著者

Yoshiya Morito Masahito Aimi Norihisa Ishimura Shino Shimura Hironobu Mikami Eiko Okimoto Shuuichi Sato Shunji Ishihara Yoshinori Kushiyama Tomoko Katsube Kyoichi Adachi Yoshikazu Kinoshita

出版者

一般社団法人 日本内科学会

雑誌

Internal Medicine (ISSN:09182918)

巻号頁・発行日

vol.53, no.19, pp.2179-2183, 2014 (Released:2014-10-01)

参考文献数

29

被引用文献数

3 16

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Objective Although gastroesophageal reflux disease (GERD) is known to cause sleep disturbances, the relationships between other abdominal symptoms and sleep disorders have not been clarified. In the present study, we examined the relationships between daytime sleepiness and various abdominal symptoms in a non-clinical population. Methods We enrolled 2,936 subjects who visited Matsue Red Cross Hospital for an annual health check examination during a 10-month consecutive period after excluding those with organic gastrointestinal diseases. The Izumo scale abdominal symptom and Epworth Sleepiness Scale (ESS) questionnaires were employed to evaluate the presence of abdominal symptoms and daytime sleepiness. Results Among the 2,936 subjects, 233 (7.9%), 254 (8.6%) and 528 (18%) had GERD-like, functional dyspepsia (FD)-like and irritable bowel syndrome (IBS)-like symptoms, respectively. The ESS scores in the subjects with GERD-, FD- and IBS-like symptoms were significantly higher than those observed in the asymptomatic subjects. The subjects with multiple abdominal symptoms tended to have higher ESS scores than those with single symptoms. A multiple logistic regression analysis revealed a younger age and the presence of FD- and IBS-like symptoms to be significant influencing factors for sleep disturbances. Conclusion The presence of FD and IBS symptoms in addition to GERD symptoms exhibits a strong relationship with sleep disturbances from the viewpoint of daytime sleepiness.

著者

Yoshikazu KINOSHITA Tsuyoshi SANUKI Sachiko OOUCHI Kousaku KAWASHIMA Shunji ISHIHARA

出版者

Shimane University, Faculty of Medicine

雑誌

Shimane Journal of Medical Science (ISSN:03865959)

巻号頁・発行日

vol.38, no.3, pp.89-97, 2021 (Released:2022-03-05)

参考文献数

34

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Chronic diarrhea is a symptom frequently noted in patients with various diseases. In addition to organic conditions, such as inflammatory bowel and neoplastic diseases, functional diseases including irritable bowel syndrome are important etiological factors related to chronic diarrhea. According to recent reports, approximately one-third of cases with suspected irritable bowel syndrome are actually diagnosed as bile acid diarrhea, which is characterized by decreased absorption of bile acids from the terminal ileum as well as their hepatic overproduction. Clinical signs and symptoms of bile acid diarrhea do not differ from those of other diseases complicated with chronic diarrhea, and reliable laboratory tests for proper diagnosis are not available in Japan. On the other hand, effective treatment is possible with oral administration of bile acid sequestrants. Therefore, in cases of irritable bowel syndrome with diarrhea and functional diarrhea, the possibility of bile acid diarrhea should always be considered, with a treatment trial with bile acid sequestrants discussed herein as an option.

著者

Akihiko Oka Shunji Ishihara Hironobu Mikami Hiroki Sonoyama Tsuyoshi Mishiro Hiroshi Tobita Kousaku Kawashima Tatsuya Miyake Norihisa Ishimura Kenji Furuta Yoshikazu Kinoshita Masayoshi Nishina

出版者

The Japanese Society of Internal Medicine

雑誌

Internal Medicine (ISSN:09182918)

巻号頁・発行日

vol.58, no.17, pp.2485-2494, 2019-09-01 (Released:2019-09-01)

参考文献数

41

被引用文献数

6

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As a rarely recognized foreign body in the upper gastrointestinal tract, rice cake frequently requires endoscopic removal. We herein report six patients with characteristic sonography, computed tomography (CT), spectroscopy, endoscopy, and histological findings. A review of all published cases, including ours, revealed that retained rice cake in the stomach typically shows the following: abdominal pain (93.3%), mucosal injury (93.3%) with bleeding (42.9%); high-density (120-206 Hounsfield units) CT findings; and indication for endoscopy (80%). In the esophagus, hot, toasted rice cake causes thermal injury. Primary physicians should be aware of this popular-food-induced, but rare, disorder.

著者

石原 俊時 イシハラ シュンジ Shunji Ishihara

雑誌

立教經濟學研究

巻号頁・発行日

vol.51, no.4, pp.75-102, 1998-03