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Japanese Journal of Gastroenterology最新文献

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[Multidisciplinary treatment for borderline resectable pancreatic cancer]. 边缘性可切除胰腺癌的多学科治疗。
Q4 Medicine
Japanese Journal of Gastroenterology
Pub Date : 2025-01-01 DOI: 10.11405/nisshoshi.122.810
Takashi Sasaki, Masato Ozaka, Naoki Sasahira
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引用次数: 0
[Precision medicine in pancreatic cancer]. [胰腺癌的精准医疗]。
Q4 Medicine
Japanese Journal of Gastroenterology
Pub Date : 2025-01-01 DOI: 10.11405/nisshoshi.122.834
Kazuo Hara, Nozomi Okuno, Shin Haba
{"title":"[Precision medicine in pancreatic cancer].","authors":"Kazuo Hara, Nozomi Okuno, Shin Haba","doi":"10.11405/nisshoshi.122.834","DOIUrl":"https://doi.org/10.11405/nisshoshi.122.834","url":null,"abstract":"","PeriodicalId":35808,"journal":{"name":"Japanese Journal of Gastroenterology","volume":"122 12","pages":"834-842"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145726581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Current status and prospects of image enhanced endoscopy in the upper gastrointestinal tract]. 【上消化道图像增强内镜的现状与展望】。
Q4 Medicine
Japanese Journal of Gastroenterology
Pub Date : 2025-01-01 DOI: 10.11405/nisshoshi.122.78
Mitsuru Kaise, Katsuhiko Iwakiri
{"title":"[Current status and prospects of image enhanced endoscopy in the upper gastrointestinal tract].","authors":"Mitsuru Kaise, Katsuhiko Iwakiri","doi":"10.11405/nisshoshi.122.78","DOIUrl":"https://doi.org/10.11405/nisshoshi.122.78","url":null,"abstract":"","PeriodicalId":35808,"journal":{"name":"Japanese Journal of Gastroenterology","volume":"122 2","pages":"78-86"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Treatment of intestinal Behçet's disease in medicine:conventional treatments]. 【肠道behaperet病的医学治疗：常规疗法】。
Q4 Medicine
Japanese Journal of Gastroenterology
Pub Date : 2025-01-01 DOI: 10.11405/nisshoshi.122.750
Teppei Omori, Mari Hayashida, Tadakazu Hisamatsu
{"title":"[Treatment of intestinal Behçet's disease in medicine:conventional treatments].","authors":"Teppei Omori, Mari Hayashida, Tadakazu Hisamatsu","doi":"10.11405/nisshoshi.122.750","DOIUrl":"https://doi.org/10.11405/nisshoshi.122.750","url":null,"abstract":"","PeriodicalId":35808,"journal":{"name":"Japanese Journal of Gastroenterology","volume":"122 11","pages":"750-756"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Endoscopically confirmed treatment progression in Mycoplasma genitalium-induced proctitis:a case report]. [内窥镜证实生殖器支原体引起的直肠炎的治疗进展：1例报告]。
Q4 Medicine
Japanese Journal of Gastroenterology
Pub Date : 2025-01-01 DOI: 10.11405/nisshoshi.122.630
Yujiro Henmi, Ken Kawakami, Suzune Sugishima, Mayu Kawai, Hironori Tanaka, Masanori Yamada, Kei Nakazawa, Ryouji Koshiba, Yuki Hirata, Hiroki Nishikawa

Mycoplasma genitalium can cause urinary tract infections and nonchlamydial, nongonococcal urethritis. Recent studies have suggested that M. genitalium is associated with sexually transmitted diseases, particularly among men who have sex with men. Herein, we report a case of M. genitalium infection where treatment related changes in the endoscopic image of the rectum were documented. A 21-year-old male presented to our hospital with bloody stools and fever. Lower gastrointestinal endoscopy revealed multiple rectal erosions and ulcers, and the patient was diagnosed with proctitis. Blood and tissue tests showed no findings suggestive of syphilis or cytomegalovirus infection, and polymerase chain reaction testing confirmed a diagnosis of M. genitalium-induced proctitis. Sitafloxacin (200mg/day) was administered for 2 weeks, after which the bloody stools and fever resolved. Lower gastrointestinal endoscopy confirmed improvement in the rectal lesions, and the patient was discharged from the hospital. To date, no reports have described endoscopic images of M. genitalium-induced proctitis. This was a valuable case in which we followed the treatment progression of M. genitalium-induced proctitis endoscopically.

生殖支原体可引起尿路感染和非衣原体、非淋球菌性尿道炎。最近的研究表明，生殖支原体与性传播疾病有关，特别是在男男性行为者中。在此，我们报告一例生殖支原体感染，其中治疗相关的直肠内镜图像的变化被记录。一名21岁男性以便血发热就诊。下消化道内窥镜检查显示多发直肠糜烂及溃疡，诊断为直肠炎。血液和组织检查未发现梅毒或巨细胞病毒感染，聚合酶链反应检查证实诊断为生殖器支原体诱发的直肠炎。司他沙星（200mg/天）治疗2周后便血、发热消退。下消化道内镜检查证实直肠病变改善，患者出院。迄今为止，还没有报道描述生殖器支原体诱发的直肠炎的内窥镜图像。这是一个有价值的情况下，我们跟踪治疗进展的生殖支原体诱发直肠炎内镜。
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引用次数: 0
[Pathogenesis and treatment of primary sclerosing cholangitis -Role of the gut microbiota]. 原发性硬化性胆管炎的发病机制和治疗——肠道菌群的作用。
Q4 Medicine
Japanese Journal of Gastroenterology
Pub Date : 2025-01-01 DOI: 10.11405/nisshoshi.122.235
Haruka Okada, Takanori Kanai, Nobuhiro Nakamoto
{"title":"[Pathogenesis and treatment of primary sclerosing cholangitis -Role of the gut microbiota].","authors":"Haruka Okada, Takanori Kanai, Nobuhiro Nakamoto","doi":"10.11405/nisshoshi.122.235","DOIUrl":"https://doi.org/10.11405/nisshoshi.122.235","url":null,"abstract":"","PeriodicalId":35808,"journal":{"name":"Japanese Journal of Gastroenterology","volume":"122 4","pages":"235-247"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Imaging diagnosis of IPMN]. 【IPMN影像学诊断】。
Q4 Medicine
Japanese Journal of Gastroenterology
Pub Date : 2025-01-01 DOI: 10.11405/nisshoshi.122.9
Eizaburo Ohno, Yoshiki Hirooka
{"title":"[Imaging diagnosis of IPMN].","authors":"Eizaburo Ohno, Yoshiki Hirooka","doi":"10.11405/nisshoshi.122.9","DOIUrl":"https://doi.org/10.11405/nisshoshi.122.9","url":null,"abstract":"","PeriodicalId":35808,"journal":{"name":"Japanese Journal of Gastroenterology","volume":"122 1","pages":"9-16"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Surgical treatment strategies of gastro-entero-pancreatic neuroendocrine tumors]. [胃肠胰神经内分泌肿瘤的外科治疗策略]。
Q4 Medicine
Japanese Journal of Gastroenterology
Pub Date : 2025-01-01 DOI: 10.11405/nisshoshi.122.557
Toshihiko Masui
{"title":"[Surgical treatment strategies of gastro-entero-pancreatic neuroendocrine tumors].","authors":"Toshihiko Masui","doi":"10.11405/nisshoshi.122.557","DOIUrl":"10.11405/nisshoshi.122.557","url":null,"abstract":"","PeriodicalId":35808,"journal":{"name":"Japanese Journal of Gastroenterology","volume":"122 8","pages":"557-563"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144822786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Hemosuccus pancreaticus caused by pancreatic cancer treated with radiation therapy for hemostasis]. [放疗止血治疗胰腺癌引起的胰脏出血]。
Q4 Medicine
Japanese Journal of Gastroenterology
Pub Date : 2025-01-01 DOI: 10.11405/nisshoshi.122.130
Hirofumi Harima, Harumi Suehiro, Michitaka Kawano, Tadasuke Hanazono, Kenji Mori, Yasuyo Chochi, Taro Takami

A 67-year-old female patient, with a chief complaint of melena, was referred to our hospital because of a pancreatic tumor. A blood assessment revealed anemia with a hemoglobin (Hb) level of 7.7g/dL. Contrast-enhanced computed tomography (CT) detected a large pancreatic tail tumor and liver metastasis. Upper endoscopy demonstrated bile juice containing a blood-like red in the duodenum. We confirmed the pancreatic cancer diagnosis via endoscopic ultrasound-guided fine needle aspiration (EUS-FNA). CT after the procedure indicated a hematoma in the pancreatic tumor. The patient required frequent blood transfusions due to severe anemia. The second upper endoscopy demonstrated bleeding from the papilla of Vater. We diagnosed the patient with hemosuccus pancreaticus (HP). Pancreatic cancer, not hematoma, was considered to cause HP because we detected blood, such as red bile juice, before EUS-FNA. Her Hb levels decreased although she underwent coil embolization of the left gastric artery and splenic artery branches. We considered surgical treatment to stop the bleeding, but we abandoned surgery because of the pancreatic cancer invasion of the surrounding organs. We then attempted radiation therapy. Her Hb level stopped decreasing following treatment. She did not need frequent blood transfusions until she received radiation therapy and died 3 months later. The autopsy revealed a final diagnosis of anaplastic carcinoma. HP is an uncommon disease caused by bleeding from the papilla of Vater. HP is frequently caused by chronic pancreatitis, but it is also induced by a pancreatic tumor. Most HP cases received interventional radiology and surgical treatment. Here, we describe a case of HP caused by pancreatic cancer in which radiation therapy was effective for hemostasis.

一位67岁女性患者，主诉为黑黑，因胰腺肿瘤转介至我院。血液检查显示贫血，血红蛋白（Hb）水平为7.7g/dL。对比增强计算机断层扫描（CT）发现一个大的胰腺尾部肿瘤和肝脏转移。上腔内窥镜显示十二指肠胆液含血红色。我们通过内镜超声引导下的细针穿刺（EUS-FNA）确诊胰腺癌。术后CT显示胰腺肿瘤有血肿。由于严重贫血，病人需要经常输血。第二次上腔内窥镜检查显示乳头出血。我们诊断患者为胰血凝血（HP）。胰腺癌，而不是血肿，被认为是导致HP的原因，因为我们在EUS-FNA之前检测到了血液，如红胆汁液。尽管她接受了胃左动脉和脾动脉分支的线圈栓塞术，但她的Hb水平仍有所下降。我们考虑过手术治疗来止血，但由于胰腺癌侵袭周围器官，我们放弃了手术。然后我们尝试放射治疗。治疗后Hb水平停止下降。她不需要频繁输血，直到她接受放射治疗，并在3个月后死亡。尸检最终诊断为间变性癌。HP是一种罕见的由乳头出血引起的疾病。HP通常由慢性胰腺炎引起，但也可由胰腺肿瘤引起。大多数HP病例接受介入放射学和手术治疗。在这里，我们描述了一例由胰腺癌引起的HP，其中放射治疗对止血有效。
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引用次数: 0
[Image-enhanced endoscopy and AI in upper gastrointestinal screening]. [图像增强内窥镜与人工智能在上消化道筛查中的应用]。
Q4 Medicine
Japanese Journal of Gastroenterology
Pub Date : 2025-01-01 DOI: 10.11405/nisshoshi.122.112
Toshiaki Hirasawa, Sho Suzuki, Tomohiro Tada
{"title":"[Image-enhanced endoscopy and AI in upper gastrointestinal screening].","authors":"Toshiaki Hirasawa, Sho Suzuki, Tomohiro Tada","doi":"10.11405/nisshoshi.122.112","DOIUrl":"https://doi.org/10.11405/nisshoshi.122.112","url":null,"abstract":"","PeriodicalId":35808,"journal":{"name":"Japanese Journal of Gastroenterology","volume":"122 2","pages":"112-120"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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