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| 1 | Efficient hemostatic method for endoscopic submucosal dissection of colorectal tumors显示文摘AIM:To evaluate a new hemostatic method using hemostatic forceps to prevent perforation and perioperative hemorrhage during colonic endoscopic submucosal dissection(ESD).METHODS:We studied 250 cases,in which ESD for colorectal tumors was performed at the Kyoto Prefectural University of Medicine or Nara City Hospital between 2005 and 2010.We developed a new hemostatic method using hemostatic forceps in December 2008 for the efficient treatment of submucosal thick vessels.ESD was performed on 126 cases after adoption of the new method(the adopted group)and the new method was performed on 102 of these cases.ESD was performed on 124 cases before the adoption of the new method (the unadopted group).The details of the new method are as follows:firstly,a vessel was coagulated using the hemostatic forceps in the soft coagulation mode according to the standard procedure,and the coagulated vessel was removed using the forceps in the'endocut' mode without perioperative hemorrhage.Secondly,the partial surrounding submucosa was dissected using the forceps in the endocut mode.In the current study,we evaluated the efficacy of this method.RESULTS:Coagulated vessels were successfully removed using the hemostatic forceps in all 102 cases without severe perioperative hemorrhage.Moderate perioperative hemorrhage occurred in five cases(4.9%);however,it was stopped by immediately reuse of the hemostatic forceps.The partial surrounding submucosa was dissected using the forceps in all 102 cases.In the adopted group,the median operation time was 105 min.The proportion of endoscopic en bloc resection was 92.8%(P<0.01)compared to 80.6%in the unadopted group.The postoperative hemorrhage and perforation rates were 2.3%and 2.3%.The rate of perforation was significantly lower than that in the unadopted group (9.6%,P<0.01).We evaluated the ease of use of this method by allowing our three trainees to performed ESD on 46 cases,which were accomplished without any severe hemorrhage.CONCLUSION:The new method effectively treated submucosal thick vessels and shows promise for the prevention of perforation and perioperative hemorrhage in colonic ESD. | Naohisa Yoshida Yuji Naito Munehiro Kugai Ken Inoue Naoki Wakabayashi Nobuaki Yagi Akio Yanagisawa Toshikazu Yoshikawa | 2010 | World Journal of Gastroenterology2010，16，33： | 4 |
| 2 | Carbon-supported AuPd bimetallic nanoparticles synthesized by high-energy electron beam irradiation for direct formic acid fuel cell显示文摘 | Yuji Ohkubo Masashi Shibata Satoru Kageyama Satoshi Seino Takashi Nakagawa Junichiro Kugai Hiroaki Nitani Takao A. Yamamoto | 2013 | Journal of Materials Science2013，，5： | 2 |
| 3 | Enhancement of topical delivery of a lipophilic drug from charged multilamellar liposomes显示文摘 | Katahira N Murakami T Kugai S | 1999 | J Drug Target1999，6，6： | 1 |
| 4 | Primary cardiac angiosarcoma in the right atrium with cardiac tamponade显示文摘 | Kugai T Mabuni K Morishima Y | 2014 | Kyobu Geka2014，67，2： | 1 |
| 5 | Primary cardiac angiosarcoma in the right atrium with cardiac tamponade 显示文摘 | Kugai T Mabuni K Morishima Y | 2014 | Kyobu Geka2014，67，2： | 1 |
| 6 | Effects of nanocrystalline CeO2 supports on the properties and performance of Ni-Rh bimetallic catalyst for oxidative steam reforming of ethanol 显示文摘 | KUGAI J SUBRAMANI V SONG C ENGELHARD M H CHIN Y H | 2006 | Journal of Catalysis2006，238，2： | 1 |
| 7 | Rupture in a mitral papillary muscle following blunt chest trauma显示文摘 | Kugai T Chibana M | 2000 | Jpn J Thorac Cardiovasc Surg2000，48，6： | 1 |
| 8 | Effects of mesoporous silica supports and alkaline promoters on activity of Pd catalysts in CO2 hydrogenation for methanol synthesis显示文摘 | Koizumi N Jiang X Kugai J | 2012 | Catalysis Today2012，194，1： | 1 |
| 9 | Hyponatremia in a patient with chronic inflammatory disease显示文摘 | Murakami T Matoba H KugaY | 1998 | Intern Med1998，37，9： | 1 |
| 10 | Enhancement of topical delivery of a lipophilic drug from charged multilamellar liposomes显示文摘 | KATAHITA N MURAKAMI T KUGAI S | 1999 | J Drug Target1999，6，： | 1 |
| 11 | Low-temperature reforming of ethanol over CeO2-supported Ni-Rh bimetallic catalysts for hydrogen production 显示文摘 | Junichiro Kugai Velu Subramani Chunshan Song | 2005 | Catalysis Letters2005，101，： | 1 |
| 12 | Effects of nanocrystalline CeO2 supports on the properties and performance of Ni-Rh bimetallic catalyst for oxidative steam reforming of ethanol 显示文摘 | Junichiro Kugai Velu Subramani Chunshan Song Mark H Engelhard Ya-Huei Chin | 2006 | Journal of Catalysis2006，238，2： | 1 |
| 13 | Selective neutralization of acid sites on the external surface of H-ZSM-5 crystallites by a mechanochemical method for methylation of methylnaphthalene显示文摘 | TOMOYUKI I PU S B KUGAI J I | 1996 | Applied Catalysis A:General1996，，146： | 1 |
| 14 | Efficacy of hyaluronic acid in endoscopic mucosal resection of colorectal tumors 显示文摘 | Yoshida N Naito Y Kugai M | 2011 | J Gastroen- terol Hepato12011，26，2： | 1 |
| 15 | Effects of nanocrystalline CeO2 supports on the properties and performance of Ni-Rh bimetallic catalyst for oxidative steam reforming of ethanol显示文摘 | Kugai Junichiro Subramani Velu Song Chunshan | 2006 | Journal of Catalysis2006，238，： | 1 |
| 16 | The detection of surface patterns by flexible spectral imaging color enhancement without magnification for diagnosis of colorectal polyps显示文摘 | Naohisa Yoshida Yuji Naito Yutaka Inada Munehiro Kugai Ken Inoue Kazuhiko Uchiyama Osamu Handa Tomohisa Takagi Hideyuki Konishi Nobuaki Yagi Yasutaka Morimoto Naoki Wakabayashi Akio Yanagisawa Toshikazu Yoshikawa | 2012 | International Journal of Colorectal Disease2012，，5： | 1 |
| 17 | Enhancement of topical delivery of a lipophilic drug from charged muhilamellar liposomes 显示文摘 | Katahira N Murakami T Kugai S | 1999 | J Drug Target1999，6，6： | 1 |
| 18 | Effects of nanocrys talline CeO2 supports on the properties and performance of Ni Rh bimetallic catalyst for oxidative steam refor- ming of ethanol 显示文摘 | Kugai J Subramani V Song C | 2006 | J Catal2006，238，： | 1 |
| 19 | Enhancement of topical delivery of a lipophilic drug from charged multilamellar liposomes 显示文摘 | Katahira N Murakami T Kugai S | 1999 | J Drug Target1999，6，6： | 1 |
| 20 | Brachiocephalic to left brachial vein thrombotic vasculitis accompanying mediastinal pancreatic fistula:A case report显示文摘BACKGROUND Pancreatitis is a severe inflammatory pancreatic disease commonly due to bile duct stones or excessive alcohol usage,with clinical manifestations of abdominal pain,nausea,fever,and fluid collections.Healthy persons with less symptomatic pancreatitis are quite rare.Herein,we report a case of a patient with an undetermined onset of pancreatitis mimicking left arm cellulitis due to thrombotic vasculitis of the brachiocephalic vein.CASE SUMMARY A 50-year-old woman visited our hospital for tenderness in the left arm over several recent days.She was diagnosed with cellulitis on the left arm due to left elbow tenderness.Intravenous antibiotics administration did not improve symptoms and laboratory data worsened;thus,chest and abdominal computed tomography(CT)was performed.CT demonstrated pancreatitis with pseudocyst around the pancreas extending to the mediastinum.Thrombotic vasculitis of the brachiocephalic to left brachial vein was observed,which could be the cause of left elbow pain.A pancreatic fistula was found in the head of the pancreas by endoscopic retrograde cholangiopancreatography,so a pancreatic cyst drainage tube via the duodenum was placed in the pseudocyst.Cyst content culture was positive for Escherichia coli infection.Clinical symptoms,imaging findings,and inflammatory reactions resolved gradually after starting therapeutic intervention.The mediastinal pancreatic pseudocysts shrunk,and the venous thrombi remained but shrunk.CONCLUSION The case of a patient with pancreatitis with an undetermined onset that mimics left arm cellulitis is reported.Deep vein thrombosis should be kept in mind when treating patients with severe inflammatory disease. | Reiji Kokubo Daisuke Yunaiyama Yu Tajima Natsumi Kugai Mitsuru Okubo Kazuhiro Saito Takayoshi Tsuchiya Takao Itoi | 2022 | World Journal of Clinical Cases2022，10，32： | 0 |
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