岡山医学会Acta Medica Okayama0030-155812232010第172回 岡山外科会279283ENNo potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155812232010岡山県文化賞（学術部門，医学分野）を受賞して275277ENMasahiroNishiboriNo potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155812232010日本郵政株式会社 広島逓信病院273274ENNo potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155812232010広島市立広島市民病院271272ENNo potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155812232010沼隈病院269270ENNo potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155812232010頸部頸動脈狭窄症265267ENYuOkumaNo potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155812232010薬物相互作用（19―パーキンソン病治療薬の薬物相互作用）259264ENSatoruEzumiSatoshiKurodaHisashiMatsunagaToshiakiSendoNo potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155812232010大腿骨頚部・転子部骨折のガイドライン253257ENTomoyukiNodaToshifumiOzakiNo potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155812232010胆道癌診療ガイドライン249251ENMasakuniFujiiHirofumiKawamotoKazuhideYamamotoNo potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155812232010急性胆管炎・胆嚢炎の診療ガイドラインについて243247ENKoichiroTsutsumiHirofumiKawamotoKazuhideYamamotoNo potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155812232010希少疾患とそれらへの対応237242ENMitsuneTanimotoNo potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155812232010壁外性に腫瘤を形成し胃・小腸浸潤を示した横行結腸癌の１例231236ENRyosukeHamanoShinyaOtsukaYuujiKimuraManabuNishieNaoyukiTokunagaHideakiMiyasouYousukeTsunemituMasaruInagakiKazuhideIwakawaHiromiIwagakiA 77-year-old woman was admitted to our hospital due to abdominal pain and body weight loss. A palpable mass the size of an infant's head was tender on palpation and identified as an epigastric lesion. Colonoscopic examination revealed stenosis of the transverse colon, although no intraluminal growth of the tumor was found. The histologic findings of the biopsy material were poorly differentiated and/or undifferentiated cells. Abdominal CT scan showed an irregular-shaped tumor with a diameter of 10cm invading the stomach and jejunum. We performed an operation under a diagnosis of extramurally growing cancer or malignant lymphoma of the colon. Partial resection of the transverse colon was done by distal gastrectomy and partial resection of the jejunum. Histologic examination of the operative specimens revealed moderately differentiated adenocarcinoma of the transverse colon, prominently proliferating into the surrounding tissues. The finding of a long stenotic lesion and extramural compression by colonography are characteristic of this tumor, based on a review of 43 literature reports in Japan.No potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155812232010手術時手洗いにおける従来法とツーステージ・サージカルスクラブ法，ウォーターレス法の比較について225229ENYukaKobayashiMisaYamadaHiromiFujiiYukikoKoIzumiUotaniMarikoTamotoMasakoNadaHiroyukiMuraiEiKadoHiromiIwagakiJunTomodaShinyaSaitoTo evaluate the usefulness of the waterless hand washing method for surgical anti-sepsis, we conducted a microbial sampling study, comparing it to a conventional surgical scrub method. A total of 18 operating-room nurses were undertaking the following three-hand washing protocols : scrubbing with blushes using 4w/v% chlorhexidine gluconate (CHG) and also rubbing with CHG, followed by application of a 0.2w/v% CHG with ethanol (HS) preparation. (conventional method); rubbing with CHG and application of HS (two-stage surgical scrub method; TSS); rubbing with anti-septic soap and application of HS (waterless method; WL). Microbial sampling was conducted after hand washing using the glove juice method. No statistically significant differences in bacterial numbers were found among these three methods. The number of bacterially positive subjects was significantly higher in the conventional method than the TSS method. These results indicate that there are adverse effects of blush-scrubbing, as the detected bacteria were related to normal skin flora. As such, the WL method for hand anti-sepsis appears to be equivalent to the conventional surgical scrubbing method in terms of microbial detection. The WL method should therefore be introduced as a standard hand anti-sepsis method at the time of surgery because it is cost-effective as well as time-efficient.No potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155812232010脈絡膜血管腫に対する放射線治療219223ENSosukeHaradaMitsuhiroTakemotoKoutarouYoshioKatsuhideKojimaNorihisaKatayamaKuniakiKatsuiMasahiroKurodaToshihikoMatsuoSusumuKanazawaPURPOSE: Circumscribed choroidal hemangioma is an uncommon, benign vascular tumor that typically appears in the posterior pole of the eye. Visual acuity loss typically results from its exudation, followed by serous retinal detachment. The purpose of the study was to evaluate the efficacy and the safety of external beam irradiation in treating circumscribed choroidal hemangioma. METHODS: We treated 4 eyes of 4 patients with circumscribed choroidal hemangioma with external beam irradiation at Okayama University Hospital from 2002 to 2009. A total absorbed dose of 20 Gy (beam energy, 4, 10 MV) was applied to each of the 4 patients. Each patient received a single 2-Gy daily fraction for five consecutive days in a week, for two consecutive weeks. RESULTS: In all cases, the retinal detachment showed complete resolution within 8 to 48 days after treatment. A decrease in tumor thickness was observed in all cases except one in which the follow-up period was rather short (3.7 months). The visual acuity improved in all 4 eyes. No eyes showed deterioration of visual acuity. During follow-up periods of 3.7 months to 58.5 months, there were no signs of radiation-induced cataract, retinopathy or optic neuropathy.No potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155812232010中四国における肝細胞癌ラジオ波焼灼療法の現状215217ENKazuhiroNousoThe state of radiofrequency ablation for the treatment of hepatocellular carcinoma in Japan's Chugoku-Shikoku district was assessed by a questionnaire completed by 18 participating hospitals. Inclusion criteria of the therapy and the methods of evaluating ablated areas were similar among the 18 hospitals. However, large differences were observed in some questionnaires, in matters such as ablation protocols. These factors may need to be standardized.No potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155812232010消化器がん治療における先端医療開発209213ENToshiyoshiFujiwaraNo potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155812232010制限増殖型アデノウイルス製剤を用いた新たな微小がん病変の検出法の開発と治療への応用203208ENToruKojimaYuuriHashimotoShunsukeKagawaNoriakiTanakaYasuoUrataToshiyoshiFujiwaraNo potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155812232010Pericentrin変異マウスにおける神経系繊毛199202ENKoMiyoshiPericentrin遺伝子にホモで変異を持つマウス（ホモ変異マウス）では中枢神経系１次繊毛および嗅覚神経細胞の嗅繊毛の低形成が観察された．自発運動量，不安関連行動および海馬歯状回顆粒細胞下層での神経新生は，ホモ変異マウスと野生型マウスの間で有意な差異を認めなかった．一方，ホモ変異マウスは嗅覚機能の低下に加えて抗うつ行動を示したことから，中枢神経系１次繊毛の低形成は抗うつ効果を持つと考えられた．No potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155812232010ラット出血性梗塞モデルにおけるエダラボンのneurovascular unit保護効果195197ENToruYamashitaTatsushiKamiyaKentaroDeguchiToshikiInabaHanzheZhangJingweiShangKazunoriMiyazakiAijiOhtsukaYasuoKatayamaKojiAbeNo potential conflict of interest relevant to this article was reported.