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405 results on '"Yano, Fumiaki"'

19. Improving the Diagnostic Yield of High-Resolution Esophageal Manometry for GERD: The “Straight Leg-Raise” International Study

Author

Siboni, Stefano, Kristo, Ivan, Rogers, Benjamin D., De Bortoli, Nicola, Hobson, Anthony, Louie, Brian, Lee, Yeong Yeh, Tee, Vincent, Tolone, Salvatore, Marabotto, Elisa, Visaggi, Pierfrancesco, Haworth, Jordan, Ivy, Megan, Greenan, Garrett, Facchini, Chiara, Masuda, Takahiro, Yano, Fumiaki, Perry, Kyle, Balasubramanian, Gokulakrishnan, Theodorou, Dimitrios, Triantafyllou, Tania, Cusmai, Lorenzo, Boveri, Sara, Schoppmann, Sebastian F., Gyawali, C. Prakash, and Bonavina, Luigi

Published
2023
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20. Clinical presentation and therapeutic outcome of patients with jackhammer esophagus—a multicenter cohort study in Japan

Author

Hosaka, Hiroko, Kawami, Noriyuki, Manabe, Noriaki, Kuribayashi, Shiko, Sato, Hiroki, Funaki, Yasushi, Ayaki, Maki, Hara, Ken, Ueda, Chise, Matsumura, Tomoaki, Fujiwara, Yasuhiro, Wada, Masafumi, Kishino, Maiko, Yano, Fumiaki, Masaoka, Tatsuhiro, Ishimura, Norihisa, Akiyama, Junichi, Ochiai, Yorinari, Uraoka, Toshio, and Iwakiri, Katsuhiko

Published
2022
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26. The impact on obesity‐related quality of life and eating satisfaction in the early period after laparoscopic sleeve gastrectomy.

Author

Uno, Kohei, Sato, Kazuhide, Watanabe, Atsushi, Kudo, Tomohiro, Fukushima, Naoko, Takahashi, Keita, Masuda, Takahiro, Hara, Keigo, Takeshita, Kenji, Kurogochi, Takanori, Yuda, Masami, Fujisaki, Muneharu, Yano, Fumiaki, and Eto, Ken

Subjects
WEIGHT loss, SLEEVE gastrectomy, BARIATRIC surgery, SATISFACTION, POSTOPERATIVE period
Abstract

Introduction: Obesity impairs patients' quality of life (QoL). Laparoscopic sleeve gastrectomy (LSG) is a common procedure for patients with severe obesity; however, studies reporting changes in obesity‐related QoL are limited. The aim of this study was to assess changes in obesity‐related QoL and food tolerance in the early postoperative period. Methods: We included 20 consecutive patients who underwent LSG between May 2021 and July 2023. We evaluated changes in obesity‐related QoL 6 months after surgery using an obesity and weight loss QoL questionnaire (OWLQOL) and a weight related symptom measure (WRSM). Additionally, we assessed eating satisfaction and food tolerance after surgery. Results: The percentages of total weight loss and excess weight loss were 28.5% and 79.1%, respectively. OWLQOL scores and WRSM changed from 36.5 to 73.0 points and from 44.0 to 15.0 points (p =.007,.007), respectively. The food tolerance score decreased from 25 to 21.2 points (p <.001), while eating satisfaction showed no significant change (p =.25). Conclusion: Obesity‐related QoL is enhanced even in the early postoperative period, without sacrificing eating satisfaction. The findings of this study may provide valuable insights for patients when considering LSG. [ABSTRACT FROM AUTHOR]

Published
2024
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27. Long‐term outcomes of treatment for achalasia: Laparoscopic Heller myotomy versus POEM.

Author

Fukushima, Naoko, Masuda, Takahiro, Tsuboi, Kazuto, Watanabe, Jun, and Yano, Fumiaki

Subjects
ESOPHAGEAL achalasia, ESOPHAGEAL motility disorders, MYOTOMY, TREATMENT effectiveness, GASTROESOPHAGEAL reflux, ESOPHAGOGASTRIC junction
Abstract

Achalasia is a rare esophageal motility disorder characterized by nonrelaxation of the lower esophageal sphincter. Laparoscopic Heller myotomy (LHM) is the gold standard treatment for achalasia. Peroral endoscopic myotomy (POEM), a less invasive treatment, is performed extensively, and the selection of the intervention method remains debatable to date. In addition to the availability of extensive studies on short‐term outcomes, recent studies on the long‐term outcomes of LHM and POEM have shown similar clinical success after 5 y of follow‐up. However, gastroesophageal reflux disease (GERD) was more common in patients who had undergone POEM than in those who had undergone LHM. Moreover, existing studies have compared treatment outcomes in various disease states. Some studies have suggested that POEM is superior to LHM for patients with type III achalasia because POEM allows for a longer myotomy. Research on treatment for sigmoid types is currently in progress. However, the long‐term results comparing LHD and POEM are insufficient, and the best treatment remains controversial. Further research is needed, and treatment options should be discussed with patients and tailored to their individual needs and pathologies. [ABSTRACT FROM AUTHOR]

Published
2024
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38. Japanese youth athletes' mental health and psychological resilience during the COVID-19 pandemic: A cross-sectional study.

Author

Yano, Fumiaki, Nakata, Yusuke, Niitsu, Tomihisa, and Iyo, Masaomi

Subjects
JAPANESE athletes, MENTAL health of athletes, PSYCHOLOGICAL resilience, CROSS-sectional method, GENERALIZED anxiety disorder
Abstract

Abstract:Objectives: This study aimed to analyze Japanese youth athletes' mental health and resilience during the COVID-19 pandemic, as well as the potential correlations between their demographic factors and mental health outcomes. Methods: Participants were recruited from a single high school with a student population encompassing national-level competitors (NCs), local-level competitors (LCs), and general students (i.e., others; OTs), aiming to reduce the impact of differences in environmental conditions affecting pandemic-related stress. In March 2021, the students completed an anonymous online survey comprising questions on demographics and COVID-19, as well as the following scales: Kessler 6 (K6), Patient Health Questionnaire (PHQ-9), Generalized Anxiety Disorder Scale (GAD-7), and the Resilience Scale. Differences and correlations among these groups' scores were analyzed while controlling for covariates. Results: Of 1,022 students (51.3% girls), 22.3% were NCs, 38.6% were LCs, and 39.0% were OTs. NCs reported significantly lower scores on the K6, PHQ-9, and GAD-7, as well as significantly higher resilience scores, compared with LCs and OTs. Resilience scores had a significantly negative correlation with the K6, PHQ-9, and GAD-7 scores. Female gender, participation in cultural clubs, and indoor sports were factors associated with scores above the cut-off on each scale. COVID-19 testing, history of illness, and family history were not associated with any of the psychological evaluation measures. Conclusion: Based on responses to the self-reported questionnaires, NCs appear to have better mental health than their peers, while resilience has a potential association with improved mental health during the COVID-19 pandemic. [ABSTRACT FROM AUTHOR]

Published
2024
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45. Laparoscopic sleeve gastrectomy combined with Toupet fundoplication (T‐sleeve): A short report of a Japanese obesity patient with gastroesophageal reflux disease.

Author

Uno, Kohei, Masuda, Takahiro, Watanabe, Atsushi, Sato, Kazuhide, Fukushima, Naoko, Ishikawa, Yoshitaka, Takahashi, Keita, Shirai, Yoshihiro, Haruki, Koichiro, Yuda, Masami, Fujisaki, Muneharu, Tanishima, Yuichiro, Yano, Fumiaki, and Eto, Ken

Abstract

Laparoscopic sleeve gastrectomy (LSG) is the most frequently performed procedure in bariatric–metabolic surgery (BMS) worldwide, accounting for approximately 90% of BMS procedures in Japan. While numerous studies have reported on the safety and efficacy of LSG, gastroesophageal reflux disease (GERD) remains a major postoperative complication. Although Roux‐en‐Y gastric bypass (RYGB) is preferred for severe obesity with GERD, it is less suitable for Japanese patients who have a higher risk of gastric cancer due to the remnant stomach which is difficult to observe with esophago‐gastro‐duodenoscopy. To address de novo and exacerbation GERD after LSG, we conducted LSG with Toupet fundoplication (T‐sleeve) for Japanese patients with severe obesity. In our first T‐sleeve case, the patient demonstrated sufficient weight loss and improved GERD following surgery. Hence, we suggest that T‐sleeve is a feasible option for Japanese patients with obesity and concurrent GERD. [ABSTRACT FROM AUTHOR]

Published
2024
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48. Anatomical and anastomotic viability indexes for stratifying the risk of anastomotic leakage in esophagectomy with retrosternal reconstruction.

Author

Takahashi, Keita, Nishikawa, Katsunori, Tanishima, Yuichiro, Ishikawa, Yoshitaka, Kurogochi, Takanori, Yuda, Masami, Matsumoto, Akira, Yano, Fumiaki, Ikegami, Toru, and Eto, Ken

Abstract

Background: Risk prediction of anastomotic leakage using anatomical and vascular factors has not been well established. This study aimed to assess the anatomical and vascular factors affecting the hemodynamics of the gastric conduit and develop a novel risk stratification system in patients undergoing esophagectomy with retrosternal reconstruction. Methods: This retrospective cohort study analyzed 202 patients with esophageal cancer who underwent subtotal esophagectomy with gastric tube retrosternal reconstruction between January 2008 and December 2020. Risk factors for anastomotic leakage (AL), including the anatomical index (AI) and anastomotic viability index (AVI), were evaluated using a logistic regression model. Results: According to the logistic regression model, the independent risk factors for AL were preoperative body mass index ≥23.6 kg/m2 (odds ratio [OR], 7.97; 95% confidence interval [CI], 2.44–26.00; P < 0.01), AI <1.4 (OR, 23.90; 95% CI, 5.02–114.00; P < 0.01), and AVI <0.62 (OR, 8.02; 95% CI, 2.57–25.00; P < 0.01). The patients were stratified into four AL risk groups using AI and AVI as follows: low‐risk group (AI ≥1.4, AVI ≥0.62 [2/99, 2.0%]), intermediate low‐risk group (AI ≥1.4, AVI <0.62 [2/29, 6.9%]), intermediate high‐risk group (AI <1.4, AVI ≥0.62 [8/53, 15.1%]), and high‐risk group (AI <1.4, AVI <0.62 [11/21, 52.4%]). Conclusion: The combination of AI and AVI strongly predicted AL. Additionally, the use of AI and AVI enabled the stratification of the risk of AL in patients who underwent esophagectomy with retrosternal reconstruction. [ABSTRACT FROM AUTHOR]

Published
2023
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