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| 1 | Clinical significance of type V_I pit pattern subclassification in determining the depth of invasion of colorectal neoplasms显示文摘AIM: To clarify whether subclassification of the type VI pit pattern on the basis of magnifying colonoscopy findings is useful in determining the type and depth of invasion of colorectal neoplasms.METHODS: We retrospectively analyzed 272 colorectal neoplasms (117 dysplasias and 155 submucosal invasive carcinomas; 228 patients) with a type V pit pattern [type VI, n = 202; type VN, n = 70 (Kudo and Tsuruta classification system)]. We divided lesions with a type VI pit pattern into two subclasses, mildly irregular lesions and severely irregular lesions, according to the prominent and detailed magnifying colonoscopy findings. We examined the relation between these two subclasses and histology/invasion depth.RESULTS: One hundred and four lesions (51.5%) were judged to be mildly irregular, and 98 lesions (48.5%) were judged to be severely irregular. Ninety-seven (93.3%) mildly irregular lesions showed dysplasias or submucosal invasion of less than 1000 μm (SM < 1000 μm). Fifty-five (56.1%) severely irregular lesions showed submucosal invasion equal to or deeper than 1000 μm (SM ≥ 1000 μm). Mild irregularity was found significantly more often in dysplasias or lesions with SM < 1000 μm than in lesions with SM ≥ 1000 μm (P < 0.01).CONCLUSION: Subclassification of the type VI pit pattern is useful for identifying dysplasias or lesions with SM < 1000 μm. | Hiroyuki Kanao Shinji Tanaka Shiro Oka Iwao Kaneko Shigeto Yoshida Koji Arihiro Masaharu Yoshihara Kazuaki Chayama | 2008 | World Journal of Gastroenterology2008,14,2: | 15 |
| 2 | Successful initial ablation therapy contributes to survival in patients with hepatocellular carcinoma显示文摘AIM: To evaluate the outcome predictors of percu- taneous ablation therapy in patients with unresectable hepatocellular carcinoma (HCC), especially to identify whether the initial treatment response contributes to the survival of the patients. METHODS: The study cohort included 153 patients with single (102) and two or three (51) HCC nodules 5 cm or less in maximum diameter. As an initial treatment, 110 patients received radiofrequency ablation and 43 patients received percutaneous ethanol injection. RESULTS: The Kaplan-Meier estimates of overall 3- and 5-year survival rates were 75% and 59%, respectively. The log-rank test revealed statistically significant differences in the overall survivals according to Child- Pugh class (P = 0.0275), tumor size (P = 0.0130), serum albumin level (P = 0.0060), serum protein induced by vitamin K absence or antagonist Ⅱ level (P = 0.0486), and initial treatment response (P = 0.0130). The independent predictors of survival were serum albumin level (risk ratio, 3.216; 95% CI, 1.407-7.353; P = 0.0056) and initial treatment response (risk ratio, 2.474; 95% CI, 1.076-5.692; P = 0.0330) based on the Cox proportional hazards regression models. The patients had a serum albumin level 3.5 g/dL and the 3- and 5-year survival rates of 86% and 82%. CONCLUSION: In HCC patients treated with percutaneous ablation therapy, serum albumin level and initial treatment response are the independent outcome predictors. | Manabu Morimoto Kazushi Numata Kazuya Sugimori Kazuhito Shirato Atsushi Kokawa Hiroyuki Oka Kingo Hirasawa Ryonho Koh Hiromi Nihommatsu Katsuaki Tanaka | 2007 | World Journal of Gastroenterology2007,13,7: | 8 |
| 3 | Endoscopic submucosal dissection for colorectal neoplasia: possibility of standardization显示文摘 | Shinji Tanaka Shiro Oka Iwao Kaneko Mayuko Hirata Ritsuo Mouri Hiroyuki Kanao Shigeto Yoshida Kazuaki Chayama | 2007 | Gastrointestinal Endoscopy2007,,1: | 5 |
| 4 | Easy fixation effects the prevention of Peterson’s hernia and Roux stasis syndrome显示文摘BACKGROUND Laparoscopic distal gastrectomy(LDG)for gastric cancer has been progressed and popular in Japan,since it was first described in 1994.Several reconstruction methods can be adopted according to remnant stomach size,and balance of pros and cons.Roux-en-Y(R-Y)reconstruction is a one of standard options after LDG.Its complications include Petersen’s hernia and Roux stasis syndrome.Here we report our ingenious attempt,fixation of Roux limb and duodenal stump,for decreasing the development of Petersen’s hernia and Roux stasis syndrome.AIM To develop a method to decrease the development of Petersen’s hernia and Roux stasis syndrome.METHODS We performed ante-colic R-Y reconstruction after LDG.After R-Y reconstruction,we fixed Roux limb onto the duodenal stump in a smooth radian.Via this small improvement in Roux limb,Roux limb was placed to the right of the ligament of Treitz.This not only changed the anatomy of the Petersen’s defect,but it also kept a fluent direction of gastrointestinal anastomosis and avoided a cross-angle after jejunojejunostomy.31 patients with gastric cancer was performed this technique after R-Y reconstruction.Clinical parameters including clinicopathologic characteristics,perioperative outcomes,postoperative complication and follow-up data were evaluated.RESULTS The operative time was(308.0±84.6 min).This improvement method took about 10 min.Two(6.5%)patients experienced pneumonia and pancreatitis,respectively.No patient required reoperation or readmission.All patients were followed up for at least 3 year,and none of the patients developed postoperative complications related to internal hernia or Roux stasis syndrome.CONCLUSION This 10 min technique is a very effective method to decrease the development of Petersen’s hernia and Roux stasis syndrome in patients who undergo LDG. | Jian-Zhong Wu Hajime Orita Shun Zhang Hiroyuki Egawa Yukinori Yube Sanae Kaji Shinichi Oka Tetsu Fukunaga | 2020 | World Journal of Gastrointestinal Surgery2020,12,8: | 2 |
| 5 | Narrow-band imaging magnification predicts the histology and invasion depth of colorectal tumors显示文摘 | Hiroyuki Kanao Shinji Tanaka Shiro Oka Mayuko Hirata Shigeto Yoshida Kazuaki Chayama | 2009 | Gastrointestinal Endoscopy2009,,3: | 2 |
| 6 | Antithrombotic drugs are risk factors for delayed postoperative bleeding after endoscopic submucosal dissection for gastric neoplasms显示文摘 | Ryonho Koh Kingo Hirasawa Sei Yahara Hiroyuki Oka Kazuya Sugimori Manabu Morimoto Kazushi Numata Atsushi Kokawa Takeshi Sasaki Akinori Nozawa Masataka Taguri Satoshi Morita Shin Maeda Katsuaki Tanaka | 2013 | Gastrointestinal Endoscopy2013,,: | 2 |
| 7 | Overexpression of β3/γ2 chains of laminin-5 and MMP7 in biliary cancer显示文摘AIM:To clarify the clinicopathological significance of laminin-5 γ2 (LNγ2) and β3 (LNβ3) chains and MMP7 expression in biliary tract cancer.METHODS: We analyzed the association between immunohistochemically detected LNγ2, LNβ3, and MMP7 expression in biliary tract cancer and clinicopathological characteristics. Activity of MMP7 was analyzed by casein zymography. An in vitro invasion assay after treatment with MMP7-specific siRNA was performed.RESULTS: LNγ2 expression was predominantly observed in carcinoma cells at the invasive front. LNγ2 expression was seen in 57% of patients with biliary tract cancer, and was associated with depth of invasion, histologic type, and advanced stage. The expression pattern of LNβ3 was classified into two types: invasive front dominant type (38%) and diffuse type (28%).The invasive front dominant type was associated with histologic type and advanced stage. MMP7 positivity was correlated with LNγ2 or LNβ3 expression but not with clinicopathological characteristics. Active MMP7 detected by casein zymography was correlated with depth of invasion and advanced stage. Downregulation of MMP7 expression by siRNA resulted in a significant decrease in biliary tract cancer cell invasion in vitro.CONCLUSION: Our results suggest that LNγ2 and LNβ3, in conjunction with MMP7, play a key role in the progression of biliary tract cancer. | Toshikuni Oka Hiroyuki Yamamoto Shigeru Sasaki Masanori Ii Keiichi Hizaki Hiroaki Taniguchi Yasushi Adachi Kohzoh Imai Yasuhisa Shinomura | 2009 | World Journal of Gastroenterology2009,15,31: | 2 |
| 8 | Nuclear survivin expression predicts poorer prognosis in glioblastoma显示文摘 | Katsuyuki Shirai Yoshiyuki Suzuki Kuniyuki Oka Shin-ei Noda Hiroyuki Katoh Yoshihiko Suzuki Jun Itoh Hideaki Itoh Shogo Ishiuchi Hideyuki Sakurai Masatoshi Hasegawa Takashi Nakano | 2009 | Journal of Neuro - Oncology2009,,3: | 1 |
| 9 | Effect of a Phytotherapeutic Agent, Eviprostat, on Prostatic and UrinaryCytokines/Chemokines in a Rat Model of Nonbacterial Prostatitis显示文摘 | Mikio Sugimoto Michiko Oka Hiroyuki Tsunemori | 2011 | Prostate2011,71,4: | 1 |
| 10 | Clinical outcomes of endoscopic submucosal dissection for rectal tumor close to the dentate line显示文摘 | Koichi Nakadoi Shinji Tanaka Nana Hayashi Shun-ichiro Ozawa Motomi Terasaki Sayaka Takata Hiroyuki Kanao Shiro Oka Kazuaki Chayama | 2012 | Gastrointestinal Endoscopy2012,,2: | 1 |
| 11 | An alternative route for the construction of carbosilane dendrimers uniformly functionalized with lactose or sialyllactose moieties显示文摘 | Koji Matsuoka Hiroyuki Oka Tetsuo Koyama | 2001 | Tetrahedron Letters2001,42,: | 1 |
| 12 | Current status in the occurrence of postoperative bleeding,perforation and residual/local recurrence during colonoscopic treatment in japan显示文摘 | Shiro Oka ShinjiTanaka Hiroyuki Kanao | | 0,,: | 1 |
| 13 | Continued use of low-dose aspirin does not increase the risk of bleeding during or after endoscopic submucosal dissection for early gastric cancer显示文摘 | Yoji Sanomura Shiro Oka Shinji Tanaka Norifumi Numata Makoto Higashiyama Hiroyuki Kanao Shigeto Yoshida Yoshitaka Ueno Kazuaki Chayama | 2014 | Gastric Cancer2014,,: | 1 |
| 14 | Kinetic analyses of trans -1-amino-3-[ 18 F]fluorocyclobutanecarboxylic acid transport in Xenopus laevis oocytes expressing human ASCT2 and SNAT2显示文摘 | Hiroyuki Okudaira Takeo Nakanishi Shuntaro Oka Masato Kobayashi Hiroshi Tamagami David M. Schuster Mark M. Goodman Yoshifumi Shirakami Ikumi Tamai Keiichi Kawai | 2013 | Nuclear Medicine and Biology2013,,5: | 1 |
| 15 | Higher trapped field over 5T on HTSC bulk by modified pulse field magnetizing显示文摘 | Hiroyuki Fujishiro Tatsuya Tateiwa Atsushi Fujiwara Tetsuo Oka Hidemi Hayashi | 2006 | Physica C: Superconductivity and its applications2006,,: | 1 |
| 16 | Approach from temperature measurement to trapped field enhancement in HTSC bulks by pulse field magnetizing显示文摘 | Hiroyuki Fujishiro Kazuya Yokoyama Masahiko Kaneyama Manabu Ikebe Tetsuo Oka Koshichi Noto | 2005 | Physica C: Superconductivity and its applications2005,,: | 1 |
| 17 | Characteristic magnifying narrow-band imaging features of colorectal tumors in each growth type显示文摘 | Sayaka Takata Shinji Tanaka Nana Hayashi Motomi Terasaki Koichi Nakadoi Hiroyuki Kanao Shiro Oka Shigeto Yoshida Kazuaki Chayama | 2013 | International Journal of Colorectal Disease2013,,4: | 1 |
| 18 | Characterization of colorectal tumors using narrow-band imaging magnification: combined diagnosis with both pit pattern and microvessel features显示文摘 | Sayaka Oba Shinji Tanaka Shiro Oka Hiroyuki Kanao Sigeto Yoshida Fumio Shimamoto Kazuaki Chayama | 2010 | Scandinavian Journal of Gastroenterology2010,,9: | 1 |
| 19 | Nucleotide sequence of small ColE1 derivatives: Structure of the regions essential for autonomous replication and colicin E1 immunity显示文摘 | Atsuhiro Oka Nobuo Nomura Masayuki Morita Hiroyuki Sugisaki Kazunori Sugimoto Mituru Takanami | 1979 | MGG Molecular & General Genetics1979,,2: | 1 |
| 20 | Development of a Japanese version of the Epworth Sleepiness Scale (JESS) based on Item Response Theory显示文摘 | Misa Takegami Yoshimi Suzukamo Takafumi Wakita Hiroyuki Noguchi Kazuo Chin Hiroshi Kadotani Yuichi Inoue Yasunori Oka Takaya Nakamura Joseph Green Murray W. Johns Shunichi Fukuhara | 2008 | Sleep Medicine2008,,5: | 1 |