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| 1 | An automated spring-loaded needle for endoscopic ultrasound-guided abdominal paracentesis in cancer patients显示文摘AIM: To evaluate the feasibility of using an automatedspring-loaded needle device for endoscopic ultrasound(EUS)-guided abdominal paracentesis(EUS-P) to see if this would make it easier to puncture the mobile and lax gastric wall for EUS-P.METHODS: The EUS database and electronic medical records at Fukushima Medical University Hospital were searched from January 2001 to April 2011. Patients with a history of cancer and who underwent EUS-P using an automated spring-loaded needle device with a 22-gauge puncture needle were included. The needle was passed through the instrument channel and advanced through the gastrointestinal wall under EUS guidance into the echo-free space in the abdominal cavity and ascitic fluid was collected. The confirmed diagnosis of malignant ascites included positive cytology and results from careful clinical observation for at least 6 mo in patients with negative cytology. The technical success rate, cytology results and complications were evaluated.RESULTS: We found 11 patients who underwent EUS-P with an automated spring-loaded needle device. In 4 cases, ascites was revealed only with EUS but not in other imaging modalities. EUS-P was done in 7 other cases because there was minimal ascitic fluid and no safe window for percutaneous abdominal aspiration. Ascitic fluid was obtained in all cases by EUS-P. The average amount aspirated was 14.1 mL(range 0.5-38 mL) and that was sent for cytological exam. The etiology of ascitic fluid was benign in 5 patients and malignant in 6. In all cases, ascitic fluid was obtained with the first needle pass. No procedure-related adverse effects occurred.CONCLUSION: EUS-P with an automated springloaded needle device is a feasible and safe method for ascites evaluation. | Rei Suzuki Atsushi Irisawa Manoop S Bhutani Takuto Hikichi Tadayuki Takagi Goro Shibukawa Ai Sato Masaki Sato Tsunehiko Ikeda Ko Watanabe Jun Nakamura Srinadh Annangi Kazuhiro Tasaki Katsutoshi Obara Hiromasa Ohira | 2014 | World Journal of Gastrointestinal Endoscopy2014，6，2： | 3 |
| 2 | The effectof early occlusal loading on one-stage titanium alloy im-plants in beagle dogs: A pilot study 显示文摘 | Masaaki S Yasumasa A Hiromasa N | 1993 | J ProsthetDent1993，69，： | 1 |
| 3 | Scoring resistance of gears with a sulphurizing process at low temperature显示文摘 | Nadano S Hiromasa Y Kohno T | 1989 | Transactions of the Japan Society of Mechanical Engineers1989，58，12： | 1 |
| 4 | Core thermo-hydraulic design with 20% LEU fuel for upgraded research reactor JRR-3 显示文摘 | Yukio S Hiroei A Hiromasa I et ol | 1985 | Journal of Nuclear Science and Technology1985，22，7： | 1 |
| 5 | Influence of Lewis acidic borate ester groups on lithium ionic conduction in polymer electrolytes显示文摘 | YUKI K KENTARO S HIROMASA I | 2003 | Journal of Materials Chemistry2003，，2： | 1 |
| 6 | Smoothing of partition of unity implicit surfaces for noise robust surface reconstruction显示文摘 | Yukie N Yutaka O Hiromasa S | 2009 | Computer Graphics Fo rum2009，28，5： | 1 |
| 7 | The role of protein- tyrosine phosphorylation and gelatinase production in the migration and proliferation of smooth muscle cells 显示文摘 | Hiroyasu U Jong DL Hiromasa S | 2000 | Arterosclerosis2000，149，： | 1 |
| 8 | Stereoselective synthesis of (2E,4Z)-and (2E,4E)-2,4-alkadienoated by the ester enolate claisen rearrangement of (E)-1-alkyl-3-trimethylsilyl-2-propenyl glycolates followed by the Peterson reaction显示文摘 | Toshio S Hiroshi T Hiromasa K | 1986 | Chem Lett1986，，： | 1 |
| 9 | The role of protein-tyrosine phosphorylation and gelatinase production in the migration and proliferation of smooth muscle cells显示文摘 | Hiroyasu U Jong DL Hiromasa S | 2000 | Arterosclerosis2000，149，： | 1 |
| 10 | The roll of protein-tyrosine phosphorylation and gelatinase production in the migration and proliferation of smooth muscle cells显示文摘 | Hiroyasu U Jong DL Hiromasa S | 2000 | Atherosclerosis2000，149，1： | 1 |
| 11 | New Phase Separator for Extraction-Spectrophotometric Determination of Anionic Surfactants with Malachite Green by Flow Injection Analysis显示文摘 | Tadao S Hiromasa H LIU Xiaoqin | 1998 | Talant1998，45，3： | 1 |
| 12 | Diurnal difference in CAR m RNA expression显示文摘 | Kanno Y Otsuka S Hiromasa T Hiromasa T Nakahama T Inouye Y | 2004 | Nucl recept2004，2，1： | 1 |
| 13 | Slurry phase synthesis of dimethyl ether and its utilization 显示文摘 | YOTARO O TSUTOMO S HIROMASA H | 2003 | J Japan Inst Energy2003，82，5： | 1 |
| 14 | Stereoselective synthesis of (2E, 4E) - and (2Z ,4E) - 2,4 - alkadienoates by the ester enolate Claisen Rearrangement of ( E ) - 1 - alkyl - 3 - tfimethylsilyl - 2 - propenyl glycolates followed by the Peterson Reaction 显示文摘 | Toshio S Hiroshi R Hiromasa K | 1986 | Chemistry Letters1986，，： | 1 |
| 15 | Identification of Novel Tissue-specific Proteins in the Suboesophageal Body of the Silkworm, Bombyx mori显示文摘 | Anjiang T Hiromasa T Naoki S | 2003 | Journal of Insect Biotechnology and Sericology2003，72，： | 1 |
| 16 | Antibacterial activity inducible in the haemolymph of the silkworm, Bombyx mori, by injection of formalin-treated Escherichia coli K-12 during the fifth larval instar and pharate adult development显示文摘 | MOTOYUKI S HIROMASA I SHIROH J | 1992 | Comp Biochem Physiol1992，101，12： | 1 |
| 17 | Ionic conductivity of lithium in spinel-type Li4/3Ti5/3O4-LiMg1/2Ti3/3O4 solid- solution system 显示文摘 | Hiromasa S Masanobu N Masayuki N | 2010 | Solid State Ionics2010，181，2122： | 1 |
| 18 | Induction of anti-bacterial activity in the haemolymph of the silkworm, Bombyx mori, by injection of formalin-treated Escherichia coli K-12 in the anterior and posterior body part of ligated larvae显示文摘 | MOTOYUKI S HIROMASA I TAMON Y | 1992 | Comp Biochem Physiol1992，101，12： | 1 |
| 19 | Soil water content and water balance in rainfed fields in Northeast Thailand 显示文摘 | Toshitsugu M Hiromasa H Somsak S | 2009 | Agricultural Water Management2009，96，1： | 1 |
| 20 | Nitric oxide synthase activity in peripheral polymorphonuclear leukocytes in patients with chronic congestive heart failure显示文摘 | Yasuhiko M Jong-Dae L Hiromasa S | 2001 | Am J Cardiol2001，87，2： | 1 |
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