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Article ; Online: Persistent Gastrostomy Site Infection Because of Rib Fracture.

Masaki, Shigenori / Yamada, Chizuko

The American journal of gastroenterology

2023 Volume 118, Issue 6, Page(s) 929

MeSH term(s)	Humans ; Rib Fractures/complications ; Rib Fractures/diagnostic imaging ; Gastrostomy ; Stomach Diseases ; Risk Factors
Language	English
Publishing date	2023-01-13
Publishing country	United States
Document type	Journal Article
ZDB-ID	390122-1
ISSN	1572-0241 ; 0002-9270
ISSN (online)	1572-0241
ISSN	0002-9270
DOI	10.14309/ajg.0000000000002183
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Aeromonas hydrophila-associated cecal ulcer with noncaseating epithelioid cell granulomas.

Masaki, Shigenori / Yamada, Chizuko

Gastrointestinal endoscopy

2023 Volume 99, Issue 1, Page(s) 127–128

MeSH term(s)	Humans ; Aeromonas hydrophila ; Ulcer/etiology ; Epithelioid Cells ; Colonic Diseases ; Granuloma/complications ; Granuloma/diagnostic imaging
Language	English
Publishing date	2023-07-07
Publishing country	United States
Document type	Journal Article
ZDB-ID	391583-9
ISSN	1097-6779 ; 0016-5107
ISSN (online)	1097-6779
ISSN	0016-5107
DOI	10.1016/j.gie.2023.07.014
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Article: Accidental Detection of Persistent Left Superior Vena Cava During Central Venous Port Placement.

Masaki, Shigenori / Kawamoto, Takashi

Cureus

2023 Volume 15, Issue 11, Page(s) e49478

Abstract: Persistent left superior vena cava (PLSVC) is a rare abnormality of the thoracic vein that is often detected incidentally during central venous catheter insertion. We present the case of an 85-year-old female with PLSVC that was accidentally detected ... ...

Abstract	Persistent left superior vena cava (PLSVC) is a rare abnormality of the thoracic vein that is often detected incidentally during central venous catheter insertion. We present the case of an 85-year-old female with PLSVC that was accidentally detected during central venous port placement. The left subclavian vein was punctured using the supraclavicular approach. Intraoperative fluoroscopy showed that the guidewire had descended through the left chest, suggesting PLSVC. Intraoperative computed tomography and venography confirmed that the PLSVC drained into the coronary sinus. In this case, the PLSVC and right superior vena cava (RSVC) coexisted, with no bridging veins. The diameter of the PLSVC was extremely small compared to that of the RSVC; therefore, catheter placement in the PLSVC was avoided considering the risk of venous thromboembolism, and a catheter was placed in the RSVC. When clinicians encounter cases where the PLSVC and RSVC coexist during central venous catheter insertion, the diameter of the PLSVC should be considered when deciding whether to place the catheter in the PLSVC. If the diameter of the PLSVC is narrow, it may be safer to avoid catheter placement in the PLSVC and instead place the catheter in the RSVC, considering the risk of venous thromboembolism after catheterization.
Language	English
Publishing date	2023-11-27
Publishing country	United States
Document type	Case Reports
ZDB-ID	2747273-5
ISSN	2168-8184
ISSN	2168-8184
DOI	10.7759/cureus.49478
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: A case of urinary calculus in a patient with Ehlers-Danlos syndrome.

Owa, Shunsuke / Hattori, Yuna / Yonemura, Shigenori / Sakurai, Masaki

IJU case reports

2023 Volume 6, Issue 4, Page(s) 203–205

Abstract: Introduction: Treatment of urinary tract calculi in patients with Ehlers-Danlos syndrome, a connective tissue disorder, has rarely been reported.: Case presentation: A 33-year-old woman with Ehlers-Danlos syndrome sought evaluation of right-sided ... ...

Abstract	Introduction: Treatment of urinary tract calculi in patients with Ehlers-Danlos syndrome, a connective tissue disorder, has rarely been reported. Case presentation: A 33-year-old woman with Ehlers-Danlos syndrome sought evaluation of right-sided abdominal pain from her family physician. Right-sided hydronephrosis was noted and she was referred to our hospital for further evaluation and treatment. A ureteral calculus with a maximum diameter of 8 mm was demonstrated at the right ureterovesical junction. Transurethral lithotripsy was performed under general anesthesia without complications. Conclusion: Lithotripsy may be safely performed in patients with Ehlers-Danlos syndrome.
Language	English
Publishing date	2023-04-03
Publishing country	Australia
Document type	Case Reports
ISSN	2577-171X
ISSN (online)	2577-171X
DOI	10.1002/iju5.12587
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Article: Over-the-Scope Clip Closure of Persistent Gastrocutaneous Fistula After Percutaneous Endoscopic Gastrostomy Tube Removal: A Report of Two Cases.

Masaki, Shigenori / Yamada, Keishi

Cureus

2021 Volume 13, Issue 2, Page(s) e13206

Abstract: Persistent gastrocutaneous fistulas have conventionally been treated surgically. Over-the-scope clip (OTSC) was developed as an endoscopic closure device for full-thickness gastrointestinal defects and has become one of the treatment options for ... ...

Abstract	Persistent gastrocutaneous fistulas have conventionally been treated surgically. Over-the-scope clip (OTSC) was developed as an endoscopic closure device for full-thickness gastrointestinal defects and has become one of the treatment options for gastrocutaneous fistula. Herein, we report two cases of gastrocutaneous fistulas treated using OTSC. Case 1 was a 71-year-old woman and case 2 was an 88-year-old man, both of whom had severe frailty and had a persistent gastrocutaneous fistula after removal of the percutaneous endoscopic gastrostomy (PEG) tube. OTSC closure was chosen over surgical closure to reduce invasiveness. In case 1, OTSC was deployed using a suction method, which was technically successful. However, the fistula reopened two days later, indicating clinical failure of the OTSC. The cause of the failure may be due to an inadequate suction of the fistula into the applicator cap. Based on the experience of OTSC failure in case 1, OTSC in case 2 was deployed using the Anchor to pull the fistula into the cap more reliably. Fistula did not recur during the 30-month follow-up, indicating the clinical success of OTSC in case 2. The use of Anchor may increase the success rate of OTSC, but there is a dilemma that the use of Anchor increases cost. In summary, OTSC has the advantage of being less invasive compared to conventional surgery; however, the application of OTSC for chronic fistulas remains challenging due to issues regarding clinical success rate and cost.
Language	English
Publishing date	2021-02-07
Publishing country	United States
Document type	Case Reports
ZDB-ID	2747273-5
ISSN	2168-8184
ISSN	2168-8184
DOI	10.7759/cureus.13206
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Fingertip Amputation Injury of Allen Type III Managed Conservatively with Moist Wound Dressings.

Masaki, Shigenori / Kawamoto, Takashi

The American journal of case reports

2021 Volume 22, Page(s) e928950

Abstract: BACKGROUND Fingertip amputation injury is treated surgically or conservatively. Management strategies for these injuries vary depending on not only the site and the degree of tissue loss in the wound but also the country and region. Conservative ... ...

Abstract	BACKGROUND Fingertip amputation injury is treated surgically or conservatively. Management strategies for these injuries vary depending on not only the site and the degree of tissue loss in the wound but also the country and region. Conservative management or revision amputation is common in the United States. On the other hand, operative management such as replantation or reconstruction is preferred in Japan; accordingly, a surgery is performed even in cases eligible for conservative management. Here, we report a case of fingertip amputation injury for which reconstructive surgery was recommended by a plastic surgeon, but the patient opted for conservative treatment, which was performed using moist wound dressings. CASE REPORT A 36-year-old woman suffered an Allen type III fingertip amputation injury with her right middle finger crushed in a thick iron door. The amputated fingertip was not retrieved. The plastic surgeon in charge initially recommended reconstructive surgery to the patient. However, the patient opted for conservative management; therefore, she visited the Wound Care Department in our hospital. Conservative treatment using moist wound dressings (Plus moist™) was performed, and the wound healed after 12 weeks, with outstanding aesthetic and functional results. CONCLUSIONS Conservative management with moist wound dressings can be a successful treatment modality for Allen type III fingertip amputation injury. In cases where the fingertip amputation injury can be treated using either surgery or conservative treatment, it is better to prioritize the patient's wishes when selecting the treatment option.
MeSH term(s)	Adult ; Amputation, Surgical ; Amputation, Traumatic/therapy ; Bandages ; Female ; Finger Injuries/therapy ; Humans ; Japan
Language	English
Publishing date	2021-02-23
Publishing country	United States
Document type	Case Reports ; Journal Article
ZDB-ID	2517183-5
ISSN	1941-5923 ; 1941-5923
ISSN (online)	1941-5923
ISSN	1941-5923
DOI	10.12659/AJCR.928950
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Nutritional and prognostic significance of abdominal wall thickness measured during percutaneous endoscopic gastrostomy in older individuals with dysphagia.

Masaki, Shigenori / Kawamoto, Takashi

Clinical nutrition ESPEN

2021 Volume 46, Page(s) 216–222

Abstract: Background & aims: The significance of abdominal wall thickness (AWT) for nutritional assessment remains unclear. This study aimed to evaluate the nutritional and prognostic significance of AWT measured during percutaneous endoscopic gastrostomy (PEG) ... ...

Abstract	Background & aims: The significance of abdominal wall thickness (AWT) for nutritional assessment remains unclear. This study aimed to evaluate the nutritional and prognostic significance of AWT measured during percutaneous endoscopic gastrostomy (PEG) in older patients with dysphagia. Methods: This single-center retrospective cohort study enrolled older adults with dysphagia who underwent PEG for enteral nutrition using the introducer technique between February 2010 and January 2019. We examined the association between AWT measured during PEG and nutritional status items, including body mass index (BMI), serum albumin (Alb), total lymphocyte count (TLC), total cholesterol (TC), hemoglobin (Hb), and C-reactive protein (CRP). The shaft length of the PEG tube inserted, which is an approximation value of the AWT, was used for statistical analysis. Patients were divided into three groups: low-AWT group (shaft length ≤2.5 cm), medium-AWT group (shaft length 3.0-3.5 cm), and high-AWT group (shaft length ≥4.0 cm). We performed the Kruskal-Wallis test and multiple linear regression analysis with multiple imputation. We performed survival analysis using the Kaplan-Meier method, log-rank test, and Cox regression analysis. Results: A total of 520 patients were identified: 115, 258, and 147 patients in the low-AWT, medium-AWT, and high-AWT groups, respectively. Higher AWT was significantly associated with higher BMI, Alb, TLC, TC, Hb, and lower CRP levels. Multiple linear regression analysis revealed that BMI and TLC were significant predictors of AWT (BMI: coefficient 1.16E-01, 95% confidence interval [CI], 9.77E-02-1.33E-01, P < 0.001; TLC: coefficient 1.18E-04, 95% CI, 2.72E-05-2.09E-04, P = 0.011). The median survival time was the longest in the high-AWT group (low-AWT, 359 days; medium-AWT, 851 days; high-AWT, 1662 days; P < 0.001). The hazard ratio for the high-AWT group relative to the medium-AWT group was 0.59 (95% CI, 0.41-0.85, P = 0.004), and that relative to the low-AWT group was 0.34 (95% CI, 0.24-0.51, P < 0.001). Conclusions: Higher AWT was associated with better nutritional status and survival. AWT may help assess nutritional status and predict survival in older dysphagic patients with PEG.
MeSH term(s)	Abdominal Wall ; Aged ; Deglutition Disorders/diagnosis ; Gastrostomy ; Humans ; Prognosis ; Retrospective Studies
Language	English
Publishing date	2021-10-12
Publishing country	England
Document type	Journal Article
ISSN	2405-4577
ISSN (online)	2405-4577
DOI	10.1016/j.clnesp.2021.10.005
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Conservative management of full-thickness burn wounds using advanced moist dressings: a case report.

Masaki, Shigenori / Maeda, Itaru / Kawamoto, Takashi

Wounds : a compendium of clinical research and practice

2022 Volume 34, Issue 6, Page(s) E42–E46

Abstract: Surgical debridement and skin grafting are the standard of care in the management of full-thickness burns. Although full-thickness burns typically are not managed conservatively, such an approach may occasionally be warranted in cases of small-area full- ... ...

Abstract	Surgical debridement and skin grafting are the standard of care in the management of full-thickness burns. Although full-thickness burns typically are not managed conservatively, such an approach may occasionally be warranted in cases of small-area full-thickness burns in which the patient does not want to undergo an operation. Published reports of conservative management in such cases are rare, however. A case of a conservatively treated small-area full-thickness burn is presented herein. Case Report. A 54-year-old female with left hemiplegia due to the aftereffects of cerebral infarction sustained a full-thickness burn injury measuring 7 cm × 18 cm on the left thigh when the patient fell indoors and came in contact with a hot stove. The patient declined hospitalization and surgery. Instead, conservative treatment with advanced moist dressings were used in an outpatient setting. These multilayered, nonadherent dressings with high exudate absorption capacity were changed once daily by the caregiver. No ointments were applied to the wound. Five days after the injury, thick necrotic tissue covered the entire wound. The patient wanted to avoid surgical procedures as much as possible, so instead of surgical debridement, several superficial incisions were made on the necrotic tissue to aid drainage of exudate. Autolysis of necrotic tissue and growth of granulation tissue progressed over time. The burn wound epithelialized after 16 weeks. No local or systemic infection occurred during the treatment period. Conclusions. This case indicates that small-area full-thickness burns can be successfully managed conservatively with advanced moist dressings, although with a prolonged healing process compared with skin grafting.
MeSH term(s)	Bandages/adverse effects ; Burns/complications ; Burns/therapy ; Conservative Treatment/adverse effects ; Female ; Humans ; Middle Aged ; Necrosis/surgery ; Skin Transplantation/adverse effects ; Soft Tissue Injuries/surgery ; Wound Healing
Language	English
Publishing date	2022-09-08
Publishing country	United States
Document type	Case Reports ; Journal Article
ZDB-ID	1214936-6
ISSN	1943-2704 ; 1044-7946
ISSN (online)	1943-2704
ISSN	1044-7946
DOI	10.25270/wnds/21030
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Article: Nutritional and prognostic significance of abdominal wall thickness measured during percutaneous endoscopic gastrostomy in older individuals with dysphagia

Masaki, Shigenori / Kawamoto, Takashi

Clinical nutrition ESPEN. 2021 Dec., v. 46

2021

Abstract: The significance of abdominal wall thickness (AWT) for nutritional assessment remains unclear. This study aimed to evaluate the nutritional and prognostic significance of AWT measured during percutaneous endoscopic gastrostomy (PEG) in older patients ... ...

Abstract	The significance of abdominal wall thickness (AWT) for nutritional assessment remains unclear. This study aimed to evaluate the nutritional and prognostic significance of AWT measured during percutaneous endoscopic gastrostomy (PEG) in older patients with dysphagia. This single-center retrospective cohort study enrolled older adults with dysphagia who underwent PEG for enteral nutrition using the introducer technique between February 2010 and January 2019. We examined the association between AWT measured during PEG and nutritional status items, including body mass index (BMI), serum albumin (Alb), total lymphocyte count (TLC), total cholesterol (TC), hemoglobin (Hb), and C-reactive protein (CRP). The shaft length of the PEG tube inserted, which is an approximation value of the AWT, was used for statistical analysis. Patients were divided into three groups: low-AWT group (shaft length ≤2.5 cm), medium-AWT group (shaft length 3.0–3.5 cm), and high-AWT group (shaft length ≥4.0 cm). We performed the Kruskal–Wallis test and multiple linear regression analysis with multiple imputation. We performed survival analysis using the Kaplan–Meier method, log-rank test, and Cox regression analysis. A total of 520 patients were identified: 115, 258, and 147 patients in the low-AWT, medium-AWT, and high-AWT groups, respectively. Higher AWT was significantly associated with higher BMI, Alb, TLC, TC, Hb, and lower CRP levels. Multiple linear regression analysis revealed that BMI and TLC were significant predictors of AWT (BMI: coefficient 1.16E-01, 95% confidence interval [CI], 9.77E-02–1.33E-01, P < 0.001; TLC: coefficient 1.18E-04, 95% CI, 2.72E-05–2.09E-04, P = 0.011). The median survival time was the longest in the high-AWT group (low-AWT, 359 days; medium-AWT, 851 days; high-AWT, 1662 days; P < 0.001). The hazard ratio for the high-AWT group relative to the medium-AWT group was 0.59 (95% CI, 0.41–0.85, P = 0.004), and that relative to the low-AWT group was 0.34 (95% CI, 0.24–0.51, P < 0.001). Higher AWT was associated with better nutritional status and survival. AWT may help assess nutritional status and predict survival in older dysphagic patients with PEG.
Keywords	C-reactive protein ; body mass index ; cholesterol ; clinical nutrition ; cohort studies ; confidence interval ; dysphagia ; enteral feeding ; hazard ratio ; hemoglobin ; lymphocyte count ; nutrition assessment ; nutritional status ; regression analysis ; serum albumin
Language	English
Dates of publication	2021-12
Size	p. 216-222.
Publishing place	Elsevier Ltd
Document type	Article
ISSN	2405-4577
DOI	10.1016/j.clnesp.2021.10.005
Database	NAL-Catalogue (AGRICOLA)

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Article ; Online: A case of transvaginal lithotripsy for a giant vaginal calculus.

Owa, Shunsuke / Yonemura, Shigenori / Sakurai, Masaki / Inoue, Takahiro

IJU case reports

2022 Volume 5, Issue 3, Page(s) 157–160

Abstract: Introduction: Primary vaginal calculi are relatively rare, compared with secondary calculi. Primary calculi are often a result of urogenital sinus abnormalities, neurogenic bladder, or chronic incontinence.: Case presentation: Forty-seven years old ... ...

Abstract	Introduction: Primary vaginal calculi are relatively rare, compared with secondary calculi. Primary calculi are often a result of urogenital sinus abnormalities, neurogenic bladder, or chronic incontinence. Case presentation: Forty-seven years old female with cerebral palsy since infancy had longstanding urinary incontinence. She visited her doctor for a fever and was referred to us with a urinary tract infection. Imaging revealed a large vaginal calculus. It was not possible to remove the calculus vaginally without crushing it, so we performed rigid cystoscopy with lithotripsy, using a pneumatic lithotripsy device. The calculus was completely removed without complications. Conclusion: We were able to remove a large primary vaginal calculus using ultrasonic and pneumatic lithotripsy through a rigid cystoscope. Minimally invasive surgery is a good option for patients with large vaginal calculi.
Language	English
Publishing date	2022-02-21
Publishing country	Australia
Document type	Case Reports
ISSN	2577-171X
ISSN (online)	2577-171X
DOI	10.1002/iju5.12421
Database	MEDical Literature Analysis and Retrieval System OnLINE

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