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Biomedical subjects

T Muto

Publications and source records attributed to T Muto.

At least 631 records · Page 35Linked to original sources
PubMed1980

Colonoscopic polypectomy in diagnosis and treatment of early carcinoma of the large intestine.

Histologic investigation and analysis of 370 polyps, removed via colonoscope, demonstrated a malignancy rate of adenomas of about 20 per cent. Even small adenomas under 1 cm in diameter were found to have a higher malignant potential than previously appreciated. The malignancy rate was higher with increasing size, and adenomas in females had a much higher malignant potential than in males. It is obvious that colonoscopic polypectomy is valuable in detecting and treating early carcinomas of the colon.

Adenoma↗
PubMed1980

Enhanced neurotensin-like immunoreactivity release in total gastrectomized patients after 50 g OGTT.

Neurotensin, originally isolated from the bovine hypothalamus (Carraway and Leeman 1973) is found not only in several parts of the brain (Carraway and Leeman 1976a) but also in the lower intestine (Orci, Baetens, Rufener, Brown, Vale and Guillemin 1976). Although neurotensin has a wide range of pharmacological effects (Carraway, Demer and Leeman 1976b), the concentrated localization of this peptide in the gut suggests that neurotensin may play a pathophysiological role in the gut disease. Recently, Bloom, Blackburn, Ebeid, Ralphs and Polak (1978) proposed the hypothesis that neurotensin may play an important role in the pathogenesis of dumping syndrome, based on measurement of plasma neutrotensin levels in gastrectomized patients. To examine the hypothesis, we compared changes of plasma neurotensin levels after 50 g OGTT in total gastrectomized patients with those in control subjects. In this paper, we report on enhanced neurotensin like immunoreactivity (NTLI) release in gastrectomized patients after 50 g OGTT.

Adult↗
PubMed1980

Factors contributing to the prognosis of falciparum malaria.

Factors contributing to the poor outcome of imported falciparum malaria in adult patients were investigated and following conclusions were drawn. 1) In the case of primarily non-immune patients, a catastrophic course of the disease was precipitated when the inception of treatment was delayed beyond 6 days after the onset of illness. Nine fatal and 3 moribund cases presently reported fell in this category. However, there were exceptional cases who made an uneventful recovery, despite the delay in starting treatment, apparently due to appropriate treatment taken immediately upon confirmation of the grave situation. 2) The group of fatal and moribund cases usually had higher parasite and lower thrombocyte counts that the groups of patients who ran a favorable course. Exceptional cases were also seen: a moribund or a fatal case with a rather low parasite count or a satisfactorily recovered case with a high initial parasite count. 3) Abnormal kidney function was seen in all the fatal and moribund cases while the incidence was low or nil in the patients who ran a favorable course. 4) The patients with a past history of malaria or in recrudescence usually ran a smooth course despite the delay in the inception of treatment which was initiated beyond the second week of illness.

Adult↗
PubMed1979

Difference in calcium metabolism following Billroth-I and Billroth-II procedures for gastric and duodenal ulcers.

There have been 7 patients with postoperative osteomalacia in our series of 500 patients who had a gastrectomy for gastric or duodenal ulcers. All seven of these patients had a Billroth-II type gastrojejunostomy or esophagojejunostomy which caused food to bypass the duodenum and the upper part of the jejunum, and six of these patients showed milk intolerance and had diarrhea on food other than cow's milk. From this finding, it may be surmised that patients are predisposed to osteopenia after gastrectomy due to disorder in the process of calcium absorption and they develop osteomalacia when treated with the Billroth-II procedure, showing milk intolerance and diarrhea on food other than cow's milk.

Adult↗
PubMed1979

Plasma glucagon changes in surgical patients.

We studied the effect of surgery on plasma glucagon (IRG) levels in 40 patients divided into 3 groups according to the severity of surgical stress. In the major and moderate stress groups, 30--100% IRG increases were noted one hour after the start of surgery. In these groups, IRG was increased in the lst to 7th postoperative days and there was a correlation between the amount of increase and the severity of operative stress. In the minor stress group, no postoperative IRG increase was noted. Our results indicate that the severity of operative stress had a direct bearing on the amount of intra- and postoperative IRG increase. We also discuss the origin of hyperglucagonemia in surgical patients.

Adolescent↗
PubMed1979

Polyoncogenicity and insulinoma-inducing ability of BK Virus, a human Papovavirus, in Syrian golden hamsters.

Newborn hamsters were inoculated intracerebrally with a series of purified and concentrated BK virus samples originating from a single stock of Gardner's original strain. Most (60-100%) of the hamsters developed various tumors 3-9 months later. The frequent types of tumors were ventricular tumors (choroid plexus papillomas and ependymomas: 7-53%), malignant insulinomas (0-92%), and osteosarcomas (0-50%). The T-antigen was positive in 59 of 60 tumors tested, but the virus was rescued by the cell fusion method from only 1 of 11 cell lines derived from these tumors. The incidence of insulinomas varied greatly with the virus sample; the two samples that showed the highest incidence (47 and 92%) originated from one parental virus stock, and all the other samples with the lower incidences (0-9%) originated from another ancestral stock. These results suggest the presence of a BK virus mutant(s) differing in capacity to induce insulinoma. A functional insulinoma cell line was thus established.

Adenoma, Islet Cell↗
PubMed1979

Chemotherapy of falciparum malaria: regional differences in responsiveness to treatment.

A review of chloroquine and sulfa-antifol combination treated falciparum malaria patients revealed a high incidence of chloroquine-resistance, wither R1 or R2, in patients infected in Southeast Asia or Oceania. In addition, more than one tenth of the patients infected in Laos or Thailand were resistant to sulfa-antifol combinations. Chloroquine-resistant cases were sensitive to sulfa-antifol combinations. On the other hand, while all patients treated in Tokyo who had been infected in Africa or Sri Lanka were sensitive to chloroquine, a field study suggested the presence of chloroquine-resistant P. falciparum in the area near Kaduna, Nigeria. One patient infected in Nigeria showed partial resistance to the MP (sulfamonomethoxine-pyrimethamine) combination, and another patient infected in the Central African Empire showed resistance to the MP combination, increasing from R1 to R3 within a short period. The incidence of resistance to sulfa-antifol combination therapy was high in the West African tropical region. The continent, county and area of infection should be taken in consideration when selecting antimalarial drug(s) for the treatment and suppression of falciparum malaria.

Adult↗