Faculty Profiles - WAKAI Toshifumi

MISC - WAKAI Toshifumi

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A Case of Non-surgical Pneumoperitoneum in a Patient with Blunt Hepatic Injury

Takizawa Kazuyasu, Minagawa Masahiro, Hirose Yuki, Katada Tomohiro, Sudo Natsuru, Tajima Yosuke, Ohashi Taku, Kobayashi Takashi, Wakai Toshifumi

J Abdom Emerg Med 36 ( 5 ) 923 - 926 2016

Language：Japanese Publisher：Japanese Society for Abdominal Emergency Medicine

<p>A 19-year-old man who had sustained injuries after falling accidentally from a height of 7 meters was brought to our critical care center. When he arrived at our center, he was lucid and his respiratory and circulatory statuses were stable. A whole-body CT revealed laceration of the lateral segment of the liver and active vascular contrast extravasation (AAST grade Ⅲ blunt liver injury), with fluid collection in the peritoneal cavity. Transcatheter arterial embolization (TAE) was performed for the hepatic injury, following which hemostasis was achieved. The patient developed high-grade fever on the 3rd hospital day, and a repeat abdominal CT revealed increased free air and a hematoma in the upper part of the abdomen. On the 4th hospital day, the patient's abdominal pain worsened in severity and physical examination revealed signs of peritoneal irritation potentially suggestive of gastrointestinal perforation. Therefore, emergency laparotomy was performed. Since no damage to the abdominal hollow viscera was found, liver resection and drainage were performed. We speculate that in this case, the free air in the abdomen was found as a result of injury to the intrahepatic bile duct. Non-surgical pneumoperitoneum with biliary peritonitis, as in this case, is difficult to differentiate from perforation of the abdominal hollow viscera.</p>

DOI： 10.11231/jaem.36.923

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A Case of Long-term Disease-free Survival Due to Multimodal Therapy for Synchronous Multiple Liver Metastases of Sigmoid Colon Cancer

Yagi Ryoma, Kameyama Hitoshi, Abe Kaoru, Yamada Saki, Hosoi Mana, Tajima Yosuke, Nakano Mae, Nakano Masato, Shimada Yoshifumi, Wakai Toshifumi, Hasegawa Go

129 ( 12 ) 761 - 767 2015.12

CT Image Analysis for Evaluation of Pancreatic Exocrine Function after Pancreaticoduodenectomy

Sato Ryohei, Wakai Toshifumi

129 ( 12 ) 742 - 750 2015.12

Evaluation of Microscopic Tumor Invasion of the Vasculo-biliary Sheaths in Perihilar Cholangiocarcinoma

Hirose Yuki, Wakai Toshifumi

129 ( 11 ) 671 - 680 2015.11

Development of the autologous islet transplantation model with miniature swine

Zhengkun Zhang, Kohei Miura, Takuya Ando, Kazuki Moro, Yuki Hirose, Masayuki Nagahashi, Jun Sakata, Hitoshi Kameyama, Takashi Kobayashi, Shinichi Kosugi, Toshifumi Wakai

XENOTRANSPLANTATION 22 S173 - S173 2015.11

DEVELOPMENT OF THE AUTOLOGOUS ISLET TRANSPLANTATION MODEL WITH MINIATURE SWINE

Zhengkun Zhang, Kohei Miura, Takuya Ando, Kazuki Moro, Yuki Hirose, Masayuki Nagahashi, Jun Sakata, Hitoshi Kameyama, Takashi Kobayashi, Shinichi Kosugi, Toshifumi Wakai

TRANSPLANTATION 99 ( 11 ) S287 - S287 2015.11

A Case of Intra-abdominal Abscess caused by Perforation of Reconstructed Gastric-tube Ulcer after Esophagectomy

Otani Takahiro, Kaneko Kazuhiro, Sato Tomoi, Suzuki Susumu, Okada Takayuki, Aono Takashi, Muto Ichiro, Hasegawa Masaki, Wakai Toshifumi

129 ( 9 ) 545 - 550 2015.9

ケアがん医療地域連携の発展がん診療連携パス適応外症例における地域連携推進チームでの取り組み

長谷川美樹, 永橋昌幸, 三保美枝子, 神田峰加, 塚本友香里, 利川千絵, 土田純子, 辰田久美子, 萬羽尚子, 五十嵐麻由子, 小山諭, 池睦美, 若井俊文

日本癌治療学会誌 50 ( 3 ) 2734 - 2734 2015.9

先天性胆道拡張症に対する分流手術後の異時性胆管癌発生率と長期予後

大橋拓, 廣瀬雄己, 滝沢一泰, 坂田純, 小林隆, 若井俊文, 荒井勇樹, 窪田正幸

日本膵・胆管合流異常研究会プロシーディングス 38 72 - 72 2015.9

胆嚢癌における胆道癌取扱い規約第6版の検証 pN分類を中心に

坂田純, 廣瀬雄己, 須藤翔, 堅田朋大, 三浦宏平, 滝沢一泰, 永橋昌幸, 小林隆, 若井俊文

胆道 29 ( 3 ) 558 - 558 2015.8

胆道疾患と脂質代謝異常診断と治療を含めて胆汁酸はスフィンゴシン-1-リン酸シグナル伝達系を介して肝臓における脂質代謝を調節している

永橋昌幸, 廣瀬雄己, 若井俊文

胆道 29 ( 3 ) 412 - 412 2015.8

海外で学ぶことの意義東北がんプロジェクト支援による米国短期留学を通して

永橋昌幸, 土田純子, 若井俊文, 西條康夫

日本臨床外科学会雑誌 76 ( 7 ) 1810 - 1810 2015.7

がん微小環境中にはスフィンゴシン-1リン酸(S1P)が高濃度で存在する

永橋昌幸, 土田純子, 辰田久美子, 利川千絵, 長谷川美樹, 萬羽尚子, 五十嵐麻由子, 小山諭, 山田顕光, 青柳智義, 高部和明, 若井俊文

日本乳癌学会総会プログラム抄録集 23回 312 - 312 2015.7

潜在性胆嚢癌に対する根治的2期切除の手術成績

坂田純, 相馬大輝, 油座築, 廣瀬雄己, 須藤翔, 堅田朋大, 三浦宏平, 大橋拓, 滝沢一泰, 永橋昌幸, 高野可赴, 小林隆, 皆川昌広, 若井俊文

日本肝胆膵外科学会・学術集会プログラム・抄録集 27回 465 - 465 2015.6

Challenge QUIZ 貴方も名医(413)

島田能史, 亀山仁史, 若井俊文

MD : medical doctor : 明日を創る医療総合誌 12 ( 4 ) 38,68 - 69 2015.4

Clinical Significance of Ribonucleotide Reductase M1 Expression in Patients with Intrahepatic Cholangiocarcinoma : Association with Gemcitabine Resistance

Katada Tomohiro, Wakai Toshifumi

129 ( 1 ) 21 - 28 2015.1

医師に対して必要な臨床栄養教育は行われているのか? 臨床における栄養学教育の現実と展望

小山諭, 諸和樹, 若井俊文

日本静脈経腸栄養学会雑誌 30 ( 1 ) 249 - 249 2015.1

食道癌術後早期経腸栄養における低脂質含有栄養剤による乳び流出の予防効果

諸和樹, 小山諭, 若井俊文

日本静脈経腸栄養学会雑誌 30 ( 1 ) 294 - 294 2015.1

A Case of Survival after Cardiopulmonary Arrest Caused by Barium Peritonitis due to Colorectal Perforation Following Upper Gastrointestinal Radiography

Sudo Natsuru, Kobayashi Takashi, Hirose Yuki, Katada Tomohiro, Takizawa Kazuyasu, Wakai Toshifumi

J Abdom Emerg Med 35 ( 1 ) 119 - 124 2015

Language：Japanese Publisher：Japanese Society for Abdominal Emergency Medicine

A 66-year-old woman developed acute abdominal pain 2 days after undergoing upper gastrointestinal radiography. On the following day, she called for an ambulance as the abdominal pain had become more severe. At the emergency room, she went into cardiopulmonary arrest, but was resuscitated successfully. Abdominal computed tomography revealed free air and extravasation of barium into the abdominal cavity. Based on the findings, the patient was diagnosed as having barium peritonitis due to perforation of the gastrointestinal tract. She was transported to our hospital and emergency laparotomy was performed. Because perforation of the sigmoid colon was noted intraoperatively, we performed partial resection of the sigmoid colon, colostomy and peritoneal lavage. Postoperatively, the hemodynamics was unstable, however, the patient recovered from the septic shock with multidisciplinary treatment, including polymyxin B direct hemoperfusion. She was discharged 36 days after the operation without any neurological sequelae. In conclusion, barium peritonitis due to colorectal perforation is a rare, but severe complication of upper gastrointestinal radiography. We report a case of survival after cardiopulmonary arrest caused by barium peritonitis and discuss the clinical implications based on a review of literature.

DOI： 10.11231/jaem.35.119

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膵内異所性脾に生じた類上皮嚢胞の1例

諸和樹, 皆川昌広, 高野可赴, 滝沢一泰, 坂田純, 小林隆, 若井俊文

日本臨床外科学会雑誌 75 ( 12 ) 3399 - 3400 2014.12

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