FullText URL 127_83.pdf
Author 岡山医学会|
Publication Title 岡山医学会雑誌
Published Date 2015-04-01
Volume volume127
Issue issue1
Start Page 83
End Page 85
ISSN 0030-1558
Related Url http://www.okayama-u.ac.jp/user/oma/
language 日本語
Copyright Holders Copyright (c) 2015 岡山医学会
File Version publisher
Title Alternative The 45th Okayama Rheumatology Conference
FullText URL 127_79.pdf
Author 岡山リウマチ研究会|
Publication Title 岡山医学会雑誌
Published Date 2015-04-01
Volume volume127
Issue issue1
Start Page 79
End Page 82
ISSN 0030-1558
Related Url http://www.okayama-u.ac.jp/user/oma/
language 日本語
Copyright Holders Copyright (c) 2015 岡山医学会
File Version publisher
DOI 10.4044/joma.127.79
NAID 130005068341
Title Alternative The 177th Okayama Surgical Society
FullText URL 127_75.pdf
Author 岡山外科会|
Publication Title 岡山医学会雑誌
Published Date 2015-04-01
Volume volume127
Issue issue1
Start Page 75
End Page 78
ISSN 0030-1558
language 日本語
Copyright Holders Copyright (c) 2015 岡山医学会
File Version publisher
DOI 10.4044/joma.127.75
NAID 130005068340
Title Alternative The 9th Annual Meeting of the Biomedical Society for Stress Response
FullText URL 127_73.pdf
Author Udono, Heiichiro|
Publication Title 岡山医学会雑誌
Published Date 2015-04-01
Volume volume127
Issue issue1
Start Page 73
End Page 74
ISSN 0030-1558
Related Url http://www.okayama-u.ac.jp/user/oma/
language 日本語
Copyright Holders Copyright (c) 2015 岡山医学会
File Version publisher
DOI 10.4044/joma.127.73
NAID 130005068339
Title Alternative The 50th Annual Meeting of Japanese Society of Pediatric Cardiology and Cardiac Surgery
FullText URL 127_69.pdf
Author Sano, Shuji|
Publication Title 岡山医学会雑誌
Published Date 2015-04-01
Volume volume127
Issue issue1
Start Page 69
End Page 72
ISSN 0030-1558
language 日本語
Copyright Holders Copyright (c) 2015 岡山医学会
File Version publisher
DOI 10.4044/joma.127.69
NAID 130005068343
FullText URL 127_67.pdf
Author 宮阪 英|
Publication Title 岡山医学会雑誌
Published Date 2015-04-01
Volume volume127
Issue issue1
Start Page 67
End Page 68
ISSN 0030-1558
Related Url http://www.okayama-u.ac.jp/user/oma/
language 日本語
Copyright Holders Copyright (c) 2015 岡山医学会
File Version publisher
NAID 120005600986
Title Alternative PD-1,CTLA-4
FullText URL 127_63.pdf
Author Eikawa, Shingo|
Publication Title 岡山医学会雑誌
Published Date 2015-04-01
Volume volume127
Issue issue1
Start Page 63
End Page 65
ISSN 0030-1558
language 日本語
Copyright Holders Copyright (c) 2015 岡山医学会
File Version publisher
DOI 10.4044/joma.127.63
NAID 130005068337
Title Alternative Drug interaction (32. Drug interaction in novel oral anticoagulants)
FullText URL 127_59.pdf
Author Ida, Hiromi| Kitamura, Yoshihisa| Sendo, Toshiaki|
Publication Title 岡山医学会雑誌
Published Date 2015-04-01
Volume volume127
Issue issue1
Start Page 59
End Page 61
ISSN 0030-1558
Related Url http://www.okayama-u.ac.jp/user/oma/
language 日本語
Copyright Holders Copyright (c) 2015 岡山医学会
File Version publisher
DOI 10.4044/joma.127.59
NAID 130005068338
Author Makihara, Seiichiro| Okano, Mitsuhiro|
Published Date 2015-04-01
Publication Title 岡山医学会雑誌
Volume volume127
Issue issue1
Content Type Journal Article
Title Alternative An approach to the medical education provided by the Center for the Development of Medical and Health Care Education in Okayama University
FullText URL 127_51.pdf
Author Shiba, Naoki|
Keywords 医学教育 シミュレーション
Publication Title 岡山医学会雑誌
Published Date 2015-04-01
Volume volume127
Issue issue1
Start Page 51
End Page 54
ISSN 0030-1558
Related Url http://www.okayama-u.ac.jp/user/oma/
language 日本語
Copyright Holders Copyright (c) 2015 岡山医学会
File Version publisher
DOI 10.4044/joma.127.51
NAID 130005068347
Title Alternative Gene therapy using REIC/Dkk-3-encoding adenoviral vector for the treatment of malignant pleural mesothelioma
FullText URL 127_47.pdf
Author Toyooka, Shinichi|
Keywords 悪性胸膜中皮腫 REIC/DKK-3 遺伝子治療
Publication Title 岡山医学会雑誌
Published Date 2015-04-01
Volume volume127
Issue issue1
Start Page 47
End Page 50
ISSN 0030-1558
Related Url http://www.okayama-u.ac.jp/user/oma/
language 日本語
Copyright Holders Copyright (c) 2015 岡山医学会
File Version publisher
DOI 10.4044/joma.127.47
NAID 130005068349
Title Alternative A phase I trial of 100㎎/㎡ docetaxel in advanced or recurrent breast cancer patients
FullText URL 127_41.pdf
Author Hirata, Taizo|
Keywords 進行・再発乳癌 ドセタキセル 100㎎/㎡ 医師主導治験
Publication Title 岡山医学会雑誌
Published Date 2015-04-01
Volume volume127
Issue issue1
Start Page 41
End Page 45
ISSN 0030-1558
Related Url http://www.okayama-u.ac.jp/user/oma/
language 日本語
Copyright Holders Copyright (c) 2015 岡山医学会
File Version publisher
DOI 10.4044/joma.127.41
NAID 130005068352
Title Alternative Cholelithiasis with a cholecystoduodenal fistula complicated with paroxysmal nocturnal hemoglobinuria
FullText URL 127_35.pdf
Author Kato, Takuya| Matsukawa, Hiroyoshi| Shiozaki, Shigehiro| Fuji, Tomokazu| Fujiwara, Yasuhiro| Ninomiya, Motoki|
Abstract  In cases of paroxysmal nocturnal hemoglobinuria (PNH), attention must be paid to potential complications such as thrombosis and hemolysis due to perioperative stress and infection from complement activation. Here we present the case of a 61-year-old Japanese woman with PNH. We made the diagnosis of PNH when she was 28 years old, and we administered repeated steroid medication and erythrocyte transfusion. The patient's cholecystocholedocholithiasis with a cholecystoduodenal fistula was diagnosed based on a survey of the right hypochondriac pain. We performed endoscopic nasobiliary drainage (ENBD) for the prophylaxis of perioperative infection, plus a cholecystectomy and fistulectomy. There were no complications, including hemolysis attack, infection, thrombosis with irrigation erythrocyte transfusion, steroid cover, or the need for heparin administration during the perioperative period. The reduction of the complement activation is necessary in the perioperative management of PNH patients. The prevention of the development of acidosis and hypoxemia, the selection of washed red blood cells, steroid use, appropriate infection measures and thrombosis prophylaxis are all important for the prevention of complications.
Keywords 発作性夜間血色素尿症(PNH)(paroxysmal nocturnal hemoglobinuria (PNH)) 胆嚢十二指腸瘻(cholecystoduodenal fistula) 溶血発作(hemolysis)
Publication Title 岡山医学会雑誌
Published Date 2015-04-01
Volume volume127
Issue issue1
Start Page 35
End Page 39
ISSN 0030-1558
Related Url http://www.okayama-u.ac.jp/user/oma/
language 日本語
Copyright Holders Copyright (c) 2015 岡山医学会
File Version publisher
DOI 10.4044/joma.127.35
NAID 130005068351
Title Alternative Laparoscopic repair of an abdominal incisional hernia above the pubis
FullText URL 127_31.pdf
Author Nakano, Kanyu| Idani, Hitoshi| Asami, Shinya| Ookawa, Hiro| Yoshimoto, Masashi| Ito, Atene| Monden, Kazuteru| Kurose, Yohei| Hioki, Masayoshi| Ishii, Tatsuhiro| Sadamori, Hiroshi| Oono, Satoshi| Kin, Hitoshi| Takakura, Norihisa|
Abstract   Laparoscopic repair of a suprapubic hernia typically carries a high risk of recurrence, because fixation of the mesh in the peripubic area is difficult. We herein report a patient undergoing laparoscopic repair of a suprapubic hernia, along with a description of the surgical techniques employed.  A 78-year-old woman visited our hospital with a chief complaint of swelling at the median hypogastric incision site after surgery for an ovarian cyst performed at age 25 years. Laparoscopic examination revealed the hernia orifice to be 3.5×3.0 cm in size and that the distance between the caudal margin of the hernia orifice and the pubis was 2.5 cm. Parietex composite mesh was used for fixation through all layers of the abdominal wall with non-absorbable sutures and tack fixation. On the pubic side, after the pubis had been exposed by separating it from the bladder, we performed mesh fixation through all layers of the abdominal wall immediately above the pubis with the sutures placed inside the mesh, combined with tack mesh fixation directly to the pubis. This procedure enabled definite fixation of the mesh. Six days after surgery, she was discharged without complications. To date, two years and five months after surgery, no recurrence has been observed.
Keywords 腹壁瘢痕ヘルニア(incisional hernia) 恥骨上ヘルニア(suprapubic hernia) 腹腔鏡下修復術(laparoscopic repair)
Publication Title 岡山医学会雑誌
Published Date 2015-04-01
Volume volume127
Issue issue1
Start Page 31
End Page 34
ISSN 0030-1558
Related Url http://www.okayama-u.ac.jp/user/oma/
language 日本語
Copyright Holders Copyright (c) 2015 岡山医学会
File Version publisher
DOI 10.4044/joma.127.31
NAID 130005068354
Title Alternative Laparoscopic total colectomy with lymph node dissection for familial adenomatous polyposis with multiple colorectal cancers
FullText URL 127_25.pdf
Author Kato, Hiroshi| Oishi, Masahiro| Kodera, Masahito| Yamamura, Masao| Ikeda, Hideaki| Mizuno, Kenji| Yamashita, Yutaka|
Abstract  A 49-year-old Japanese man visited our hospital with chief complaints of difficulty with and bleeding during defecation. After a detailed examination, he was diagnosed with familial adenomatous polyposis (FAP) with multiple (five) colorectal cancers. The tumors were located in the right-sided, left-sided, and sigmoid colon, and the lower rectum. Regional lymph node involvement was observed, but no metastasis to other organs was detected. We, therefore, performed a laparoscopic total colectomy with superior mesenteric artery (SMA) and inferior mesenteric artery (IMA) lymph node dissection. We were able to perform minimally invasive and cosmetically acceptable surgery using laparoscopy instead of highly-invasive open abdominal surgery. Our search of the literature revealed no reported cases of laparoscopic total colectomy with lymph node dissection for FAP with multiple colorectal cancers, making the present case the first to be reported in the literature.
Keywords 家族性大腸腺腫症(FAP)(familial adenomatous polyposis) 同時性多発大腸癌(synchronous colorectal cancer) 大腸全摘術(colorectal surgery) 腹腔鏡下手術(laparoscopic surgery)
Publication Title 岡山医学会雑誌
Published Date 2015-04-01
Volume volume127
Issue issue1
Start Page 25
End Page 29
ISSN 0030-1558
language 日本語
Copyright Holders Copyright (c) 2015 岡山医学会
File Version publisher
DOI 10.4044/joma.127.25
NAID 130005068353
Title Alternative Surgically treated Zenker’s diverticulum: Diverticulectomy and cricopharyngeal myotomy
FullText URL 127_19.pdf
Author Ninomiya, Takayuki| Kanaya, Nobuhiko| Katsuda, Koh| Tanakaya, Kohji| Aoki, Hideki| Takeuchi, Hitoshi|
Abstract  Zenker's diverticulum is a very rare disease among gastorointestinal diverticulum. We report a case of Zenker's diverticulum successfully treated with diverticulectomy and cricophalyngial myotomy. A 71-year-old male complained of aspirating water for two years. He was diagnosed as Zenker's diverticulum. Due to his severe symptoms, the operation was performed in an open-neck approach. The left recurrent laryngeal nerve was identified and preserved. An incision was made in the diverticulum wall, and the internal diameter of normal cervical esophagus was measured. The diverticulum was then excised with an automatic suture device in the minor axis direction of the esophagus. A cricopharyngeal myotomy was conducted, because this muscle was fibrotic and stiffened. The patient's symptoms disappeared after the operation. Diverticulectomy and cricopharyngeal myotomy through an open-neck approach is a safe and reliable method that follows, direct access to the diverticulum and recurrent laryngeal nerve.
Keywords Zenker憩室(Zenker’s diverticulum) 輪状咽頭筋切開術(cricopharyngeal myotomy) 頚部アプローチ(open-neck approach)
Publication Title 岡山医学会雑誌
Published Date 2015-04-01
Volume volume127
Issue issue1
Start Page 19
End Page 23
ISSN 0030-1558
language 日本語
Copyright Holders Copyright (c) 2015 岡山医学会
File Version publisher
DOI 10.4044/joma.127.19
NAID 130005068344
Title Alternative Okayama University Survey of the current situation of community-based medical facilities supported by part-time work by physicians
FullText URL 127_13.pdf
Author Teshigawara, Sanae| Iwase, Toshihide| Kanamori, Tatsuya| Kawabata, Tomoko| Sato, Masaru| Usui Kataoka, Hitomi|
Abstract  We investigated the situation of how physicians at Okayama University support local medical institutions by serving as a part-time worker, and analyzed the difference between the five medical districts of Okayama prefecture and other prefectures. Many physicians (actual number of physicians, full-time equivalent number of physicians) served in the southeastern region of the Okayama prefecture (339, 82.2). On the other hand, fewer physicians (42, 11.4) served in Takahashi・Niimi in the northwestern region of Okayama. Many physicians also served in Hiroshima prefecture (193, 48.8), Hyogo prefecture (109, 26.7), and the four prefectures of Shikoku Island (81, 23.6).  It has been clarified that many physicians at Okayama University are working on a part-time basis to support local and community medical institutions in the wide area of Okayama prefecture, Hiroshima prefecture, Hyogo prefecture and the four prefectures of Shikoku Island.
Keywords 岡山大学勤務医師(physicians at Okayama University) 非常勤勤務(part-time worker) 地域医療機関支援(community-based medical facilities)
Publication Title 岡山医学会雑誌
Published Date 2015-04-01
Volume volume127
Issue issue1
Start Page 13
End Page 17
ISSN 0030-1558
language 日本語
Copyright Holders Copyright (c) 2015 岡山医学会
File Version publisher
DOI 10.4044/joma.127.13
NAID 130005068345
Title Alternative The 2013 Incentive Award of the Okayama Medical Association in Neuroscience (2013 Niimi Prize)
FullText URL 127_9.pdf
Author Fujimura, Atsushi|
Publication Title 岡山医学会雑誌
Published Date 2015-04-01
Volume volume127
Issue issue1
Start Page 9
End Page 11
ISSN 0030-1558
language 日本語
Copyright Holders Copyright (c) 2015 岡山医学会
File Version publisher
DOI 10.4044/joma.127.9
NAID 130005068342
Title Alternative The 2013 Incentive Award of the Okayama Medical Association in Neuroscience (2013 Niimi Prize)
FullText URL 127_5.pdf
Author Omote, Yoshio|
Publication Title 岡山医学会雑誌
Published Date 2015-04-01
Volume volume127
Issue issue1
Start Page 5
End Page 8
ISSN 0030-1558
language 日本語
Copyright Holders Copyright (c) 2015 岡山医学会
File Version publisher
DOI 10.4044/joma.127.5
NAID 130005068350
Title Alternative The 2013 Incentive Award of the Okayama Medical Association in General Medical Science (2013 Yuuki Prize)
FullText URL 127_1.pdf
Author Michiue, Hiroyuki|
Publication Title 岡山医学会雑誌
Published Date 2015-04-01
Volume volume127
Issue issue1
Start Page 1
End Page 3
ISSN 0030-1558
language 日本語
Copyright Holders Copyright (c) 2015 岡山医学会
File Version publisher
DOI 10.4044/joma.127.1
NAID 130005068346