[A clinical study of intermittent hydronephrosis]

Journal of Nihon University Medical Association, 2013

A 46-year-old Turkish male with fever of 39°C, lower abdominal pain and vomiting associated with a frequent history of urinary tract infection was referred to our hospital by his family doctor. Enhanced CT identified significant hydronephrosis of the left kidney. Blood examination showed elevated WBC counts and CRP level, and urinary culture identified Group B Streptococcus. Under the diagnosis of left pelvic kidney with pyelonephritis, we performed left nephrectomy. The pathological diagnosis was consistent with hydronephrosis and pyelonephritis.

Nihon Shoni Jinzobyo Gakkai Zasshi, 1994

The journal of the Japanese Practical Surgeon Society, 1996

Rinshō shinkeigaku, 2015

Nihon Naika Gakkai Zasshi, 1989

Rinsho Shinkeigaku

2006

Nippon Daicho Komonbyo Gakkai Zasshi, 2018

To evaluate the efficacy and safety of transanal irrigation (TAI) for the management of refractory disordered defecation. Method: This was a prospective multicenter clinical study. Patients with fecal incontinence and/or constipation who had not responded to standard conservative therapies were treated with TAI for 10 weeks. Its efficacy was evaluated with Visual Analogue Scale (VAS, 0: unsatisfied -10: satisfied) regarding their satisfaction about current bowel management as well as with the proportion of patients who wished to continue TAI after the study (success rate). Results: TAI was performed in 32 patients (median age: 55.5 yo; male: 19). Out of the 25 patients (78％) who completed the 10-week TAI therapy, 23 patients (success rate: 72％) wished to continue TAI after the study. The VAS of the satisfaction in the 23 success patients significantly improved from a median of 2.2 before TAI to 7.5 at the 10th week after its commencement (P<0.0001). Colonic perforation occurred in 3 patients (9.4％). Conclusion: TAI is effective in a majority of patients with refractory disordered defecation, although colonic perforation could occur. Sufficient education and supervision should be provided so that patients can properly and safely perform TAI.

霊長類研究所年報, 2009

Rinsho Shinkeigaku, 2015

Two patients presented with chronic intracerebral hemorrhage (CIH) in the basal ganglia. A 48-year-old man (Case 1) was admitted to our hospital because of hypertensive right putaminal hemorrhage. On day 14, his hematoma surrounding the edema had grown without re-bleeding as seen on head CT, which was then removed endoscopically on day 28. Biopsied specimen of the hematoma capsule showed granulomatous tissue with vascularity. A 54-year-old man (Case 2) was admitted to our hospital because of bilateral intracerebral hemorrhage in the basal ganglia of the right putamen and left thalamus. On head CT, both hematomas were found to be enlarged without change in his symptoms on the 11th day after onset. His symptoms and signs subsided with medical treatment for 4 weeks. Cerebral angiography showed no abnormality of cerebral vessels. The patient had intracerebral hemorrhage in the basal ganglia or cerebral lobes 5 times in the past 10 years. Although no arterial or venous abnormality was detected by cerebral angiography and MRI/MRA, the abnormality of vessels including capillaries was strongly suggested. CIH should be considered a possibility when the symptom or hematoma does not improve even 2 weeks after the onset. The prevalence of CIH in our hospital was 0.08% of total intracerebral hemorrhages and 0.15% of hemorrhages in the basal ganglia. (Rinsho Shinkeigaku (Clin Neurol) 2015;55:490-496

American Journal of Respiratory and Critical Care Medicine, 1998

The Japanese Journal of Gastroenterological Surgery, 1993

Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association), 1999

Nihon Toseki Igakkai Zasshi, 2020

Nihon Naika Gakkai Zasshi, 2009