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Setake M, Uechi Y, Kinjo Y, Miyazato M, Nakachi N, Tomiyama R, Higa N, Hokama A. Rapid formation of aortoesophageal fistula complicated by mycotic thoracic aortic aneurysm secondary to infective endocarditis. Rev Esp Enferm Dig 2024. [PMID: 38525841 DOI: 10.17235/reed.2024.10397/2024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/26/2024]
Abstract
A 73-year-old man was admitted with four weeks of intermittent fever. He had a history of total aortic arch replacement for aortic arch aneurysm four years prior. CT scans showed no abnormalities before admission. Repeated blood cultures yielded Streptococcus anginosus and Prevotella melaninogenica, suggesting infective endocarditis (IE). Transesophageal echocardiography revealed a vegetation on the aortic valve, confirming IE. He suddenly presented with massive hematemesis and hypotension. Endoscopy revealed an elevated lesion with a laceration but no active bleeding in the esophagus. CT scans showed a thoracic aneurysm involving the esophagus. A diagnosis of aortoesophageal fistula (AEF) complicated by mycotic thoracic aortic aneurysm (MTAA) was made, and he underwent stent graft interpolation followed by minimally invasive esophagectomy. MTAAs are more prone to rupture than arteriosclerotic aneurysms as they are usually not true but pseudoaneurysms. Antecedent infection, including endocarditis, sepsis, predisposes to MTAA. AEF is a rare but life-threatening cause of gastrointestinal bleeding characterized by Chiari's triad. There have been no reports of such rapid formation of AEF after the graft replacement, as shown here. A recent article reported a rapid formation (16 days) of AEF after thoracic endovascular aortic repair, emphasizing prosthetic infection as the most important risk factor. Our case underscores the importance of suspecting AEF and conducting repeated appropriate examinations even if initial examinations do not reveal any aneurysms.
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Affiliation(s)
| | | | | | | | | | | | - Namio Higa
- Cardiovascular Medicine, Naha City Hospital
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2
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Hokama A. Hyperbaric oxygen therapy for perianal Crohn's disease. Rev Esp Enferm Dig 2024. [PMID: 38469822 DOI: 10.17235/reed.2024.10378/2024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/13/2024]
Abstract
I read with great interest the letter by Calderón et al., who clearly described effectiveness of hyperbaric oxygen therapy (HBOT) for refractory ischemic ulcer at the ileorectal anastomosis in Crohn's disease (CD). I congratulate them on their efforts in achieving a favorable long-term outcome. I would like to share my experience of HBOT for perianal CD (PCD). In addition, I discuss recent trials of HBOT for PCD.
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3
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Hokama A, Iraha A. Coffee bean sign, steel pan sign and whirl sign in sigmoid volvulus. Rev Esp Enferm Dig 2024; 116:114-115. [PMID: 36263824 DOI: 10.17235/reed.2022.9262/2022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/18/2024]
Abstract
A 66-year-old man presented with abdominal distension. A plain radiograph showed the coffee bean sign, suggesting sigmoid volvulus (SV). The CT scans disclosed the steel pan sign, the whirl sign, and the beak-shaped transition point, confirming SV. He improved with colonoscopic decompression and detorsion. Characteristic radiographic signs of SV are briefly discussed.
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4
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Setake M, Shiroma M, Tomiyama M, Tasato Y, Mabuchi H, Kinjo Y, Miyazato M, Nakachi N, Shimajiri H, Tomiyama R, Chinen Y, Hokama A. A Gastric Lipoma That Grew in Size in Seven Years Presenting Bleeding. Chonnam Med J 2024; 60:89-90. [PMID: 38304135 PMCID: PMC10828088 DOI: 10.4068/cmj.2024.60.1.89] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2023] [Accepted: 09/26/2023] [Indexed: 02/03/2024] Open
Affiliation(s)
- Maki Setake
- Department of Gastroenterology, Naha City Hospital, Okinawa, Japan
| | - Mayumi Shiroma
- Department of Gastroenterology, Naha City Hospital, Okinawa, Japan
| | - Mami Tomiyama
- Department of Gastroenterology, Naha City Hospital, Okinawa, Japan
| | - Yuko Tasato
- Department of Gastroenterology, Naha City Hospital, Okinawa, Japan
| | - Hitoshi Mabuchi
- Department of Gastroenterology, Naha City Hospital, Okinawa, Japan
| | - Yuzuru Kinjo
- Department of Gastroenterology, Naha City Hospital, Okinawa, Japan
| | - Masaru Miyazato
- Department of Gastroenterology, Naha City Hospital, Okinawa, Japan
| | - Noriya Nakachi
- Department of Gastroenterology, Naha City Hospital, Okinawa, Japan
| | - Hiroto Shimajiri
- Department of Gastroenterology, Naha City Hospital, Okinawa, Japan
| | - Ryosaku Tomiyama
- Department of Gastroenterology, Naha City Hospital, Okinawa, Japan
| | - Yoshiki Chinen
- Department of Surgery, Naha City Hospital, Okinawa, Japan
| | - Akira Hokama
- Department of Medical Checkup, Naha City Hospital, Okinawa, Japan
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5
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Eriksson Y, Nakamoto M, Orita H, Miyahira T, Aoyama H, Hokama A. Early Gastric Cancer Concurrent with Gastritis Cystica Profunda Resembling Advanced Cancer. Chonnam Med J 2024; 60:87-88. [PMID: 38304123 PMCID: PMC10828076 DOI: 10.4068/cmj.2024.60.1.87] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2023] [Accepted: 09/26/2023] [Indexed: 02/03/2024] Open
Affiliation(s)
- Yasuka Eriksson
- Department of Gastroenterology, Heartlife Hospital, Nakagusuku, Japan
| | - Manabu Nakamoto
- Department of Gastroenterology, Heartlife Hospital, Nakagusuku, Japan
| | - Hitoshi Orita
- Department of Gastroenterology, Heartlife Hospital, Nakagusuku, Japan
| | - Takumi Miyahira
- Department of Surgery, Heartlife Hospital, Nakagusuku, Japan
| | - Hajime Aoyama
- Department of Pathology, Heartlife Hospital, Nakagusuku, Japan
| | - Akira Hokama
- Department of Medical Checkup, Naha City Hospital, Okinawa, Japan
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6
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Hokama A, Shiroma M, Tomiyama M, Tasato Y, Setake M. Helicobacter pylori Eradication-Related Development of Multiple White and Flat Elevated Lesions in the Stomach. Chonnam Med J 2023; 59:203-204. [PMID: 37840682 PMCID: PMC10570868 DOI: 10.4068/cmj.2023.59.3.203] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2023] [Revised: 07/02/2023] [Accepted: 07/04/2023] [Indexed: 10/17/2023] Open
Affiliation(s)
- Akira Hokama
- Department of Medical Checkup, Naha City Hospital, Naha, Okinawa, Japan
| | - Mayumi Shiroma
- Department of Gastroenterology, Naha City Hospital, Naha, Okinawa, Japan
| | - Mami Tomiyama
- Department of Gastroenterology, Naha City Hospital, Naha, Okinawa, Japan
| | - Yuko Tasato
- Department of Gastroenterology, Naha City Hospital, Naha, Okinawa, Japan
| | - Maki Setake
- Department of Gastroenterology, Naha City Hospital, Naha, Okinawa, Japan
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Kagawa D, Kotani M, Miyaguni T, Chibana T, Uezu I, Chinen Y, Maeshiro K, Ono R, Nagahama M, Kinjo I, Tomori H, Miyazato H, Arakaki K, Hokama A. Ileal Perforation Caused by Metastasis of Breast Carcinoma. Chonnam Med J 2023; 59:198-199. [PMID: 37840678 PMCID: PMC10570863 DOI: 10.4068/cmj.2023.59.3.198] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2023] [Revised: 05/23/2023] [Accepted: 05/25/2023] [Indexed: 10/17/2023] Open
Affiliation(s)
- Daijiro Kagawa
- Department of Surgery, Naha City Hospital, Naha, Okinawa, Japan
| | - Mikako Kotani
- Department of Surgery, Naha City Hospital, Naha, Okinawa, Japan
| | - Takao Miyaguni
- Department of Surgery, Naha City Hospital, Naha, Okinawa, Japan
| | | | - Ippei Uezu
- Department of Surgery, Naha City Hospital, Naha, Okinawa, Japan
| | - Yoshiki Chinen
- Department of Surgery, Naha City Hospital, Naha, Okinawa, Japan
| | | | - Ryoko Ono
- Department of Surgery, Naha City Hospital, Naha, Okinawa, Japan
| | | | - Izumi Kinjo
- Department of Surgery, Naha City Hospital, Naha, Okinawa, Japan
| | - Hirofumi Tomori
- Department of Surgery, Naha City Hospital, Naha, Okinawa, Japan
| | | | - Kyoko Arakaki
- Department of Pathology, Naha City Hospital, Naha, Okinawa, Japan
| | - Akira Hokama
- Department of Medical Checkup, Naha City Hospital, Naha, Okinawa, Japan
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Hokama A, Shimazaki Y, Fukuchi J, Nishizawa M. Epiphrenic Esophageal Diverticulum. Chonnam Med J 2023; 59:142. [PMID: 37303823 PMCID: PMC10248389 DOI: 10.4068/cmj.2023.59.2.142] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2023] [Accepted: 01/22/2023] [Indexed: 06/13/2023] Open
Affiliation(s)
- Akira Hokama
- Department of Medical Checkup, Naha City Hospital, Okinawa, Japan
| | | | - Jun Fukuchi
- Department of Medical Checkup, Naha City Hospital, Okinawa, Japan
| | - Maki Nishizawa
- Department of Gastroenterology, Naha City Hospital, Okinawa, Japan
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9
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Hokama A, Iraha A. Comb sign in Crohn's disease. Rev Esp Enferm Dig 2023; 115:205. [PMID: 36093976 DOI: 10.17235/reed.2022.9132/2022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/04/2023]
Abstract
We present a case of a 13-year-old boy with Crohn's disease (CD) who presented with abdominal pain and diarrhea. On examination, there was tenderness on the lower abdomen. Laboratory examinations showed elevated inflammatory parameters. A CT scan showed active inflammation of the ileum and rectosigmoid colon with the comb sign. A diagnosis of exacerbation of CD was made. The comb sign refers to hypervascularity of the mesentery with vascular dilatation, tortuosity, and wide spacing of the vasa recta that are aligned as the teeth of a comb. This sign is not always pathognomonic for CD; however, it may help identification of acute exacerbation in known CD and differentiating active CD from hypovascular disease such as lymphoma. The comb sign can be highly correlated with the endoscopic severity rather than mural thickening in CD.
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Oishi Y, Hokama A. Transparent cap-assisted endoscopic retrieval of a sharp foreign body in the esophagus. Rev Esp Enferm Dig 2023; 115:199. [PMID: 35899695 DOI: 10.17235/reed.2022.9059/2022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/04/2023]
Abstract
We herein report an 80-year-old woman who accidentally ingested a sharp foreign body. Transparent cap-assisted endoscopy disclosed an impacted press-through package (PTP) in the upper esophagus. The PTP was grasped by the forceps, inserted into the cap, and removed carefully without complication. Ingestion of sharp-pointed foreign bodies has serious risks of gastrointestinal perforation and hemorrhage; therefore, emergent endoscopic removal has been recommended. Transparent cap-assisted endoscopy is a simple, safe, and effective method with a shorter procedure time and clearer visual field compared with conventional endoscopy. We wish to emphasize that this method has advantages and a potential to be used for endoscopic retrieval of small sharp foreign bodies.
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11
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Hokama A, Iraha A. Chinese dragon sign of ulcerative colitis. Rev Esp Enferm Dig 2023; 115:207-208. [PMID: 36093970 DOI: 10.17235/reed.2022.9154/2022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/04/2023]
Abstract
We present a case of a 17-year-old woman with ulcerative colitis (UC) presented with abdominal pain and hematochezia. A CT scan showed active bowel inflammation, presenting the Chinese dragon sign. A diagnosis of exacerbation of UC was made. This sign refers to tortuous thick-walled sigmoid colon and rectum with narrow lumen resembles the body of the dragon and hypervascularity of the involved mesenteric vessels as bright dots next to the outer wall resemble the legs and skin spikes. Although this sign is nonspecific and may appear in ischemic colitis, ischemic colitis usually does not have rectal involvement and can be differentiated from typical UC.
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12
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Hokama A. Endoscopic findings of radiation ileitis. Rev Esp Enferm Dig 2023; 115:144. [PMID: 35791788 DOI: 10.17235/reed.2022.9036/2022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
I herein report a case of radiation ileitis. Ileocolonoscopy disclosed villous edema and multiple patchy lymphangiectasias in the terminal ileum. While observing, active bleeding occurred from the numerous telangiectasias and friable atrophic mucosa. Clinical manifestations of radiation ileitis are briefly discussed.
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13
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Hokama A, Iraha A. Jejunal lymphangioma. Rev Esp Enferm Dig 2023; 115:103-104. [PMID: 36043534 DOI: 10.17235/reed.2022.9088/2022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
We herein report a case of jejunal lymphangioma. A CT scan showed non-enhancing cystic masses in the jejunum. Enteroscopy revealed multiple cystic swelling with whitish carpet-like villi. Histopathology disclosed dilated lymphatic channels, lined by a single layer of endothelial cells, which were positive for the lymphatic endothelial marker by the immunohistochemical staining. Clinical manifestations of intestinal lymphangioma are briefly discussed.
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14
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Hokama A, Tomiyama R. Ulcerative colitis exacerbated by strongyloidiasis. Rev Esp Enferm Dig 2023; 115:102-103. [PMID: 35815784 DOI: 10.17235/reed.2022.9044/2022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
We herein report a case of ulcerative colitis (UC) exacerbated by strongyloidiasis. Parasites including Strongyloides stercoralis and Entamoeba histolytica can cause chronic gastrointestinal inflammation and long-lasting symptoms resembling UC. On the other hand, it is not well-known that such organisms can trigger the exacerbation of pre-existing UC. We would like to highlight the importance of recognition of strongyloidiasis in the management of UC patients who have lived in or migrated from endemic regions, such as Asia, Africa, and South America.
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15
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Ohira T, Hokama A. Duodenal nodularity with villous flattening in common variable immunodeficiency. Rev Esp Enferm Dig 2023; 115:53-54. [PMID: 35748466 DOI: 10.17235/reed.2022.9014/2022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
We herein report a case of common variable immunodeficiency (CVID). Endoscopy with biopsies disclosed duodenal nodularity with villous flattening associated with CVID. CVID-associated enteropathy is briefly discussed.
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Iraha A, Kanemoto M, Hokama A. All that elongates is not a polyp. Clin Endosc 2022; 55:824-825. [PMID: 36464830 PMCID: PMC9726439 DOI: 10.5946/ce.2022.151] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/19/2022] [Accepted: 06/03/2022] [Indexed: 11/17/2022] Open
Affiliation(s)
- Atsushi Iraha
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Moemi Kanemoto
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Akira Hokama
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan,Correspondence: Akira Hokama Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa 903-0215, Japan E-mail:
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17
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Hokama A, Hashioka H, Miyagi K, Koga E, Oishi Y, Ohira T, Iraha A, Kinjo T, Fujita J. Gastric Metastasis from Primary Lung Squamous Cell Carcinoma Presenting a "Bull's-Eye" Appearance. Chonnam Med J 2022; 58:127-128. [PMID: 36245776 PMCID: PMC9535110 DOI: 10.4068/cmj.2022.58.3.127] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2022] [Revised: 03/02/2022] [Accepted: 03/03/2022] [Indexed: 11/06/2022] Open
Affiliation(s)
- Akira Hokama
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Hiroe Hashioka
- Department of Infectious, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Kazuya Miyagi
- Department of Infectious, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Erika Koga
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Yuiko Oishi
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Tetsuya Ohira
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Atsushi Iraha
- Department of Infectious, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Tetsu Kinjo
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Jiro Fujita
- Department of Infectious, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
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18
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Hokama A. String sign of Kantor in Crohn's disease. QJM 2022; 115:474. [PMID: 35567532 DOI: 10.1093/qjmed/hcac121] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/07/2022] [Indexed: 11/13/2022] Open
Affiliation(s)
- A Hokama
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa 903-0215, Japan
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Hokama A. Spontaneous passage of an impacted gallstone at the ampulla of Vater: “Laying-an-egg” sign. Revista de Gastroenterología de México (English Edition) 2022; 87:384-385. [DOI: 10.1016/j.rgmxen.2022.07.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/01/2022] [Accepted: 06/21/2022] [Indexed: 10/17/2022] Open
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20
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Hokama A. Hide-bound Bowel Sign in Systemic Sclerosis. J Rheumatol Suppl 2022; 49:651. [PMID: 35365576 DOI: 10.3899/jrheum.210964] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
Systemic sclerosis (SSc) is characterized by excess collagen deposition in multiple organs, resulting in dilatation of intestine, delayed transit, chronic intestinal pseudoobstruction (CIPO), and bacterial overgrowth.1 A 58-year-old woman with a 2-year history of SSc presented with alternating diarrhea and constipation.
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Affiliation(s)
- Akira Hokama
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan. Address correspondence to Dr. A. Hokama, Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa 903-0215, Japan. . Ethics board approval was not required because this is a single case report and no intervention had been made for research. The patient's written informed consent to publish the report was obtained
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21
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Hokama A, Fujita J. Response to "Strongyloides stercoralis in Acute Severe Ulcerative Colitis-A Triggering Nuisance or an Opportunistic Bystander?". Inflamm Bowel Dis 2022; 28:e38. [PMID: 34788803 DOI: 10.1093/ibd/izab261] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/09/2022]
Affiliation(s)
- Akira Hokama
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Jiro Fujita
- Department of Infectious Diseases, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
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22
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Hokama A, Yara S, Fujita J. Three Signs of Pneumoperitoneum on a Supine Radiograph. Clin Gastroenterol Hepatol 2022; 20:A17. [PMID: 33722747 DOI: 10.1016/j.cgh.2021.03.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/22/2021] [Revised: 03/05/2021] [Accepted: 03/08/2021] [Indexed: 02/07/2023]
Affiliation(s)
- Akira Hokama
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Satomi Yara
- Department of Infectious Diseases, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Jiro Fujita
- Department of Infectious Diseases, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
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23
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Hokama A, Oishi Y, Koga E, Takehara S, Fujita J. Paradoxical Reaction to Antitubercular Treatment Causing Colonic Obstruction. Chonnam Med J 2022; 58:52-53. [PMID: 35169562 PMCID: PMC8813645 DOI: 10.4068/cmj.2022.58.1.52] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2021] [Revised: 12/01/2021] [Accepted: 12/02/2021] [Indexed: 11/08/2022] Open
Affiliation(s)
- Akira Hokama
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Yuiko Oishi
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Erika Koga
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Sayuri Takehara
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Jiro Fujita
- Department of Infectious, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
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24
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Hokama A, Kanemoto M, Hagiwara K, Ikemura A, Koga E, Tameda S, Oishi Y, Tabata S, Miyazato K, Fujita J. Radiation Ileitis Leading to Enterovesical Fistula. Chonnam Med J 2022; 58:77-78. [PMID: 35677948 PMCID: PMC9163600 DOI: 10.4068/cmj.2022.58.2.77] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2022] [Revised: 01/21/2022] [Accepted: 01/24/2022] [Indexed: 11/07/2022] Open
Affiliation(s)
- Akira Hokama
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Moemi Kanemoto
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Keita Hagiwara
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Akihito Ikemura
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Erika Koga
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Shigehito Tameda
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Yuiko Oishi
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Souhei Tabata
- Department of Infectious, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Kouya Miyazato
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Jiro Fujita
- Department of Infectious, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
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25
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Koga E, Ashimine S, Iraha A, Hokama A. Rectal Dieulafoy Lesion. Chonnam Med J 2022; 58:48-49. [PMID: 35169560 PMCID: PMC8813646 DOI: 10.4068/cmj.2022.58.1.48] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2021] [Revised: 10/04/2021] [Accepted: 10/06/2021] [Indexed: 11/27/2022] Open
Affiliation(s)
- Erika Koga
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Satoshi Ashimine
- Department of Urology, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Atsushi Iraha
- Department of Infectious, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Akira Hokama
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
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26
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Iraha A, Irei Y, Kinjo T, Oishi Y, Ohira T, Kinjo T, Hokama A, Kosuge N, Wada N, Takatsuki M, Fujita J. Jejunal Arteriovenous Malformation Detected by Video Capsule Endoscopy. Chonnam Med J 2022; 58:75-76. [PMID: 35677950 PMCID: PMC9163605 DOI: 10.4068/cmj.2022.58.2.75] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2021] [Revised: 01/12/2022] [Accepted: 01/14/2022] [Indexed: 11/06/2022] Open
Affiliation(s)
- Atsushi Iraha
- Department of Infectious, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Yasue Irei
- Department of Digestive and General Surgery, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Tatsuya Kinjo
- Department of Digestive and General Surgery, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Yuiko Oishi
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Tetsuya Ohira
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Tetsu Kinjo
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Akira Hokama
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Noritake Kosuge
- Department of Pathology, Seirei Yokohama Hospital, Kanagawa, Japan
| | - Naoki Wada
- Department of Pathology and Oncology, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Mitsuhisa Takatsuki
- Department of Digestive and General Surgery, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Jiro Fujita
- Department of Infectious, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
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27
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Takeshima E, Hokama A, Fujita J. Pseudomembranous Enteritis Presenting Protein-Losing Enteropathy. Clin Gastroenterol Hepatol 2021; 19:e126-e127. [PMID: 32683102 DOI: 10.1016/j.cgh.2020.07.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/30/2020] [Revised: 07/07/2020] [Accepted: 07/09/2020] [Indexed: 02/07/2023]
Affiliation(s)
- Eriko Takeshima
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Akira Hokama
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Jiro Fujita
- Department of Infectious Diseases, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
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28
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Hokama A, Fujita J. Features of gastrointestinal amyloidosis. Lancet Gastroenterol Hepatol 2021; 6:987. [PMID: 34774159 DOI: 10.1016/s2468-1253(21)00370-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/28/2021] [Accepted: 09/28/2021] [Indexed: 11/15/2022]
Affiliation(s)
- Akira Hokama
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan.
| | - Jiro Fujita
- Department of Infectious, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
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29
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Hokama A, Ohira T, Fujita J. Anorectal Amelanotic Melanoma. GE Port J Gastroenterol 2021; 28:372-373. [PMID: 34604472 DOI: 10.1159/000512090] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/12/2020] [Accepted: 09/28/2020] [Indexed: 11/19/2022]
Affiliation(s)
- Akira Hokama
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Tetsuya Ohira
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Jiro Fujita
- Department of Infectious Diseases, Respiratory and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
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30
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Hokama A. Clover sign of Crohn's disease. JGH Open 2021; 5:1097-1098. [PMID: 34584981 PMCID: PMC8454485 DOI: 10.1002/jgh3.12619] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2021] [Revised: 07/02/2021] [Accepted: 07/07/2021] [Indexed: 11/09/2022]
Affiliation(s)
- Akira Hokama
- Department of Endoscopy, Graduate School of Medicine University of the Ryukyus Okinawa Japan
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31
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Hokama A. Megaduodenum in systemic sclerosis. Rheumatology (Oxford) 2021; 61:e194. [PMID: 34459883 DOI: 10.1093/rheumatology/keab672] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2021] [Revised: 08/20/2021] [Accepted: 08/23/2021] [Indexed: 11/14/2022] Open
Affiliation(s)
- Akira Hokama
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
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32
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Hokama A, Arakaki S, Ishino S, Nakagawa Y, Tabata S, Agarie D, Kuwae S, Zukeyama R, Maeshiro T, Tsuruta Y, Matsuzaki A, Wada N, Takatsuki M, Fujita J. Hepatocellular Carcinoma in a Patient With Crohn's Disease. Cureus 2021; 13:e16570. [PMID: 34430172 PMCID: PMC8378283 DOI: 10.7759/cureus.16570] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/22/2021] [Indexed: 11/28/2022] Open
Abstract
A 44-year-old woman with a 26-year history of Crohn’s disease (CD) presented with intermittent fever, vomiting, and watery diarrhea. Her medication included an elemental diet, mesalazine, and infliximab. Liver profile and viral hepatitis markers were normal. Computed tomography scans showed a hepatic tumor by chance. Serum tumor markers disclosed elevated protein induced by vitamin K absence-II. With a diagnosis of hepatocellular carcinoma (HCC), she underwent a hepatic resection of the tumor, revealing well-to-moderately differentiated HCC. The nontumor region of the liver disclosed the absence of cirrhosis or other diseases. Here, the development of HCC in CD without underlying liver diseases is discussed with a review of the literature.
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Affiliation(s)
- Akira Hokama
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Nishihara, JPN
| | - Shingo Arakaki
- Department of Infectious, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Nishihara, JPN
| | - Shinichiro Ishino
- Department of General and Digestive Surgery, Graduate School of Medicine, University of the Ryukyus, Nishihara, JPN
| | - Yutaka Nakagawa
- Department of General and Digestive Surgery, Graduate School of Medicine, University of the Ryukyus, Nishihara, JPN
| | - Souhei Tabata
- Department of Infectious, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Nishihara, JPN
| | - Daiki Agarie
- Department of Infectious, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Nishihara, JPN
| | - Satoshi Kuwae
- Department of Infectious, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Nishihara, JPN
| | - Ryuta Zukeyama
- Department of Infectious, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Nishihara, JPN
| | - Tatsuji Maeshiro
- Department of Infectious, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Nishihara, JPN
| | - Yuma Tsuruta
- Department of Pathology, University of the Ryukyus Hospital, Nishihara, JPN
| | - Akiko Matsuzaki
- Department of Pathology, University of the Ryukyus Hospital, Nishihara, JPN
| | - Naoki Wada
- Department of Pathology and Oncology, Graduate School of Medicine, University of the Ryukyus, Nishihara, JPN
| | - Mitsuhisa Takatsuki
- Department of General and Digestive Surgery, Graduate School of Medicine, University of the Ryukyus, Nishihara, JPN
| | - Jiro Fujita
- Department of Infectious, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Nishihara, JPN
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Abstract
We present a rare case of a 60-year-old woman with jejunal schwannoma. This is the first case of intestinal schwannomas detected by video capsule endoscopy. Characteristic endoscopic and immunohistochemical pictures are presented with a brief literature review.
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Affiliation(s)
| | - Yasue Irei
- Digestive and General Surgery, University of the Ryukyus, Japan
| | - Hajime Aoyama
- Pathology and Oncology, University of the Ryukyus, Japan
| | - Jiro Fujita
- Infectious, Respiratory, and Digestive Medicine, University of the Ryukyus, Japan
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34
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Hokama A, Kishimoto K, Fujita J. Campylobacter Enterocolitis: A Characteristic Shallow and Large Ulcer on the Ileocecal Valve. Chonnam Med J 2021; 57:156-157. [PMID: 34123746 PMCID: PMC8167440 DOI: 10.4068/cmj.2021.57.2.156] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2021] [Revised: 02/05/2021] [Accepted: 02/08/2021] [Indexed: 11/06/2022] Open
Affiliation(s)
- Akira Hokama
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Kazuto Kishimoto
- Department of Infectious, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Jiro Fujita
- Department of Infectious, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
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35
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Kinjo T, Hokama A, Nakamura H, Miyagi K, Higure Y, Otsuki M, Nishiyama N, Nakamatsu M, Kinjo T, Tateyama M, Fujita J. Case Report: Ischemic Enterocolitis Associated with Coronavirus Disease 2019: Two Case Reports and a Review of the Literature. Am J Trop Med Hyg 2021; 104:1655-1658. [PMID: 33735103 PMCID: PMC8103452 DOI: 10.4269/ajtmh.20-1084] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2020] [Accepted: 03/09/2021] [Indexed: 12/22/2022] Open
Abstract
The COVID-19 pandemic has caused serious health and social concerns worldwide. Although the primary target of SARS-CoV-2 is the respiratory tract, SARS-CoV-2 infection also causes extrapulmonary symptoms. Previous articles have reported ischemic colitis in COVID-19 patients; however, information regarding its clinical manifestations and pathophysiology is limited. In this case report, we present two cases of ischemic enterocolitis in COVID-19 patients and review past case reports. Our literature review has shown that computed tomography rather than endoscopy was used for the diagnosis, and any region of the intestine was affected. Because the elevation of the D-dimer, which suggested a hypercoagulable state, was reported in most cases, we assumed that thrombosis at any level in the artery and vein was involved in the pathophysiology of COVID-19-associated enterocolitis. SARS-CoV-2-induced endotheliitis can cause both coarctation of the vessels and thrombosis; therefore, both patterns of ischemic colitis, occlusive and nonocclusive, may be involved in COVID-19-associated enterocolitis.
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Affiliation(s)
- Takeshi Kinjo
- Department of Infectious, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan;,Address correspondence to Takeshi Kinjo, Department of Infectious, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa 903-0215, Japan. E-mail:
| | - Akira Hokama
- Department of Endoscopy, University of the Ryukyus Hospital, Okinawa, Japan
| | - Hideta Nakamura
- Department of Infectious, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Kazuya Miyagi
- Department of Infectious, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Yuri Higure
- Department of Infectious, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Mariko Otsuki
- Department of Infectious, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Naoya Nishiyama
- Department of Infectious, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Masashi Nakamatsu
- Infection Control Center, University of the Ryukyus Hospital, Okinawa, Japan
| | - Tetsu Kinjo
- Department of Endoscopy, University of the Ryukyus Hospital, Okinawa, Japan
| | - Masao Tateyama
- Department of Infectious, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Jiro Fujita
- Department of Infectious, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
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36
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Hokama A, Kishimoto K. Image of the month: Target the bugs: Strongyloides stercoralis hyperinfection. Clin Med (Lond) 2021; 21:e239-e240. [PMID: 33762395 DOI: 10.7861/clinmed.2020-1000] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
A 74-year-old woman carrying the human T-lymphotropic virus type-1 (HTLV-1) presented with abdominal pain and vomiting. Computed tomography and microscopic analysis of the gastroduodenal drainage fluid made a diagnosis of paralytic ileus due to Strongyloides stercoralis hyperinfection with underlying HTLV-1 infection. Strongyloidiasis should be included in the differential diagnosis for paralytic ileus in patients who have lived in or migrated from the endemic regions.
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37
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Hokama A, Omija H, Kishimoto K, Kinjo T, Kinjo T, Fujita J. Response to "Histopathological Mimics of Inflammatory Bowel Disease". Inflamm Bowel Dis 2021; 27:e5-e6. [PMID: 32793979 DOI: 10.1093/ibd/izaa222] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/09/2022]
Affiliation(s)
- Akira Hokama
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Hidenao Omija
- Department of Medicine, Yonabaru Chuo Hospital, Okinawa, Japan
| | | | - Tatsuya Kinjo
- Department of Digestive and General Surgery, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Tetsu Kinjo
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Jiro Fujita
- Department of Infectious Diseases, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
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38
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Hokama A, Chinen H, Fujita J. Tropheryma whipplei: an unusual cause of the accumulation in positron emission tomography. Clin Microbiol Infect 2020; 27:1271-1272. [PMID: 33359541 DOI: 10.1016/j.cmi.2020.12.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2020] [Revised: 12/07/2020] [Accepted: 12/13/2020] [Indexed: 10/22/2022]
Affiliation(s)
- Akira Hokama
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan.
| | - Hiroshi Chinen
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Jiro Fujita
- Department of Infectious Diseases, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
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39
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Miyagi Y, Kinjo T, Yoshizumi T, Harada N, Arakaki S, Kinjo T, Hokama A, Takatsuki M. Elective staged proctocolectomy and living donor liver transplantation for colon cancer with sclerosing cholangitis-related ulcerative colitis: a case report. Surg Case Rep 2020; 6:278. [PMID: 33130979 PMCID: PMC7604274 DOI: 10.1186/s40792-020-01059-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2020] [Accepted: 10/22/2020] [Indexed: 11/10/2022] Open
Abstract
Background Primary sclerosing cholangitis (PSC) is a well-known complication of ulcerative colitis (UC), but it is rare to encounter patients requiring both living donor liver transplantation (LDLT) and proctocolectomy. We report a case of elective two-stage surgery involving proctocolectomy performed after LDLT for a patient with early colon cancer concurrent with PSC-related UC. To our knowledge, this is the first report of concurrent cancer successfully treated with both LDLT and proctocolectomy. Case presentation A 32-year-old Japanese man with colon cancer associated with UC underwent restorative proctocolectomy at 3 months after living donor liver transplantation (LDLT) for PSC. He was diagnosed with PSC and UC when he was a teenager. Conservative therapy was initiated to treat both PSC and UC. He had experienced recurrent cholangitis for years; therefore, a biliary stent was placed endoscopically. However, his liver function progressively deteriorated. Colonoscopic surveillance revealed early colon cancer; hence, surgical treatment was considered. PSC progressed to cirrhosis and portal hypertension; hence, LDLT was performed before restorative proctocolectomy. Three months after LDLT, we performed restorative proctocolectomy with ileal pouch–anal anastomosis. The postoperative course was uneventful. The patient was well, with good liver and bowel functions and without tumor recurrence, more than 1 year after proctocolectomy. Conclusions With strict patient selection and careful patient management and follow-up, elective proctocolectomy may be performed safely and effectively after LDLT for concurrent early colon cancer with PSC-related UC. There are no previous reports of the use of both LDLT and proctocolectomy for the successful treatment of PSC-related UC and concurrent cancer.
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Affiliation(s)
- Yoshihiro Miyagi
- Department of Digestive and General Surgery, Graduate School of Medicine, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa, 903-0125, Japan.
| | - Tatsuya Kinjo
- Department of Digestive and General Surgery, Graduate School of Medicine, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa, 903-0125, Japan
| | - Tomoharu Yoshizumi
- Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
| | - Noboru Harada
- Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
| | - Shingo Arakaki
- Department of Infectious, Respiratory, and Digestive Medicine, University of the Ryukyus, Okinawa, Japan
| | - Tetsu Kinjo
- Department of Infectious, Respiratory, and Digestive Medicine, University of the Ryukyus, Okinawa, Japan
| | - Akira Hokama
- Department of Infectious, Respiratory, and Digestive Medicine, University of the Ryukyus, Okinawa, Japan
| | - Mitsuhisa Takatsuki
- Department of Digestive and General Surgery, Graduate School of Medicine, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa, 903-0125, Japan
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40
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Affiliation(s)
- Akira Hokama
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan.
| | - Tetsu Kinjo
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Jiro Fujita
- Department of Infectious Diseases, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
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41
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Tatsuki M, Ishige T, Igarashi Y, Hatori R, Hokama A, Hirato J, Muise A, Takizawa T, Arakawa H. Whipple disease mimicking inflammatory bowel disease. Intest Res 2020; 19:119-125. [PMID: 32610889 PMCID: PMC7873397 DOI: 10.5217/ir.2019.09177] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/30/2019] [Accepted: 04/15/2020] [Indexed: 12/19/2022] Open
Abstract
Whipple disease is a systemic chronic infection caused by Tropheryma whipplei. Although chronic diarrhea is a common gastrointestinal symptom, diagnosis is often difficult because there are no specific endoscopic findings, and the pathogen is not detectable by stool culture. We present a female patient with Whipple disease who developed chronic bloody diarrhea and growth retardation at the age of 4 years. Colonoscopy showed a mildly edematous terminal ileum and marked erythema without vascular patterns throughout the sigmoid colon and rectum. Subsequently, a primary diagnosis of ulcerative colitis was made. Histopathological analysis of the terminal ileum showed the presence of foamy macrophages filled with periodic acid-Schiff-positive particles. Polymerase chain reaction using DNA from a terminal ileum biopsy sample amplified a fragment of 16S rRNA from T. whipplei. Antibiotic treatment relieved the patient’s symptoms. There was no evidence of immunodeficiency in the present case. Since Whipple disease worsens after anti-tumor necrosis factor inhibitor therapy, considering this infection in the differential diagnosis may be important in patients with inflammatory bowel disease, especially before initiation of immunotherapy.
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Affiliation(s)
- Maiko Tatsuki
- Department of Pediatrics, Gunma University Graduate School of Medicine, Maebashi, Japan
| | - Takashi Ishige
- Department of Pediatrics, Gunma University Graduate School of Medicine, Maebashi, Japan
| | - Yoshiko Igarashi
- Department of Pediatrics, Gunma University Graduate School of Medicine, Maebashi, Japan
| | - Reiko Hatori
- Department of Pediatrics, Gunma University Graduate School of Medicine, Maebashi, Japan
| | - Akira Hokama
- Department of Endoscopy, University of the Ryukyus, Nishihara, Japan
| | - Junko Hirato
- Clinical Department of Pathology, Gunma University Hospital, Maebashi, Japan
| | - Aleixo Muise
- Cell Biology Program, Inflammatory Bowel Disease Centre, The Hospital for Sick Children, Toronto, ON, Canada
| | - Takumi Takizawa
- Department of Pediatrics, Gunma University Graduate School of Medicine, Maebashi, Japan
| | - Hirokazu Arakawa
- Department of Pediatrics, Gunma University Graduate School of Medicine, Maebashi, Japan
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42
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Hokama A, Nakada Y, Yanagida A, Koga E, Hoshino K, Fujita J. Bloating in a supine position. Intest Res 2020; 19:252-253. [PMID: 32549527 PMCID: PMC8100378 DOI: 10.5217/ir.2020.00019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/27/2020] [Accepted: 04/29/2020] [Indexed: 11/21/2022] Open
Affiliation(s)
- Akira Hokama
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Yasuka Nakada
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Aki Yanagida
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Erika Koga
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Kunikazu Hoshino
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Jiro Fujita
- Department of Infectious Diseases, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
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Hokama A, Miyagi T, Takeichi Y, Uema E, Takehara S, Ohira T, Iraha A, Kinjo T, Fujita J. Sausage-like fingers in Crohn's disease. Intest Res 2020; 18:341-342. [PMID: 32446295 PMCID: PMC7385573 DOI: 10.5217/ir.2020.00036] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/02/2020] [Accepted: 03/06/2020] [Indexed: 11/05/2022] Open
Affiliation(s)
- Akira Hokama
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Nishihara, Japan
| | - Taiga Miyagi
- Department of Infectious Diseases, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Nishihara, Japan
| | - Yukiko Takeichi
- Department of Infectious Diseases, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Nishihara, Japan
| | - Eriko Uema
- Department of Infectious Diseases, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Nishihara, Japan
| | - Sayuri Takehara
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Nishihara, Japan
| | - Tetsuya Ohira
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Nishihara, Japan
| | - Atsushi Iraha
- Department of Infectious Diseases, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Nishihara, Japan
| | - Tetsu Kinjo
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Nishihara, Japan
| | - Jiro Fujita
- Department of Infectious Diseases, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Nishihara, Japan
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44
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Hokama A, Haranaga S, Tanaka T, Kinjo T, Hirata T, Fujita J. Pneumatosis intestinalis and hepatic portal venous gas in paralytic ileus due to Strongyloides stercoralis infestation. Pol Arch Intern Med 2020; 130:681-682. [PMID: 32388970 DOI: 10.20452/pamw.15352] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Affiliation(s)
- Akira Hokama
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan.
| | - Shusaku Haranaga
- Department of Infectious Diseases, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Teruhisa Tanaka
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Tetsu Kinjo
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Tetsuo Hirata
- Department of Infectious Diseases, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Jiro Fujita
- Department of Infectious Diseases, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
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45
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Hashioka H, Kami W, Miyazato K, Miyagi K, Hokama A, Fujita J. Hemobilia and cholangitis in hereditary hemorrhagic telangiectasia. Pol Arch Intern Med 2020; 130:440-441. [PMID: 32155138 DOI: 10.20452/pamw.15228] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Affiliation(s)
- Hiroe Hashioka
- Department of Infectious Diseases, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Wakaki Kami
- Department of Infectious Diseases, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Kouya Miyazato
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Kazuya Miyagi
- Department of Infectious Diseases, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Akira Hokama
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan.
| | - Jiro Fujita
- Department of Infectious Diseases, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
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46
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Ohira T, Iraha A, Kinjo T, Hokama A, Fujita J. Jejunal diverticulosis. Korean J Intern Med 2020; 35:249. [PMID: 30099863 PMCID: PMC6960036 DOI: 10.3904/kjim.2018.219] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/20/2018] [Accepted: 06/29/2018] [Indexed: 11/27/2022] Open
Affiliation(s)
- Tetsuya Ohira
- Department of Endoscopy, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Atsushi Iraha
- Department of Infectious, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Tetsu Kinjo
- Department of Endoscopy, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Akira Hokama
- Department of Endoscopy, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
- Correspondence to Akira Hokama, M.D. Tel: +81-98-895-1144 Fax: +81-98-895-1414 E-mail:
| | - Jiro Fujita
- Department of Infectious, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
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47
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Affiliation(s)
- Atsushi Iraha
- Department of Infectious, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Erika Koga
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Tetsuya Ohira
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Tetsu Kinjo
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Akira Hokama
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan.
| | - Jiro Fujita
- Department of Infectious, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
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48
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Tomiyama R, Hokama A, Koga E, Shimabukuro K, Oishi Y, Ohira T, Iraha A, Kinjo T, Fujita J. Stroke and neck bruit in a boy with Crohn's disease. Intest Res 2019; 17:565-566. [PMID: 30974933 PMCID: PMC6821939 DOI: 10.5217/ir.2019.00019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/26/2019] [Accepted: 03/25/2019] [Indexed: 11/05/2022] Open
Affiliation(s)
- Ryosaku Tomiyama
- Department of Infectious, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Nishihara, Japan,Department of Gastroenterology, Naha City Hospital, Naha, Japan
| | - Akira Hokama
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Nishihara, Japan,Correspondence to Akira Hokama, Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa 903-0215, Japan. Tel: +81-98-895-1144, Fax: +81-98-895-1414, E-mail:
| | - Erika Koga
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Nishihara, Japan
| | - Kohei Shimabukuro
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Nishihara, Japan
| | - Yuiko Oishi
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Nishihara, Japan
| | - Tetsuya Ohira
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Nishihara, Japan
| | - Atsushi Iraha
- Department of Infectious, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Nishihara, Japan
| | - Tetsu Kinjo
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Nishihara, Japan
| | - Jiro Fujita
- Department of Infectious, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Nishihara, Japan
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49
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Tabata S, Miyazato K, Hoshino K, Arakaki S, Hokama A, Fujita J. Diagnosis of Lemmel syndrome by air insufflation during endoscopy. Pol Arch Intern Med 2019. [DOI: 10.20452/pamw.14977] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/30/2023]
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50
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Hokama A, Tabata S, Tanaka T, Hoshino K, Maruwaka S, Fujita J. Coffee bean sign, beak-shaped transition point, and endoscopic whirl sign of huge sigmoid volvulus in intestinal neuronal dysplasia. Pol Arch Intern Med 2019; 129:634-635. [PMID: 31215524 DOI: 10.20452/pamw.14873] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Affiliation(s)
- Akira Hokama
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan.
| | - Souhei Tabata
- Department of Infectious, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Teruhisa Tanaka
- Department of Endoscopy, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Kunikazu Hoshino
- Department of Infectious, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Shuichi Maruwaka
- Department of Infectious, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Jiro Fujita
- Department of Infectious, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
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