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Yamamoto Y, Togawa T, Sekine O, Ozamoto Y, Fuse J, Azuma C, Ito-Kobayashi J, Oe Y, Hagiwara A, Kobayashi M, Kitamura T, Iwanishi M, Shimatsu A, Kashiwagi A. The oral disposition index calculated from a meal tolerance test is a crucial indicator for evaluating differential normalization of postprandial glucose and triglyceride excursions in morbidly obese patients after laparoscopic sleeve gastrectomy. Endocr J 2023; 70:1141-1157. [PMID: 37853621 DOI: 10.1507/endocrj.ej23-0241] [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] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2023] Open
Abstract
To determine the normalization of postprandial blood glucose (PG) and triglyceride (TG) excursions in 30 morbidly obese patients with or without diabetes mellitus (DM) 1-year after they underwent a laparoscopic sleeve gastrectomy (LSG) vs. their pre-surgery data, we administered the 75-g oral glucose tolerance test (OGTT) and a meal tolerance test (MTT) using a 75-g glucose-equivalent carbohydrate- and fat-containing meal. The results were as follows; (i) Postoperative body-weight reduction was associated with DM remission and reduced multiple cardiometabolic risks. (ii) OGTT data showing postprandial hyper-insulinemic hypoglycemia in many post-surgery patients were associated with overdiagnosis of improved glucose tolerance. However, postoperative MTT data without hypoglycemia showed no improvement in the glucose tolerance vs. pre-surgery data. (iii) The disposition index (DI) i.e., [Matsuda index] × (Glucose-induced insulin secretion) was progressively worsened from normal glucose tolerance to DM patients after LSG. These post-surgery DI values measured by the MTT were correlated with 2h-plasma glucose levels and were not normalized in DM patients. (iv) The baseline, 2h-TG, and an increase in 2h-TG values above baseline were correlated with the insulin resistance index, DI, or HbA1c; These TG values were normalized post-LSG. In conclusion, the glucose tolerance curve measured by the MTT was not normalized in T2DM patients, which was associated with impaired normalization of the DI values in those patients 1-year after the LSG. However, the baseline TG and a fat-induced 2h-TG values were normalized postoperatively. The MTT can be used to assess normalization in postprandial glucose and TG excursions after LSG.
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Affiliation(s)
- Yukako Yamamoto
- Department of Diabetes and Endocrinology, Omi Medical Center, Shiga 525-8585, Japan
| | - Takeshi Togawa
- Department of Bariatric and Metabolic Surgery, Omi Medical Center, Shiga 525-8585, Japan
| | - Osamu Sekine
- Department of Diabetes and Endocrinology, Omi Medical Center, Shiga 525-8585, Japan
| | - Yuki Ozamoto
- Department of Bariatric and Metabolic Surgery, Omi Medical Center, Shiga 525-8585, Japan
| | - Junko Fuse
- Nutritional Department, Omi Medical Center, Shiga 525-8585, Japan
| | - Choka Azuma
- Department of Diabetes and Endocrinology, Omi Medical Center, Shiga 525-8585, Japan
| | - Jun Ito-Kobayashi
- Department of Diabetes and Endocrinology, Omi Medical Center, Shiga 525-8585, Japan
| | - Yasumitsu Oe
- Department of Bariatric and Metabolic Surgery, Omi Medical Center, Shiga 525-8585, Japan
| | - Akeo Hagiwara
- Department of Bariatric and Metabolic Surgery, Omi Medical Center, Shiga 525-8585, Japan
| | - Masaki Kobayashi
- Metabolic Signal Research Center, Institute for Molecular and Cellular Regulation, Gunma University, Gunma 371-8512, Japan
| | - Tadahiro Kitamura
- Metabolic Signal Research Center, Institute for Molecular and Cellular Regulation, Gunma University, Gunma 371-8512, Japan
| | - Masanori Iwanishi
- Department of Diabetes and Endocrinology, Omi Medical Center, Shiga 525-8585, Japan
| | - Akira Shimatsu
- Department of Diabetes and Endocrinology, Omi Medical Center, Shiga 525-8585, Japan
| | - Atsunori Kashiwagi
- Department of Diabetes and Endocrinology, Omi Medical Center, Shiga 525-8585, Japan
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Yamamoto Y, Ozamoto Y, Kobayashi M, Tezuka Y, Azuma C, Sekine O, Ito-Kobayashi J, Washiyama M, Oe Y, Iwanishi M, Togawa T, Hagiwara A, Kitamura T, Shimatsu A, Kashiwagi A. Effects of a new 75 g glucose- and high fat-containing cookie meal test on postprandial glucose and triglyceride excursions in morbidly obese patients. Endocr J 2022; 69:689-703. [PMID: 35082201 DOI: 10.1507/endocrj.ej21-0615] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/10/2023] Open
Abstract
A new meal tolerance test (MTT) using a 75 g glucose- and high fat-containing meal was applied to classify glucose intolerance in morbidly obese patients. According to the MTT data, the concordance rate of diagnosis was 82.5% compared to the 75 g oral glucose tolerance test (OGTT) in patients with normal glucose tolerance (NGT, n = 40). In the NGT patients, the insulinogenic index (r = 0.833), Matsuda index (r = 0.752), and disposition index (r = 0.845) calculated from the MTT data were each significantly (p < 0.001) correlated with those derived from the OGTT data. However, in patients with impaired glucose tolerance (IGT, n = 23) or diabetes mellitus (DM, n = 17), the postprandial glucose levels post-MTT were significantly lower than those post-OGTT, without increases in the postprandial insulin levels post-MTT. Thus, the severity of glucose intolerance measured by the MTT was milder than that indicated by the OGTT. Plasma levels of both glucagon-like peptide-1 (GLP-1) and glucose-dependent insulinotropic peptide (GIP) were increased at the postprandial state, but only the GIP levels post-MTT were significantly higher than those post-OGTT. The enhancement of glucose disposal rates in patients with NGT or IGT after the MTT was associated with increased GIP levels. The postprandial hypertriglyceridemia induced by the MTT was associated with insulin resistance, but it was not associated with the impaired insulinogenic index or the disposition index. These results indicate that the new MTT is clinically useful to evaluate both abnormal glucose and triglyceride excursions caused by abnormal insulin sensitivity and secretions of insulin and gut hormones in morbidly obese patients.
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Affiliation(s)
- Yukako Yamamoto
- Department of Diabetes and Endocrinology, Omi Medical Center, Shiga 525-8585, Japan
| | - Yuki Ozamoto
- Department of Bariatric and Metabolic Surgery, Omi Medical Center, Shiga 525-8585, Japan
| | - Masaki Kobayashi
- Metabolic Signal Research Center, Institute for Molecular and Cellular Regulation, Gunma University, Gunma 371-8512, Japan
| | - Yuji Tezuka
- Department of Diabetes and Endocrinology, Omi Medical Center, Shiga 525-8585, Japan
| | - Choka Azuma
- Department of Diabetes and Endocrinology, Omi Medical Center, Shiga 525-8585, Japan
| | - Osamu Sekine
- Department of Diabetes and Endocrinology, Omi Medical Center, Shiga 525-8585, Japan
| | - Jun Ito-Kobayashi
- Department of Diabetes and Endocrinology, Omi Medical Center, Shiga 525-8585, Japan
| | - Miki Washiyama
- Department of Diabetes and Endocrinology, Omi Medical Center, Shiga 525-8585, Japan
| | - Yasumitsu Oe
- Department of Bariatric and Metabolic Surgery, Omi Medical Center, Shiga 525-8585, Japan
| | - Masanori Iwanishi
- Department of Diabetes and Endocrinology, Omi Medical Center, Shiga 525-8585, Japan
| | - Takeshi Togawa
- Department of Bariatric and Metabolic Surgery, Omi Medical Center, Shiga 525-8585, Japan
| | - Akeo Hagiwara
- Department of Bariatric and Metabolic Surgery, Omi Medical Center, Shiga 525-8585, Japan
| | - Tadahiro Kitamura
- Metabolic Signal Research Center, Institute for Molecular and Cellular Regulation, Gunma University, Gunma 371-8512, Japan
| | - Akira Shimatsu
- Department of Diabetes and Endocrinology, Omi Medical Center, Shiga 525-8585, Japan
| | - Atsunori Kashiwagi
- Department of Diabetes and Endocrinology, Omi Medical Center, Shiga 525-8585, Japan
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Takagi T, Tsujimoto H, Torii H, Ozamoto Y, Hagiwara A. Two-layer sheet of gelatin: A new topical hemostatic agent. Asian J Surg 2018; 41:124-130. [DOI: 10.1016/j.asjsur.2016.09.007] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2016] [Revised: 08/30/2016] [Accepted: 09/07/2016] [Indexed: 10/20/2022] Open
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Miyamoto H, Tsujimoto H, Horii T, Ozamoto Y, Ueda J, Takagi T, Saitoh N, Hagiwara A. The influences of a novel anti-adhesion device, thermally cross-linked gelatin film on peritoneal dissemination of tumor cells: The in vitro and in vivo experiments using murine carcinomatous peritonitis models. J Biomed Mater Res B Appl Biomater 2017; 106:2122-2130. [PMID: 29024447 DOI: 10.1002/jbm.b.34017] [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] [Received: 04/27/2017] [Revised: 08/16/2017] [Accepted: 09/24/2017] [Indexed: 11/07/2022]
Abstract
To create anti-adhesive materials to be more effective and safer, we developed a thermally cross-linked gelatin film that showed superior anti-adhesive effects with excellent peritoneal regeneration. However, it may act as a convenient scaffold for tumor cell growth, thereby accelerating peritoneal dissemination when used in surgery for abdominal tumors. In this study, we tried to clarify this issue using mouse carcinomatous peritonitis models. First, we examined the in vitro tumor cell growth of mouse B16 melanoma or Colon26 cells on the gelatin film or the conventional hyarulonate/carboxymethylcellulose film. Tumor cell growth on each film was significantly lower than that of the control (no film). Next, we conducted the following in vivo experiments: After the parietal peritoneum was partially removed and covered with each film or without any film, mice were inoculated intraperitoneally with B16 melanoma or Colon26/Nluc cells expressing NanoLuc luciferase gene. At 7 days after the operation, we measured the weight of B16 melanoma tumors or the NanoLuc activity of Colon26/Nluc cells using in vivo imaging at the injured sites. There were no significant differences in the weight of the tumors and the NanoLuc activity among the three groups. We also observed the survival time of mice receiving the same operation and treatments. There was no significant difference in the survival time among the three groups. These results suggest that the gelatin film will likely not accelerate peritoneal dissemination as a convenient scaffold for tumor cell growth when used in surgery for abdominal tumors. © 2017 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater, 106B: 2122-2130, 2018.
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Affiliation(s)
- Hiroe Miyamoto
- Department of Medical Life Systems, Faculty of Life and Medical Sciences, Doshisha University, Kyotanabe, Kyoto, Japan
| | - Hiroyuki Tsujimoto
- Department of Medical Life Systems, Faculty of Life and Medical Sciences, Doshisha University, Kyotanabe, Kyoto, Japan
| | - Tsunehito Horii
- Department of Medical Life Systems, Faculty of Life and Medical Sciences, Doshisha University, Kyotanabe, Kyoto, Japan
| | | | - Joe Ueda
- Kainan Hospital, Yatomi, Aichi, Japan
| | - Toshitaka Takagi
- Department of Medical Life Systems, Faculty of Life and Medical Sciences, Doshisha University, Kyotanabe, Kyoto, Japan
| | - Naoto Saitoh
- Department of Medical Life Systems, Faculty of Life and Medical Sciences, Doshisha University, Kyotanabe, Kyoto, Japan
| | - Akeo Hagiwara
- Department of Medical Life Systems, Faculty of Life and Medical Sciences, Doshisha University, Kyotanabe, Kyoto, Japan
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Torii H, Takagi T, Urabe M, Tsujimoto H, Ozamoto Y, Miyamoto H, Ikada Y, Hagiwara A. Anti-adhesive effects of a newly developed two-layered gelatin sheet in dogs. J Obstet Gynaecol Res 2017; 43:1317-1325. [PMID: 28557204 PMCID: PMC5575481 DOI: 10.1111/jog.13358] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [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: 09/19/2016] [Revised: 02/19/2017] [Accepted: 03/12/2017] [Indexed: 12/18/2022]
Abstract
Aim Adhesion after pelvic surgery causes infertility, ectopic pregnancy, and ileus or abdominal pain. The materials currently available for clinical use are insufficient. The purpose of this study was to develop an anti‐adhesive material that overcomes the limitations of conventional anti‐adhesive agents. Methods The adhesion prevention effects of three methods – a two‐layered sheet composed of gelatin film and gelatin sponge, Seprafilm and INTERCEED – were evaluated in 37 dogs. Anti‐adhesive effects were investigated macroscopically and microscopically in a cauterized uterus adhesion model. Cell growth on the materials in vitro using human peritoneal mesothelial cells, fibroblasts and uterine smooth muscle cells were also evaluated. Results The two‐layered gelatin sheet had significantly superior anti‐adhesive effects compared to the conventional materials (Seprafilm and INTERCEED). A single‐cell layer of mature mesothelium formed three weeks after surgery in the gelatin group. Peritoneum regeneration in the Seprafilm and INTERCEED groups was delayed and incomplete in the early phase. Little inflammation around the materials occurred and cell growth was significantly proliferated with the gelatin sheet. Conclusion The anti‐adhesive effects of a two‐layered gelatin sheet were superior to conventional agents in a cauterized canine uterus model, demonstrating early regeneration of the peritoneum, little inflammation and material endurance. The newly developed two‐layered gelatin sheet is a useful option as an anti‐adhesive agent for deeply injured and hemorrhagic sites.
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Affiliation(s)
- Hiroko Torii
- Kusatsu General Hospital, Kusatu, Shiga, Japan.,Department of Life and Medical Science, Division of Medical Life System, Doshisha University, Kyotanabe, Kyoto, Japan
| | - Toshitaka Takagi
- Department of Life and Medical Science, Division of Medical Life System, Doshisha University, Kyotanabe, Kyoto, Japan.,Hushimi Okamoto Hospital, Hushimi, Kyoto, Japan
| | - Mamoru Urabe
- Kusatsu General Hospital, Kusatu, Shiga, Japan.,Department of Life and Medical Science, Division of Medical Life System, Doshisha University, Kyotanabe, Kyoto, Japan
| | - Hiroyuki Tsujimoto
- Department of Life and Medical Science, Division of Medical Life System, Doshisha University, Kyotanabe, Kyoto, Japan
| | - Yuki Ozamoto
- Kusatsu General Hospital, Kusatu, Shiga, Japan.,Department of Life and Medical Science, Division of Medical Life System, Doshisha University, Kyotanabe, Kyoto, Japan
| | - Hiroe Miyamoto
- Department of Life and Medical Science, Division of Medical Life System, Doshisha University, Kyotanabe, Kyoto, Japan
| | - Yoshihito Ikada
- Department of Indoor Environmental Medicine, Nara Medical University, Kashihara, Nara, Japan
| | - Akeo Hagiwara
- Department of Life and Medical Science, Division of Medical Life System, Doshisha University, Kyotanabe, Kyoto, Japan
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Horii T, Tsujimoto H, Miyamoto H, Yamanaka K, Tanaka S, Torii H, Ozamoto Y, Takamori H, Nakamachi E, Ikada Y, Hagiwara A. Physical and biological properties of a novel anti-adhesion material made of thermally cross-linked gelatin film: Investigation of the usefulness as anti-adhesion material. J Biomed Mater Res B Appl Biomater 2017; 106:689-696. [DOI: 10.1002/jbm.b.33880] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2016] [Revised: 02/01/2017] [Accepted: 02/28/2017] [Indexed: 01/10/2023]
Affiliation(s)
- Tsunehito Horii
- Division of Medical Life System, Department of Life and Medical Science; Doshisha University; Kyotanabe Kyoto 610-0394 Japan
| | - Hiroyuki Tsujimoto
- Division of Medical Life System, Department of Life and Medical Science; Doshisha University; Kyotanabe Kyoto 610-0394 Japan
| | - Hiroe Miyamoto
- Division of Medical Life System, Department of Life and Medical Science; Doshisha University; Kyotanabe Kyoto 610-0394 Japan
| | - Koki Yamanaka
- Division of Medical Life System, Department of Life and Medical Science; Doshisha University; Kyotanabe Kyoto 610-0394 Japan
| | - Shota Tanaka
- Division of Medical Life System, Department of Life and Medical Science; Doshisha University; Kyotanabe Kyoto 610-0394 Japan
| | - Hiroko Torii
- Division of Medical Life System, Department of Life and Medical Science; Doshisha University; Kyotanabe Kyoto 610-0394 Japan
| | - Yuki Ozamoto
- Division of Medical Life System, Department of Life and Medical Science; Doshisha University; Kyotanabe Kyoto 610-0394 Japan
| | - Hideki Takamori
- Division of Medical Life System, Department of Life and Medical Science; Doshisha University; Kyotanabe Kyoto 610-0394 Japan
| | - Eiji Nakamachi
- Division of Biomedical Engineering, Department of Life and Medical Science; Doshisha University; Kyotanabe Kyoto 610-0394 Japan
| | - Yoshito Ikada
- Division of Medical Life System, Department of Life and Medical Science; Doshisha University; Kyotanabe Kyoto 610-0394 Japan
| | - Akeo Hagiwara
- Division of Medical Life System, Department of Life and Medical Science; Doshisha University; Kyotanabe Kyoto 610-0394 Japan
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Takagi T, Tsujimoto H, Torii H, Ozamoto Y, Hagiwara A. New polyglycolic acid fabric for the prevention of postoperative pancreatic fistulas. Asian J Surg 2016; 41:59-64. [PMID: 27649862 DOI: 10.1016/j.asjsur.2016.08.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2016] [Revised: 07/27/2016] [Accepted: 08/15/2016] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND The incidence of postoperative pancreatic fistula (POPF) after distal pancreatectomy is approximately 30%. The most serious complications of pancreatic resection, such as mortality and prolonged hospitalization, are unresolved despite the proposal of various surgical procedures. We developed a new polyglycolic acid (PGA) fabric composed of fine diameter fibers to prevent POPF, and macroscopically and microscopically evaluated the effects of applying it to the pancreatic remnant. METHODS The ventral pancreatic surface was cauterized to create the experimental model of POPF in 33 female Wistar/ST rats. The injured sites were wrapped with nonwoven PGA fabrics of different fiber diameters and porosities in the treated rats; one group of rats remained untreated. Survival, incidence of generalized peritonitis, and microscopic findings around the pancreas were investigated. RESULTS The PGA fabrics acted as a scaffold for tissue repair and resulted in superior survival. Generalized peritonitis was milder in the PGA treated groups. With the new PGA fabric, abundant fibroblast infiltration and a uniformly-developed, self-organized barrier wall prevented both pancreatic leak and spread of inflammation. CONCLUSION Application of the newly developed PGA fabric to the pancreatic remnant prevented POPF, and the essential factor for preventing pancreatic leak was the early formation of a self-organized barrier.
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Affiliation(s)
- Toshitaka Takagi
- Department of Medical Life System, Doshisha University, 1-3 Tatara Miyakodani, Kyotanabe, Kyoto, Japan; Dai-Ichi Okamoto Hospital, 9-50 Kyo-Machi, Hushimi, Kyoto, Japan
| | - Hiroyuki Tsujimoto
- Department of Medical Life System, Doshisha University, 1-3 Tatara Miyakodani, Kyotanabe, Kyoto, Japan
| | - Hiroko Torii
- Department of Medical Life System, Doshisha University, 1-3 Tatara Miyakodani, Kyotanabe, Kyoto, Japan; Department of the 2nd Surgery, Kusatsu General Hospital, 1660 Yabashi, Kusatsu, Shiga, Japan
| | - Yuki Ozamoto
- Department of Medical Life System, Doshisha University, 1-3 Tatara Miyakodani, Kyotanabe, Kyoto, Japan; Department of the 2nd Surgery, Kusatsu General Hospital, 1660 Yabashi, Kusatsu, Shiga, Japan
| | - Akeo Hagiwara
- Department of Medical Life System, Doshisha University, 1-3 Tatara Miyakodani, Kyotanabe, Kyoto, Japan.
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Hiroyasu T, Tanaka N, Hagiwara A, Ozamoto Y, Yokouchi H. Emphasizing mesenteric blood vessels in laparoscopic colon cancer surgery video images. Annu Int Conf IEEE Eng Med Biol Soc 2016; 2015:2010-3. [PMID: 26736680 DOI: 10.1109/embc.2015.7318780] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
This study aims to reduce surgeon burden by emphasising mesenteric blood vessels buried in the mesentery using image processing techniques.We have developed an image processing system that can be connected to a laparoscope. The first step of the method is superficial vessel deletion using an opening process. Next, the mesenteric blood vessels are extracted by multiple regression analysis using hue, saturation, and value color space information in the image. Finally, the enhanced regions are determined by areas obtained by a labeling process. Although examples with both true and false positives are observed, the proposed technique demonstrates sufficient accuracy.
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Tsujimoto H, Tanzawa A, Miyamoto H, Horii T, Tsuji M, Kawasumi A, Tamura A, Wang Z, Abe R, Tanaka S, Yamanaka K, Matoba M, Torii H, Ozamoto Y, Takamori H, Suzuki S, Morita S, Ikada Y, Hagiwara A. Biological properties of a thermally crosslinked gelatin film as a novel anti-adhesive material: Relationship between the biological properties and the extent of thermal crosslinking. J Biomed Mater Res B Appl Biomater 2014; 103:1511-8. [DOI: 10.1002/jbm.b.33340] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2014] [Revised: 10/22/2014] [Accepted: 11/13/2014] [Indexed: 11/05/2022]
Affiliation(s)
- Hiroyuki Tsujimoto
- Division of Medical Life System, Department of Life and Medical Science; Doshisha University; Kyotanabe Kyoto 610-0394 Japan
| | - Ayumi Tanzawa
- Division of Medical Life System, Department of Life and Medical Science; Doshisha University; Kyotanabe Kyoto 610-0394 Japan
| | - Hiroe Miyamoto
- Division of Medical Life System, Department of Life and Medical Science; Doshisha University; Kyotanabe Kyoto 610-0394 Japan
| | - Tsunehito Horii
- Division of Medical Life System, Department of Life and Medical Science; Doshisha University; Kyotanabe Kyoto 610-0394 Japan
| | - Misaki Tsuji
- Division of Medical Life System, Department of Life and Medical Science; Doshisha University; Kyotanabe Kyoto 610-0394 Japan
| | - Akari Kawasumi
- Division of Medical Life System, Department of Life and Medical Science; Doshisha University; Kyotanabe Kyoto 610-0394 Japan
| | - Atsushi Tamura
- Division of Medical Life System, Department of Life and Medical Science; Doshisha University; Kyotanabe Kyoto 610-0394 Japan
| | - Zhen Wang
- Division of Medical Life System, Department of Life and Medical Science; Doshisha University; Kyotanabe Kyoto 610-0394 Japan
| | - Rie Abe
- Division of Medical Life System, Department of Life and Medical Science; Doshisha University; Kyotanabe Kyoto 610-0394 Japan
| | - Shota Tanaka
- Division of Medical Life System, Department of Life and Medical Science; Doshisha University; Kyotanabe Kyoto 610-0394 Japan
| | - Kouki Yamanaka
- Division of Medical Life System, Department of Life and Medical Science; Doshisha University; Kyotanabe Kyoto 610-0394 Japan
| | - Mari Matoba
- Division of Medical Life System, Department of Life and Medical Science; Doshisha University; Kyotanabe Kyoto 610-0394 Japan
| | - Hiroko Torii
- Division of Medical Life System, Department of Life and Medical Science; Doshisha University; Kyotanabe Kyoto 610-0394 Japan
| | - Yuki Ozamoto
- Division of Medical Life System, Department of Life and Medical Science; Doshisha University; Kyotanabe Kyoto 610-0394 Japan
| | - Hideki Takamori
- Division of Medical Life System, Department of Life and Medical Science; Doshisha University; Kyotanabe Kyoto 610-0394 Japan
- Research and Development Department; Gunze Ltd.; Ayabe Kyoto 623-8511 Japan
| | - Shuko Suzuki
- Research and Development Department; Gunze Ltd.; Ayabe Kyoto 623-8511 Japan
- Medical Department; Nara Medical University; Kashihara Nara 634-8521 Japan
| | - Shinichiro Morita
- Research and Development Department; Gunze Ltd.; Ayabe Kyoto 623-8511 Japan
| | - Yoshito Ikada
- Medical Department; Nara Medical University; Kashihara Nara 634-8521 Japan
| | - Akeo Hagiwara
- Division of Medical Life System, Department of Life and Medical Science; Doshisha University; Kyotanabe Kyoto 610-0394 Japan
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Hirano M, Ozamoto Y, Ichinose M, Togawa T, Takao N, Mizumoto A, Tatsuno M, Yamamoto Y, Yonemura Y. [A case of gastric adenosquamous carcinoma with peritoneal dissemination in which treatment with S-1 plus paclitaxel therapy resulted in improved long-term survival]. Gan To Kagaku Ryoho 2014; 41:885-888. [PMID: 25131877] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
Gastric adenosquamous carcinoma is a rare malignancy with a poor prognosis. We recently performed palliative gastrectomy for a gastric adenosquamous carcinoma with peritoneal dissemination and provided a course of systemic chemotherapy with S-1 plus paclitaxel(PTX)after the surgery. No serious adverse events were observed, and treatment with S-1 plus PTX was continued for 1 year before being switched to adjuvant chemotherapy with S-1 alone for another year. The tumor maker levels normalized within 2 months of the initial treatment, and the peritoneal dissemination could no longer be detected by abdominal computed tomography(CT). The patient remained in clinical remission and maintained long-term survival of over 8 years.
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11
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Iwanishi M, Ebihara K, Kusakabe T, Washiyama M, Ito-Kobayashi J, Nakamura F, Togawa T, Ozamoto Y, Hagiwara A, Nakao K. Primary intestinal follicular lymphoma and premature atherosclerosis in a Japanese diabetic patient with atypical familial partial lipodystrophy. Intern Med 2014; 53:851-8. [PMID: 24739605 DOI: 10.2169/internalmedicine.53.1713] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
We experienced a case of primary intestinal follicular lymphoma and premature atherosclerosis in a diabetic patient with familial partial lipodystrophy (FPL) that was detected when the patient was evaluated for laparoscopic sleeve gastrectomy (LSG). As FPL is generally considered to be rare, FPL is often underdiagnosed, especially in obese patients. Therefore, the prevalence of FPL is higher than previous estimates. Our case illustrates that clinicians should perform screening for atherosclerosis and malignancy at the preoperative evaluation and may need to perform metabolic surgery earlier to prevent the development of excess truncal fat, complicated diabetes and atherosclerosis in patients with FPL.
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Affiliation(s)
- Masanori Iwanishi
- Department of Diabetes and Endocrinology, Kusatsu General Hospital, Japan
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Sawada S, Wada T, Nobezawa H, Ozamoto Y, Akagi K, Fukagae N, Kobayashi A. [Value of high-speed video system in angiocardiography (author's transl)]. Rinsho Hoshasen 1978; 23:511-4. [PMID: 650971] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
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