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| 1 | ^(18)F-fluorodeoxyglucose positron emission tomography in the diagnosis of small pancreatic cancer显示文摘AIM:To investigate the role of 18 F-fluorodeoxyglucose positron emission tomography(FDG-PET) in the diagnosis of small pancreatic cancer. METHODS:This study involved 31 patients with proven invasive ductal cancer of the pancreas.The patients were divided into 3 groups according to the maximum diameter of the tumor:TS1(maximum tumor size≤2.0 cm) ,TS2(>2.0 cm and≤4.0 cm) or TS3-4(>4.0 cm) .The relationships between the TS and various diagnostic tools,including FDG-PET with dual time point evaluation,were analyzed. RESULTS:The tumors ranged from 1.3 to 11.0 cm in diameter.Thirty of the 31 patients(97%) had a positive FDG-PET study.There were 5 patients classified as TS1,15 as TS2 and 11 as TS3-4.The sensitivity of FDG-PET,computed tomography(CT) and magnetic resonanceimaging(MRI) were 100%,40%,0%in TS1,93%,93%,89%in TS2 and 100%,100%,100%in TS3-4. The sensitivity of FDG-PET was significantly higher in comparison to CT and MRI in patients with TS1(P< 0.032) .The mean standardized uptake values(SUVs) did not show a significant difference in relation to the TS(TS1:5.8±4.5,TS2:5.7±2.2,TS3-4:8.2±3.9) ,respectively.All the TS1 tumors(from 13 to 20 mm) showed higher SUVs in FDG-PET with dual time point evaluation in the delayed phase compared with the early phase,which suggested the lesions were malignant. CONCLUSION:These results indicate that FDG-PET with dual time point evaluation is a useful modality for the detection of small pancreatic cancers with a diameter of less than 20 mm. | Keiichi Okano Keitaro Kakinoki Shintaro Akamoto Masanobu Hagiike Hisashi Usuki Yuka Yamamoto Yoshihiro Nishiyama Yasuyuki Suzuki | 2011 | World Journal of Gastroenterology2011,17,2: | 12 |
| 2 | Invasive group B streptococcal infection in a patient with post splenectomy for hypersplenism secondary to liver cirrhosis and portal hypertension显示文摘BACKGROUND:Splenectomy in patients with liver cirrhosis(LC)is expected to become more common owing to its efficacy on portal hemodynamics.In this report we describe an alarming case of group B streptococcus(GBS)infection after splenectomy in a patient with LC.METHODS:A 72-year-old woman with a history of LC was admitted to our emergency department because of respiratory failure.The patient had received left lateral segmentectomy of the liver and splenectomy three months before admission.Pulmonary examination revealed significant wheezing during inspiration and expiration,but no crackles and stridor.Chest radiography and CT showed no infiltrates.A presumptive diagnosis of bronchial asthma caused by upper respiratory infection was made.Four days after admission,GBS infection was confirmed by blood culture and penicillin G was administered.Antibiotics were given intravenously for a total of 12 days.RESULTS:The patient was discharged on the 12th day after admission.CONCLUSIONS:Although efficacy of splenectomy in patients with LC has been reported,immune status should be evaluated for a longer period.Patients who have undergone splenectomy are highly susceptible to bacteria;moreover,LC itself is an independent risk factor for mortality in patients with sepsis.Since prophylaxis against GBS has not been established,immediate action should be taken.Emergency physicians should be aware of invasive GBS infection in the context of the critical risk factors related to splenectomy and LC,particularly the expected increase of splenectomy performed in LC patients. | Tomoya Okazaki Toru Hifumi Arisa Manabe Hikari Matsumura Satoshi Egawa Hideyuki Hamaya Nastuyo Shinohara Koshiro Takano Hajime Shishido Yuko Abe Kenya Kawakita Masanobu Hagiike Yasuhiro Kuroda | 2016 | World Journal of Emergency Medicine2016,7,1: | 6 |
| 3 | Establishment of pure NOTES procedure using a conventional flexible endoscope: review of six cases of gastric gastrointestinal stromal tumors显示文摘 | H. Mori H. Kobara M. Kobayashi A. Muramatsu T. Nomura M. Hagiike K. Izuishi Y. Suzuki T. Masaki | 2011 | Endoscopy2011,,07: | 3 |
| 4 | Local steroid injection into the artificial ulcer created by endoscopic submucosal dissection for gastric cancer: prevention of gastric deformity显示文摘 | H. Mori K. Rafiq H. Kobara S. Fujihara N. Nishiyama M. Kobayashi T. Himoto R. Haba M. Hagiike K. Izuishi K. Okano Y. Suzuki T. Masaki | 2012 | Endoscopy2012,,07: | 2 |
| 5 | Seeing is believing: the importance of video laryngoscopy in teaching and in managing the difficult airway显示文摘 | Kaplan M B Ward D Hagberg C A Berci G Hagiike M | 2006 | Surg Endosc2006,202,: | 1 |
| 6 | Operating videoscope for microlaryngeal surgery 显示文摘 | Kantor E Berci G Hagiike M | 2006 | Surg End2006,,20: | 1 |
| 7 | Operating videoscope for microlaryngeal surgery显示文摘 | KANTOR E BERCI G HAGIIKE M | 2006 | Surg Endosc2006,2,: | 1 |
| 8 | Operating videoscope for microlaryngeal surgery显示文摘 | Kantor E Berci G Hagiike M | 2006 | Surg Endosc2006,20,2: | 1 |
| 9 | Operating videoscope for microlaryn- geal surgery显示文摘 | Kantor E Berci G Hagiike M | 2006 | Surg Endosc2006,20,: | 1 |
| 10 | Hepatic Preconditioning Using Lipopolysaccharide: Association With Specific Negative Regulators of the Toll-Like Receptor 4 Signaling Pathway显示文摘 | Takanori Sano Kunihiko Izuishi Mohammad A. Hossain Tatsushi Inoue Keitaro Kakinoki Masanobu Hagiike Keiichi Okano Tsutomu Masaki Yasuyuki Suzuki | 2011 | Transplantation2011,,10: | 1 |
| 11 | Operating videoscope for microlaryngeal surgery显示文摘 | Kantor E Berci G Hagiike M | 2006 | Surg Endosc2006,,20: | 1 |
| 12 | Pilot Feasibility Study of Neoadjuvant Chemoradiotherapy with S-1 in Patients with Locally Advanced Gastric Cancer Featuring Adjacent Tissue Invasion or JGCA Bulky N2 Lymph Node Metastases显示文摘 | Tatsushi Inoue Shinichi Yachida Hisashi Usuki Tomoki Kimura Masanobu Hagiike Keiichi Okano Yasuyuki Suzuki | 2012 | Annals of Surgical Oncology2012,,9: | 1 |
| 13 | Operating videoscope formicrolaryngeal surgery 显示文摘 | Kantor E Berci G Hagiike M | 2006 | Surg Endosc2006,20,2: | 1 |
| 14 | Operating videoseope for micro-laryngeal surgery显示文摘 | KANTOR E BERCI G HAGIIKE M | 2006 | Surg Endosc2006,20,2: | 1 |
| 15 | Operating videoscope for microlaryn-geal surgery显示文摘 | Kantor E Berci G Hagiike M | 2006 | Surg Endosc2006,20,2: | 1 |
| 16 | Operating videoscope for microlaryngeal surgery 显示文摘 | Kantor E Berci G Hagiike M | 2006 | Surg Endosc2006,20,2: | 1 |
| 17 | Performance differences in laparo- scopic surgical skills between true high-definition and three-chip CCD video systems显示文摘 | M Hagiike E H Phillips G Berci | 2007 | Surg Endosc2007,,21: | 1 |
| 18 | Performance differences in laparoscopic surgical skills between true high-definition and three-chip CCD video systems显示文摘 | M Hagiike E H Phillips G Berci | 2007 | Surg Endosc2007,,21: | 1 |
| 19 | Detection of gastric cancer using 18F-FLT PET: comparison with 18F-FDG PET显示文摘 | Reiko Kameyama Yuka Yamamoto Kunihiko Izuishi Ryusuke Takebayashi Masanobu Hagiike Makiko Murota Masato Kaji Reiji Haba Yoshihiro Nishiyama | 2009 | European Journal of Nuclear Medicine and Molecular Imaging2009,,3: | 1 |
| 20 | Thyroid hormone alterations in trauma patients requiring massive transfusion: An observational study显示文摘BACKGROUND: Although non-thyroidal illness syndrome(NTIS) is considered a negative prognostic factor, the alterations in free triiodothyronine(f T3) levels in trauma patients requiring massive transfusion have not been reported.METHODS: A prospective observational study comparing 2 groups of trauma patients was conducted. Group M comprised trauma patients requiring massive transfusions(>10 units of packed red blood cells) within 24 hours of emergency admission. Group C comprised patients with an injury severity score >9 but not requiring massive transfusions. Levels of f T3, free thyroxine(f T4), and thyroidstimulating hormone(TSH) were evaluated on admission and on days 1, 2, and 7 after admission. The clinical backgrounds and variables measured including total transfusion amounts were compared and the inter-group prognosis was evaluated. Results are presented as mean±standard deviation.RESULTS: Nineteen patients were enrolled in each group. In both groups, 32 were men, and the mean age was 50±24 years. In group C one patient died from respiratory failure. The initial f T3 levels in group M(1.95±0.37 pg/m L) were signifi cantly lower than those in group C(2.49±0.72 pg/m L; P<0.01) and remained low until 1 week after admission. Initial inter-group f T4 and TSH levels were not significantly different. TSH levels at 1 week(1.99±1.64 μIU/m L) were higher than at admission(1.48±0.5 μIU/m L) in group C(P<0.05).CONCLUSION: Typical NTIS was observed in trauma patients requiring massive transfusions. When initial resuscitation achieved circulatory stabilization, prognosis was not strongly associated with NTIS. | Toru Hifumi Ichiro Okada Nobuaki Kiriu Eiju Hasegawa Tomoko Ogasawara Hiroshi Kato Yuichi Koido Junichi Inoue Yuko Abe Kenya Kawakita Masanobu Hagiike Yasuhiro Kuroda | 2014 | World Journal of Emergency Medicine2014,5,4: | 0 |