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4篇 您的检索式:作者名="Yoshinami"
    题名 作者 年代 出处 被引量
1Direct cholangioscopy combined with doubleballoon enteroscope-assisted endoscopic retrograde cholangiopancreatography显示文摘Double-balloon enteroscope (DBE)-assisted endoscopic retrograde cholangiopancreatography (ERCP) is an effective endoscopic approach for pancreatobiliary disorders in patients with altered gastrointestinal anatomy. Endoscopic interventions via DBE in these postoperative settings remain difficult because of the lack of an elevator and the use of extra-long ERCP accessories. Here, we report the usefulness of direct cholangioscopy with an ultra-slim gastroscope during DBE-assisted ERCP. Three patients with choledocholithiasis in postoperative settings (two patients after Billroth Ⅱ gastrojejunostomy and one patient after Roux-en-Y gastrojejunostomy) were treated. DBE was used to gain access to the papilla under carbon dioxide insufflation, and endoscopic sphincterotomy was performed with a conventional sphincterotome. For direct cholangioscopy, the enteroscope was exchanged for an ultra-slim gastroscope through an incision in the overtube, which was inserted directly into the bile duct. Direct cholangioscopy was used to extract retained bile duct stones in two cases and to confirm the complete clearance of stones in one case. Bile duct stones were eliminated with a 5-Fr basket catheter under direct visual control. No adverse events were noted in any of the three cases. Direct cholangioscopy with an ultra-slim gastroscope facilitates subsequent treatment within the bile duct. This procedure represents another potential option during DBE-assisted ERCP.Tatsuya Koshitani Shogo Matsuda Koji Takai Takayuki Motoyoshi Makoto Nishikata Yasuhide Yamashita Toshihiko Kirishima Naomi Yoshinami Hiroyuki Shintani Toshikazu Yoshikawa 2012World Journal of Gastroenterology2012,18,28:6
2Phase II trial of combined regional hyperthermia and gemcitabine for locally advanced or metastatic pancreatic cancer显示文摘Takeshi Ishikawa Satoshi Kokura Naoyuki Sakamoto Takashi Ando Eiko Imamoto Takeshi Hattori Hirokazu Oyamada Naomi Yoshinami Masafumi Sakamoto Kazutomo Kitagawa Yoko Okumura Naohisa Yoshida Kazuhiro Kamada Kazuhiro Katada Kazuhiko Uchiyama Osamu Handa Tomo 2012International Journal of Hyperthermia2012,,7:1
3Promotion of vascular smoothmuscle cell grouth by homocysteine: a link to atherosclerosis显示文摘Tasi JC Perrella MA Yoshinami M 1994Pro Nail Acad Sci USA1994,91,14:1
4Distribution of Aeromonas species in the intestinal tracts of river fish显示文摘Sugita H Tanaka K Yoshinami M 1995Appl Environ Microbiol1995,1,:1
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