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Volume 103, Issue 9
Displaying 1-8 of 8 articles from this issue
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Review article
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Ichiro HIRATA2006 Volume 103 Issue 9 Pages 1023-1030
Published: 2006
Released on J-STAGE: September 05, 2006
JOURNAL FREE ACCESS
Monthly report; Pathogenesis and treatment of functional dyspepsia
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Hiroshi KANEKO, Toshihiro KONAGAYA, Akihito IIDA, Shinichi KAKUMU2006 Volume 103 Issue 9 Pages 1031-1038
Published: 2006
Released on J-STAGE: September 05, 2006
JOURNAL FREE ACCESS
Case Report
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Haruka NOTO, Mitsutoshi IIMURA, Toyohiko KARIBE, Maria TANISHIMA, Kimi ...2006 Volume 103 Issue 9 Pages 1039-1043
Published: 2006
Released on J-STAGE: September 05, 2006
JOURNAL FREE ACCESSA 26-year-old woman, who had had Turner syndrome from age 10 years old, had diarrhea, fever, joint pain, and erythema in the lower left leg. She was given a diagnosis of Crohns disease, erythema nodosum, and Hashimoto disease. Systemic steroid therapy was very effective for both intestinal and skin lesions. It has been reported that half of inflammatory bowel disease patients with Turner syndrome have 46XiX (q) type chromosome abnormality, and this case also has this type of abnormality.
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Daisuke KUBOTA, Chizuru TAKISHIMA, Ken-ichi ISHII, Takahiro KAWAMURA, ...2006 Volume 103 Issue 9 Pages 1044-1049
Published: 2006
Released on J-STAGE: September 05, 2006
JOURNAL FREE ACCESSA 23-year-old man was admitted for treatment of acute exacerbation of ileitis and perianal abscess caused by Crohns disease. After incision and drainage of the abscess, coupled with antibiotic therapy, 6-mercaptopurine (6-MP) was commenced. His white blood cell (WBC) count on day 12 after initiation of 6-MP was not decreased. However, on day 24 he was re-admitted because of severe myelosuppression (WBC: 300/μl), which was complicated by the recurrence of the perianal abscess. Myelosuppression was prolonged and required the administration of granulocyte colony stimulating factor (G-CSF). G-CSF was continued for 17 days to achieve recovery of his WBC count to a normal level.
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Takuya ISHIKAWA, Takashi SUZUKI, Masataka SHINODA, Hitomi TAKASHI, Har ...2006 Volume 103 Issue 9 Pages 1050-1054
Published: 2006
Released on J-STAGE: September 05, 2006
JOURNAL FREE ACCESSA 43-year-old man was admitted with idiopathic fever. Abdominal ultrasonogram demonstrated multiple hypoechoic lesions in the spleen. Abdominal CT scan showed multiple hypodense lesions in the liver and spleen. The patient had a cat in his house, and the presence of a very high serous antibody titer for Bartonella henselae led to the diagnosis of hepatosplenic cat scratch disease. It is important to consider this disease in the differential diagnosis of idiopathic fever when multiple lesions are detected in the liver and spleen.
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Hirotoshi KIKUCHI, Masayoshi YAMAMOTO, Yoshihiro HIRAMATSU, Megumi BAB ...2006 Volume 103 Issue 9 Pages 1055-1060
Published: 2006
Released on J-STAGE: September 05, 2006
JOURNAL FREE ACCESSA 58-year-old Japanese man underwent partial gastrectomy in 1991 for a tumor showing extra-gastric growth measuring 18×16.5×8.8cm in size. An immunohistochemical study yielded a diagnosis of gastric GIST with few mitoses. In 2004, abdominal CT showed a solitary liver metastasis without extrahepatic recurrence and right hepatic lobectomy was performed. No adjuvant treatment has been done and he is alive without recurrence 1 year after the hepatectomy. Long term follow-up of more than 10 years is required after resection of primary tumors if they are diagnosed as high risk GISTs with few mitoses.
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Takuya WATANABE, Makoto INOUE, Kenu HARADA, Nobuyuki HOMMA, Moriaki UC ...2006 Volume 103 Issue 9 Pages 1061-1066
Published: 2006
Released on J-STAGE: September 05, 2006
JOURNAL FREE ACCESSA 55-year-old man with chronic hepatitis C had diarrhea with bloody stool in July, 2003 and ulcerative colitis was suspected. However, he quickly improved. He was treated with percutaneous radiofrequency ablation therapy for adenomatous hyperplasia in S5 of the liver in December, 2004. After the ablation therapy, he was treated with combination therapy of PEG-interferon α-2b and ribavirin for chronic hepatitis C. Because exacerbation of ulcerative colitis appeared 10 weeks after beginning of the treatment for hepatitis C, the combination therapy of PEG-interferon and ribavirin was discontinued. He was treated with mesalazine and steroid therapy for ulcerative colitis, and improved. We report the first case in Japan of the exacerbation of ulcerative colitis induced by the combination therapy of PEG-interferon and ribavirin for chronic hepatitis C.
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Tateki YAMANE, Kan UCHIYAMA, Makoto NAKAMURA, Takayuki ISHII, Hiroaki ...2006 Volume 103 Issue 9 Pages 1067-1072
Published: 2006
Released on J-STAGE: September 05, 2006
JOURNAL FREE ACCESSA 50-year-old man with type B liver cirrohosis was admitted with jaundice and ascites. He had undergone an operation for esophageal variceal rupture at another hospital. Abdominal CT scan and ultrasonography showed cystic dilatation of the extrahepatic portal vein, and Doppler ultrasonography showed it to be a portal vein aneurysm. After admission, jaundice progressed, and not only liver failure but also biliary tract obstruction was suspected as its etiology. Therefore, endoscopic retrograde cholangiography was performed, and it showed a remarkably bent extrahepatic bile duct thought to be caused by extrinsic compression. By combining the finding of endoscopic ultrasonography, we considered that the portal vein aneurysm had displaced the bile duct. We suspected that it also caused cholestasis and cholangitis.
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