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Your search keyword '"Terasu Honma"' showing total 3 results
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3 results on '"Terasu Honma"'

1. Nutcracker and jackhammer esophagus treatment: a three-case survey, including two novel cases of eosinophilic infiltration into the muscularis propria

Author

Kazuya Takahashi, Yuichi Sato, Hiroki Sato, Ken-ichi Mizuno, Satoru Hashimoto, Terasu Honma, Haruhiro Inoue, Kenji Suzuki, Shuji Terai, Manabu Takeuchi, and Masaaki Kobayashi

Subjects
Myotomy, Adult, Male, medicine.medical_specialty, Systemic steroid, medicine.medical_treatment, Anti-Inflammatory Agents, Gastroenterology, Esophageal Sphincter, Lower, Eosinophilic infiltration, Internal medicine, Eosinophilia, otorhinolaryngologic diseases, medicine, Humans, Esophageal Motility Disorders, Esophagus, Mucous Membrane, business.industry, Nutcracker esophagus, Middle Aged, medicine.disease, Esophageal Sphincter, Upper, digestive system diseases, medicine.anatomical_structure, Prednisone, business
Abstract

Nutcracker esophagus and jackhammer esophagus are largely unknown motility disorders, also sometimes called hypertensive and hypercontractile peristalsis, respectively. There is currently no standardized diagnostic or management plan for these diseases. Here, we report on three patients with jackhammer/nutcracker esophagus who were treated with either peroral endoscopic myotomy or a systemic steroid regimen, focusing particularly on two novel presentations of nutcracker and jackhammer esophagus involving eosinophilic infiltration into the muscularis propria, and their responses to both interventions.

Published
2015

2. Superficial Depressed-Type Cancer Monitored by Colonoscopy through the Early Phase of Invasion

Author

H Asakura, Masaaki Kobayashi, K Shioji, Y Ajioka, Rintaro Narisawa, Yutaka Suzuki, M Azumaya, Youichiro Baba, Manabu Takeuchi, and Terasu Honma

Subjects
Male, medicine.medical_specialty, Pathology, medicine.diagnostic_test, business.industry, Gastroenterology, Transverse colon, Cancer, Colonoscopy, Adenocarcinoma, medicine.disease, Endoscopy, Natural history, Internal medicine, Colonic Neoplasms, medicine, Carcinoma, Humans, Neoplasm Invasiveness, Stage (cooking), Early phase, business, Aged
Abstract

Although previous retrospective reports have demonstrated the developmental course of several colorectal tumors, the natural history and progression of depressed carcinoma, especially in the early stage, remains obscure. We report a case of superficial depressed tumor in the transverse colon in a 71-year-old man, which did not change in size and gross configuration through prospective colonoscopic observation over a period of 19 months but which was finally diagnosed as early-stage submucosal invasive cancer. Most depressed cancers have been supposed to arise de novo and grow rapidly, showing aggressive behavior when 10 mm or less in size. However, this case report may suggest that even a depressed tumor may grow to approximately 10 mm within the mucosal layer over a few years and that the growth of colorectal tumors, whether they are polypoid or depressed in configuration, might be fairly slow.

Published
2002

3. Endoscopic ultrasound-guided biliary drainage after failed ERCP: cumulative experience of 101 procedures at a single center.

Author

Hiroki Sato, Manabu Takeuchi, Kazuya Takahashi, Yuichi Sato, Satoru Hashimoto, Kenichi Mizuno, Kenji Suzuki, Masaaki Kobayashi, Terasu Honma, Haruhiro Inoue, and Shuji Terai

Subjects
ESOPHAGEAL motility disorders, PERISTALSIS, ENDOSCOPIC surgery, GASTROENTERITIS, GASTROINTESTINAL motility, STEROIDS
Abstract

Background and study aim: Endoscopic ultrasound (EUS)-guided biliary access is an alternative to percutaneous access after failed endoscopic retrograde cholangiopancreatography (ERCP). This report presents 7 years' cumulative experience of EUS-guided biliary drainage for obstructive jaundice in patients with failed ERCP. Patients and methods: Between February 2006 and February 2013, 101 patients (malignant=98, benign=3) with previous failed ERCP underwent an EUS intra- or extrahepatic approach with transluminal stenting or an EUS-guided rendezvous procedure with transpapillary stent placement. A single endoscopist performed all procedures. Results: A total of 71 patients underwent the intrahepatic approach (66 hepatogastrostomies and 5 EUS-guided rendezvous), and 30 underwent the extrahepatic approach (26 choledochoduodenostomies, 1 choledochojejunostomy, 1 choledochoantrostomy, and 2 EUS-guided cholangiographies). Technical and clinical success rates were 98.0% and 92.1%, respectively. There was no difference in efficacy between hepatogastrostomies and choledochoduodenostomies (94% vs. 90%; P=0.69) or in major complications (10.6% vs. 6.7%; P=1). Adverse events occurred in 12 patients (11.9%): 10 in the hepatogastrostomy group (2 limited pneumoperitoneum, 1 hepatic hematoma, 5 bile leakage, 2 sepsis), and 2 in the choledochoduodenostomy group (1 arteriobiliary fistula and 1 sepsis). There were six procedurerelated deaths, five among the first 50 patients and one among the last 51 patients. Hepatogastrostomy vs. choledochoduodenostomy, plastic vs. metal stenting, stent-in-stent vs. 1 stent, nasobiliary drain, or postoperative octreotide infusion were not prognostic of bile leakage. Conclusion: EUS-guided biliary drainage is an efficient technique, but is associated with significant morbidity that seems to decrease with the learning curve. It should be performed in tertiary care centers in selected patients. Prospective randomized studies are needed to compare EUS-guided biliary drainage with percutaneous transhepatic cholangiography drainage. [ABSTRACT FROM AUTHOR]

Published
2015
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