著者
SAITOH Makoto HASEGAWA Junichi TAKAMI Tom HOSHIO Akira MIYAKODA Hiroyuki KOTAKE Hiroshi MASHIBA Hiroto TSUTSUMI Sadao KATSUBE Yoshio
出版者
The Japanese Society of Internal Medicine
雑誌
Japanese Journal of Medicine (ISSN:00215120)
巻号頁・発行日
vol.30, no.4, pp.333-337, 1991

An 80-year-old man with Ebstein's anomaly and ductus arteriosus aneurysm is reported. He was admitted with bradycardiac atrial fibrillation and right ventricular failure. For the control of brady-arrhythmia, a permanent pacemaker was implanted. Two-dimensional echocardiogram revealed distal displacement of the septal tricuspid valve. Aortography and computed tomography showed ductus arteriosus aneurysm. This is the first report of the association of Ebstein's anomaly and non-patent ductus arteriosus aneurysm.
著者
Fujie Yujiro Mizushima Tsunekazu Doki Yuichiro Mori Masaki Clinical Study Group of Osaka University (CSGO) Colorectal Group. Ota Hirofumi Ikenaga Masakazu Hasegawa Junichi Murata Kohei Miyake Yasuhiro Nishimura Junichi Hata Taishi Matsuda Chu
出版者
一般社団法人日本大腸肛門病学会
雑誌
Journal of the Anus, Rectum and Colon
巻号頁・発行日
vol.2, no.3, pp.83-89, 2018
被引用文献数
3

<p>Objectives: The aim of this study was to evaluate the feasibility of a protocol for enhanced recovery after surgery (ERAS) for colon cancer in older patients. Methods: One hundred and fifty-nine patients enrolled in the ERAS group of our previous clinical study were divided according to age into an older group (n = 31; ≥80 years old) and a younger group (n = 128; <80 years old). We compared the two groups for clinical outcomes, including surgical complications, re-admission rates, and the time to discharge, based on criteria for hospital discharge. Compliance with each ERAS element was compared between groups. Results: Concomitant diseases were present in all older patients (100%), but only in 57.8% of the younger group (<i>P</i> < 0.0001). The preoperative risk grade according to the American Society of Anesthesiologists classification was significantly higher in the older group than in the younger group. The postoperative surgical complications and re-admission rates were not significantly different between groups. Discharge criteria were met three days after the operation. The median length of hospital stay was slightly longer in the older group (9 days, range 5-15) than in the younger group (8 days, range 4-41; <i>P</i> = 0.061). Compliance above 80% was observed for 13 ERAS items in the older group and 14 ERAS items in the younger group; thus, compliance with the ERAS protocol was equally feasible in both groups. Conclusions: For older patients undergoing colon cancer surgery, an ERAS protocol might be feasible with a high implementation rate of the elements in the protocol.</p>