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Biomedical subjects

R Suzuki

Publications and source records attributed to R Suzuki.

At least 649 records · Page 36Linked to original sources
PubMed1986

[Topical use of thrombin in prostatic surgery].

We describe the usefulness of topical application of thrombin as a hemostatic aid in prostatic surgery. We used a specially designed 3-way bag catheter, one way of which opened to the prostatic fossa. After enucleation of the prostate suprapubically, we inserted the bag catheter into the bladder before any hemostatic procedure was performed on the prostatic fossa, inflated the bag, gently pulled down the catheter against the prostatic fossa, and then injected the thrombin solution (5,000 units/5 cc. X 2) into the fossa. Fifty patients were randomized into two groups; the "thrombin" method group and the hemostatic "ligature" group, and compared. The "thombin" method group showed statistically significant superiority to the "ligature" method group in reduced operation time and operative bloodloss. On the contrary, the duration of postoperative hematuria was longer with the "thrombin" method but not significantly. Even the prolonged duration of hematuria, however, produced no clinical problems. Hypofibrinogenemia and poor conditions of drug storage lowered its efficacy. These points should be remembered when using thrombin.

Administration, Topical↗
PubMed1986

[Residual gastric carcinoid complicated with multiple endocrine neoplasia and Cushing's syndrome--a case report].

A 51-year-old man had had his stomach resected 10 years earlier due to gastric ulcer. Ten months before the present illness, he complained of a puffy face and edema of the both lower extremities. Hyperparathyroidism with a high level of parathyroid hormone (0.75 ng/ml) was diagnosed. A submucosal tumor was noted at the residual stomach, and histologically, carcinoid was preoperatively confirmed by endoscopic study. Total gastrectomy with radical lymphadenectomy was performed, and concomitantly a small tumor noted at the body of the pancreas was also extirpated. In addition, three and a half of all four parathyroid glands were resected. Histologically, the pancreatic tumor was adenoma, with the parathyroid glands showing only hyperplastic changes. Subsequently, during the postoperative course, Cushing's syndrome was further diagnosed, and the patient is now under follow-up study.

Adenoma↗
PubMed1986

Topographic cerebral blood flow mapping in children with ischemic cerebrovascular diseases using xenon-enhanced computed tomography.

A non-invasive technique using xenon-enhanced computed tomography (Xe-CT) for obtaining topographic regional cerebral blood flow (rCBF) maps has been developed. During the past 3 years, the Xe-CT has been performed in 22 children with ischemic cerebrovascular diseases, including 17 cases with moyamoya disease. In moyamoya disease, rCBF maps revealed low flow in the bilateral frontal and temporal cortices, and high flow in the thalamus and putamen on both sides. Other diseases showed low perfused areas. Xe-CT can be easily performed even in infants and children and it gives valuable information that may be of clinical use.

Brain Ischemia↗
PubMed1986

A simplified method of xenon-enhanced CT for regional cerebral blood flow (rCBF) measurement with reference to clinical experiences.

We introduced a simplified method of xenon-enhanced CT (SXe-CT) for obtaining the topographic regional cerebral blood flow (rCBF) map. In the SXe-CT, we used the method of brief (three to four minutes) inhalation of 40% xenon. To shorten the period of xenon inhalation, we substituted a predetermined brain-blood partition coefficient (L) in the entire brain for the directly estimated L to calculate the rCBF value. Because of its non-invasiveness and simplicity, the SXe-CT can be applied to the patients with diseases in the central nervous system (CNS) without any difficulties. During the past three years, we performed the SXe-CT on 150 occasions in 100 subjects, including those with moyamoya disease, other ischemic cerebrovascular diseases, arteriovenous malformations and normal pressure hydrocephalus. In this paper, the rCBF values of seven normal healthy adults with a mean age of 24 years are reported and the flow maps of some cases of CNS diseases are presented. The normal mean value of the hemispheres was 53, those of the gray matter were in the range of 38 to 72, those of the white matter were in the range of 26 to 35 and those of the basal ganglia and thalamus were 55 to 88 (values are given in ml/100 g/min). The SXe-CT has potential advantages in obtaining clinically useful rCBF measurements.

Adult↗
PubMed1986

Role of traumatic subdural fluid collection in developing process of chronic subdural hematoma.

We investigated the role of traumatic subdural fluid collection in the genesis of chronic subdural hematoma (CSDH) in 43 consecutive patients with traumatic subdural fluid collection. Traumatic subdural fluid collection was found in 43 (6%) of 715 patients who underwent CT scans because of head injury. Twenty-four of the 43 patients were more than 65 years of age and this problem occurred in 30% of the 79 head-injured patients over 65 years of age. In 20 (Group 1) of the 43 patients CSDH subsequently developed. During the same period, 30 other patients were treated for CSDH. Twenty-four (Group 2) of these 30 patients had a history of head injury more than two weeks prior to the developing signs and symptoms and had hyper- or iso-dense hematomas on their first CT scan. It may have been that they too first had a traumatic subdural collection. Forty to sixty percent of the patients with asymptomatic traumatic subdural fluid collection may develop CSDH, and this may occur especially in the older patients. Careful observations after the head injury are particularly important in the aged because of the frequent occurrence of traumatic subdural fluid collection and the subsequent development of CSDH.

Adult↗
PubMed1986

Suppression of B-cell differentiation by natural killer (asialo GM1+) cells in mice.

Mice were injected intravenously with rabbit antiserum to ganglio-n-tetraosylceramide (asialo GM1, ASGM1), a neutral glycosphingolipid present at high quantities on the surface of natural killer (NK) cells. Spleen cells prepared from the mice were then examined for NK activity against YAC-1 targets, for phagocytic cells and by flow cytometric analysis for Thy1, Lyt1, Lyt2, ASGM1 and surface Ig (SIg) phenotypes. Administration of anti-ASGM1 in mice resulted in a complete depletion of NK activity and ASGM+1 cells in the spleen, but no changes in the proportions of Thy1+ cells and their Lyt1+ and Lyt2+ subsets and phagocytic cells. Corresponding to this selective depletion of ASGM+1 cells and NK activity, the spleen cells showed an increased number of SIg+ B cells and augmented mitogenic responses to B-cell but not T-cell mitogens. These NK-depleted spleen cells also showed production of pokeweek mitogen (PWM)-driven plaque-forming cells (PFC) to much higher levels than those of control spleens. In the spleens of mice treated with varying concentrations of anti-ASGM+1, a good correlation was found between the decreased NK activity and the enhanced PFC response. To directly test the possible suppressor activity of NK cells on PWM-induced PFC response, NK (ASGM+1) cells were highly purified from the spleen by a combination of Percoll gradients and cytolysis of T cells by monoclonal antibodies followed by indirect panning. When added to NK-depleted spleen cells, they suppressed the augmented PFC response of NK-depleted spleen cells, depending on the number of cells added. These results suggest that NK (ASGM+1) cells in mice exhibit a suppressor property on B cells, which are undergoing spontaneous or mitogen-induced differentiation.

Animals↗
PubMed1986

[A case of multilocular renal cyst with calcification].

A 55-year-old woman was incidentally found to have a calcified right renal mass on ultrasonography. A plain film of the abdomen revealed a 3.5 X 4.4 cm, curvilinear calcification in the midportion of the right kidney, and an excretory urogram showed no compression or distortion of the pelvocalyceal system. Computed tomography demonstrated a low density renal mass associated with both peripheral and central calcification. Renal arteriogram revealed a hypovascular mass. Right nephrectomy was performed and the multilocular renal cyst with calcification was confirmed histologically. In the Japanese literature, 53 cases of multilocular renal cyst have been reported, but calcification of the multilocular renal cyst seems to be the first as far as we know.

Angiography↗
PubMed1986

[Effects of indirect EC/IC bypass operations on adult moyamoya patients].

We have performed indirect EC/IC operations, mainly the EDAS, on 50 pediatric and 4 adult moyamoya patients. In this paper, we report on the effects of the indirect EC/IC operations performed on the 4 adult patients, three females presented with intracranial hemorrhage and a male presented with intracranial hemorrhage and a male presented with infarction. The procedures performed were 6 EDAS, one EAS and a simple hematoma removal which was revealed later to have effected as indirect EC/IC bypass surgery. The patients were all in their twenties. All the patients had pre- and postoperative angiography and the result were compared and was correlated with changes in CT and neurological signs. Case 1 had hematoma removal right after the hemorrhagic attack. Angiograms taken 10 months later showed marked revascularization of the brain through the dural arteries on the operated side. EDAS which was performed later on the other side worked well and the postoperative angiograms taken 9 months later, showed satisfactory revascularization of the operated brain with decrease in moyamoya vessels. The patient has Rt. hemiparesis but she can enjoy skiing. Case 2 had been asymptomatic preoperatively, 10 months after the initial hemorrhagic attack. Bilateral EDAS was done. Angiograms 12 months later showed marked revascularization of the brain through the EC system and marked decrease in moyamoya vessels was seen in the Rt. side in which better revascularization presented. The patient lives a normal life as a housewife.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗