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Which scope is appropriate for endoscopic retrograde cholangiopancreatography after Billroth II reconstruction:An esophagogastroduodenoscope or a colonoscope?

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World Journal of Gastrointestinal Endoscopy 2020年第8期12卷 220-230页

作者： Mitsuru Sugimoto Tadayuki Takagi Rei Suzuki Naoki Konno Hiroyuki Asama Yuki Sato Hiroki Irie Ko Watanabe Jun Nakamura hitomi Kikuchi Mika Takasumi Minami Hashimoto Tsunetaka Kato TakutoHikichi Hiromasa Ohira Department of Gastroenterology School of MedicineFukushima Medical UniversityFukushima 9601247Japan Department of Endoscopy Fukushima Medical University HospitalFukushima 9601247Japan

BACKGROUND Recently,with the advent of more advanced devices and endoscopic techniques,endoscopic retrograde cholangiopancreatography(ERCP)in Billroth II(B-II)patients has been increasingly ***,the procedures are difficult,and the techniques and strategies have not been *** To reveal the appropriate scope for ERCP in B-II *** Sixty ERCP procedures were performed on B-II patients between June 2005 and May 2018 at Fukushima Medical University Hospital,and in 44 cases,this was the first ERCP procedure performed by esophagogastroduodenoscopy(EGDS)or colonoscopy(CS)after B-II *** cases were divided into two groups:17 cases of ERCP performed by EGDS(EGDS group)and 27 cases of ERCP performed by CS(CS group).The patient characteristics and ERCP procedures were compared between the EGDS and CS *** The procedural time was significantly shorter in the EGDS group than in the CS group[median(range):60(20-100)vs 90(40-128)min,P value<0.01].CS was an independent factor of a longer ERCP procedural time according to the univariate and multivariate analyses(odds ratio:3.97,95%CI:1.05-15.0,P value=0.04).CONCLUSION Compared to CS,EGDS shortened the procedural time of ERCP in B-II patients.

关键词： Endoscopic retrograde cholangiopancreatography Billroth II reconstruction Esophagogastroduodenoscope Colonoscope

Improving recognition of hepatic perivascular epithelioid cell tumor:Case report and literature review

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World Journal of Gastroenterology 2015年第17期21卷 5432-5441页

作者： Toshiya Maebayashi Katsumi Abe Takuya Aizawa Masakuni Sakaguchi Naoya Ishibashi Osamu Abe Tadatoshi Takayama Hisashi Nakayama Shunichi Matsuoka Kazushige Nirei hitomi Nakamura Masahiro Ogawa Masahiko Sugitani Department of Radiology Nihon University School of MedicineItabashi-kuTokyo 173-8610Japan Department of Digestive Surgery Nihon University School of MedicineItabashi-kuTokyo 173-8610Japan Department of Gastroenterology and Hepatology Nihon University School of MedicineItabashi-kuTokyo 173-8610Japan Department of Pathology Nihon University School of MedicineItabashi-kuTokyo 173-8610Japan

A 58-year-old man presented with the chief complaint of abdominal bloating and was incidentally found to have a liver *** diagnostic imaging studies could not rule out malignancy,the patient underwent partial resection of segment 3 of the *** lesion pathologically showed eosinophilic proliferation,in addition to immunohistochemical positivity for human melanoma black 45 and Melan-A,thereby leading to the diagnosis of a hepatic perivascular epithelioid cell tumor(PEComa).A PEComa arising from the liver is relatively ***,the name ‘PEComa' has not yet been widely recognized,and the same disease entity has been called epithelioid angiomyolipoma(EAML),further diminishing the recognition of *** addition,PEComa imaging findings mimic those of malignant liver tumors,and clinically,this tumor tends to ***,a PEComa is difficult to *** conducted a systematic review of PEComa and EAML cases and discuss the results,including findings useful for differentiating perivascular epithelioid cell tumors from malignant liver tumors.

关键词： Angiomyolipoma Tuberous sclerosis Melan-A Perivascular epithelioid cell tumor Humanmelanoma black 45 Imaging

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模特桥本优子亲自传授可爱连衣裙技巧

国际服装技术 2007年第11期 63-67页

作者： hitomi Takahashi Jacky Yu（翻译） Saori Tsubaki（摄影） Shin Kimura（摄影） Yuichi Ohkura（摄影）

模特优子小姐在工作人员中间经常会获得“这件便装真可爱啊！等类似的好评。优子小姐以“自己也从心底里喜欢”为标准精选流行连衣裙，总结出可爱风格的搭配技巧，并在此完全披露！

关键词：连衣裙模特工作人员便装

一种新的先天性本体感觉神经病伴随先天性多关节弯曲

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世界核心医学期刊文摘（神经病学分册） 2005年第6期1卷 21-22页

作者： Shibasaki H. hitomi T. Mezaki T. 高中宝 NINDS NIH Bldg. 10 Bethesda MD United States Dr.

We report two siblings who presented with non- progressive marked sensory ataxia associated with arthrogryposis multiplex congenita (AMC). Deep tendon reflexes and H reflex were completely absent, but F waves were preserved. The sensory nerve conduction studies indicated the presence of relatively mild sensory polyneuropathy. The conventional somatosensory evoked potentials (SEPs) showed mildly prolonged latency for both the peripheral and cortical responses, suggesting a slowed conduction through the peripheral as well as central pathway. However, the ‘ proprioceptive SEPs’ were absent, in conformity with complete loss of joint sense. Sural nerve biopsy revealed only mild thinning of myelin in the younger sister but was entirely normal in her brother. Taken together with the characteristic electrophysiological findings, the symptoms were considered to be due to predominant involvement of a selective population of somatosensory ganglions. The present cases showed no progression of the neurological deficit what- so- ever since birth, which strongly suggests a developmental anomaly or aplasia of a limited population of peripheral sensory neurons.

关键词：本体感觉关节弯曲感觉神经节神经传导腓肠神经活检神经功能缺陷深部腱反射非进行性关节感觉感觉性

Endoscopic therapy for esophageal hematoma with blue rubber bleb nevus syndrome

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World Journal of Gastrointestinal Endoscopy 2014年第12期6卷 630-634页

作者： Mika Takasumi Takuto Hikichi Tadayuki Takagi Masaki Sato Rei Suzuki Ko Watanabe Jun Nakamura Mitsuru Sugimoto Yuichi Waragai hitomi Kikuchi Naoki Konno Hiroshi Watanabe Katsutoshi Obara Hiromasa Ohira Department of Gastroenterology and Rheumatology Fukushima Medical University School of Medicine Department of Endoscopy Fukushima Medical University Hospital

A 57-year-old woman previously diagnosed with blue rubber bleb nevus syndrome(BRBNS) reported hematemesis. BRBNS is a rare vascular anomaly syndrome consisting of multifocal hemangiomas of the skin and gastrointestinal(GI) tract but her GI tract had never been examined. An upper gastrointestinal endoscopy revealed a large bleeding esophageal hematoma positioned between the thoracic esophagus and the gastric cardia. An endoscopic injection of polidocanol was used to stop the hematoma from bleeding. The hematoma was incised using the injectionneedle to reduce the pressure within it. Finally, argon plasma coagulation(APC) was applied to the edge of the incision. The esophageal hematoma disappeared seven days later. Two months after the endoscopic the rapy, the eso phage alulcerhealed and the hemangioma did not relapse. This rare case of a large esophageal hematoma originating from a hemangioma with BRBNS was treated using a combination of endoscopic therapy with polidocanol injection, incision, and APC.

关键词： Blue rubber bleb nevus syndrome Endoscopic injection sclerotherapy Incision Esophageal hematoma Esophageal hemangioma

Efficacy of endoscopic ultrasonography-guided fine needle aspiration for pancreatic neuroendocrine tumor grading

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World Journal of Gastroenterology 2015年第26期21卷 8118-8124页

作者： Mitsuru Sugimoto Tadayuki Takagi Takuto Hikichi Rei Suzuki Ko Watanabe Jun Nakamura hitomi Kikuchi Naoki Konno Yuichi Waragai Hiroyuki Asama Mika Takasumi Hiroshi Watanabe Katsutoshi Obara Hiromasa Ohira Department of Gastroenterology and Rheumatology Fukushima Medical UniversitySchool of Medicine Department of Endoscopy Fukushima Medical University Hospital

AIM: To evaluate the efficacy of endoscopic ultrasonography-guided fine needle aspiration(EUS-FNA) for grading pancreatic neuroendocrine tumors(PNETs).METHODS: A total of 22 patients were diagnosed with PNET by EUS-FNA between October 2001 and December 2013 at Fukushima Medical University *** these cases,we targeted 10 PNET patients who were evaluated according to the World Health Organization(WHO) 2010 *** was performed in eight patients,and chemotherapy was performed in two patients due to multiple liver *** obtained by EUS-FNA were first stained with hematoxylin and eosin and then stained with chromogranin,synaptophysin,CD56,and *** specimens were graded by the Ki-67 index according to the WHO 2010 *** obtained by surgery were graded by the Ki-67 indexand mitotic count(WHO 2010 classification).For the eight specimens obtained by EUS-FNA,the Ki-67 index results were compared with those obtained by *** the two cases treated with chemotherapy,the effects and prognoses were ***: The sampling rate for histological diagnosis by EUS-FNA was 100%.No adverse effects were *** concordance rate between specimens obtained by EUS-FNA and surgery was 87.5%(7/8).Fo r t h e t w o c a s e s t re a t e d w i t h c h e m o t h e ra p y,case 1 received somatostatin analog therapy and transcatheter arterial infusion(TAI) targeting multiple liver *** treatment consisted of *** chemotherapy,the primary tumor remained unconfirmed,although the multiple liver metastases diminished *** 2 was classified as neuroendocrine carcinoma(NEC) according to the Ki-67 index of a specimen obtained by EUS-FNA; therefore,cisplatin and irinotecan therapy was ***,severe adverse effects,including renal failure and diarrhea,were observed,and the therapy regimen was changed to cisplatin and *** targeting multiple liver metastases was perfor

关键词： Pancreatic neuroendocrine tumor Endoscopicultrasonography-guided fine needle aspiration Ki-67index World Health Organization classification 2010 Chemotherapy

黄河三角洲南部潮间带沉积环境对底栖叶绿素a分布特征的影响

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生态学杂志 2010年第9期29卷 1762-1769页

作者：姚晓山口一岩邹立高会旺郭新宇中国海洋大学环境科学与工程学院山东青岛266100 日本爱媛大学海洋环境研究中心日本松山7908577 海洋环境与生态教育部重点实验室山东青岛266100

2007年9月、2008年4月和2008年7月,在东营黄河三角洲南部潮间带进行了表层沉积物叶绿素a含量和粒径组成调查。结果表明:1)近岸区域叶绿素a含量由北向南逐渐增高,秋季和夏季叶绿素a含量分别为0.426～4.749μg.g-1(平均值为1.591μg.g-1)... 详细信息

2007年9月、2008年4月和2008年7月,在东营黄河三角洲南部潮间带进行了表层沉积物叶绿素a含量和粒径组成调查。结果表明:1)近岸区域叶绿素a含量由北向南逐渐增高,秋季和夏季叶绿素a含量分别为0.426～4.749μg.g-1(平均值为1.591μg.g-1)和0.307～5.195μg.g-1(平均值为1.832μg.g-1),由潮上线到潮下线呈下降趋势;春季叶绿素a含量为0.623～8.734μg.g-1(平均值为2.542μg.g-1),由潮上线到潮下线呈上升趋势;2)沉积物类型较为单一,由粉砂、砂质粉砂和粉砂质砂组成,中值粒径变化范围为0.025～0.081mm(平均中值粒径为0.045mm),由潮上线到潮下线逐渐增大;3)2007年9月叶绿素a分布主要受沉积物粒度的影响,与细颗粒物质含量、中值粒径的大小及各粒径沉积物含量极显著性相关(P<0.01);2007年9月与2008年7月叶绿素a含量与细颗粒物质含量呈正比关系,在砂质底质中含量较低,在粘土质底质中含量较高;4)底栖叶绿素a与高程呈负相关,表明松软、平整、稳定的沉积物表面有利于底栖微型藻类的生长和繁衍。

关键词：潮间带叶绿素a 沉积物粒度