Pub Date : 2025-01-01DOI: 10.11405/nisshoshi.122.311
Kenichi Ikejima
{"title":"[Paradigm shift and future perspective regarding the new nomenclatures of steatotic liver disease].","authors":"Kenichi Ikejima","doi":"10.11405/nisshoshi.122.311","DOIUrl":"https://doi.org/10.11405/nisshoshi.122.311","url":null,"abstract":"","PeriodicalId":35808,"journal":{"name":"Japanese Journal of Gastroenterology","volume":"122 5","pages":"311-318"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144004579","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}
Pub Date : 2025-01-01DOI: 10.11405/nisshoshi.122.94
Masaki Inoue, Naoya Sakamoto, Shoko Ono
{"title":"[How to use image-enhanced endoscopy for detecting esophageal lesions].","authors":"Masaki Inoue, Naoya Sakamoto, Shoko Ono","doi":"10.11405/nisshoshi.122.94","DOIUrl":"https://doi.org/10.11405/nisshoshi.122.94","url":null,"abstract":"","PeriodicalId":35808,"journal":{"name":"Japanese Journal of Gastroenterology","volume":"122 2","pages":"94-102"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383502","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}
Pub Date : 2025-01-01DOI: 10.11405/nisshoshi.122.1
Shinichi Hashimoto, Takao Ohtsuka, Akio Ido
{"title":"[Clinical practice of the IPMN on the basis of the guideline].","authors":"Shinichi Hashimoto, Takao Ohtsuka, Akio Ido","doi":"10.11405/nisshoshi.122.1","DOIUrl":"https://doi.org/10.11405/nisshoshi.122.1","url":null,"abstract":"","PeriodicalId":35808,"journal":{"name":"Japanese Journal of Gastroenterology","volume":"122 1","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980224","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}
Pub Date : 2025-01-01DOI: 10.11405/nisshoshi.122.486
Shigeki Bamba, Takayuki Imai, Masashi Ohno
{"title":"[Recent advances in the treatment of Crohn's disease].","authors":"Shigeki Bamba, Takayuki Imai, Masashi Ohno","doi":"10.11405/nisshoshi.122.486","DOIUrl":"https://doi.org/10.11405/nisshoshi.122.486","url":null,"abstract":"","PeriodicalId":35808,"journal":{"name":"Japanese Journal of Gastroenterology","volume":"122 7","pages":"486-495"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144601768","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}
Pub Date : 2025-01-01DOI: 10.11405/nisshoshi.122.596
Yoshihide Ueda, Yasuhiro Ogura, Hideki Ohdan
{"title":"[Up to date on indication for liver transplantation].","authors":"Yoshihide Ueda, Yasuhiro Ogura, Hideki Ohdan","doi":"10.11405/nisshoshi.122.596","DOIUrl":"https://doi.org/10.11405/nisshoshi.122.596","url":null,"abstract":"","PeriodicalId":35808,"journal":{"name":"Japanese Journal of Gastroenterology","volume":"122 9","pages":"596-600"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034034","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}
A male patient in his 70s was admitted with bloody stool. Upper gastrointestinal endoscopy revealed active bleeding from a submucosal lesion located opposite the duodenal papilla. Hemostasis was difficult to achieve, and histopathological analysis of the biopsy specimen revealed only necrotic tissue and inflammatory changes. Endoscopic ultrasonography (EUS) revealed a 35-mm hypoechoic lesion within the submucosal layer. EUS-guided tissue acquisition suggested a poorly differentiated or undifferentiated tumor. Given these findings, the patient underwent pancreaticoduodenectomy. The final diagnosis was primary duodenal epithelioid angiosarcoma.
{"title":"[Primary duodenal epithelioid angiosarcoma:a case report].","authors":"Hiromu Kondo, Yusuke Yokoi, Chisaki Ikai, Naruomi Jinno, Keisuke Itoh, Yasuki Hori, Michihiro Yoshida, Shingo Inaguma, Yoichi Matsuo, Kazuki Hayashi","doi":"10.11405/nisshoshi.122.774","DOIUrl":"10.11405/nisshoshi.122.774","url":null,"abstract":"<p><p>A male patient in his 70s was admitted with bloody stool. Upper gastrointestinal endoscopy revealed active bleeding from a submucosal lesion located opposite the duodenal papilla. Hemostasis was difficult to achieve, and histopathological analysis of the biopsy specimen revealed only necrotic tissue and inflammatory changes. Endoscopic ultrasonography (EUS) revealed a 35-mm hypoechoic lesion within the submucosal layer. EUS-guided tissue acquisition suggested a poorly differentiated or undifferentiated tumor. Given these findings, the patient underwent pancreaticoduodenectomy. The final diagnosis was primary duodenal epithelioid angiosarcoma.</p>","PeriodicalId":35808,"journal":{"name":"Japanese Journal of Gastroenterology","volume":"122 11","pages":"774-781"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483229","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}
Pub Date : 2025-01-01DOI: 10.11405/nisshoshi.122.696
Yuta Tanimoto, Makoto Kadokura, Yuta Kaneko, Tomoki Yasumura, Keisuke Tanaka, Fumitake Amemiya
We retrospectively analyzed bile cultures obtained during drainage procedures for acute cholangitis, examining isolated bacteria, their antibiotic susceptibility, and trends over time between January 2019 and December 2023. A total of 416 bacterial strains were identified across 189 cases. Enterococcus spp., Klebsiella spp., and Escherichia coli were the main isolates. While no significant changes were observed in the overall proportions or susceptibilities of isolates, ESBL-producing strains increased significantly. The appropriateness of initial antibiotic therapy did not affect prognosis or length of hospitalization. Healthcare-associated infections were associated with significantly higher resistance rates.
{"title":"[Analysis of bile culture in acute cholangitis -longitudinal changes in isolated bacterial species and antibiotic resistance].","authors":"Yuta Tanimoto, Makoto Kadokura, Yuta Kaneko, Tomoki Yasumura, Keisuke Tanaka, Fumitake Amemiya","doi":"10.11405/nisshoshi.122.696","DOIUrl":"https://doi.org/10.11405/nisshoshi.122.696","url":null,"abstract":"<p><p>We retrospectively analyzed bile cultures obtained during drainage procedures for acute cholangitis, examining isolated bacteria, their antibiotic susceptibility, and trends over time between January 2019 and December 2023. A total of 416 bacterial strains were identified across 189 cases. Enterococcus spp., Klebsiella spp., and Escherichia coli were the main isolates. While no significant changes were observed in the overall proportions or susceptibilities of isolates, ESBL-producing strains increased significantly. The appropriateness of initial antibiotic therapy did not affect prognosis or length of hospitalization. Healthcare-associated infections were associated with significantly higher resistance rates.</p>","PeriodicalId":35808,"journal":{"name":"Japanese Journal of Gastroenterology","volume":"122 10","pages":"696-704"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145287443","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}