著者
Koyo Kido Reiko Yamada Yuri Maegawa Takamitsu Tanaka Yuhei Umeda Yohei Ikenoyama Hiroki Yukimoto Akina Shigehuku Junya Tsuboi Misaki Nakamura Masaki Katsurahara Yasuhiko Hamada Kyosuke Tanaka Noriyuki Horiki Hayato Nakagawa
出版者
The Japanese Society of Internal Medicine
雑誌
Internal Medicine (ISSN:09182918)
巻号頁・発行日
pp.0003-22, (Released:2022-10-05)
参考文献数
9

A 64-year-old man with a history of diabetes and gallstones was admitted to our institution with suspected pancreatic malignancy. Computed tomography (CT) revealed multiple pancreatic cysts and massive ascites, and endoscopic ultrasonography (EUS) revealed a 28×27-mm hypoechoic mass in the pancreatic head. An EUS-guided fine-needle aspiration biopsy was performed, and there were no malignant findings. Based on the test results and imaging findings, type 1 autoimmune pancreatitis was suspected. The patient was administered 30 mg of prednisolone daily. After 11 days, CT revealed that the pancreatic cysts and ascites had reduced in size.
著者
Yasuhiko Hamada Yuhei Umeda Yohei Ikenoyama Akina Shigefuku Hiroki Yukimoto Misaki Nakamura Masaki Katsurahara Kyosuke Tanaka Noriyuki Horiki Yuka Sugimoto Hayato Nakagawa
出版者
The Japanese Society of Internal Medicine
雑誌
Internal Medicine (ISSN:09182918)
巻号頁・発行日
pp.9733-22, (Released:2022-06-21)
参考文献数
22

A 44-year-old woman presented with severe anemia. We strongly suspected gastrointestinal bleeding; however, esophagogastroduodenoscopy, colonoscopy, and computed tomography showed no bleeding sources. Video capsule endoscopy revealed an actively bleeding submucosal lesion within the jejunum. Double-balloon enteroscopy revealed a 20-mm continuously bleeding submucosal lesion in the distal jejunum. We suspected small intestinal vascular malformation and performed surgical resection. The resected specimen pathologically comprised dilated, thin-walled lymphatic channels and blood vessels involving the small intestinal submucosa. Therefore, the patient was diagnosed with small intestinal lymphatic-venous malformation. Postoperatively, the patient recovered well, and recurrence was not observed.
著者
Misaki Nakamura Yutaka Kitamura Mito Kokawa
出版者
社団法人 日本食品科学工学会
雑誌
Food Science and Technology Research (ISSN:13446606)
巻号頁・発行日
vol.22, no.5, pp.605-609, 2016 (Released:2016-10-31)
参考文献数
18
被引用文献数
10

In recent years, food consumption trends in Japan have been changed greatly by the “westernization of the meal”. In particular, the increased consumption of dairy products and decreased consumption of rice are remarkable. Thus, we investigated the possibility of producing a cheese-like food from rice milk. Rice milk was pasteurized, fermented by lactic acid bacteria (LAB), and coagulated with various coagulation agents. Several heating conditions were applied for pasteurization of the rice milk, and the most rapid and efficient condition was achieved when the rice milk was heated at 65°C for 30 min. After fermentation, the population of LAB and pH of the fermented rice milk were found to be similar to those of fermented dairy milk. Some samples went through a dehydration step before coagulation with gelatin, xanthan gum, or agar. The dehydrated samples containing gelatin were similar in breaking strength to standard dairy cheese, and thus were used in sensory evaluation. In the sensory test, the sample containing 2.5 wt% gelatin received the highest overall acceptance of 41.6%.