Biomedical subjects

H Kin

Publications and source records attributed to H Kin.

75 records · Page 5Linked to original sources

PubMedDate not supplied

Chronic, infantile, neurological, cutaneous and articular syndrome in Japan; two case reports.

We report two Japanese children with chronic, infantile, neurological, cutaneous and articular syndrome. Although the shoulder joint lesion has been rare in the literature of Europe and America, our first case showed overgrowth of the epiphysis in the bilateral shoulder joints. The second case exhibited severe growth retardation caused by early closure of the physis. The influence of GH is irrelevant in this syndrome. The existence of this syndrome in the Orient should be recognized.

Abnormalities, Multiple↗

PubMedDate not supplied

Endoscopic irradiation and parallel arrangement of Wallstents for hilar cholangiocarcinoma.

BACKGROUND/AIMS: The placement of two Wallstents in parallel seems to be a common solution for endoscopic technique in order to obtain bilateral hepatic drainage in patients with hilar biliary strictures. However, a biliary stricture at the hepatic confluence hinders the sequential delivery of multiple Wallstents. Intraductal irradiation has been shown to recanalize the cancerous stricture caused by cholangiocarcinoma. METHODOLOGY: We attempted to place two Wallstents in parallel by endoscopic means after endoscopic intraductal irradiation with a high-dose rate afterloading device in three patients with hilar cholangiocarcinoma. After the placement of two guidewires into the bilateral hepatic ducts, two Wallstents were sequentially delivered over the guidewires. RESULTS: Owing to adequate re-opening of the hilar bile ducts after irradiation, the delivery of the second Wallstent alongside the expanded first Wallstent could be readily accomplished in all of the patients without complications. Two Wallstents were placed so that their distal ends were juxtaposed in the common bile duct, ensuring good drainage. There were no signs of recurrent biliary obstruction in any of the patients during the follow-up period of 24 to 44 weeks. CONCLUSION: This endoscopic technique seems to be simple, safe, and reliable in obtaining bilateral hepatic drainage with Wallstents in patients with hilar cholangiocarcinoma.

Aged↗

PubMedDate not supplied

MR imaging in the evaluation of the therapeutic effect of B-RTO for gastric varices.

BACKGROUNDS/AIMS: Balloon-occluded retrograde transvenous obliteration (B-RTO) has become a new treatment option for gastric varices. In the present study, mid-term follow-up data after B-RTO were presented, and the role of magnetic resonance imaging (MRI) and MR-portography in the assessment of therapeutic effect was evaluated. METHODOLOGY: Twelve patients with gastric varices were treated with up to three sessions of B-RTO. The patients were followed up with MRI, MR-portography, and endoscopy for a mean of 12.3 months. RESULTS: In ten patients, one (n = 8) or two (n = 2) sessions of B-RTO were effective to produce immediate (< 2 weeks) variceal obliteration on MRI and MR-portography. Endoscopic confirmation of variceal eradication was obtained within three (n = 9) or six (n = 1) months after B-RTO in these patients. The remaining two patients who underwent three sessions of B-RTO showed only a significant reduction in variceal size immediately after B-RTO, but variceal obliteration was observed within three months with subsequent variceal eradication. There were no signs of exacerbation of gastric varices on MRI and endoscopy in any patient during the follow-up period. CONCLUSIONS: The results suggest that B-RTO is effective for the treatment of gastric varices. MRI and MR-portography may provide accurate assessment of therapeutic effect.

Aged↗