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Genetic predisposition to Helicobacter pylori-induced gastric precancerous conditions

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World Journal of Gastrointestinal Oncology 2010年第10期2卷 369-379页

作者： Asahi Hishida Keitaro Matsuo Yasuyuki Goto nobuyuki Hamajima De-partment of Preventive Medicine Nagoya University Graduate School of Medicine Division of Epidemiology and Prevention Aichi Cancer Center Research Institute

Gastric cancer is the most common malignancy of the gastrointestinal tract in East Asian populations and the second most frequent cause of cancer-related mortality in the world. While previous studies have investigated the genetic factors involved in gastric carcinogenesis, there still exist relatively few studies that have investigated the genetic traits associated with the risk of gastric precancerous conditions. In this paper we will review the biology and genetic polymorphisms involved in the genesis of gastric precancerous conditions reported to date and discuss the future prospects of this field of study. The associations of gastric precancerous conditions with polymorphisms in the cytotoxin-associated gene A-related genes (e.g. PTPN11 G/A at intron 3, rs2301756), those in the genes involved in host immunity against Helico-bacter pylori (H. pylori) infection (***4 +3725G/C, rs11536889) or polymorphisms of the genes essential for the development/ differentiation of the gastric epithelial cells (e.g. RUNX3 T/A polymorphism at intron 3, rs760805) have been reported to date. Genetic epide-miological studies of the associations between H. pylori-induced gastric precancerous conditions and other gene polymorphisms in these pathways as well as polymor-phisms of the genes involved in other pathways like oxidative DNA damage repair pathways would provide useful evidence for the individualized prevention of these H. pylori-induced gastric precancerous conditions.

关键词： Helicobacter pylori Gastric cancer Single nucleotide polymorphisms Genetic predisposition to disease Gastric precancerous conditions

Effect of biliary obstruction and internal biliary drainage on hepatic cytochrome P450 isozymes in rats

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World Journal of Gastroenterology 2008年第16期14卷 2556-2560页

作者： Shintaro Fukushima Hiroyasu Okuno nobuyuki Shibatani Yoshitsugu Nakahashi Toshihito Seki Kazuichi Okazaki Third Department of Internal Medicine Kansai Medical University Moriguchi

AIM: To investigate the total cytochrome P450 (CYP) content, microsomal mixed-function oxidase (MFO) activity, and expression of mRNAs for various CYP isozymes in a simple rat model of reversible obstructive jaundice. METHODS: Obstructive jaundice was created in male rats by causing bile duct obstruction with polyester tape. In another group of rats, bile duct obstruction was followed by internal biliary drainage after releasing the tape. The expression of various CYP isozyme mRNAs was semi-quantitatively assessed by competitive RT- PCR. RESULTS: The total CYP content and microsomal MFO activity showed a significant decrease after biliary obstruction, but returned to respective control levels after biliary drainage. A marked reduction in the expression of CYP1A2, 2B1/2, 2C11, 2E1, 3A1, and 3A2 mRNA was detected during biliary obstruction, while expression increased significantly toward the control level after biliary drainage. Although expression of CYP4A1 mRNA showed no reduction during biliary obstruction, it still increased significantly after biliary drainage. CONCLUSION: These results suggest that not only obstructive jaundice, but also the subsequent internal biliary drainage may affect regulatory medications of the synthesis of individual CYP isozymes differently.

关键词： Biliary obstruction Obstructive jaundice Biliary drainage Mixed-function oxidase P450 isozymes

Spontaneous regression of gastric gastrinoma after resection of metastases to the lesser omentum:A case report and review of literature

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World Journal of Gastroenterology 2021年第1期27卷 129-142页

作者： Takeshi Okamoto Takaaki Yoshimoto nobuyuki Ohike Aoi Fujikawa Takayoshi Kanie Katsuyuki Fukuda Department of Gastroenterology St.Luke's International HospitalTokyo 104-8560Japan Department of Pathology Shizuoka Cancer CenterShizuoka 411-8777Japan Department of Surgery St.Luke’s International HospitalTokyo 104-8560Japan Department of Cardiology St.Luke’s International HospitalTokyo 104-8560Japan

BACKGROUND Gastric gastrinoma and spontaneous tumor regression are both very rarely *** report the first case of spontaneous regression of gastric *** SUMMARY A 37-year-old man with a 9-year history of chronic abdominal pain was referred for evaluation of an 8 cm mass in the lesser omentum discovered incidentally on abdominal computed *** tumor was diagnosed as grade 2 neuroendocrine neoplasm(NEN)on endoscopic ultrasound-guided fine-needle *** esophagogastroduodenoscopy revealed a 7 mm red polypoid lesion with central depression in the gastric antrum,also confirmed to be a grade 2 *** removal of the abdominal mass confirmed it to be a metastatic gastrinoma *** gastric lesion was subsequently diagnosed as primary gastric *** months later,the gastric lesion had disappeared without *** patient remains symptom-free with normal fasting serum gastrin and no recurrence of gastrinoma during 36 mo of *** Gastric gastrinoma may arise as a polypoid lesion in the gastric *** regression can rarely occur after biopsy.

关键词： Neuroendocrine neoplasm Functional tumor Biopsy Gastrin Stomach Case report

Is endoscopic papillary balloon dilatation really a risk factor for post-ERCP pancreatitis?

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World Journal of Gastroenterology 2016年第26期22卷 5909-5916页

作者： Toshio Fujisawa Koichi Kagawa Kantaro Hisatomi Kensuke Kubota Atsushi Nakajima nobuyuki Matsuhashi Department of Gastroenterology NTT Medical Center Tokyo Department of Gastroenterology and Hepatology Yokohama City University School of Medicine

Endoscopic papillary balloon dilatation(EPBD) is useful for decreasing early complications of endoscopic retrograde cholangio-pancreatography(ERCP), including bleeding, biliary infection, and perforation, but it is generally avoided in Western countries because of a relatively high reported incidence of post-ERCP pancreatitis(PEP). However, as the efficacy of endoscopic papillary largeballoon dilatation(EPLBD) becomes widely recognized, EPBD is attracting attention. Here we investigate whether EPBD is truly a risk factor for PEP, and seek safer and more effective EPBD procedures by reviewing past studies. We reviewed thirteen randomised control trials comparing EPBD and endoscopic sphincterotomy(EST) and ten studies comparing direct EPLBD and EST. Three randomized controlled trials of EPBD showed significantly higher incidence of PEP than EST, but no study of EPLBD did. Careful analysis of these studies suggested that longer and higher-pressure inflation of balloons might decrease PEP incidence. The paradoxical result that EPBD with small-calibre balloons increases PEP incidence while EPLBD does not may be due to insufficient papillary dilatation in the former. Insufficient dilatation could cause the high incidence of PEP through the use of mechanical lithotripsy and stress on the papilla at the time of stone removal. Sufficient dilation of the papilla may be useful in preventing PEP.

关键词： Endoscopic papillary balloon dilatation Post-endoscopic retrograde cholangio-pancreatography pancreatitis Endoscopic papillary large-balloon dilatation Endoscopic sphincterotomy Randomized controlled trial

Bronchial bleeding caused by recurrent pneumonia after radical esophagectomy for esophageal cancer

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World Journal of Gastroenterology 2015年第11期21卷 3394-3401页

作者： Toshihiro Kitajima Kota Momose Seigi Lee Shusuke Haruta Masaki Ueno Hisashi Shinohara Sakashi Fujimori Takeshi Fujii Ryoji Takei Tadasu Kohno Harushi udagawa Department of Gastroenterological Surgery Toranomon Hospital Department of Thoracic Surgery Toranomon Hospital Department of Pathology Toranomon Hospital Department of Radiology Toranomon Hospital

We herein report a case of bronchial bleeding afterradical esophagectomy that was treated with lobectomy.A 65-year-old male who underwent subtotal esophagectomy with three-field lymph node dissection for esophageal carcinoma was referred to our hospital because of sudden *** the esophagectomy,bilateral vocal cord paralysis was observed,and the patient suffered from repeated episodes of aspiration *** revealed hemosputum in the right middle lobe bronchus,and contrast-enhanced computed tomography showed tortuous arteries arising from the right inferior phrenic artery and left subclavian artery toward the right middle lobe *** bronchial arterial embolization was performed twice to control the recurrent hemoptysis,the procedures were *** middle lobectomy was therefore performed via video-assisted thoracic *** bronchial arterys with medial hypertrophy and overgrowth of the small branches were noted near the bronchus in the resected *** patient recovered uneventfully and was discharged on postoperative day 14.

关键词： Hemoptysis Esophagectomy Recurrent laryngeal nerve

Risk factors for bleeding after endoscopic submucosal dissection for gastric lesions

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World Journal of Gastroenterology 2010年第23期16卷 2913-2917页

作者： Yosuke Tsuji Ken Ohata Takafumi Ito Hideyuki Chiba Tomohiko Ohya Toshiaki Gunji nobuyuki Matsuhashi Department of Gastroenterology Kanto Medical CenterNTT EC Department of Endoscopy The Jikei University School of Medicine Center for Preventive Medicine Kanto Medical CenterNTT EC

AIM:To assess risk factors for bleeding after gastric endoscopic submucosal dissection(ESD) and to develop preventive ***:This retrospective study was performed in a tertiary referral center.A total of 328 patients underwent ESD for 398 gastric neoplasms between July 2007 and June *** main outcome was association between post-ESD bleeding and the following:age;sex;comorbidities;daily use of medicine potentially related to gastric injury/bleeding;location,size,and histological depth of lesions;ulceration;experience of operator coagulating the ulcer floor,and duration of *** also determined the relationship between the location of post-ESD bleeding and risk factors for ***:Univariate analysis revealed significant risk factors:tumor location [odds ratio(OR),2.86;95% CI:1.21-6.79,P=0.024],coagulator experience(OR,4.29;95% CI:1.43-12.86,P=0.009),and medicine potentially related to gastric injury/bleeding(OR,2.80;95% CI:1.14-6.90,P=0.039).Multivariate logistic regression analysis confirmed significant,independent risk factors:tumor in lower third of stomach(OR,2.47;95% CI:1.02-5.96,P=0.044),beginner coagulator(OR,3.93;95% CI:1.29-11.9,P=0.016),and medicine(OR,2.76;95% CI:1.09-6.98,P=0.032).We classif ied cases of post-ESD bleeding into two groups(bleeding at the ulcer margin vs bleeding at the center) and found that bleeding at the margin occurred more frequently with beginner coagulators compared with experts(OR,16.00;95% CI:1.22-210.59,P=0.040).CONCLUSION:Beginner coagulators,tumor in the antrum,and medicines were significant risk factors for post-ESD *** at the ulcer margin frequently occurred with beginner operators.

关键词： Bleeding Endoscopic submucosal dissection Ulcer floor Anti-thrombotic drugs Coagulation

Lunar project ILOM:application of the analytical theory of Lunar physical libration for the simulation of star observations

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Science China(Physics,Mechanics & Astronomy) 2012年第5期55卷 888-891页

作者： PETROVA Nataliya GUSEV Alexander PING JinSong IVANOVA Tamara HANADA Hideo KAWANO nobuyuki SU XiaoLi Department of Astronomy Kazan State UniversityKazan 420008Russia Department of Computer Sciences Kazan State Power Engineering UniversityKazan 420008Russia National Astronomical Observatory Chinese Academy of SciencesBeijing 100020China Institute of Applied Astronomy Sankt-Petersburg 195251Russia National Astronomical Observatory of Japan NICTMizusawa 023-0861Japan Shanghai Astronomical Observatory Chinese Academy of SciencesShanghai 200030China

This study briefly describes the targets and problems of the future Japanese project In situ Lunar Orientation Measurement(ILOM),which is planned for the year *** of the important parts of the project is to place a small optical telescope on the Lunar surface with the purpose to detect the Lunar physical libration with unprecedented accuracy 0.001 *** the present stage of research the computer simulation of future observations is going on,aiming to determine the moments of transition of a star through the first meridian and the polar distance of the *** of the Moon is being calculated under the analytical theory developed in the frame of a theme of the grant.A list of stars brighter than 12 m,whose coordinates are close to the Lunar precession pole motion,was constructed on the basis of several star *** average,for each moment of observation in the field of view of the telescope(1°) there are approximately 20-25 *** of simulated stellar tracks observable from the Lunar surface(in a polar zone) reveal the significant difference from daily parallels of stars in comparison with the *** one Lunar "day" equal 237 terrestrial days,a star moves on a ***,depending on a longitude of a star,these spirals can be untwisted or *** the latter case a star can describe a loop in the sky of the Moon during the period of *** an unusual astrometric phenomenon combined with the slow rotation of the Moon is compared with the Earth and the fast precession motion of the Lunar pole(in comparison with the precession motion of a terrestrial pole).

关键词： ILOM Lunar physical libration telescope

Balloon overtube-guided colorectal endoscopic submucosal dissection

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World Journal of Gastroenterology 2009年第48期15卷 6086-6090页

作者： Tomohiko Ohya Ken Ohata Kazuki Sumiyama Yousuke Tsuji Ikuro Koba nobuyuki Matsuhashi Hisao Tajiri Department of Endoscopy The Jikei University School of Medicine Division of Gastroenterology Kanto Medical Center NTT EC Division of Gastroenterology and Hepatology Yamaga Chou Hospital Department of Endoscopy Department of Gastroenterology and HepatologyThe Jikei University School of Medicine

AIM:To evaluate the usefulness of a balloon overtube to assist colorectal endoscopic submucosal dissection(ESD)using a ***:The results of 45 consecutive patients who underwent colorectal ESD were analyzed in a single tertiary endoscopy *** preoperative evaluation of access to the lesion,difficulties were experienced in the positioning and stabilization of a gastroscope in 15 patients who were thus assigned to the balloonguided ESD group.A balloon overtube was placed with a gastroscope to provide an endoscopic channel to the lesion in cases with preoperatively identified difficulties related to *** ESD was performed following standard procedures.A submucosal fluid bleb was created with hyaluronic acid solution.A circumferential mucosal incision was made to marginate the *** isolated lesion was finally excised from the deeper layers with repetitive electrosurgical dissections with needle *** success of colorectal ESD,procedural feasibility,and procedure-related complications were the main outcomes and ***:The overall en bloc excision rate of colorectal ESD during this study at our institution was 95.6%.En bloc excision of the lesion was successfully achieved in 13 of the 15 patients(86.7%)in the balloon overtube-guided colorectal ESD group,which was comparable to the results of the standard ESD group with better accessibility to the lesion(30/30,100%,not statistically significant).CONCLUSION:Use of a balloon overtube can improve access to the lesion and facilitate scope manipulation for colorectal ESD.

关键词： Balloon overtube Colorectal neoplasm Early colorectal cancer En bloc tumor excision Endoscopic submucosal dissection Laterally spreading tumor

Prospective controlled study on the effects of polyethylene glycol in capsule endoscopy

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World Journal of Gastroenterology 2012年第15期18卷 1789-1792页

作者： Takafumi Ito Ken Ohata Akiko Ono Hideyuki Chiba Yosuke Tsuji Hajime Sato nobuyuki Matsuhashi Department of Gastroenterology Kanto Medical CenterNTT EastTokyo 1418625Japan Department of Health Policy and Technology Assessment National Institute of Public Health2-3-6 MinamiWako-shi 3293147Japan

AIM:To prospectively confirm whether a small amount of polyethylene glycol(PEG)ingested after swallowing endoscopy capsule improves image quality and completion ***:Forty-four consecutive patients referred to us for capsule endoscopy(CE)were randomized to two *** patients were restricted to clear fluids for 12 h before the *** in group A(22 cases)received no additional preparation,while those in group B(20 cases)ingested 500 mL of PEG within a 2 h period starting 30 min after swallowing the *** fluids and meals were allowed 2 h and 4 h after capsule ingestion,*** quality was assessed as the percentage of visualized bowel surface area as follows:1:90%.The small bowel record was divided into five segments by time,and the score for each segment was *** CE examinations were performed with the Pillcam SB capsule endoscopy sys-tem(Given Imaging ***.,Yoqnem).RESULTS:This study ended in December 2009,because sample size was considered large enough.A total of 44 patients were *** patients in group B were excluded from the analysis because small bowel images could not be obtained from these patients;one had a full stomach,while the other presented with a massive gastric ***,22 patients from group A and 20 patients from group B completed the *** was no significant difference in age(P=0.22),sex(P=0.31),and indication for *** significant adverse events occurred in any of the study *** group A,image quality deteriorated as the capsule progressed ***,in group B,image quality was maintained to the distal small *** each of the five segments,the visibility score was significantly higher in group B than in group A(segment 1:4.3± 0.7vs 4.7±0.5,P=0.03;segment 2:4.2±0.9vs 4.8 ±0.4,P=0.01;segment 3:4.0±1.0 vs 4.6±0.7,P =0.04;segment 4:3.6±1.1 vs 4.5±0.6,P=0.003;segment 5:2.7±1.0vs 4.4±0.8,P=0.00004).Thus,the use of PEG during CE e

关键词： Capsule endoscopy Completion rate Image quality Polyethylene glycol Preparation