Biomedical subjects

T Morikawa

Publications and source records attributed to T Morikawa.

328 records · Page 19Linked to original sources

PubMedDate not supplied

DIC-CT findings of biliary cystadenocarcinoma communicating with the bile duct: a case report.

Among the intrahepatic cystic diseases except Caroli's disease, only biliary cystadenoma/cystadenocarcinoma may communicate with the bile duct. We present a case of biliary cystadenocarcinoma in which drip infusion cholangiographic-computed tomography demonstrated communication between an intrahepatic cyst and the biliary system preoperatively. Drip infusion cholangiographic-computed tomography, a simple and noninvasive examination, is useful for differentiating biliary cystadenoma/cystadenocarcinoma from other intrahepatic cystic lesions.

Adult↗

PubMedDate not supplied

Esophageal reconstruction using a stomach roll following endoscopic mucosal resection.

A 73-year-old male patient presenting with synchronous triple cancer of the hypopharynx, esophagus and stomach is herein reported. To pursue safety by reducing surgical stress and better postoperative quality of life, we preserved the stomach by treating the gastric cancer by endoscopic mucosal resection and subsequently used the stomach for making an elongated stomach roll during the esophageal reconstruction. Postoperatively, no complications occurred and the patient has been on oral feeding for 23 months with no recurrence of primary cancer.

Adenocarcinoma↗

PubMedDate not supplied

Hepatectomy for metastases from non-colorectal and non-neuroendocrine tumor.

BACKGROUND: The role of hepatectomy for metastases from non-colorectal (NCR) and non-neuroendocrine (NNE) tumors has not been defined. We analyzed several factors of the primary tumor and liver metastases to clarify the prognostic determinants. PATIENTS AND METHODS: From 1990 to 1995, 33 patients underwent hepatectomy for metastases from NCR and NNE tumors. The primary tumors were gastric cancer in 9, biliary cancer in 7, pancreatic cancer in 6, breast cancer in 4 and miscellaneous tumor in 7 patients. RESULTS: The overall 5-year survival after hepatectomy was 12.1%. Morbidity and mortality rates were 21.2% and 9.1%, respectively. The liver metastases from breast cancer, unilateral liver metastases and curative resection of liver metastases were prognostic factors in univariate analysis. CONCLUSION: Resection of liver metastases from NCR and NNE tumors may offer prolonged survival for selected patients.

Adult↗

PubMedDate not supplied

Breathing pattern in tetraplegics during exposure to hypoxia and hypercapnia.

The question was investigated of whether thoracic feedback could play a role in shaping the tidal and frequency components of the breathing pattern. The changes in the breathing pattern of tetraplegic subjects were examined and compared with those of normal subjects during hypoxic and hypercapnic rebreathing tests, using data from our previous study. The breathing pattern was evaluated from diagramatic spirograms, constructed at an SaO2 80% and P(ET)CO2 of 55 mmHg. Chemical drive increased VT and shortened T1 and TE in both groups, but tetraplegics responded with a 60% smaller increase in VT. Since the mean inspiratory flow, VT/T1, was the same in either gas condition in both groups, the smaller VT in tetraplegics was due entirely to a shorter T1. These results show that ventilation in tetraplegics is more shallow and rapid, and it implicates thoracic feedback in modulation of the respiratory pattern.

Humans↗