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世界核心医学期刊文摘（胃肠病学分册） 2005年第5期1卷 19-19页

作者： fukami n. Kashida H. 翟惠虹

Backgroun.: The colon.c pit pattern.is recogn.zed as an.aid to the differen.ial diagn.sis between.hyperplastic lesion., aden.ma, an. carcin.ma, an. is a focus for observation.by magn.fication.chromoen.oscopy, especially in.Japan. This study evaluated in.ra-an. in.erobserver agreemen. of experien.ed en.oscopists in.the assessmen. of colon.c pit pattern. when.usin. the Kudo classification. Methods: A total of 220 magn.fication.chromoen.oscopic pictures of colon.c lesion. were selected, of which 215 were collected from a con.ecutive series of patien.s. The pictures were ran.omly displayed twice to 6 experien.ed en.oscopists at an.in.erval of 1 week. Each picture was assessed for predomin.n. pit pattern.by usin. the classification.of Kudo. Histopathologic diagn.sis also was predicted based on.the pit pattern.diagn.sis. Kappa statistics were used to estimate in.ra-an. in.erobserver variation. Results: The mean.(stan.ard deviation. in.er-an. in.ra-observer kappa values for experien.ed en.oscopists were 0.716 (0.031) an. 0.810 (0.084), respectively. For prediction.of histopathology accordin. to the pit pattern.diagn.sis, the mean.(stan.ard deviation. in.er-an. in.ra-observer kappa values were 0.776 (0.032) (p = 0.001)an. 0.862 (0.069) (p = 0.028), respectively. Con.lusion.: For experien.ed en.oscopists, the in.er-an. in.ra-observer reproducibility of the classification.of colon.c pit pattern.is good.

关键词：腺管开口结肠病变增生性病变组织病理学鉴别诊断统计法随机地

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Barrett食管浅表癌行内镜下周围黏膜切除术后的鳞状上皮细胞再生

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世界核心医学期刊文摘（胃肠病学分册） 2005年第2期1卷 26-26页

作者： Satodate H. In.ue H. fukami n. 杨瑗 Digestive Disease Cen. er Showa University Northern Yokohama Hospital 35-1 Chigasaki-chuo Tsuzuki -ku Yokohama 224-8503 JapanDr.

Recen. reports on.the results of en.oscopic ablation.of Barrett’s mucosa have been.promisin., particularly when.total mucosal ablation.is coupled with aggres sive acid-suppression.treatmen. usin. high-dose proton.pump in.ibitor therapy . There is also a con.iderable literature on.reepithelialization.after ablative treatmen.s in.Barrett’s esophagus. This report describes a case of multifocal s uperficial aden.carcin.ma arisin. in.Barrett’s mucosa that was successfully tre ated with total circumferen.ial en.oscopic mucosal resection. with a subsequen. follow-up of more than.2 years. This is the first report describin. the process of squamous reepithelialization.after en.oscopic mucosal resection.in.Barrett’ s esophagus.

关键词： Barrett食管鳞状上皮细胞黏膜切除术抑酸治疗表皮细胞再生镜下切除再生过程

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Diagn.sis of ectopic pan.reas by en.oscopic ultrasoun. with fin.-n.edle aspiration

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World Journ.l of Gastroen.erology 2015年第8期21卷 2367-2373页

作者： Augustin.Attwell Sharon.Sams n.rio fukami Division.of Gastroen.erology Department of Medicine University of Colorado-Denver School of Medicine Departmen. of Pathology University of Colorado-Denver School of Medicine

AIM:To study the clin.cal,en.oscopic,son.graphic,an. cytologic features of ectopic pan.reas(EP).METHODS:This was a retrospective study performedat an.academic referral cen.er in.ludin. two *** review board approval was *** referred to the Un.versity Hospital or Den.er Health Medical Cen.er Gastroin.estin.l En.oscopy Lab for gastroduoden.l subepithelial lesion.(SEL)with a fin.l diagn.sis of EP between.Jan.ary 2009an. December 2013 were *** in.this group were selected for the study if they un.erwen. en.oscopic ultrasoun.(EUS)with fin.-n.edle aspiration.Fn.)or deep biopsy.A review of the medical record was performed specifically to review the followin. in.ormation.presen.in. symptoms,en.oscopic an. EUS fin.in.s,computed tomography or magn.tic reson.n.e imagin. fin.in.s,pathology results,procedure-related adverse even.s,an. subsequen. treatmen.s after *** with Fn. or deep submucosal biopsy was performed in.all patien.s on.an.outpatien. basais by on. of two physician.(Attwell A,fukami n..Review of all subsequen. clin.c n.tes an. operative reports was performed in.order to determin. follow-up an. fin.l ***:Between.July 2009 an. December 2013,10patien.s[3 males,7 females,median.age 52(26-64)years]un.erwen. EUS for a gastroduoden.l SEL an. were diagn.sed with *** patien. was ***(60%)lesion. were in.the an.rum,3(30%)in.the body,an. 1(10%)in.the duoden.m.A mucosal dimple was n.ted in.6(60%).Mean.lesion.size was 17(8-25)*** wall in.olvemen.:muscularis mucosae,10%;submucosa,70%;muscularis propria,60%;an. serosa,10%.n.n.(90%)lesion. were hypoechoic an. 5(50%)were homogen.us.A duct was seen.in.5(50%).Fn. was attempted in.9(90%)an. successful in.8(80%)patien.s after 4(2-6)*** showed acin. or ducts in.7 of 8(88%).Superficial biopsies in.7 patien.s(70%)showed n.rmal gastric *** en.oscopic biopsies were taken.in.2 patien.s an. diagn.stic in.*** patien.(10%)dev

关键词： En.oscopic ultrasoun. Pan.reatitis Ectopic pan.rea

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The impact of stan.ardized methods of hepatic vein.recon.truction.with an.extern.l iliac vein.graft

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Hepatobiliary Surgery an. n.trition 2021年第2期10卷 163-171页

作者： Fumihiro Terasaki Yuji Kan.oka Atsuyuki Maeda Yuichi Takayama Yasuyuki fukami Takamasa Takahashi Masahito Uji Departmen. of Surgery Ogaki Municipal HospitalOgakiJapan

Backgroun.:Liver tumors that in.ade the hepatic vein.are surgically challen.in.,especially in.patien.s with liver *** of as much of the paren.hyma as possible is importan.;thus,when.feasible,we perform hepatectomy with hepatic vein.recon.truction.HVR)usin. an.extern.l iliac vein.EIV)*** con.ucted a retrospective study to in.estigate the ben.fit of HVR an. to evaluate our ***:The study in.luded patien.s treated by hepatectomy with HVR usin. EIV grafts an. vascular *** reviewed the surgical outcomes,in.ludin. total operation.an. HVR times,postoperative complication.,an. postoperative liver ***:The surgeries in.luded right HVR(n.13),left HVR(n.3),an. middle HVR(n.1).The total operation.time was 277±72 min.tes(155-400 min.tes),an. the HVR time was 27±5 min.tes(19-40 min.tes).Graft paten.y was con.irmed in.14(82%)of the *** patien. who un.erwen. HVR with run.in. sutures required emergen.y surgery due to graft ***-Din.o>grade IIIa postoperative complication. occurred in.4(23.5%)patien.s,but there were n. treatmen.-related ***:In.con.lusion.our hepatic resection. with HVR usin. the same techn.ques an. graft materials showed acceptable surgical *** our experien.e,we believe that preparatory hepatic resection.with HVR is an.effective treatmen.,especially for patien.s with decreased liver fun.tion.or with a small residual liver paren.hyma.

关键词： Hepatectomy hepatic vein.recon.truction.HVR) extern.l iliac vein.graft

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