been conducted to investigate which substance is the best as a standard for the component analysis. Here we analyzed tannic acid, Japanese persimmon (kaki), fermented persimmon extract (kaki-shibu), conventional dried persimmon, and dried persimmon smoked in sulfur (ampo-kaki) by infrared spectroscopy to determine which would be optimal as a component analysis standard. The spectrum between 1,600 to 600cm－1 of a persimmon phytobezoar was quite similar to the spectrum of kaki-shibu rather than that of tannic acid. Consequently, we conclude that kaki-shibu should be used as a standard for infrared spectroscopy analyses of persimmon phytobezoars.
キーワード	柿胃石（gastric phytobezoar）タンニン酸（tannic acid）消化管異物（gastrointestinal foreign body）成分分析（component analysis）
出版物タイトル	岡山医学会雑誌
発行日	2014-08-01
巻	126巻
号	2号
開始ページ	127
終了ページ	131
ISSN	0030-1558
言語	日本語
著作権者	Copyright (c) 2014 岡山医学会
論文のバージョン	publisher
DOI	10.4044/joma.126.127
NAID	130004685263

山本 和秀