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Toshifusa NAKAJIMA
2002 Volume 99 Issue 11 Pages
1295-1302
Published: November 05, 2002
Released on J-STAGE: June 17, 2011
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Masaaki KODAMA, Ryugo SATO, Kazunari MURAKAMI, Toshio FUJIOKA
2002 Volume 99 Issue 11 Pages
1303-1311
Published: November 05, 2002
Released on J-STAGE: June 17, 2011
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Sunao KAWANO
2002 Volume 99 Issue 11 Pages
1312-1316
Published: November 05, 2002
Released on J-STAGE: June 17, 2011
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Hiroyuki NAGAMATA, Eisuke INADAMA, Seiji ARIHIRO, Mika MATSUOKA, Akira ...
2002 Volume 99 Issue 11 Pages
1317-1325
Published: November 05, 2002
Released on J-STAGE: June 17, 2011
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The usefulness of multidetector-row CT (MDCT) was investigated in 27 patients with Crohn s disease. MDCT depicted characteristic lesions associated with Crohn's disease, including bowel wall thickening, strictures, bowel wall enhancement with contrast, opacity of fatty tissue and mesenteric lymph node enlargement. With respect to delineation of lesion sites, a 76% or higher correlation rate was observed between MDCT and other conventional diagnostic procedures such as colonoscopy, barium enema, small bowel examination, and gastrointestinal endoscopy.
The patient were classified as either with active disease or in remission based on the Crohn's disease activity index (CDAI). We then compared MDCT findings in patients with active disease and in remission. A positive correlation (r=0.70) between CDAI and bowel wall thickening was observed. A comparison of 13 patients with active disease versus 14 patients in remission revealed significant bowel wall thickening, mesenteric lymph node enlargement, and opacity of fatty tissue. MDCT accurately depicted lesions consistent with active Crohn's disease.
MDCT is a minimally invasive procedure that is useful in the evaluation of acute active Crohn's disease.
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Yoshinori HORIE, Hiromasa ISHII
2002 Volume 99 Issue 11 Pages
1326-1333
Published: November 05, 2002
Released on J-STAGE: June 17, 2011
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Multiple organ failures are frequently observed in patients with severe alcoholic hepatitis. Most of the patients have a poor prognosis similar to fluminant hepatitis. Since alcohol intake has been recently increasingin Japan, severe alcoholic hepatitis is expected to be increased. The objective of this study was to determinewhether there was any factor by which prognosis of severe alcoholic hepatitis was determined. We carried out nationwide survey by asking the hospitals that are approved by the Japanese Society of Gastroenterology for current incidence of alcoholic liver disease including severe alcoholic hepatitis. We investigated correlations between various factors including blood laboratory data, presence of other organ failure, and prognosis. White blood cell counts and serum creatinine levels were higher, red blood cell counts were lower and prothrombin time were prolonged in the patients who had died than in the patients who had survived. Prevalence of infection, gastrointestinal bleeding, and disseminated intravascular coagulation was higher in the patients who had died. These results suggest that the patients with markedly elevated white blood cell counts, prolonged prothrombin time, anemia, renal failure, infection, or gastrointestinal bleeding should be treated at an earlier stage with plasma exchange, hemodialysis, and anti-coagulation therapy. Since treatment with corticosteroid hormone may worsen the prognosis of severe alcoholic hepatitis, especially with infection or gastrointestinal bleeding, co-administration of anti-bacterial agents and protective drugs for gastrointestinal tracts should be considered.
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Masaki MUNAKATA, Masaharu KASAI, Katsuya KON, Yuh SAKATA
2002 Volume 99 Issue 11 Pages
1334-1338
Published: November 05, 2002
Released on J-STAGE: June 17, 2011
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Yuki NAKAMURA, Chishio MUNEMURA, Kazuo YASHIMA, Masafumi FUJISE, Akihi ...
2002 Volume 99 Issue 11 Pages
1339-1344
Published: November 05, 2002
Released on J-STAGE: June 17, 2011
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Atsuyuki MAEDA, Shumpei YOKOI, Takao KUNOU, Toru MURATA
2002 Volume 99 Issue 11 Pages
1345-1349
Published: November 05, 2002
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Haruyuki YOSHIDA, Kunihiko TSUJI, Hiroshi KAWAKAMI, Akio KATANUMA, Yas ...
2002 Volume 99 Issue 11 Pages
1350-1354
Published: November 05, 2002
Released on J-STAGE: June 17, 2011
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Miho TAMURA, Takaaki IKEDA, Tomoyuki KOYAMA, Tomoko MATSUMOTO, Takeshi ...
2002 Volume 99 Issue 11 Pages
1355-1359
Published: November 05, 2002
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Hisashi HATANAKA, Masaki SUZUKI, Hiroyoshi ONODERA, Katsuaki UKAI, Yos ...
2002 Volume 99 Issue 11 Pages
1360-1365
Published: November 05, 2002
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Shouichi TANAKA, Takeyuki OHTA, Eisuke KAJI, Tsunenori KOSAKA, Takuya ...
2002 Volume 99 Issue 11 Pages
1366-1371
Published: November 05, 2002
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Yoshiko NAGAYAMA, Shigeki TANAKA, Hitoshi YOSHIDA, Fuyuhiko YAMAMURA, ...
2002 Volume 99 Issue 11 Pages
1372-1380
Published: November 05, 2002
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Hiroshi TAKAMORI, Kanako WATANABE, Tatsuya TSUJI, Keiichiro KANEMITSU, ...
2002 Volume 99 Issue 11 Pages
1381-1387
Published: November 05, 2002
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Junta IMAI, Shinichi IKEYA, Masanobu TAKAHASHI, Toshiaki OJIMA, Kenji ...
2002 Volume 99 Issue 11 Pages
1388-1393
Published: November 05, 2002
Released on J-STAGE: June 17, 2011
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2002 Volume 99 Issue 11 Pages
1394-1395
Published: November 05, 2002
Released on J-STAGE: June 17, 2011
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