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| 1 | Selection of appropriate endoscopic therapies for duodenal tumors: An open-label study, single-center experience显示文摘AIM:To determine an appropriate compartmentalization of endoscopic submucosal dissection(ESD)or endoscopic mucosal resection(EMR)for duodenal tumors.METHODS:Forty-six duodenal lesions(excluding papillary lesions)from 44 patients with duodenal tumors treated endoscopically between 2005 and 2013 were divided into the ESD and EMR groups for retrospective comparison and analysis.RESULTS:The mean age was 65±9 years(35-79years).There were 24 lesions from men and 22 from women.The lesions consisted of 6 early cancers,31adenomas and 9 neuroendocrine tumors.Lesion location was the duodenal bulb in 15 cases and the descending part of the duodenum in 31 cases.The most common macroscopic morphology was elevated type in 21 cases(45.6%).Mean tumor diameter was 11.9±9.7 mm(3-60 mm).Treatment procedure was ESD(15 cases)vs EMR(31 cases).The examined parameters in the ESD vs EMR groups were as follows:mean tumor diameter,12.9±14.3 mm(3-60 mm)vs 11.4 ±6.7 mm(4-25 mm);en bloc resection rate,86.7%vs 83.9%;complete resection rate,86.7%vs 74.2%;procedure time,86.5±63.1 min(15-217 min)vs 13.2±17.0 min(2-89 min)(P<0.0001);intraprocedural perforation,3 cases vs none(P=0.0300);delayed perforation,none in either group;postprocedural bleeding,1 case vs none;mean postoperative length of hospitalization,8.2±2.9 d(5-16 d)vs 6.1±2.0 d(2-12 d)(P=0.0067);recurrence,none vs 1 case(occurring at 7 mo postoperatively).CONCLUSION:ESD was associated with a longer procedure time and a higher incidence of intraprocedural perforation;EMR was associated with a lower rate of complete resection. | Satohiro Matsumoto Yukio Yoshida | 2014 | World Journal of Gastroenterology2014,20,26: | 17 |
| 2 | Risk factors for postoperative bleeding after gastric endoscopic submucosal dissection in patients under antithrombotics显示文摘AIM: To evaluate the risk factors for postoperative bleeding after gastric endoscopic submucosal dissection(ESD) based on the latest guidelines.METHODS: A total of 262 gastric neoplasms were treated by ESD at our center during a 2-year period from October 2012. We analyzed the data of these cases retrospectively to identify the risk factors for postESD bleeding.RESULTS: Of the 48(18.3%) cases on antithrombotic treatment, 10 were still receiving antiplatelet drugs perioperatively, 13 were on heparin replacement after oral anticoagulant withdrawal, and the antithrombotic therapy was discontinued perioperatively in 25 cases. Postoperative bleeding occurred in 23 cases(8.8%). The postoperative bleeding rate in the heparin replacement group was 61.5%, significantly higher than that in the non-antithrombotic therapy group(6.1%). Univariate analysis identified history of antithrombotic drug use, heparin replacement, hemodialysis, cardiovascular disease, diabetes mellitus, elevated prothrombin timeinternational normalized ratio, and low hemoglobin level on admission as risk factors for post ESD bleeding. Multivariate analysis identified only heparin replacement(OR = 13.7, 95%CI: 1.2-151.3, P = 0.0329) as a significant risk factor for post-ESD bleeding.CONCLUSION: Continued administration of antiplatelet agents, based on the guidelines, was not a risk factor for postoperative bleeding after gastric ESD; however, heparin replacement, which is recommended after withdrawal of oral anticoagulants, was identified as a significant risk factor. | Yuji Shindo Satohiro Matsumoto Hiroyuki Miyatani Yukio Yoshida Hirosato Mashima | 2016 | World Journal of Gastrointestinal Endoscopy2016,8,7: | 10 |
| 3 | Multiple esophageal variceal ruptures with massive ascites due to myelofibrosis-induced portal hypertension显示文摘A 75-year old man had been diagnosed at 42 years of age as having polycythemia vera and had been monitored at another hospital. Progression of anemia had been recognized at about age 70 years, and the patient was thus referred to our center in 2008 where secondary myelofibrosis was diagnosed based on bone marrow biopsy findings. Hematemesis due to rupture of esophageal varices occurred in January and February of 2011. The bleeding was stopped by endoscopic variceal ligation. Furthermore, in March of the same year, hematemesis recurred and the patient was transported to our center. He was in irreversible hemorrhagic shock and died. The autopsy showed severe bone marrow fibrosis with mainly argyrophilic fibers, an observation consistent with myelofibrosis. The liver weighed 1856 g the spleen 1572 g, indicating marked hepatosplenomegaly. The liver and spleen both showed extramedullary hemopoiesis. Myelofibrosis is often complicated by portal hypertension and is occasionally associated with gastrointestinal hemorrhage due to esophageal varices. A patient diagnosed as having myelofibrosis needs to be screened for esophageal/gastric varices. Myelofibrosis has a poor prognosis. Therefore, it is necessary to carefully decide the therapeutic strategy in consideration of the patient's concomitant conditions, treatment invasiveness and quality of life. | Koichi Tokai Hiroyuki Miyatani Yukio Yoshida Shigeki Yamada | 2012 | World Journal of Gastroenterology2012,18,28: | 5 |
| 4 | Duodenal carcinoid tumors: 5 cases treated by endoscopic submucosal dissection显示文摘 | Satohiro Matsumoto Hiroyuki Miyatani Yukio Yoshida Mitsuhiro Nokubi | 2011 | Gastrointestinal Endoscopy2011,,5: | 4 |
| 5 | Future directions of duodenal endoscopic submucosal dissection显示文摘Endoscopic therapies for lesions of the duodenum are technically more difficult than those for lesions of the other parts of the gastrointestinal tract due to the anatomical features of the duodenum, and the incidence rate of complications such as perforation and bleeding is also higher. These aforementioned trends were especially noticeable for the case of duodenal endoscopic submucosal dissection(ESD). The indication for ESD of duodenal tumors should be determined by assessment of the histopathology, macroscopic morphology, and diameter of the tumors. The three types of candidate lesions for endoscopic therapy are adenoma, carcinoma, and neuroendocrine tumors. For applying endoscopic therapies to duodenal lesions, accurate preoperative histopathological diagnosis is necessary. The most important technical issue in duodenal ESD is the submucosal dissection process. In duodenal ESD, a short needle-type knife is suitable for the mucosal incision and submucosal dissection processes, and the Small-caliber-tip Transparent hood is an important tool. After endoscopic therapies, the wound should be closed by clipping in order to prevent complications such as secondary hemorrhage and delayed perforation. At present, the criteria for selection between ESD and EMR vary among institutions. The indications for ESD should be carefully considered. Duodenal ESD should have limitations, such as the need for its being performed by experts with abundant experience in performing the procedure. | Satohiro Matsumoto Hiroyuki Miyatani Yukio Yoshida | 2015 | World Journal of Gastrointestinal Endoscopy2015,7,4: | 4 |
| 6 | Efficacy of endoscopic screening in an isolated island: A case–control study显示文摘 | Satohiro Matsumoto Yukio Yoshida | 2014 | Indian Journal of Gastroenterology2014,,1: | 3 |
| 7 | Early Repolarization Is an Independent Predictor of Occurrences of Ventricular Fibrillation in the Very Early Phase of Acute Myocardial Infarction显示文摘 | Yoshihisa Naruse Hiroshi Tada Yoshie Harimura Mayu Hayashi Yuichi Noguchi Akira Sato Kentaro Yoshida Yukio Sekiguchi Kazutaka Aonuma | 2012 | Circulation: Arrhythmia and Electrophysiology2012,,3: | 2 |
| 8 | Pathophysiology of disseminated intravascular coagulation (DIC) progresses at a different rate in tissue factor-induced and lipopolysaccharide-induced DIC models in rats显示文摘 | Hidesaku Asakura Yukio Suga Tomotaka Yoshida | 2003 | Blood Coagulation and Fibrinolysis2003,14,3: | 1 |
| 9 | Thrombocytopenia is more severe in patients with advanced chronic hepatitis C than B with the same grade of liver stiffness and splenomegaly显示文摘 | Kazuaki Tejima Ryota Masuzaki Hitoshi Ikeda Haruhiko Yoshida Ryosuke Tateishi Yosuke Sugioka Yukio Kume Tomoko Okano Tomomi Iwai Hiroaki Gotoh Sachiko Katoh Atsushi Suzuki Yukako Koike Yutaka Yatomi Masao Omata Kazuhiko Koike | 2010 | Journal of Gastroenterology2010,,8: | 1 |
| 10 | Hot isostatic pressed Gd2 O2 S: Pr,Ce,F translucent scintillator ceramics for X-ray computed tomography detectors显示文摘 | HIROMICHI YAMADA MINIRO YOSHIDA | 1988 | Jpn J App Phy1988,27,: | 1 |
| 11 | Differential detection of Wheat yellow mosaic virus , Japanese soil-borne wheat mosaic virus and Chinese wheat mosaic virus by reverse transcription loop-mediated isothermal amplification reaction显示文摘 | Shiro Fukuta Masaru Tamura Hidekazu Maejima Reiko Takahashi Sachiko Kuwayama Takako Tsuji Tomofumi Yoshida Koji Itoh Hajime Hashizume Yasunori Nakajima Yasushi Uehara Yukio Shirako | 2013 | Journal of Virological Methods2013,,2: | 1 |
| 12 | Kaposiform hemangioendothelioma of the choledochus显示文摘 | Keita Terui Yukio Nakatani Michiyo Kambe Masaharu Fukunaga Tomoro Hishiki Takeshi Saito Yoshiharu Sato Ayako Takenouchi Eriko Saito Sachie Ono Hideo Yoshida | 2010 | Journal of Pediatric Surgery2010,,9: | 1 |
| 13 | Interference effects on local peak pressure between two buildings显示文摘 | Wonsul Kim Yukio Tamura Akihito Yoshida | | 0,,99: | 1 |
| 14 | Kaposiform hemangioendothelioma of the choledochus显示文摘 | Keita Terui Yukio Nakatani Michiyo Kambe Masaharu Fukunaga Tomoro Hishiki Takeshi Saito Yoshiharu Sato Ayako Takenouchi Eriko Saito Sachie Ono Hideo Yoshida | 2010 | Journal of Pediatric Surgery2010,,9: | 1 |
| 15 | Wind loads on clad scaffolding with different geometries and building opening ratios显示文摘 | Feng Wang Yukio Tamura Akihito Yoshida | 2013 | Journal of Wind Engineering and Industrial Aerodynamics2013,3750,: | 1 |
| 16 | Highly selective methoxycarbonylation of aliphatic diamines with methyl phenyl carbonate to the corresponding methyl N -alkyl dicarbamates显示文摘 | Tsutomu Yoshida Masaaki Sasaki Fumiaki Hirata Yukio Kawamani Koji Inazu Akio Ishikawa Kazuhito Murai Tsuneo Echizen Toshihide Baba | 2005 | Applied Catalysis A, General2005,,2: | 1 |
| 17 | Bufalin inhibits endothelial cell proliferation and angiogenesis in vitro显示文摘 | Duck Yoon Lee Masako Yasuda Toshinori Yamamoto Takemi Yoshida Yukio Kuroiwa | 1996 | Life Sciences1996,,2: | 1 |
| 18 | Full-scale structural monitoring using an integrated GPS and accelerometer system显示文摘 | Xiaojing Li Linlin Ge Eliathamby Ambikairajah Chris Rizos Yukio Tamura Akihito Yoshida | 2006 | GPS Solutions2006,,4: | 1 |
| 19 | Hemorrhagic gastric and duodenal ulcers after the Great East Japan Earthquake Disaster显示文摘AIM:To elucidate the characteristics of hemorrhagic gastric/duodenal ulcers in a post-earthquake period within one medical district.METHODS:Hemorrhagic gastric/duodenal ulcers in the Iwate Prefectural Kamaishi Hospital during the 6-mo period after the Great East Japan Earthquake Disaster were reviewed retrospectively.The subjects were 27patients who visited our hospital with a chief complaint of hematemesis or hemorrhagic stool and were diagnosed as having hemorrhagic gastric/duodenal ulcers by upper gastrointestinal endoscopy during a 6-mo period starting on March 11,2011.This period was divided into two phases:the acute stress phase,comprising the first month after the earthquake disaster,and the chronic stress phase,from the second through the sixth month.The following items were analyzed according to these phases:age,sex,sites and number of ulcers,peptic ulcer history,status of Helicobacter pylori(H.pylori)infection,intake of non-steroidal anti-inflammatory drugs,and degree of impact of the earthquake disaster.RESULTS:In the acute stress phase from 10 d to 1mo after the disaster,the number of patients increased rapidly,with a nearly equal male-to-female ratio,and the rate of multiple ulcers was significantly higher than in the previous year(88.9%vs 25%,P<0.005).In the chronic stress phase starting 1 mo after the earthquake disaster,the number of patients decreased to a level similar to that of the previous year.There were more male patients during this period,and many patients tended to have a solitary ulcer.All patients with duodenal ulcers found in the acute stress phase were negative for serum H.pylori antibodies,and this was significantly different from the previous year’s positive rate of 75%(P<0.05).CONCLUSION:Severe stress caused by an earthquake disaster may have affected the characteristics of hemorrhagic gastric/duodenal ulcers. | Kenichi Yamanaka Hiroyuki Miyatani Yukio Yoshida Shinichi Asabe Toru Yoshida Misaki Nakano Shin Obara Hidehiko Endo | 2013 | World Journal of Gastroenterology2013,19,42: | 1 |
| 20 | Retrieval algorithm for CO2 and CH4 column abundances from short-wavelength infrared spectral observations by the Greenhouse Gases Observing Satellite 显示文摘 | Yoshida Yukio Ota Yoshifumi Eguchi Nawo | 2011 | Atmospheric Measurement Techniques(S1867-1381)2011,4,4: | 1 |