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Presence of columnar-lined esophagus is negatively associated with the presence of esophageal varices in Japanese alcoholic men

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World Journal of Gastroenterology 2017年第39期23卷 7150-7159页

作者： Akira Yokoyama Kenro hirata Rieko Nakamura Tai Omori Takeshi Mizukami Junko Aida Katsuya Maruyama Tetsuji Yokoyama National Hospital Organization Kurihama Medical and Addiction Center Division of Gastroenterology and Hepatology Department of Internal Medicine School of Medicine Keio University Department of Health Promotion National Institute of Public HealthSaitama Endoscopy Center Kawasaki Municipal Ida Hospital Research Team for Geriatric Pathology Tokyo Metropolitan Institute of Gerontology

AIM To determine whether the presence of columnar-lined esophagus(CLE) is associated with the presence of esophageal varices(EVs) in male Japanese alcoholics. METHODS The subjects were 1614 Japanese alcohol-dependent men(≥ 40 years of age) who had undergone upper gastrointestinal endoscopic screening. Digitalized records of high-quality endoscopic images that included the squamocolumnar junction and esophagogastric junction were retrospectively jointly reviewed by four expert endoscopists for the purpose of diagnosing CLE. The authors investigated whether and to what extent there were associations between the presence of CLE and the presence of EVs, especially in the group with liver cirrhosis(LC).RESULTS CLE ≥ 5 mm in length was found in 355 subjects(≥ 30 mm in 6 of them), LC without EVs in 152 subjects, LC with EVs in 174 subjects, and EVs without LC in 6 subjects. Advanced EVs, i.e., nodular, large or coiled forms, red color sign, or post-treatment, were found in 88 subjects. The incidence of CLE ≥ 5 mm decreased in the following order(P < 0.0001): 23.3% in the group without EVs, 17.4% in the group with small and straight EVs, and 5.7% in the group with advanced EVs. The multivariate ORs(95%CI) for EVs and advanced EVs in the group with LC were lower when CLE ≥ 5 mm was present [0.46(0.23-0.93) and 0.24(0.08-0.74), respectively, vs 0-4 mm CLE]. CONCLUSION The presence of CLE in male Japanese alcoholics was negatively associated with the presence of EVs.

关键词： Alcohol Columnar-lined esophagus Hiatal hernia Liver cirrhosis Portal hypertension Esophageal varices

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Usefulness of fecal lactoferrin and hemoglobin in diagnosis of colorectal diseases

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World Journal of Gastroenterology 2007年第10期13卷 1569-1574页

作者： Ichiro hirata Masahiro Hoshimoto Osamu Saito Masanobu Kayazawa Takashi Nishikawa Mitsuyuki Murano Ken Toshina Fang-Yu Wang Ryoichi Matsuse Department of Gastroenterology Fujita Health University Japan SecondDepartment of Internal Medicine Osaka Medical College Japan Department of Gastroenterology Jinling Hospital Nanjing University School of Medicine China Kyoto Medical Science Laboratory Japan

AIM:To evaluate prospectively usefulness of fecal lactoferrin(Lf)and fecal hemoglobin(Hb)in the diagnosis of colorectal ***:Fecal Lf and Hb were measured using ELISA in 872 patients before they underwent colorectal ***:Lf was positive in 18(50%)of 36 patients with colorectal cancer,25(15.9%)of 157 with colorectal polyps,29(46.8%)of 62 with ulcerative colitis,and 25(62.5%)of 40(62.5%)with Crohn's *** Hb-positive rates were 50%,12.1%,41.9% and 32.5%,*** the 318 patients free of abnormalities by colorectal endoscopy,Lf was positive in 29(9.1%)and Hb was positive in 15(4.7%).Among patients with Crohn's disease,the Lf-positive rate was significantly higher than the Hb-positive *** either high Lf or Hb levels were considered positive,the positive rates rose to 61.1%,51.6%,and 67.5% in the colorectal cancer group,ulcerative colitis group,and Crohn's disease group,*** both high Lf and Hb levels were rated positive,the positive predictive values(PPV)were 21% for colorectal cancer,33% for ulcerative colitis,and 17% for Crohn's disease,and PPV of high Hb level alone was 18%,25% and 13%,***:Fecal Lf and Hb were found useful in the detection of colorectal diseases,and the combination of the two measurements appears to increase the sensitivity and efficacy of diagnosis.

关键词： Feces Lactoferrin Hemoglobin Diagnosis Colorectal disease

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Evaluation of the effect of pyrrolidine dithiocarbamate in suppressing inflammation in mice with dextran sodium sulfate-induced colitis

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World Journal of Gastroenterology 2007年第11期13卷 1666-1671页

作者： Ichiro hirata Shingo Yasumoto Ken Toshina Takuya Inoue Takashi Nishikawa Naoko Murano Mitsuyuki Murano Fang-Yu Wang Ken-ichi Katsu Department of Gastroenterology Fujita Health University Jaoan Second Department of Internal Medicine Osaka Medical College Japan Department of Gastroenterology Jinling Hospital Nanjing University School of Medicine Nanjing 210002 Jiangsu Province China

AIM: To evaluate the effect of pyrrolidine dithio- carbamate (PDTC; an NF-κB inhibitor) administered at low (50 mg/kg) and high (100 mg/kg) doses in suppressing colitis in mice with dextran sodium sulfate (DSS)-induced colitis. METHODS: Mice were divided into a DSS-untreated group (normal group), DSS-treated control group, DSS+PDTC-treated groupⅠ(low-dose group), and DSS+PDTC-treated groupⅡ (high-dose group). In each group, the disease activity index score (DAI score), intestinal length, histological score, and the levels of activated NF-κB and inflammatory cytokines (IL-1β and TNF-α) in tissue were measured. RESULTS: The DSS+PDTC-treated groupⅡ exhibited suppression of shortening of intestinal length and reduction of DAI score. Activated NF-κB level and IL-1β and TNF-α levels were significantly lower in DSS+PDTC- treated groupⅡ. CONCLUSION: These findings suggest that PDTC is useful for the treatment of ulcerative colitis.

关键词： Ulcerative colitis DSS-induced colitis Pyrrolidine dithiocarbamate NF-κB Mice

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Gastric adenocarcinoma of fundic gland type spreading to heterotopic gastric glands

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World Journal of Gastroenterology 2017年第38期23卷 7047-7053页

作者： Shigeo Manabe Ken-ichi Mukaisho Takayuki Yasuoka Fumitaka Usui Tatsuzo Matsuyama Ikuhiro hirata Yoshio Boku Shuji Takahashi Department of Gastroenterology Kouseikai Takeda Hospital Department of Pathology Shiga University of Medical Science Fujita Clinic

Herein, we present a case of gastric adenocarcinoma of fundic gland type(GA-FG) spreading to heterotopic gastric glands(HGG) in the submucosa. A 58-year-old man with epigastric pain was referred to our hospital and underwent an esophagogastroduodenoscopy. A Borrmann type II gastric cancer at the antrum and a 10 mm submucosal tumor-like lesion in the lesser curvature of the upper third of the stomach were detected. Histological examination of the biopsy specimens obtained from the submucosal tumorlike lesion suggested a GA-FG. Therefore, endoscopic submucosal dissection was performed as excisional biopsy, and histopathological examination of the resected specimen confirmed a GA-FG and HGG proximal to the GA-FG. Although the GA-FG invaded the submucosal layer slightly, the submucosal lesion of the GA-FG had a poor stromal reaction and was located just above the HGG in the submucosa. Therefore, wefinally diagnosed the lesion as a GA-FG invading the submucosal layer by spreading to HGG.

关键词： Gastric adenocarcinoma of fundic gland type Heterotopic gastric glands Endoscopic submucosal dissection Paracancerous lesion Pepsinogen-I H/K-ATPase

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Imaging biomarkers for the treatment of esophageal cancer

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World Journal of Gastroenterology 2019年第24期25卷 3021-3029页

作者： Koichi Hayano Gaku Ohira Atsushi hirata Tomoyoshi Aoyagi Shunsuke Imanishi Toru Tochigi Toshiharu Hanaoka Kiyohiko Shuto Hisahiro Matsubara Department of Frontier Surgery Chiba University Graduate School of MedicineChiba 260-8677Japan Department of Surgery Teikyo University Medical CenterChiba 299-0111Japan

Esophageal cancer is known as one of the malignant cancers with poor *** improve the outcome,combined multimodality treatment is *** the other hand,advances in genomics and other“omic”technologies are paving way to the patient-oriented treatment called“personalized”or“precision”*** advancements of imaging techniques such as functional imaging make it possible to use imaging features as biomarker for diagnosis,treatment response,and prognosis in cancer *** this review,we will discuss how we can use imaging derived tumor features as biomarker for the treatment of esophageal cancer.

关键词： Esophageal cancer Computed tomography perfusion Dynamic-contrastenhanced magnetic resonance imaging Texture analysis Diffusion-weighted imaging Positron emission tomography

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Phase separation and coarsening of NiAl(β′)intermetallic in quench-aged Fe-Ni-Al alloys

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Journal of Iron and Steel Research International 2020年第11期27卷 1331-1338页

作者： C.Ferreira-Palma J.A.Rosas-Barrios V.M.Lopez-hirata D.I.Rivas-Lopez H.J.Dorantes-Rosales Faculty of Chemical Sciences Universidad VeracruzanaVeracruz 94294Mexico ESIQIE Instituto Politecnico Nacional.UPALMMexico City 07738Mexico

The coarsening behavior of four quench-aged Fe-Ni-AI alloys with different Ni and Al con tents is *** alloys were solubilized at 1100℃for 24 h,water-quenched and aged at 850℃for periods ranging from 1 to 100 h to promote phase separation and *** two alloys with the highest combined Ni and Al contents(>35 at.%)showed signs of spinodal decomposition,while the alloys with lower Ni and Al contents followed a classical nucleation *** Ni and Al contents promoted an increase in NiAl(β′)phase fraction in concordance with phase equilibrium *** alloy with the highest[3'fraction presented a completely interconnected *** coarsening ofβ′particles in the other three alloys followed the predictions of the Lifshitz-Slyozov-Wagner(LSW)*** general trend was an increase in the coarsening kinetics with higher Ni and Al *** highest hardness was found in the alloys with higher fraction albeit these compositions are less resistant to coarsening and have been reported to present a low room-temperature ductility.

关键词： Precipitation Spinodal decomposition Coarsening Aging Fe-Ni-Al alloy

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Renal amyloidosis as a late complication of Crohn's disease:a case report and review of the literature from Japan

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World Journal of Gastroenterology 2000年第3期6卷 461-464页

作者： Osamu Saitoh Keishi Kojima Tsutomu Teranishi Ken Nakagawa Masanobu Kayazawa Masashi Nanri Yutaro Egashira Ichiro hirata Ken-ichi Katsu Second Department of Internal Medicine Osaka Medical CollegeTakatsukiJapan First Department of Pathology Osaka Medical CollegeTakatsukiJapan

INTRODUCTION Secondary amyloidosis is a rare but seriouscomplication of Crohn’s disease(CD).Theincidence of the association of secondaryamyloidosis in patients with CD has been reportedto be 0.5%-8% in Western ***,in Japan,the number of patients with CDcomplicated by amyloidosis is *** of their clinical manifestations andthe incidence of association are ***,we report herein a patient with

关键词： Crohn’s disease/complication renal amyloidosis amyloid deposits

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Protocol liver biopsy is the only examination that can detect mid-term graft fibrosis after pediatric liver transplantation

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World Journal of Gastroenterology 2014年第21期20卷 6638-6650页

作者： Yukihiro Sanada Koshi Matsumoto Taizen Urahashi Yoshiyuki Ihara Taiichi Wakiya Noriki Okada Naoya Yamada Yuta hirata Koichi Mizuta Department of Transplant Surgery Jichi Medical UniversityTochigi 329-0498Japan Department of Clinical Pathology Ebina General HospitalKanagawa Prefecture 243-0433Japan

AIM: To assessed the clinical significance of protocol liver biopsy (PLB) in pediatric liver transplantation (LT).

关键词： Protocol liver biopsy Graft fibrosis Immunosuppression Liver function test Pediatric liver transplantation

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High-reliability zircon separation for hunting the oldest material on Earth： An automatic zircon separator with image-processing/microtweezers-manipulating system and double-step dating

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Geoscience Frontiers 2018年第4期9卷 1073-1083页

作者： Yukio Isozaki Shinji Yamamoto Shuhei Sakata Hideyuki Obayashi Takafumi hirata Ken-ichi Obori Toshinori Maebayashi Satoshi Takeshima Toshikazu Ebisuzaki Shigenori Maruyama Department of Earth Science and Astronomy The University of Tokyo Komaba Meguro Tokyo 153-8902 Japan Department of Human Environmental Studies Yokohama National University Hodogaya Yokohama 240-8501 Japan Department of Chemistry Gakushuin University Mejiro Toshima Tokyo 171-8588 Japan Department of Geology and Mineralogy Kyoto University Kitashirakawa Oiwakecho Sakyo-ku Kyoto 606-8502 Japan Geochemical Research Center The University of Tokyo Hongo 7-3-1 Bunkyo Tokyo 113-0033 Japan Horiba Ltd. Kanda Chiyoda Tokyo 101-0063 Japan MicroSupport Co. Ltd. Hiratsuka Kanagawa 254-0035 Japan Mitani Corporation Takada Toshima Tokyo 171-0033 Japan Riken Wako Saitama 351-0198 Japan ELSI Tokyo Institute of Technology Meguro Tokyo 152-8551 Japan

Despite the recent development in radiometric dating of numerous zircons by LA-ICPMS, mineral separation still remains a major obstacle, particularly in the search for the oldest material on Earth. To improve the efficiency in zircon separation by an order of magnitude, we have designed/developed a new machine-an automatic zircon separator（AZS）. This is designed particularly for automatic pick-up of100 μm-sized zircon grains out of a heavy mineral fraction after conventional separation procedures. The AZS operates in three modes：（1） image processing to choose targeted individual zircon grains out of all heavy minerals spread on a tray,（2） automatic capturing of the individual zircon grains with microtweezers, and（3） placing them one-by-one in a coordinated alignment on a receiving tray. The automatic capturing was designed/created for continuous mineral selecting without human presence for many hours. This software also enables the registration of each separated zircon grain for dating, by recording digital photo-image, optical（color） indices, and coordinates on a receiving tray. We developed two new approaches for the dating; i.e.（1） direct dating of zircons selected by LA-ICPMS without conventional resin-mounting/polishing,（2） high speed U-Pb dating, combined with conventional sample preparation procedures using the new equipment with multiple-ion counting detectors（LA-MIC-ICPMS）.With the first approach, Pb-Pb ages obtained from the surface of a mineral were crosschecked with the interior of the same grain after resin-mounting/polishing. With the second approach, the amount of time required for dating one zircon grain is ca. 20 s, and a sample throughput of 〉150 grains per hour can be achieved with sufficient precision（ca. 0.5%）.We tested the practical efficiency of the AZS, by analyzing an Archean Jack Hills conglomerate in Western Australia with the known oldest（〉4.3 Ga） zircon on Earth. Preliminary results are positive; we were able to obtain more than 194 zirc

关键词： Hadean Zircon U-Pb dating LA-ICPMS Automatic mineral separator Primordial crust

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Increased prevalence of intestinal inflammation in patients with liver cirrhosis

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World Journal of Gastroenterology 1999年第5期5卷 391-396页

作者： Saitoh O Sugi K Lojima K Matsumoto H Nakagawa K Kayazawa M Tanaka S Teranishi T hirata I Katsu Ki K Second Department of Internal Medicine Osaka Medical College Takatsuki Japan Department of Gastroenterology Ijinkai Takeda General Hospital Kyoto Japan

AIM To investigate the pathophysiology of the digestive tract in patients with liver *** In 42 cirrhotic patients and 20control subjects, the following fecal proteinswere measured by enzyme-linkedimmunosorb6nt assay: albumin (Alb ),transferrin (Tf), and al-antitrypsin (a,-AT) as amarker for intestinal protein l0ss, hemoglobin(Hb) for bleeding, PMN-eIastase for intestinalinflammation, and secretory lgA for *** The fecaI concentrations of Hb, Alb,Tf, al-AT, and PMN’eIastase were increased in13 (3l%), 8(19%), l0(24%), 6(14%), and 1l(26%) cases among 42 patients, resPectiveIy.F6cal concentration of secretory IgA wasdecreased in 7 (l7%) of 42 patients. However,these fecal concentrations were not related tothe severity or etiology of liver cirrhosis. Theserum Alb level was significantIy decreased inpatients with intestinal protein Ioss c0mpared tothat in patients without intestinal protein *** These findings suggest that: rob6sides the weIl’known pathological conditions,Such as bleeding and protein loss, intestinaIinflammati0n and decreased intestinaI immunityare found in cirrhotic patients, @ intestinalprotein loss contributes to hypoalbuminemia incirrhotic patients, and @ intestinaI inflammationshouId not b6 0verlooked in cirrhotic patients,since it may contribute to or cause intestinalprotein Ioss and oth6r various pathologicalconditions.

关键词： liver cirrhosis intestinal inflammation secretory IgA fecal proteins

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