Faculty Profiles - FUJIWARA Toshiyoshi

MISC - FUJIWARA Toshiyoshi

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An extended retroperitoneal emphysema with diversion colitis after colonoscopy

Tetsuya Kagawa, Shin Nakatani, Hiroyuki Kishimoto, Yoshitaka Kondo, Toshiko Mori, Takeshi Nagasaka, Toshiyoshi Fujiwara

Japanese Journal of Gastroenterological Surgery 49 ( 8 ) 804 - 811 2016

Language：Japanese Publisher：Japanese Society of Gastroenterological Surgery

A 68-year-old man with a history of intersphincteric resection and transverse colostomy for rectal cancer underwent diagnostic colonoscopy as a post-operative follow up. Colonoscopy revealed diversion colitis of the sigmoid colon. Two hours after the examination, the patient complained of mild abdominal pain. Blumberg sign was negative and no remarkable changes were observed, but abdominal pain did not improve for 6 hours. A CT scan showed retropneumoperitoneum, pneumomediastinum, subcutaneous emphysema and pneumatosis intestinalis of the sigmoid colon without any evidence of perforation. We diagnosed retroperitoneal emphysema with diversion colitis after colonoscopy and the patient was admitted to our hospital. We decided on a conservative treatment method because of the lack of peritonitis and good general condition. The clinical course was uneventful and he was discharged 11 days after the initial observation. Retroperitoneal emphysema is a very rare complication that occurs after colonoscopy. We report our case with a literature review of 25 cases of retroperitoneal emphysema after colonoscopy in Japan.

DOI： 10.5833/jjgs.2015.0141

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Incisional hernia repair after wide excision of the iliac bone

Tsukuda Kazunori, Asano Hiroaki, Mandai Yasuhiro, Fujiwara Toshiyoshi

Okayama Igakkai Zasshi (Journal of Okayama Medical Association) 128 ( 2 ) 117 - 120 2016

Language：Japanese Publisher：Okayama Medical Association

The patient was a 46-year old Japanese female who had undergone wide excision of the iliac bone and hip transposition at our institute's orthopedics department 2 years earlier. She presented with a growing incisional hernia and was transferred to our gastroenterological surgery department for surgical treatment. We planned a mesh repair for the incisional hernia, which protruded over the right iliac bone. The dimensions of the abdominal defect were 15×9 cm, and we used prolene mesh to repair the defect. The mesh was fixed at the inner part of the iliac bone, folded back at the iliac horn and fixed to the abdominal oblique muscles. The postoperative course was smooth, and recurrence was not seen at 3.5 years after the operation. An incisional hernia as seen in this patient's case is very rare, but we found that the underlay technique and prolene mesh were very useful for the three-dimensional hernia repair.

DOI： 10.4044/joma.128.117

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Other Link： http://search.jamas.or.jp/link/ui/2016396172

癌関連線維芽細胞が食道癌の浸潤と転移に及ぼす影響の検証

賀島肇, 野間和広, 桂佑貴, 加藤卓也, 大原利章, 田澤大, 白川靖博, 香川俊輔, 藤原俊義

日本消化器癌発生学会総会プログラム・抄録集 27th 2016

腹腔鏡下噴門側胃切除

西﨑正彦, 藤原俊義

日本外科学会雑誌 117 ( 6 ) 543 - 546 2016

腹臥位胸腔鏡下食道亜全摘術

白川靖博, 野間和広, 金谷信彦, 岡田剛, 前田直見, 田辺俊介, 藤原俊義

消化器外科 39 ( 9 ) 1223 - 1235 2016

Molecular theranostics for gastrointestinal cancer：分子イメージングと治療の融合

藤原俊義

JSMI Report 10 ( 1 ) 7 - 11 2016

「臨床研究の基礎と実践」によせて

藤原俊義

日本外科学会雑誌 117 ( 6 ) 597 - 597 2016

テロメラーゼ標的化がん治療・診断用アデノウイルス

田澤大, 香川俊輔, 重安邦俊, 藤原俊義

実験医学 34 ( 1 ) 13 - 18 2016

いま「外科臨床研究」に求められていること

藤原俊義

臨床外科 71 ( 5 ) 524 - 525 2016

胆管の外科解剖

八木孝仁, 篠浦先, 楳田祐三, 吉田龍一, 藤原俊義

手術 70 ( 4 ) 347 - 354 2016

腫瘍融解ウイルス療法の臨床開発

藤原俊義

医学のあゆみ 258 ( 5 ) 503 - 508 2016

多視点3D映像システムによる次世代の手術解剖教育

信岡大輔, 八木孝仁, 近藤喜太, 篠浦先, 楳田祐三, 吉田龍一, 渡辺信之, 杭瀬崇, 藤智和, 高木弘誠, 藤原俊義

日本消化器外科学会雑誌(Web) 49 ( Supplement2 ) 2016

当院における膵頭十二指腸切除術の治療成績

高木弘誠, 八木孝仁, 吉田龍一, 藤智和, 杭瀬崇, 渡辺信之, 信岡大輔, 楳田祐三, 篠浦先, 藤原俊義

日本消化器外科学会雑誌(Web) 49 ( Supplement2 ) 2016

頭頚部および胸部外科手術後の難治性リンパ漏に対するリンパ管造影の経験

岡田剛, 野間和広, 金谷信彦, 前田直見, 田邊俊介, 白川靖博, 藤原俊義

日本食道学会学術集会抄録集(CD-ROM) 70th 2016

胸腔鏡下食道亜全摘術後に発症した術後リンパ瘻に対し,腹臥位胸腔鏡下胸管結紮術により治療し得た一例

土生智大, 白川靖博, 升田智也, 前田直見, 二宮卓之, 田邊俊介, 野間和広, 櫻間教文, 藤原俊義

日本内視鏡外科学会雑誌 21 ( 7 (CD-ROM) ) 2016

食道切除術後胃管再建におけるICG蛍光法による胃管血流評価の有用性

岡田剛, 野間和広, 金谷信彦, 前田直見, 田邊俊介, 白川靖博, 藤原俊義

日本消化器外科学会雑誌(Web) 49 ( Supplement1 ) 2016

Multimodality preoperative treatment based on DCF chemotherapy for highly advanced esophageal cancer

田邊俊介, 白川靖博, 金谷信彦, 岡田剛, 前田直見, 櫻間教文, 野間和広, 西崎正彦, 香川俊輔, 藤原俊義

日本消化器外科学会雑誌(Web) 49 ( Supplement1 ) 2016

胃腫瘍に対するClosed-LECSの定型化と展望

西崎正彦, 菊地覚次, 黒田新士, 加藤大, 田邊俊介, 野間和広, 香川俊輔, 白川靖博, 岡田裕之, 藤原俊義

先進内視鏡治療研究会 10th 2016

Acquired Resistance to Anti-Epidermal Growth Factor Receptor Therapy in Metastatic Colorectal Cancer

谷口文崇, 永坂岳司, 藤智和, 母里淑子, 岸本浩行, 河合毅, 楳田祐三, 藤原俊義

日本消化器外科学会雑誌(Web) 49 ( Supplement1 ) 2016

リンチ症候群における遺伝子変異の特徴とスクリーニング,PD-1を含めた治療標的

永坂岳司, 谷口文崇, 母里淑子, 藤原俊義

日本臨床腫瘍学会学術集会(CD-ROM) 14th 2016

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