Faculty Profiles - KONDOU Yoshitaka

Papers - KONDOU Yoshitaka

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taTMEを安全に導入、普及させるためのcadaver surgical trainingの役割

戸嶋俊明, 近藤喜太, 信岡大輔, 黒田新士, 前田直見, 寺石文則, 白川靖博, 香川俊輔, 藤原俊義

日本内視鏡外科学会雑誌 23 ( 7 ) OS78 - 7 2018.12

内視鏡外科におけるCadaver教育が果たすべき役割と未来

近藤喜太, 前田直見, 黒田新士, 信岡大輔, 西崎正彦, 白川靖博, 藤原俊義

日本内視鏡外科学会雑誌 23 ( 7 ) EDS - 2 2018.12

本邦初のカダバーを用いたComponent separation法トレーニングコースの開催と有用性

井谷史嗣, 近藤喜太, 藤原俊儀, 大塚愛二

日本臨床外科学会雑誌 79 ( 増刊 ) 684 - 684 2018.10

Enterovaginal and colovesical fistulas as late complications of pelvic radiotherapy. Reviewed

Iwamuro M, Hasegawa K, Hanayama Y, Kataoka H, Tanaka T, Kondo Y, Otsuka F

Journal of general and family medicine 19 ( 5 ) 166 - 169 2018.9

Language：English

A 72-year-old Japanese woman presented with a fever, diarrhea, intermittent spotting, and constant fluid discharge from the vagina. Imaging studies revealed an enterovaginal fistula. She underwent radical hysterectomy and radiotherapy 35 years previously. She also had a surgical history of nephrostomy, nephrectomy, ileoascending anastomosis, and colostomy. As bleeding from the enterovaginal fistula was uncontrollable, ileocecal resection was performed. However, a colovesical fistula with urinary tract infection occurred 3 months later. The present case indicates that fistula formation occurs and causes various symptoms in patients who underwent postpelvic radiotherapy, particularly in those with prior surgeries in the irradiated field.

DOI： 10.1002/jgf2.184

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ストーマ造設と管理における諸問題回腸人工肛門狭窄のリスク因子の抽出と予防 Reviewed

重安邦俊, 母里淑子, 戸嶋俊明, 矢野修也, 近藤喜太, 岸本浩行, 寺石文則, 藤原俊義

日本大腸肛門病学会雑誌 71 ( 抄録号 ) A61 - A61 2018.9

Successful wound treatment using negative pressure wound therapy without primary closure in a patient undergoing highly contaminated abdominal surgery. Reviewed International journal

Yoshioka T, Kondo Y, Fujiwara T

Surgical case reports 4 ( 1 ) 85 - 85 2018.8

Language：English Publishing type：Research paper (scientific journal)

BACKGROUND: The indications for negative pressure wound therapy (NPWT) continue to expand, and NPWT has become a powerful tool for the treatment of interactive wounds. Recently, the use of NPWT over closed incisions has been shown to prevent surgical site infection (SSI) in patients undergoing contaminated or acute care surgery as prophylactic NPWT. In this article, we present our successful experience using NPWT without primary skin closure for wound treatment after a highly contaminated enterological surgery. The procedure we present in this case report is considerably different from the conventional prophylactic NPWT and a novel method in the field of gastrointestinal surgery. CASE PRESENTATION: A 33-year-old man with Crohn's disease underwent a dirty, infected enterological surgical procedure for the treatment of abdominal wall abscess and multiple fistulas around his colonic stoma. The stoma reconstruction and wound debridement resulted in a broad skin defect, and the incision was strategically left open. In addition to the infected wound condition (class IV), Crohn's disease itself is a risk factor for SSI; consequently, we induced NPWT immediately after the surgery and closed the incision from both ends in a stepwise manner using sutures each time we changed the dressing. This procedure was effective, enabling complete healing and closure at the surgical site on postoperative day 14 without infection or a skin defect. CONCLUSION: For highly contaminated enterological surgery, purposely leaving the incision open and starting NPWT immediately after the procedure is an effective strategy for early wound closure and the prevention of SSI.

DOI： 10.1186/s40792-018-0493-5

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NCCNガイドラインにおける消化管神経内分泌腫瘍の内視鏡切除・手術適応の妥当性の検討 Reviewed

重安邦俊, 母里淑子, 戸嶋俊明, 矢野修也, 近藤喜太, 浅野博昭, 岸本浩行, 寺石文則, 香川俊輔, 藤原俊義

日本消化器外科学会総会 73回 496 - 496 2018.7

Delayed hydronephrosis due to retroperitoneal hematoma after a seatbelt injury: A case report. Reviewed International journal

Yumoto T, Kondo Y, Kumon K, Masaoka Y, Hiraki T, Yamada T, Naito H, Nakao A

Medicine 97 ( 23 ) e11022 2018.6

Language：English Publishing type：Research paper (scientific journal)

RATIONALE: Hydronephrosis caused by retroperitoneal hematoma after a seatbelt injury is a unique clinical entity. PATIENT CONCERNS: A 21-year-old man, who had been wearing a seatbelt, was brought to our hospital after a motor vehicle collision, complaining of abdominal pain. Computed tomography (CT) revealed retroperitoneal hematoma in the upper pelvic region. Since he was hemodynamically stable throughout admission, he was managed conservatively. Seventeen days after initial discharge, the patient revisited our emergency department due to right back pain. DIAGNOSES: CT scans indicated retroperitoneal hematoma growth resulting in hydronephrosis of the right kidney. INTERVENTIONS: Laparoscopic drainage of the retroperitoneal hematoma was successfully performed. OUTCOMES: His symptoms resolved after the surgery. Follow-up CT scans three months later demonstrated complete resolution of the hydronephrosis and retroperitoneal hematoma. LESSONS: Our case highlights a patient with delayed hydronephrosis because of retroperitoneal hematoma expansion after a seatbelt injury.

DOI： 10.1097/MD.0000000000011022

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Evaluation of the Upper Gastrointestinal Tract in Ulcerative Colitis Patients. Reviewed

Kato R, Iwamuro M, Hiraoka S, Takashima S, Inokuchi T, Takahara M, Kondo Y, Tanaka T, Okada H

Acta medica Okayama 72 ( 2 ) 105 - 113 2018.4

Language：English Publishing type：Research paper (scientific journal)

To analyze the clinical characteristics of patients with ulcerative colitis who have upper gastrointestinal lesions, we retrospectively reviewed the data of 216 patients with ulcerative colitis who underwent esophagogastroduodenoscopy at our institute in April 2008-March 2016. We investigated the endoscopic features and compared the clinical characteristics between the patients with and without upper gastrointestinal lesions. Forty-two patients (19.4%) had upper gastrointestinal lesions, including multiple erosions (n=18), bamboo joint-like appearance (n=17), mucosa with white spots (n=4), friable mucosa (n=2), ulcer (n=1), and purulent deposits within the mucosa (n=1) in the stomach and/or duodenum. Compared to the patients without upper gastrointestinal lesions, those with upper gastrointestinal lesions showed significantly more frequent extraintestinal manifestations (19.0% vs. 8.0%, p<0.05) and a significant history of colectomy (33.3% vs. 12.1%, p<0.01). There were no significant differences with regard to the sex ratio, age at esophagogastroduodenoscopy, gastrointestinal symptoms, time since the diagnosis of ulcerative colitis, type of colitis at the initial diagnosis of ulcerative colitis, or gastric atrophy between the groups. In conclusion, gastroduodenal lesions were identified in 19.4% of the patients with ulcerative colitis. Esophagogastroduodenoscopy is particularly recommended for ulcerative colitis patients who show extraintestinal manifestations and for those who have undergone a colectomy.

DOI： 10.18926/AMO/55850

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外科医のトレーニング-技術の継承とは- カダバートレーニングにおける技術の継承

近藤喜太, 信岡大輔, 黒田新士, 前田直見, 西崎正彦, 白川靖博, 藤原俊義

日本外科学会定期学術集会抄録集 118回 258 - 258 2018.4

パテンシーカプセルが回腸に長期滞留したクローン病の1例

岩室雅也, 高嶋志保, 井口俊博, 高原政宏, 川野誠司, 平岡佐規子, 近藤喜太, 田中健大, 岡田裕之

日本消化器病学会雑誌 115 ( 2 ) 203 - 210 2018.2

Language：Japanese Publisher：(一財)日本消化器病学会

40歳男性。21歳時にクローン病と診断され加療中。イレウス症状を繰り返すため当院紹介。CT検査では回腸狭窄および同部位に高吸収の人工物を認めた。ダブルバルーン内視鏡検査では回腸に多発狭窄を認め、小腸部分切除を施行したところ、狭窄部の近位側に異物を認めた。抽出した異物の解析により、30ヵ月前に嚥下したパテンシーカプセルの非溶解性コーティング膜の滞留と診断した。(著者抄録)

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Other Link： https://search.jamas.or.jp/index.php?module=Default&action=Link&pub_year=2018&ichushi_jid=J01118&link_issn=&doc_id=20180223480008&doc_link_id=130006379165&url=https%3A%2F%2Fci.nii.ac.jp%2Fnaid%2F130006379165&type=CiNii&icon=https%3A%2F%2Fjk04.jamas.or.jp%2Ficon%2F00003_1.gif

Efficacy of restarting anti-tumor necrosis factor α agents after surgery in patients with Crohn's disease Reviewed

Sakiko Hiraoka, Shiho Takashima, Yoshitaka Kondo, Toshihiro Inokuchi, Yuusaku Sugihara, Masahiro Takahara, Seiji Kawano, Keita Harada, Jun Kato, Hiroyuki Okada

Intestinal Research 16 ( 1 ) 75 - 82 2018

Language：English Publishing type：Research paper (scientific journal) Publisher：Korean Association for the Study of Intestinal Diseases

Background/Aims: The efficacy of anti-tumor necrosis factor a (anti-TNFα) antibodies for postoperative Crohn's disease (CD) in patients who were treated with these agents prior to surgery is largely unknown. Methods: CD patients who underwent intestinal resection and received anti-TNFα agents after surgery were divided into 2 groups according to the presence or absence of preoperative anti-TNFα treatment: anti-TNFα restart group or anti-TNFα naïve group. Endoscopic recurrence after surgery was examined according to the preoperative conditions, including administration of anti-TNFα agents before surgery. Results: Thirty-six patients received anti-TNFα antibody after surgery: 22 in the anti-TNFα restart group and 14 in the anti- TNFα naïve group. Endoscopic recurrence after surgery was more frequently observed in the anti-TNFα restart group than in the anti-TNFα naïve group (68% vs. 14%, P &lt
0.001). Multivariate analysis revealed the following significant risk factors of endoscopic recurrence after surgery: anti-TNF restart group (odds ratio [OR], 28.10
95% CI, 3.08-722.00), age at diagnosis &lt
23 years (OR, 24.30
95% CI, 1.67-1,312.00), serum albumin concentration at surgery &lt
3.3 g/dL (OR, 34.10
95% CI, 1.72-2,804.00), and presence of inflammation outside of the surgical site (OR, 21.40
95% CI, 1.02-2,150.00). Treatment intensification for patients with endoscopic recurrence in the anti-TNFα restart group showed limited responses, with only 1 of 12 patients achieving endoscopic remission. Conclusions: The efficacy of restarting anti-TNFα antibody treatment after surgery was limited, and treatment intensification or a change to different classes of biologics should be considered for those patients.

DOI： 10.5217/ir.2018.16.1.75

Scopus

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[Retention of patency capsule in a patient with Crohn's disease]. Reviewed

Iwamuro M, Takashima S, Inokuchi T, Takahara M, Kawano S, Hiraoka S, Kondo Y, Tanaka T, Okada H

Nihon Shokakibyo Gakkai zasshi = The Japanese journal of gastro-enterology 115 ( 2 ) 203 - 210 2018

腹臥位胸腔鏡下食道亜全摘における臨床応用解剖実習の有用性

前田直見, 白川靖博, 鳴坂徹, 二宮卓之, 田辺俊介, 近藤喜太, 野間和広, 藤原俊義

日本内視鏡外科学会雑誌 22 ( 7 ) SF108 - 01 2017.12

放射線治療後の手術創に対する計画的陰圧閉鎖療法の経験

戸嶋俊明, 近藤喜太, 菊地覚次, 二宮卓之, 母里淑子, 黒田新士, 田邊俊介, 万代康弘, 野間和広, 浅野博昭, 岸本浩行, 永坂岳司, 西崎正彦, 佃和憲, 香川俊輔, 白川靖博, 藤原俊義

日本創傷治癒学会プログラム・抄録集 47回 151 - 151 2017.11

バスキュラーアクセス関連手術の技能習得に向けた医師育成の取り組み

松田浩明, 吉田龍一, 竹内英実, 桂佑貴, 近藤喜太, 藤本靖郎, 岡良成, 佐々木環, 杉山斉, 宮崎雅史

腎と透析 83 ( 別冊アクセス2017 ) 58 - 60 2017.10

遅発性に肝転移・骨盤内リンパ節転移をきたした直腸神経内分泌腫瘍の1例 Reviewed

重安邦俊, 杭瀬崇, 母里淑子, 河合毅, 矢野修也, 戸嶋俊明, 浅野博昭, 近藤喜太, 佃和憲, 永坂岳司, 八木孝仁, 藤原俊義

日本大腸肛門病学会雑誌 70 ( 抄録号 ) A85 - A85 2017.9

下部消化管手術教育における私の工夫開腹手術と腹腔鏡下手術下部消化管領域におけるカダバートレーニングの実際

近藤喜太, 信岡大輔, 黒田新士, 前田直見, 藤原俊義

日本外科学会定期学術集会抄録集 117回 WS - 7 2017.4

大腸癌卵巣転移に対する外科治療の検討

母里淑子, 永坂岳司, 岸本浩行, 近藤喜太, 工藤泰崇, 樹下真希, 浅野博昭, 佃和憲, 藤原俊義

日本大腸肛門病学会雑誌 70 ( 2 ) 145 - 145 2017.2

Diffuse Intestinal Ganglioneuromatosis Showing Multiple Large Bowel Ulcers in a Patient with Neurofibromatosis Type 1 Reviewed

Masaya Iwamuro, Rika Omote, Takehiro Tanaka, Naruhiko Sunada, Takahiro Nada, Yoshitaka Kondo, Soichiro Nose, Mitsuhiko Kawaguchi, Fumio Otsuka, Hiroyuki Okada

INTERNAL MEDICINE 56 ( 24 ) 3287 - 3291 2017

Language：English Publishing type：Research paper (scientific journal) Publisher：JAPAN SOC INTERNAL MEDICINE

A 67-year-old Japanese man with neurofibromatosis type 1 underwent right hemicolectomy owing to abscess formation around the cecum. A pathological analysis revealed diffuse intestinal ganglioneuromatosis in the cecum and colon. Colonoscopy performed eight months after hemicolectomy revealed multiple ulcers throughout the colon and rectum. The colorectal ulcers failed to respond to conservative treatment and ultimately required surgical resection. Diffuse ganglioneuromatosis was observed again in the resected specimen. This report illustrates a rare manifestation of diffuse intestinal ganglioneuromatosis in a patient with neurofibromatosis type 1.

DOI： 10.2169/internalmedicine.8671-16

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