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Biomedical subjects

H Oka

Publications and source records attributed to H Oka.

At least 505 records · Page 28Linked to original sources
PubMed1982

Radioimmunoassay of serum group I and group II pepsinogens in normal controls and patients with various disorders.

A radioimmunoassay (RIA) for human group I pepsinogens (PgI) in serum was developed, using PgI purified from gastric mucosa. The sensitivity (0.7 micrograms/l) and reproducibility of the assay were satisfactory for clinical use. In normal controls, total serum pepsinogen (T-Pg) level was 58.9 +/- 31.7 micrograms/l (mean +/- SD) (PgI, 43.6 +/- 25.0 micrograms/l; PgII, 15.3 +/- 11.1 micrograms/l). Peptic ulcer cases had elevated T-Pg levels (gastric ulcer, gastroduodenal ulcer and duodenal ulcer, in increasing order of magnitude). T-Pg levels were not useful for diagnosis of peptic ulcer because of a large overlap with normal controls. T-Pg levels were low in patients with gastric polyp and in aged subjects. In these groups, the decrease of PgI was more marked than that of PgII.

Adult↗
PubMed1982

Radioimmunoassay of group II pepsinogen in human serum.

A new radioimmunoassay (RIA) using a double antibody method for human Group II pepsinogens in serum was developed. (1) Sensitivity of this assay system was of the order of 1 microgram per 1 of serum and optimal assay range was 10 to 50 microgram per 1; (2) no effect of interference of human serum was detected and there was no cross-reaction with human Group I pepsinogens within the optimal assay range; (3) satisfactory results were obtained for both within- and between-assay reproducibility (coefficient of variation was 3.9% and 3.7-15.3%, respectively); (4) the mean (+/- SEM) serum Pg II level in healthy donors was 15.9 +/- 0.7 microgram/l for males and 12.8 +/- 1.3 microgram/l for females; the difference between males and females was statistically significant (p less than 0.05); (5) the mean serum Pg II level in 10 patients with total gastrectomy was 1.2 +/- 0.05 microgram/l. These results suggest that most of Pg II in human serum is derived from the gastroduodenal system.

Adult↗
PubMed1982

Potential peptic activity of pepsinogen of human gastroduodenal mucosa determined by fluorescent microassay method using succinyl albumin.

Pepsinogen level, expressed as the potential peptic activity of pepsinogen was determined by a fluorescent microassay using succinyl albumin as substrate, in biopsy specimens from the gastroduodenal mucosa of 95 subjects. The following results were obtained: (1) pepsinogen level in the gastric mucosa becomes progressively higher from pylorus to corpus (p less than 0.001); (2) pepsinogen level in the gastroduodenal mucosa of duodenal ulcer was significantly higher than that of normal mucosa or gastric ulcer (p less than 0.001); (3) the difference in pepsinogen level between the gastric mucosa with and without intestinal metaplasia was statistically significant (p less than 0.01); (4) the correlation between the histology of gastric glands and pepsinogen level was fundic gland greater than intermediate gland greater than pyloric gland (p less than 0.001).

Adult↗
PubMed1982

Effect of a biologic glue on the leakage rate of experimental rectal anastomoses.

Because bowel and omental adhesions offer some protection when an anastomosis leaks, the effect of a fibrin glue on the leak rate was determined in a prospective animal study. EEA stapled anastomoses of the rectum were evaluated in dogs with respect to mortality, postmortem leak rate, adhesions, and the accuracy of barium enema done just before the animals were killed 7 days postoperatively. There was a reduction in fatal, free, and confined leaks which did not reach statistical significance. Adhesions were reduced. There were no false-positive barium enemas but a 7 percent incidence of false-negative results. The clinical management of a suspected anastomotic leak is discussed.

Animals↗
PubMed1982

Upper gastrointestinal mass survey with panendoscopy in a workplace.

We performed a mass survey using a thin forward-viewing gastroscope (Olympus GIF-P2) as a secondary examination of 449 persons from 3457 employees who had undergone the first step of the screening with photofluorography. Comparing these results with those obtained in the mass survey of 1976 and 1977, in which the lateral-viewing gastrocamera, GT-PA2, was employed for the second step of the screening in 372 of 3548 persons examined, we arrived at the following conclusions: (1) the thin forward-viewing gastroscope for mass survey permits accurate diagnosis not only of gastric lesions but also of bulbar lesions; (2) there was no significant difference between the two mass surveys in the rate of discovery of gastric lesions, but gastric ulcer scars were detected at higher rate when using the gastrocamera; and (3) few lesions were noted in cases with an incompletely filled bulb; gastric erosions, especially prepyloric, were noted with bulbar deformity.

Gastroscopes↗
PubMed1982

Anatomically corrected malposition of the great arteries--case reports and a review.

Anatomically corrected malposition of the great arteries (ACM) is an extremely uncommon cardiac disease in which the great arteries arise from their appropriate ventricles despite abnormal spatial interrelations. Two patients with this malformation underwent successful surgical intervention for their associated anomalies. One was of situs solitus, d-loop and l-malposition and the other of situs inversus, l-loop and d-malposition of the great arteries. Fifty-three cases with accurate anatomical description were collected from the literature, and anatomical characteristics and associated anomalies were investigated. From the standpoint of anatomy and hemodynamics, we considered that ACM should be classified into atrioventricular concordant ACM, atrioventricular discordant ACM and ACM with situs ambiguus. Heart position and conus were variable. Dextrocardia and mesocardia were frequent. Bilateral conus was characteristic in concordant ACM, and subpulmonary conus was prominent in discordant ACM. The hypoplasia of the right heart and juxtaposition of the atrial appendages were in high incidence in cases of ACM. Surgical intervention was also discussed.

Angiocardiography↗
PubMed1982

Surgical results and factors affecting operative mortality in total anomalous pulmonary venous drainage.

Factors affecting the surgical results of total anomalous pulmonary venous drainage were evaluated in 17 patients in an attempt to establish an appropriate plan of management. The mortality rate correlated with age, size of interatrial communication, arterial oxygen saturation and left heart volume but not with pulmonary to systemic systolic pressure ratio, vascular resistance ratio and right ventricular volume. In cases where the symptoms appeared early in life, left heart volume was small and clinical features were severe. Four children with a left ventricular end-diastolic volume of less than 65% of normal died of low cardiac output syndrome. In those with an unusually small left heart, enlargement of the left atrium and/or delayed ligation of the anomalous vertical vein were considered more favorable. Left atrial and ventricular volumes were restored to normal after the surgery.

Age Factors↗