- 著者
- Kei Endo Keisuke Kakisaka Yuji Suzuki Takayuki Matsumoto Yasuhiro Takikawa
- 出版者
- The Japanese Society of Internal Medicine
- 雑誌
- Internal Medicine (ISSN:09182918)
- 巻号頁・発行日
- vol.56, no.22, pp.3019-3022, 2017-11-15 (Released:2017-11-15)
- 参考文献数
- 10
- 被引用文献数
- 5
An 82-year-old Japanese man visited our hospital with abdominal fullness accompanied by lower abdominal pain. He presented with small bowel obstruction due to multiple diospyrobezoars. The bezoars were successfully removed without any surgical intervention by the administration of Coca-Cola Zero through a long intestinal tube and subsequent endoscopic manipulation. Such a combination may be the treatment of choice for small bowel obstruction due to bezoars.
- 著者
- Yuji Suzuki Osamu Nishiyama Toshiaki Sakai Masanobu Niiyama Tomonori Itoh Motoyuki Nakamura
- 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.7, pp.717-720, 2014 (Released:2014-04-01)
- 参考文献数
- 14
- 被引用文献数
- 6 7
A 42-year-old woman with a history of aspirin-induced asthma was admitted with severe chest pain. Emergency coronary angiography revealed coronary artery spasms. The administration of vasodilators did not suppress the anginal symptoms, and the differential white blood cell count continued to show eosinophilia. The patient's symptoms of aspirin-induced asthma, eosinophilia and other allergic states led to the diagnosis of Churg-Strauss syndrome (CSS). After starting betamethasone therapy, the eosinophilia and cardiac symptoms rapidly disappeared. Although coronary vasospasms related to CSS are rare, the present case suggests that a differential white blood cell count should be obtained in patients with refractory coronary vasospasms.
2 0 0 0 OA 長崎県伊王島の開発の経緯と離島指定
- 著者
- 鈴木 勇次 Yuji Suzuki
- 巻号頁・発行日
- vol.6, no.1, pp.5-15,
- 著者
- Hironaka IGARASHI Yuji SUZUKI Vincent J. HUBER Masahiro IDA Tsutomu NAKADA
- 出版者
- Japanese Society for Magnetic Resonance in Medicine
- 雑誌
- Magnetic Resonance in Medical Sciences (ISSN:13473182)
- 巻号頁・発行日
- vol.14, no.1, pp.13-24, 2015-02-01 (Released:2015-02-20)
- 参考文献数
- 93
- 被引用文献数
- 15 23
N-acetylaspartate (NAA) appears in a prominent peak in proton magnetic resonance spectroscopy (1H-MRS) of the brain. Exhibition by NAA of time-dependent attenuation that reflects energy metabolism during the acute stage of cerebral ischemia makes this metabolite a unique biomarker for assessing ischemic stroke. Although magnetic resonance (MR) imaging is a powerful technique for inspecting the pathological changes that occur during ischemic stroke, biomarkers that directly reflect the drastic metabolic changes associated with acute-stage ischemia are strongly warranted for appropriate therapeutic decision-making in daily clinical settings. In this review, we provide a brief overview of NAA metabolism and focus on the use of attenuation in NAA as a means for assessing the pathophysiological changes that occur during the acute stage of ischemic stroke.