1.Gallbladder Dysfunction Diagnosed by Cholescintigraphy with a Fatty Meal.
Akira HOKAMA ; Kazuto KISHIMOTO ; Yasushi IHAMA ; Hiroshi CHINEN ; Fukunori KINJO ; Jiro FUJITA
Gut and Liver 2010;4(4):556-557
No abstract available.
Gallbladder
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Meals
2.The Impact of Obesity on the Use of a Totally Laparoscopic Distal Gastrectomy in Patients with Gastric Cancer.
Eiji OKI ; Yoshihisa SAKAGUCHI ; Kippei OHGAKI ; Hiroshi SAEKI ; Yoshiki CHINEN ; Kazuhito MINAMI ; Yasuo SAKAMOTO ; Yasushi TOH ; Testuya KUSUMOTO ; Takeshi OKAMURA ; Yoshihiko MAEHARA
Journal of Gastric Cancer 2012;12(2):108-112
PURPOSE: Since a patient's obesity can affect the mortality and morbidity of the surgery, less drastic surgeries may have a major benefit for obese individuals. This study evaluated the feasibility of performing a totally laparoscopic distal gastrectomy, with intracorporeal anastomosis, in obese patients suffering from gastric cancer. MATERIALS AND METHODS: This was a retrospective analysis of the 138 patients, who underwent a totally laparoscopic distal gastrectomy from April 2005 to March 2009, at the National Kyushu Cancer Center. The body mass index of 20 patients was > or =25, and in 118 patients, it was <25 kg/m2. RESULTS: The mean values of body mass index in the 2 groups were 27.3+/-2.2 and 21.4+/-2.3. Hypertension was significantly more frequent in the obese patients than in the non-obese patients. The intraoperative blood loss, duration of surgery, post-operative complication rate, post-operative hospital stay, and a number of retrieved lymph nodes were not significantly different between the two groups. CONCLUSIONS: Intracorporeal anastomosis seemed to have a benefit for obese individuals. Totally laparoscopic gastrectomy is, therefore, considered to be a safe and an effective modality for obese patients.
Body Mass Index
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Gastrectomy
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Humans
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Hypertension
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Laparoscopy
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Length of Stay
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Lymph Nodes
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Obesity
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Retrospective Studies
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Stomach Neoplasms
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Stress, Psychological
3.Ileal Perforation Caused by Metastasis of Breast Carcinoma
Daijiro KAGAWA ; Mikako KOTANI ; Takao MIYAGUNI ; Tomofumi CHIBANA ; Ippei UEZU ; Yoshiki CHINEN ; Kanetaka MAESHIRO ; Ryoko ONO ; Masayoshi NAGAHAMA ; Izumi KINJO ; Hirofumi TOMORI ; Hiroshi MIYAZATO ; Kyoko ARAKAKI ; Akira HOKAMA
Chonnam Medical Journal 2023;59(3):198-199