1.Brief Report on the Association of Lifestyle Habits with the Pathological Condition of ki
Kengo HAMADA ; Akira NISHIKAWA ; Nobushiro NISHIMURA ; Shinichi FUJIMOTO
Kampo Medicine 2015;66(3):256-258
We investigated 58 general medicine outpatients with a questionnaire on sex, BMI, lifestyle habits and the pathological condition of ki. We classified sex, BMI and sleep, diet and exercise as lifestyle habit factors, and classified ki deficiency, ki obstructive depression, ki counter flow as the pathological signs of ki. After we established a disease group and a control group, we calculated ratios for the factors in each group. As a result, there were associations between hours of sleep, and recovery from fatigue with sleep, to ki deficiency. There were also associations between recovery from fatigue with sleep, and sex, to ki obstructive depression and ki counter flow.
2.Cyst Size in Fetuses with Biliary Cystic Malformation: An Exploration of the Etiology of Congenital Biliary Dilatation
Kengo HATTORI ; Yoshinori HAMADA ; Masahito SATO
Pediatric Gastroenterology, Hepatology & Nutrition 2020;23(6):531-538
Purpose:
Our aim was the longitudinal assessment of cyst size in fetuses with biliary cystic malformation (BCM) to explore its etiology and the possibility of antenatal differentiation between biliary atresia (BA) and congenital biliary dilatation (CBD).
Methods:
We conducted a retrospective review of all patients diagnosed antenatally with BCM from 1994 to 2014 at our institutions.
Results:
The study cohort comprised of three patients with BA and six with CBD. There were no significant differences in the gestational age and cyst size at the first detection of BCM between the two groups. In fetuses with CBD, the cyst size steadily increased as the gestational age advanced, while it fluctuated around 1.5 cm and remained below 2.1 cm in those with BA. However, the ratio of cystic area to fetal trunk area was approximately constant due to linear fetal growth in fetuses with CBD.
Conclusion
Fetuses with BCM <2.1 cm in the late gestation period were more likely to have BA than CBD. Our observation of cyst enlargement with advancing gestational age in the CBD group was attributed solely to fetal growth. Biliary dilatation in fetuses with CBD and BA might be completed at the onset of BCM.