2.Association of the number of remaining teeth with kidney function in community-dwelling healthy older adults: a cross-sectional study
Yui NANBA ; Yuhei MATSUDA ; Satsuki WATANABE ; Mayu TAKEDA ; Takafumi ABE ; Kazumichi TOMINAGA ; Minoru ISOMURA ; Takahiro KANNO
Journal of the Korean Association of Oral and Maxillofacial Surgeons 2023;49(5):243-251
Objectives:
Although a few studies have investigated the relationship between kidney and oral function (number of remaining teeth), their results remain inconclusive. Therefore, this study aimed to investigate the relationship between kidney function and oral health in community-dwelling healthy elderlies and examine the factors associated with kidney function.
Materials and Methods:
We used cross-sectional data from the Shimane prefecture cohort recruited by the Center for Community-Based Health Research and Education in 2019. We collected clinical data on dental status, background factors and kidney function (estimated glomerular filtration rate [eGFR], mL/min/1.73 m2 and creatinine levels, mg/dL).
Results:
The study enrolled 481 participants, whose mean age was 66.7±7.4 years, and 223 (46.4%) participants were men. Multivariate analysis revealed significant correlations between eGFR (B=0.17, P=0.04), creatinine (B=–0.54, P<0.01), and the number of remaining teeth. The number of remaining teeth was associated with creatinine and eGFR, which are indicators of kidney function.
Conclusion
This study suggests that preserving the teeth may prevent decline in kidney function. Dental professionals should provide instructions and professional care to reduce the risk of systemic diseases such as kidney dysfunction.
3.Endoscopic ultrasound-guided drainage of postoperative pancreatic fluid collections
Shigeru NISHIYAMA ; Takeshi HISA ; Aki EGO ; Shogo SAKATA ; Yui ITO ; Akiharu KUDO ; Takahiro YAMADA ; Shozo OSERA ; Hideki FUKUSHIMA ; Shunta ISHIZAKI ; Ryoga HAMURA ; Masashi TSUNEMATSU ; Kyohei ABE ; Yoshihiro SHIRAI ; Shinji ONDA
International Journal of Gastrointestinal Intervention 2025;14(1):15-19
Background:
Endoscopic ultrasound-guided drainage (EUSD) is an effective treatment for postoperative pancreatic fluid collections (POPFCs); however, standards regarding stents used for EUSD have not been established. This study analyzed the outcomes of EUSD of POPFCs at our hospital and examined the safety and effectiveness of plastic stents/tubes.
Methods:
This retrospective, single-center study focused on EUSD of POPFCs performed at our hospital. We examined the rates of technical success, clinical success, adverse events, and recurrence.
Results:
Twenty-seven patients were included in this study. The initial drainage methods comprised one nasocystic plastic tube (NPT) and one double-pigtail plastic stent (DPS) for 19 (70.4%) patients, two DPS for four (14.8%) patients, one NPT for three (11.1%) patients, and one lumen-apposing metal stent for one (3.7%) patient. The technical success and clinical success rates were both 100%. Fourteen of the 19 patients with one NPT and one DPS improved, but five patients required additional interventions and improved with fistula site dilation. Although recurrence occurred in one patient, improvement was achieved with second EUSD. Early adverse events comprised one case of bleeding for which hemostasis was achieved by performing coil embolization. Late adverse events comprised three cases of DPS migration; however, no additional intervention was required.
Conclusion
The use of plastic tubes/stents is safe and effective for EUSD of POPFCs.
4.Endoscopic ultrasound-guided drainage of postoperative pancreatic fluid collections
Shigeru NISHIYAMA ; Takeshi HISA ; Aki EGO ; Shogo SAKATA ; Yui ITO ; Akiharu KUDO ; Takahiro YAMADA ; Shozo OSERA ; Hideki FUKUSHIMA ; Shunta ISHIZAKI ; Ryoga HAMURA ; Masashi TSUNEMATSU ; Kyohei ABE ; Yoshihiro SHIRAI ; Shinji ONDA
International Journal of Gastrointestinal Intervention 2025;14(1):15-19
Background:
Endoscopic ultrasound-guided drainage (EUSD) is an effective treatment for postoperative pancreatic fluid collections (POPFCs); however, standards regarding stents used for EUSD have not been established. This study analyzed the outcomes of EUSD of POPFCs at our hospital and examined the safety and effectiveness of plastic stents/tubes.
Methods:
This retrospective, single-center study focused on EUSD of POPFCs performed at our hospital. We examined the rates of technical success, clinical success, adverse events, and recurrence.
Results:
Twenty-seven patients were included in this study. The initial drainage methods comprised one nasocystic plastic tube (NPT) and one double-pigtail plastic stent (DPS) for 19 (70.4%) patients, two DPS for four (14.8%) patients, one NPT for three (11.1%) patients, and one lumen-apposing metal stent for one (3.7%) patient. The technical success and clinical success rates were both 100%. Fourteen of the 19 patients with one NPT and one DPS improved, but five patients required additional interventions and improved with fistula site dilation. Although recurrence occurred in one patient, improvement was achieved with second EUSD. Early adverse events comprised one case of bleeding for which hemostasis was achieved by performing coil embolization. Late adverse events comprised three cases of DPS migration; however, no additional intervention was required.
Conclusion
The use of plastic tubes/stents is safe and effective for EUSD of POPFCs.
5.Endoscopic ultrasound-guided drainage of postoperative pancreatic fluid collections
Shigeru NISHIYAMA ; Takeshi HISA ; Aki EGO ; Shogo SAKATA ; Yui ITO ; Akiharu KUDO ; Takahiro YAMADA ; Shozo OSERA ; Hideki FUKUSHIMA ; Shunta ISHIZAKI ; Ryoga HAMURA ; Masashi TSUNEMATSU ; Kyohei ABE ; Yoshihiro SHIRAI ; Shinji ONDA
International Journal of Gastrointestinal Intervention 2025;14(1):15-19
Background:
Endoscopic ultrasound-guided drainage (EUSD) is an effective treatment for postoperative pancreatic fluid collections (POPFCs); however, standards regarding stents used for EUSD have not been established. This study analyzed the outcomes of EUSD of POPFCs at our hospital and examined the safety and effectiveness of plastic stents/tubes.
Methods:
This retrospective, single-center study focused on EUSD of POPFCs performed at our hospital. We examined the rates of technical success, clinical success, adverse events, and recurrence.
Results:
Twenty-seven patients were included in this study. The initial drainage methods comprised one nasocystic plastic tube (NPT) and one double-pigtail plastic stent (DPS) for 19 (70.4%) patients, two DPS for four (14.8%) patients, one NPT for three (11.1%) patients, and one lumen-apposing metal stent for one (3.7%) patient. The technical success and clinical success rates were both 100%. Fourteen of the 19 patients with one NPT and one DPS improved, but five patients required additional interventions and improved with fistula site dilation. Although recurrence occurred in one patient, improvement was achieved with second EUSD. Early adverse events comprised one case of bleeding for which hemostasis was achieved by performing coil embolization. Late adverse events comprised three cases of DPS migration; however, no additional intervention was required.
Conclusion
The use of plastic tubes/stents is safe and effective for EUSD of POPFCs.