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| 1 | Outcomes of gastrointestinal defect closure with an overthe-scope clip system in a multicenter experience: An analysis of a successful suction method显示文摘AIM To demonstrate the clinical outcomes of a multicenter experience and to suggest guidelines for choosing a suction method. METHODS This retrospective study at 5 medical centers involved 58 consecutive patients undergoing over-the-scope clips(OTSCs) placement. The overall rates of technical success (TSR), clinical success (CSR), complications, and procedure time were analyzed as major outcomes. Subsequently, 56 patients, excluding two cases that used the Anchor device, were divided into two groups: 14 cases of simple suction (SS-group) and 42 cases using the Twin Grasper (TG-group). Secondary evaluation was performed to clarify the predictors of OTSC success.RESULTS The TSR, CSR, complication rate, and median procedure time were 89.7%, 84.5%, 1.8%, and 8 (range 1-36) min, respectively, demonstrating good outcomes. However, significant differences were observed between the two groups in terms of the mean procedure time (5.9 min vs 14.1 min). The CSR of the SS- and TG-groups among cases with a maximum defect size ≤ 10 mm and immediate or acute refractory bleeding was 100%, which suggests that SS is a better method than TG in terms of time efficacy. The CSR in the SS-group (78.6%), despite the technical success of the SS method (TSR, 100%), tended to decrease due to delayed leakage compared to that in the TG-group (TSR, CSR; 88.1%), indicating that TG may be desirable for leaks and fistulae with defects of the entire layer. CONCLUSION OTSC system is a safe and effective therapeutic option for gastrointestinal defects. Individualized selection of the suction method based on particular clinical conditions may contribute to the improvement of OTSC success. | Hideki Kobara Hirohito Mori Shintaro Fujihara Noriko Nishiyama Taiga Chiyo Takayoshi Yamada Masao Fujiwara Keiichi Okano Yasuyuki Suzuki Masayuki Murota Yoshitaka Ikeda Makoto Oryu Mohamed Abo Ellail Tsutomu Masaki | 2017 | World Journal of Gastroenterology2017，23，9： | 3 |
| 2 | Laparoscopic Kasai portoenterostomy can be a standard surgical procedure for treatment of biliary atresia显示文摘BACKGROUND Biliary atresia(BA)is a rare pediatric disease.AIM To compare the outcomes of laparoscopic portoenterostomy(Lap-PE)with those of laparotomy(Open-PE)at a single institution.METHODS The surgical outcomes of PE were retrospectively analyzed for patients with a non-correctable type of BA from 2003 to 2020.RESULTS Throughout the assessment period,119 patients received PE for BA treatment,including 66 Open-PE and 53 Lap-PE cases.Although the operation duration was longer(medians:for Open-PE,242 min;for Lap-PE,341 min;P<0.001),blood loss was considerably less(medians:for Open-PE,52 mL;for Lap-PE,24 mL;P<0.001)in the Lap-PE group than in the Open-PE group.The postoperative recovery of the Lap-PE group was more favorable;specifically,both times to resume oral intake and drain removal were significantly shorter in the Lap-PE group.Complete resolution of jaundice was observed in 45 Open-PE cases and 42 Lap-PE cases,with no statistically significant difference(P=0.176).Native liver survival rates were>80%for both groups for the first half year post surgery,followed by a gradual decrease with time;there were no statistically significant differences in the native liver survival rates for any durations assessed.CONCLUSION Lap-PE could be a standard therapy for BA. | Chiyoe Shirota Akinari Hinoki Takahisa Tainaka Wataru Sumida Fumie Kinoshita Kazuki Yokota Satoshi Makita Hizuru Amano Yoichi Nakagawa Hiroo Uchida | 2022 | World Journal of Gastrointestinal Surgery2022，14，1： | 2 |
| 3 | Muscle hematoma:A critically important complication of alcoholic liver cirrhosis显示文摘An iliopsoas hematoma can occur either spontaneously or secondary to trauma or bleeding tendency due to hemophilia and anticoagulant therapy.Although liver cirrhosis is commonly associated with coagulopathy, iliopsoas hematoma is very rare.We herein,present a case of bilateral iliopsoas hematoma in a patient with alcoholic cirrhosis,and review the literature on muscle hematoma associated with cirrhosis.A 56-year-old man with alcoholic cirrhosis was admitted in a state of shock with anemia.The cause of anemia could not be detected,and the patient was treated conservatively. The site of bleeding was not detected with either gastroduodenal endoscopy or upper abdominal computed tomography,the latter of which did not include the iliopsoas muscle.He died on the 10th day of admission and bilateral iliopsoas hematomas were found on autopsy.An iron stain was positive in the iliopsoas muscle.Eight cases of muscle hematoma associated with cirrhosis,including the present case, were found in a review of the literature.Four of these cases involved the rectus abdominis muscle,3 involved the iliopsoas muscle and 1 involved combined muscles.Alcoholic cirrhosis accounted for 75%of the cases.One case(12.5%)was associated with virus- related cirrhosis,and another with combined virus- and alcohol-related cirrhosis.The mortality rate was 75%despite early diagnosis and low risk scores for cirrhosis.Muscle hematoma in patients with cirrhosis isclosely related to alcoholism,and the mortality rate of the condition is extremely high.In conclusion,muscle hematoma should be recognized as an important complication of cirrhosis. | Chiyo Sugiyama Akifumi Akai Noriyoshi Yamakita Tsuneko Ikeda Keigo Yasuda | 2009 | World Journal of Gastroenterology2009，15，35： | 2 |
| 4 | Real-time endobronchial ultra-sound-guided transbronchial needle aspiration of mediastinal and hilarlymph nodes显示文摘 | Yasufuku K Chiyo M Sekine Y | 2004 | Chest2004，126，1： | 1 |
| 5 | Real-time endobronchial ultrasound - guided transbronchial needle aspiration of mediastinal and hilar lymphnodes显示文摘 | Yasufuku K Chiyo M Sekine Y | 2004 | Chest2004，126，1： | 1 |
| 6 | Role of endobronchial ultrasound-guided transbronchial needle aspiration in the management of lung cancer显示文摘 | Kazuhiro Yasufuku Takahiro Nakajima Taiki Fujiwara Masako Chiyo Akira Iyoda Shigetoshi Yoshida Makoto Suzuki Yasuo Sekine Kiyoshi Shibuya Ichiro Yoshino | 2008 | General Thoracic and Cardiovascular Surgery2008，，6： | 1 |
| 7 | Endobronchial uhrasonography : current status and future directions 显示文摘 | Yasufuku K Nakajima T Chiyo M | 2007 | J Thorac Oncol2007，2，10： | 1 |
| 8 | Real-time endobronchial ultrasound-guided transbronchial needle aspiration of media- stinal and hilar lymph nodes显示文摘 | Yasufuku K Chiyo M Sekine Y | 2004 | Chest2004，126，1： | 1 |
| 9 | Real-time endobronchial ul- trasound-guided transbronchial needle aspiration of mediastinal and hilar lymph nodes显示文摘 | Yasufuku K Chiyo M Sekine Y | 2004 | Chest2004，126，1： | 1 |
| 10 | Endobronchial ultrasound guided transbronehial needle aspiration for staging of lung cancer 显示文摘 | Yasufuku K Chiyo M Koh E | 2005 | Lung Cancer2005，50，： | 1 |
| 11 | 3, 28-Di-(dimethylsuccinyl)-betulin isomers as anti-HIV agents 显示文摘 | Kashiwada Y Chiyo J Ikeshiro Y | 2001 | Bioorg MedChem Lett2001，11，2： | 1 |
| 12 | Minimal al- teration of pulmonary function after lobectomy in lung cancer patients with chronic obstructive pulmonary disease显示文摘 | Sekine Y Iwata T Chiyo M Yasufuku K Motoashi S Yoshida S | 2003 | Ann Thorac Surg2003，76，： | 1 |
| 13 | Rat umbilical cord stem cells completely abolish rat mammary carcinomas with no evidence of metastasis or recurrence 100 days post-tumor cell inoculation显示文摘 | Ganta C Chiyo D Ayuzawa R | 2009 | Cancer Res2009，69，5： | 1 |
| 14 | Real-time endobronchial ultrasound-guided transbronchial needle aspiration of mediastinal and hilar lymphnodes显示文摘 | Yasufuku K Chiyo M Sekine Y | 2004 | Chest2004，126，1： | 1 |
| 15 | Novel and safer endoscopic cholecystectomy using only a flexible endoscope via single port显示文摘AIM: To apply the laparoscopic and endoscopic cooperative surgery concept, we investigated whether endoscopic cholecystectomy could be performed more safely and rapidly via only 1 port or not.METHODS: Two dogs(11 and 13-mo-old female Beagle) were used in this study. Only 1 blunt port was created, and a flexible endoscope with a tip attachment was inserted between the fundus of gallbladder and liver. After local injection of saline to the gallbladder bed, resection of the gallbladder bed from the liver was performed. After complete resection of the gallbladder bed, the gallbladder was pulled up to resect its neck using the Ring-shaped thread technique. The neck of the gallbladder was cut using scissor forceps. Resected gallbladder was retrieved using endoscopic net forceps via a port. RESULTS: The operation times from general anesthetizing with sevoflurane to finishing the closure of the blunt port site were about 50 min and 60 min respectively. The resection times of gallbladder bed were about 15 min and 13 min respectively without liver injury and bleeding at all. Feed were given just after next day of operation, and they had a good appetite. Two dogs are in good health now and no complications for 1 mo after endoscopic cholecystectomy using only a flexible endoscope via one port.CONCLUSION: We are sure of great feasibility of endoscopic cholecystectomy via single port for human. | Hirohito Mori Nobuya Kobayashi Hideki Kobara Noriko Nishiyama Shintaro Fujihara Taiga Chiyo Maki Ayaki Takashi Nagase Tsutomu Masaki | 2016 | World Journal of Gastroenterology2016，22，13： | 1 |
| 16 | Minimal alteration of pulmonary function after lobectomy in lung cancer patients with chronic obstructive pulmonary disease显示文摘 | Sekine Y Iwata T Chiyo M | 2003 | Ann Thorac Surg2003，76，2： | 1 |
| 17 | Endobronchial ultrasound guided transbronchial needle aspiration for staging of lung cancer 显示文摘 | Yasufuku K Chiyo M Koh E | 2005 | Lung Cancer2005，50，3： | 1 |
| 18 | Biological features of bronchial squamous dysplasia followed up by autofluorescence bronchoscopy显示文摘 | I-Ioshino H Shibuya K Chiyo M | 2004 | Lung Cancer2004，46，： | 1 |
| 19 | Antitumor effects produced by transduction of dendritic cells-derived heterodimeric cytokine genes in murine colon carcinoma cells显示文摘 | SHIMOZATO O IIZASA T | 2004 | Anticancer Res2004，24，6： | 1 |
| 20 | Expression of IL-27 in murine carcinoma cells produces antitumor effects and induces protective immunity in inoculated host animals显示文摘 | SHIMOZATO O YU L | 2005 | Int J Cancer2005，115，3： | 1 |
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