1.Evaluation of simultaneous tandem drainage of intra-abdominal abscesses caused by gastrointestinal anastomotic failure
Yutaka UENO ; Shuji KARIYA ; Miyuki NAKATANI ; Yasuyuki ONO ; Takuji MARUYAMA ; Yuki TANAKA ; Kanji SUGIURA ; Noboru TANIGAWA
International Journal of Gastrointestinal Intervention 2025;14(2):71-76
Background:
This study aimed to demonstrate the effectiveness of a percutaneous method for treating intra-abdominal abscesses caused by gastrointestinal anastomotic leakage using tandem catheter placement for simultaneous drainage.
Methods:
This retrospective study involved 12 patients with intra-abdominal abscesses from anastomotic leakage who underwent image-guided percutaneous drainage. In the tandem drainage technique, one or more catheters were inserted into the abscess while an additional catheter was advanced into the gastrointestinal tract through the anastomotic dehiscence to decompress the tract and prevent further leakage. The study evaluated the technical and clinical success rates of this approach.
Results:
Technical success was achieved in nine of 12 patients (75.0%), with clinical success in eight of these nine patients (88.9%). The mean overall drainage duration after tandem placement was 65.0 days (range, 6–154 days), and the mean hospitalization duration for patients with clinical success was 66.7 days (range, 10–156 days).
Conclusion
Simultaneous tandem drainage is a feasible treatment for intra-abdominal abscesses caused by anastomotic leakage and may be a viable option for patients who are not candidates for surgery.
2.Evaluation of simultaneous tandem drainage of intra-abdominal abscesses caused by gastrointestinal anastomotic failure
Yutaka UENO ; Shuji KARIYA ; Miyuki NAKATANI ; Yasuyuki ONO ; Takuji MARUYAMA ; Yuki TANAKA ; Kanji SUGIURA ; Noboru TANIGAWA
International Journal of Gastrointestinal Intervention 2025;14(2):71-76
Background:
This study aimed to demonstrate the effectiveness of a percutaneous method for treating intra-abdominal abscesses caused by gastrointestinal anastomotic leakage using tandem catheter placement for simultaneous drainage.
Methods:
This retrospective study involved 12 patients with intra-abdominal abscesses from anastomotic leakage who underwent image-guided percutaneous drainage. In the tandem drainage technique, one or more catheters were inserted into the abscess while an additional catheter was advanced into the gastrointestinal tract through the anastomotic dehiscence to decompress the tract and prevent further leakage. The study evaluated the technical and clinical success rates of this approach.
Results:
Technical success was achieved in nine of 12 patients (75.0%), with clinical success in eight of these nine patients (88.9%). The mean overall drainage duration after tandem placement was 65.0 days (range, 6–154 days), and the mean hospitalization duration for patients with clinical success was 66.7 days (range, 10–156 days).
Conclusion
Simultaneous tandem drainage is a feasible treatment for intra-abdominal abscesses caused by anastomotic leakage and may be a viable option for patients who are not candidates for surgery.
3.Evaluation of simultaneous tandem drainage of intra-abdominal abscesses caused by gastrointestinal anastomotic failure
Yutaka UENO ; Shuji KARIYA ; Miyuki NAKATANI ; Yasuyuki ONO ; Takuji MARUYAMA ; Yuki TANAKA ; Kanji SUGIURA ; Noboru TANIGAWA
International Journal of Gastrointestinal Intervention 2025;14(2):71-76
Background:
This study aimed to demonstrate the effectiveness of a percutaneous method for treating intra-abdominal abscesses caused by gastrointestinal anastomotic leakage using tandem catheter placement for simultaneous drainage.
Methods:
This retrospective study involved 12 patients with intra-abdominal abscesses from anastomotic leakage who underwent image-guided percutaneous drainage. In the tandem drainage technique, one or more catheters were inserted into the abscess while an additional catheter was advanced into the gastrointestinal tract through the anastomotic dehiscence to decompress the tract and prevent further leakage. The study evaluated the technical and clinical success rates of this approach.
Results:
Technical success was achieved in nine of 12 patients (75.0%), with clinical success in eight of these nine patients (88.9%). The mean overall drainage duration after tandem placement was 65.0 days (range, 6–154 days), and the mean hospitalization duration for patients with clinical success was 66.7 days (range, 10–156 days).
Conclusion
Simultaneous tandem drainage is a feasible treatment for intra-abdominal abscesses caused by anastomotic leakage and may be a viable option for patients who are not candidates for surgery.
4.Study Report on Mongolian Traditional Medicine
Mitsunori SEINO ; Hideaki SHIREN ; Noriko MARUYAMA ; Haruka INOKUMA ; Toshimune NAMBA ; Takuji YOSHIDA ; Masaki YAMADA
Kampo Medicine 2017;68(3):236-244
History of Mongolian medicine could be traced back to 2000 years ago. Mongolian traditional medicine has been built over many years. We traveled Mongolia to visit a hospital and a private clinic where traditional Mongolian medicine is in practice, and visited National University of Medical Sciences. In this paper, we report the current status of traditional medicine in Mongolia. We visited Mongolian National University of Medical Sciences and conversed with the president, vicepresident, and director of the traditional medical department. We visited a clinic where Mongolian traditional medicine is performed and a hospital where mainly traditional therapies and practical development are carried out. In the hospital, they mainly provide acupuncture and moxibustion treatment, cupping therapy, herbal therapy, and thermotherapy. It cannot be denied that moxibustion treatment came from Mongolia, because it is also said that ‘the north' in “Huangdi Neijing Suwen” chapter 12 means Mongolia. However, as there is a background once traditional medicine has been kept away from the national health care system, it is difficult to find a specific medical practice for Mongolian medicine as far as we have viewed the present status of medical practice in Mongolia. Considering that the cultural exchange with Japan is being carried out in many other fields, we expect that a number of new facts will come to light in the near future.