Nippon Shokakibyo Gakkai Zasshi
Online ISSN : 1349-7693
Print ISSN : 0446-6586
Volume 115 , Issue 9
Showing 1-10 articles out of 10 articles from the selected issue
Monthly report (General review article); Clinical Practice of Liver Diseases in the Era of Eradication or Complete Suppression of Hepatitis Virus
Monthly report (Review article); Clinical Practice of Liver Diseases in the Era of Eradication or Complete Suppression of Hepatitis Virus
Original article
  • Zhifeng YU, Ryousuke SHIBATA, Yu NISHIDA, Yusuke NOMURA, Hidetoshi TAD ...
    2018 Volume 115 Issue 9 Pages 797-803
    Published: September 10, 2018
    Released: September 10, 2018
    JOURNALS FREE ACCESS

    We performed a retrospective analysis on three patients diagnosed with EGE (eosinophilic gastroenteritis) at our hospital and 90 cases obtained from a case database. The cases' genders, ages, peripheral eosinophils, ascites, endoscopic findings, biopsy findings, diagnostic scores, and rates of glucocorticoid use were evaluated. The gender ratio was 40 males to 53 females, and the median age was 50. 78.5% of cases had peripheral eosinophilia. The prevalence of allergic diseases was 31.2%, and the incidence of ascites was 34.4%. 83.9% of endoscopic findings were positive, and 92.5% of biopsies were positive. The total rate of glucocorticoid use was 77.4%. When both score <5 and age <33 conditions were met, the rate of glucocorticoid use was approximately 30%, meaning it was possible to avoid glucocorticoid use.

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Case report
  • Yuki AOYAMA, Masaki WATO, Mariko COLVIN, Satoko NAKAMURA, Shigenao ISH ...
    2018 Volume 115 Issue 9 Pages 804-810
    Published: September 10, 2018
    Released: September 10, 2018
    JOURNALS FREE ACCESS

    A 74-year-old male who was receiving endocrine therapy for prostate cancer, with multiple bone and lymph node metastases (T2bN1M1 Stage D2), underwent follow-up computed tomography (CT). The CT revealed multiple liver metastases, a high serum CEA level, and an unchanged PSA level. Upper gastrointestinal endoscopy showed an elevated lesion with mucosal erosion on the lesser curvature of the middle gastric corpus, revealed to be a metastatic prostate cancer lesion following immunohistochemical confirmation. This case demonstrates the potential for gastric metastases in patients with advanced prostate cancer and high serum CEA levels.

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  • Michitaka IMAI, Toru ISHIKAWA, Marina OKOSHI, Takashi OWAKI, Hiroki SA ...
    2018 Volume 115 Issue 9 Pages 811-817
    Published: September 10, 2018
    Released: September 10, 2018
    JOURNALS FREE ACCESS

    We describe a 52-year-old male who underwent endoscopic retrograde biliary drainage for acute cholangitis associated with common bile duct stones. Endoscopic papillary balloon dilatation was performed, and the stones were removed using a balloon catheter. Simultaneously, we initiated edoxaban for portal vein thrombosis. Approximately one month later, he visited our hospital complaining of tarry stools and dizziness. Contrast-enhanced computed tomography revealed a pseudoaneurysm in the hepatic artery (A7), and he was diagnosed with hemobilia from bile duct perforation associated with the hepatic arterial pseudoaneurysm. We performed an emergent transcatheter arterial embolization. Notably, re-bleeding has not occurred to date. Hepatic arterial pseudoaneurysms can occur after acute cholangitis;therefore, careful follow-up is essential.

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  • Kento HIKITA, Shiro TAKAMI, Hiroko SUGIMOTO, Hidenori KIMURA, Noriko T ...
    2018 Volume 115 Issue 9 Pages 818-824
    Published: September 10, 2018
    Released: September 10, 2018
    JOURNALS FREE ACCESS

    A man in his 70s was referred to our hospital for evaluation of low-grade fever, weight loss, and liver dysfunction. Serological tests for viral hepatitis or autoimmune diseases were negative. No significant findings were observed on whole-body computed tomography (CT). Histopathologic examination of a liver biopsy sample revealed a non-caseating granuloma with acid-fast bacillus using the Ziehl-Neelsen stain. Serum Mycobacterium avium complex (MAC) antibody was positive. We started treatment for pulmonary MAC disease. His clinical condition and liver function improved within two months. He was diagnosed with liver MAC disease.

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  • Takeharu NAKAMURA, Atsuyuki IKEDA, Yoshio ITOKAWA, Kiyonori KUSUMOTO, ...
    2018 Volume 115 Issue 9 Pages 825-832
    Published: September 10, 2018
    Released: September 10, 2018
    JOURNALS FREE ACCESS

    A 67-year-old male with chronic pancreatitis presented with upper abdominal pain and melena. Abdominal dynamic computed tomography revealed a splenic artery aneurysm in the main pancreatic duct. Esophagogastroduodenoscopy showed active bleeding from Vater's papilla. The patient was diagnosed with hemosuccus pancreaticus (HP) due to rupture of the aneurysm and treated with interventional radiology (IVR). The patient's poor lung function did not allow for a radical operation and a follow-up examination was recommended. The HP relapsed 7 months later and was successfully retreated with IVR. Although IVR is associated with a high recurrence rate, it is less invasive and therefore effective for treating relapsing HP in patients with a poor general condition.

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