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Your search keyword '"Kubo, Kimitoshi"' showing total 22 results
Start Over Author "Kubo, Kimitoshi" Journal endoscopy
22 results on '"Kubo, Kimitoshi"'

13. Rendezvous biliary recanalization combining percutaneous and endoscopic techniques using a diathermic dilator for bile duct obstruction

Author

Kawakami, Hiroshi, additional, Abo, Daisuke, additional, Kawakubo, Kazumichi, additional, Kuwatani, Masaki, additional, Yoshino, Yuki, additional, Kubota, Yoshimasa, additional, Abe, Yoko, additional, Kawahata, Shuhei, additional, Kubo, Kimitoshi, additional, Sakuhara, Yusuke, additional, Shirato, Hiroki, additional, and Sakamoto, Naoya, additional

Published
2014
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18. Endoscopic ultrasound-guided choledochoduodenostomy vs. transpapillary stenting for distal biliary obstruction.

Author

Kazumichi Kawakubo, Hiroshi Kawakami, Masaki Kuwatani, Yoshimasa Kubota, Shuhei Kawahata, Kimitoshi Kubo, Naoya Sakamoto, Kawakubo, Kazumichi, Kawakami, Hiroshi, Kuwatani, Masaki, Kubota, Yoshimasa, Kawahata, Shuhei, Kubo, Kimitoshi, and Sakamoto, Naoya

Subjects
ENDOSCOPIC ultrasonography, ENDOSCOPIC retrograde cholangiopancreatography, BILIARY tract, CLINICAL medicine, OBSTRUCTIONS of the bile ducts, WOUNDS & injuries, BILIARY tract surgery, CHOLESTASIS, ENTEROSTOMY, PANCREATIC tumors, SURGICAL stents, DUODENAL tumors, TREATMENT effectiveness, RETROSPECTIVE studies, COMPUTER-assisted surgery, DISEASE complications, DIAGNOSIS
Abstract

Background and Study Aims: Endoscopic ultrasound-guided choledochoduodenostomy (EUS-CDS) has gained popularity as an alternative to percutaneous biliary drainage for patients in whom endoscopic retrograde cholangiopancreatography has failed. There are no previous studies comparing EUS-CDS with endoscopic transpapillary stenting (ETS) as first-line treatment for distal malignant obstruction. The aim of this study was to compare the clinical efficacy and safety of EUS-CDS and ETS as first-line treatment in patients with distal malignant biliary obstruction.Patients and Methods: A total of 82 patients with distal malignant biliary obstruction underwent initial biliary drainage using self-expandable metal stents at a tertiary care university hospital. ETS was performed between June 2009 and May 2012, and EUS-CDS was performed between May 2012 and March 2014. Clinical success rates, adverse event rates, and reintervention rates were retrospectively evaluated for EUS-CDS and ETS.Results: A total of 26 patients underwent EUS-CDS and 56 underwent ETS. Clinical success rates were equivalent between the groups (EUS-CDS 96.2 %, ETS 98.2 %; P = 0.54). The mean procedure time was significantly shorter with EUS-CDS than with ETS (19.7 vs. 30.2 minutes; P < 0.01). The rate of overall adverse events was not significantly different between the groups (EUS-CDS 26.9 %, ETS 35.7 %; P = 0.46). Post-procedural pancreatitis was only observed in the ETS group (0 % vs. 16.1 %; P = 0.03). The reintervention rate at 1 year was 16.6 % and 13.6 % for EUS-CDS and ETS, respectively (P = 0.50).Conclusions: EUS-CDS performed by expert endoscopists was associated with a short procedure time and no risk of pancreatitis, and would therefore be feasible as a first-line treatment for patients with distal malignant biliary obstruction. [ABSTRACT FROM AUTHOR]

Published
2016
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19. Peroral video cholangioscopic findings in a biliary intraductal mucinous cystic neoplasm.

Author

Hiroshi Kawakami, Yoshimasa Kubota, Kimitoshi Kubo, Daisuke Sato, Tomoko Mitsuhashi, Satoshi Hirano, Naoya Sakamoto, Kawakami, Hiroshi, Kubota, Yoshimasa, Kubo, Kimitoshi, Sato, Daisuke, Mitsuhashi, Tomoko, Hirano, Satoshi, and Sakamoto, Naoya

Subjects
DISEASES in older women, BILE duct diseases, CONTRAST-enhanced magnetic resonance imaging
Abstract

The article discusses the case of a 49-year-old woman who was admitted with a week of vomiting without abdominal pain, and jaundice. It describes the case as a first report of biliary intraductal mucinous cystic neoplasm (MCN), suggesting an origin from Glisson's capsule of the large hepatic bile duct. Figures showing the results of ultrasound, contrast-enhanced computed tomography, and magnetic resonance cholangiopancreatography, are presented.

Published
2016
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20. Peroral transhepatic cholangioscopy-guided electrohydraulic lithotripsy via an endoscopic ultrasonography-guided hepaticogastrostomy route for bile duct stones in a patient with Roux-en-Y anatomy.

Author

Hiroshi Kawakami, Yoshimasa Kubota, Shuhei Kawahata, Kimitoshi Kubo, Shinji Okabayashi, Ryoji Tatsumi, Naoya Sakamoto, Kawakami, Hiroshi, Kubota, Yoshimasa, Kawahata, Shuhei, Kubo, Kimitoshi, Okabayashi, Shinji, Tatsumi, Ryoji, and Sakamoto, Naoya

Subjects
OLDER men, ENDOSCOPIC ultrasonography, DISEASES in older people
Abstract

The article describes the case of an 84-year-old man with bile duct stones, acute cholecystitis, cholangitis, and a history of distal gastrectomy with Roux-en-Y reconstruction. It presents a case of successful bile duct stone treatment via an endoscopic ultrasonography (EUS)-guided hepaticogastrostomy (EUS-HGS) route in the setting of prior Roux-en-Y reconstruction.

Published
2016
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21. Endoscopic ultrasound-guided antegrade bile duct stone treatment followed by direct peroral transhepatic cholangioscopy in a patient with Roux-en-Y reconstruction.

Author

Hiroshi Kawakami, Masaki Kuwatani, Yoshimasa Kubota, Shuhei Kawahata, Kimitoshi Kubo, Kazumichi Kawakubo, Naoya Sakamoto, Kawakami, Hiroshi, Kuwatani, Masaki, Kubota, Yoshimasa, Kawahata, Shuhei, Kubo, Kimitoshi, Kawakubo, Kazumichi, and Sakamoto, Naoya

Subjects
GALLSTONE treatment, CHOLANGIOSCOPY, GASTRECTOMY, CHOLANGIOGRAPHY, ENDOSCOPIC ultrasonography, GALLSTONES, SMALL intestine, LITHOTRIPSY, ULTRASONIC imaging, SURGICAL anastomosis, DIGESTIVE system endoscopic surgery
Abstract

The article presents a case study of the application of endoscopic ultrasound (EUS)-guided antigrade bile-duct stone (BDS) treatment followed by direct peroral transhepatic cholangioscopy in an 80-year-old patient with Roux-en-Y reconstruction. The patient is presented with a BDS and a history of total gastrectomy. It suggests that the stone extraction technique combined with EUS-guided antegrade cholangiography and cholagioscopy (ACC) should be considered as treatment for BDS.

Published
2015
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22. Acute pancreatitis-like bile leakage around the portal vein system after endoscopic ultrasound-guided choledochoduodenostomy.

Author

Hiroshi Kawakami, Masaki Kuwatani, Kazumichi Kawakubo, Yoshimasa Kubota, Shuhei Kawahata, Kimitoshi Kubo, Naoya Sakamoto, Kawakami, Hiroshi, Kuwatani, Masaki, Kawakubo, Kazumichi, Kubota, Yoshimasa, Kawahata, Shuhei, Kubo, Kimitoshi, and Sakamoto, Naoya

Subjects
CHRONIC pancreatitis, COMPLICATIONS of bile duct surgery, ENDOSCOPIC ultrasonography, OBSTRUCTIVE jaundice, SURGICAL stents
Abstract

The article presents a case study of acute pancreatitis-like bile leakage surrounding the portal vein system following endoscopic ultrasound-guided choldecodoudenostomy (EUS-CDS) in a 72-year-old man. The patient has locally advanced cancer of pancreatic head and obstructive jaundice. EUS-CDS with partially covered self-expandable metallic stent (SEMS). It suggests the need to consider the possibility of bile leakage after EUS-CDS, regardless of the use of covered SEMS.

Published
2015
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