Nippon Shokakibyo Gakkai Zasshi
Online ISSN : 1349-7693
Print ISSN : 0446-6586
Volume 113, Issue 1
Displaying 1-13 of 13 articles from this issue
Special contribution
Review article
Monthly report; Milestones for stamping out HCV infections
Recent Topics
Round-table discussion
Case report
  • Kunio ASONUMA, Yuichiro KUROKI, Satoshi INO, Shotaro HANAMURA, Yuichi ...
    2016 Volume 113 Issue 1 Pages 55-62
    Published: January 05, 2016
    Released on J-STAGE: January 05, 2016
    JOURNAL FREE ACCESS
    A 49-year-old woman diagnosed with pseudomembranous enterocolitis was transferred to our hospital for medical treatment. She responded poorly to treatment with vancomycin hydrochloride and metronidazole, so she underwent fecal microbiota transplantation. Treatment effects were observed the next day, and the diarrhea disappeared within 3 days. Colonoscopy 4 days later revealed the resolution of pseudomembranes, and no recurrences were reported within the first year after discharge.
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  • Masato KINOSHITA, Tsuyoshi SANUKI, Yasutaka YAMADA, Ayaka SASAKI, Tomo ...
    2016 Volume 113 Issue 1 Pages 63-70
    Published: January 05, 2016
    Released on J-STAGE: January 05, 2016
    JOURNAL FREE ACCESS
    A 65-year-old man presenting with an esophageal lesion underwent esophagogastroduodenoscopy and computed tomography and an upper esophageal submucosal mass was found. Endoscopic ultrasound-guided fine-needle aspiration led to the diagnosis of mucosa-associated lymphoid tissue lymphoma of the esophagus. Positron emission tomography showed abnormal uptake in the internal iliac lymph nodes, and laparoscopic biopsy findings confirmed the diagnosis of esophageal cancer. The patient declined treatment of any kind and has been followed up for 39 months with no progression of the lymphoma.
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  • Yuji KOBAYASHI, Kiyoaki ITO, Tadahisa INOUE, Norimitsu ISHII, Takaya Y ...
    2016 Volume 113 Issue 1 Pages 71-77
    Published: January 05, 2016
    Released on J-STAGE: January 05, 2016
    JOURNAL FREE ACCESS
    A 15-year-old boy was admitted to our hospital with a recent increase in the size of a preexisting pancreatic pseudocyst. At 11 years of age, he was diagnosed with acute lymphoid leukemia (ALL) and received chemotherapy with L-asparaginase (L-Asp); he developed the pancreatic pseudocyst following L-Asp-induced acute pancreatitis. The pancreatic pseudocyst had increased to 120mm in diameter. He developed epigastralgia and portal hypertension. Endoscopic ultrasound (EUS)-guided cystogastrostomy with the placement of a 7-cm 7-Fr plastic stent and a 5-Fr NB pigtail catheter led to the near-complete resolution of the pseudocyst. There were no signs of recurrence within the first year after intervention. EUS-guided drainage, increasingly used for pseudocysts, should be considered as an effective treatment approach for pediatric pancreatic pseudocysts.
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  • Koichi SHINOTO, Hajime NAGASE, Yukio KAKUTA, Masahiko OZAKI
    2016 Volume 113 Issue 1 Pages 78-85
    Published: January 05, 2016
    Released on J-STAGE: January 05, 2016
    JOURNAL FREE ACCESS
    A 61-year-old woman presented to our hospital with epigastric pain. She underwent abdominal contrast-enhanced computed tomography, which showed signal enhancement in the gallbladder fundus. As biliary obstruction was suspected, endoscopic nasobiliary drainage was performed, which revealed hemobilia. Based on this finding, gallbladder tumor was suspected, and open cholecystectomy was performed. Immunohistological staining of the resected tissue was positive for factor VIII that led to the diagnosis of gallbladder angiosarcoma. Hepatectomy and biliary reconstruction were performed for disease control; however, the patient died due to multiple liver metastases 4 months after the surgery.
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  • Shinya MATSUMURA, Yusuke OKUYAMA, Ryuichiro DOI, Ryuta NAKAO, Yoji URA ...
    2016 Volume 113 Issue 1 Pages 86-93
    Published: January 05, 2016
    Released on J-STAGE: January 05, 2016
    JOURNAL FREE ACCESS
    A 40-year-old man admitted to our hospital with diarrhea underwent abdominal computed tomography (CT) which showed multiple masses in the liver and pancreatic tail. Although there were no abnormal accumulations with fluorodeoxyglucose (18F) positron emission tomography (FDG-PET), 68Ga-DOTATOC-PET/CT detected obvious abnormal accumulations for the both lobes of liver and pancreatic tail tumors. The serum gastrin was markedly high, and liver tumor biopsy demonstrated the presence of malignant cells with round nuclei that were positive for gastrin and somatostatin receptor. The patient was diagnosed with pancreatic tail gastrinoma with multiple liver metastases and treated with octreotide, everolimus, and a proton pump inhibitor which functionally controlled tumor growth. This case demonstrates 68Ga-DOTATOC-PET/CT as a useful modality for the localization, qualitative diagnosis, and treatment of gastrinoma.
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  • Tomoki SHIMIZU, Yuya TSUNODA, Tsuyoshi ITO, Satoshi IMAMURA, Shuichi N ...
    2016 Volume 113 Issue 1 Pages 94-99
    Published: January 05, 2016
    Released on J-STAGE: January 05, 2016
    JOURNAL FREE ACCESS
    Acquired hemophilia A leads to severe bleeding and is known to be related to many underlying diseases; however, it has not been reported to occur as a complication of pancreatitis. We present a case of acquired hemophilia A secondary to severe acute pancreatitis. A 76-year-old female developed a hematoma in the lower leg muscle while being treated for severe acute pancreatitis. Blood tests revealed prolonged activated partial thromboplastin time (APTT) and the presence of an autoantibody to factor VIII. The bleeding diathesis was successfully controlled by immunosuppressive therapy. This case highlights the need for careful differential diagnosis for successful management of bleeding disorders as complications of pancreatitis.
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