1.Combined Use of Kremezin and Daio-Kanzo-To in Patients with Chronic Renal Failure.
Hiroaki AOKI ; Syuji OHONO ; Itsma OHOSIMA ; Hiroshi KITAGAWA ; Yasuyuki YOSHIKAWA ; Yutaka DOHI
Kampo Medicine 1994;44(3):397-401
With an increasing number of patients suffering from chronic renal failure, the question of how to prolong the period before starting hemodialysis therapy has been attracting great attention. Kremezin® and Daio-Kanzo-To, which have been reported to produce good clinical results, were administered to two patients with chronic renal failure in the preservation phase. When the treatment started, renal function tended to deteriorate, and hemodialysis had to be introduced in both patients. We investigated possible causes of this deterioration, and the effect of the combined use of Kremezin® and Daio-kanzo-To the renal function could not be denied. This combination therapy needs to be studied very carefully.
2.The Prognosis and Recurrence Pattern of Right- and Left-Sided Colon Cancer in Stage II, Stage III, and Liver Metastasis After Curative Resection
Yasuyuki NAKAMURA ; Daisuke HOKUTO ; Fumikazu KOYAMA ; Yasuko MATSUO ; Takeo NOMI ; Takahiro YOSHIKAWA ; Naoki KAMITANI ; Tomomi SADAMITSU ; Takeshi TAKEI ; Yayoi MATSUMOTO ; Yosuke IWASA ; Kohei FUKUOKA ; Shinsaku OBARA ; Takayuki NAKAMOTO ; Hiroyuki KUGE ; Masayuki SHO
Annals of Coloproctology 2021;37(5):326-336
Purpose:
Primary tumor location of colon cancer has been reported to affect the prognosis after curative resection. However, some reports suggested the impact was varied by tumor stage. This study analyzed the prognostic impact of the sidedness of colon cancer in stages II, III, and liver metastasis after curative resection using propensity-matched analysis.
Methods:
Right-sided colon cancer was defined as a tumor located from cecum to splenic flexure, while any more distal colon cancer was defined as left-sided colon cancer. Patients who underwent curative resection at Nara Medical University hospital between 2000 and 2016 were analyzed.
Results:
There were 110 patients with stage II, 100 patients with stage III, and 106 patients with liver metastasis. After propensity matching, 28 pairs with stage II and 32 pairs with stage III were identified. In the patients with stage II, overall survival (OS) and recurrence-free survival (RFS) were not significantly different for right- and left-sided colon cancers. In the patients with stage III, OS and RFS were significantly worse in right-sided colon cancer. In those with liver metastasis, OS of right-sided colon cancer was significantly worse than left-sided disease, while RFS was similar. Regarding metachronous liver metastasis, the difference was observed only in the patients whose primary colon cancer was stage III. In each stage, significantly higher rate of peritoneal recurrence was found in those with right-sided colon cancer.
Conclusion
Sidedness of colon cancer had a significant and varied prognostic impact in patients with stage II, III, and liver metastasis after curative resection.
3.Twenty years of otsu medical stucents association since 1969.
Michiya Ohtaka ; Tsuyoshi Ikai ; Shinji Fushiki ; Kiyoaki Kitamura ; Yasuyuki Tatsugami ; Junichiro Morikawa ; Yoshio Nakamura ; Takeshi Aoyama ; Tetsuya Yoshikawa ; Akira Matsuda ; Yoshifumi Yokota ; Takuzo Nambu ; Takeshi Moridera ; Nobuki Yamaoka ; Hiroyuki Naito ; Fumikazu Ikeda ; Hiroyuki Furukawa ; Hiroshi Yakushigawa ; Hiroshi Fujimoto ; Kishiko Hayashi ; Tsuyoshi Ohtaka ; Noboru Takano ; Yoshie Ibuki ; Tsutomu Yamanaka ; Akira Matsuda
Medical Education 1991;22(2):115-120