Updated on 2023/10/13

写真a

 
Yoshito Ishiki
 
Affiliation
Tamanagayama Hospital, Department of Emergency and Critical Care Medicine, Assistant Professor
Title
Assistant Professor
External link

Research Areas

  • Life Science / Emergency medicine

Research History

Papers

  • Delayed development of portal vein thrombosis in a patient initially detected with portal venous gas and pneumatosis intestinalis: a case report. Reviewed International journal

    Masatoku Arai, Shiei Kim, Hiromoto Ishii, Jun Hagiwara, Toru Takiguchi, Yoshito Ishiki, Hiroyuki Yokota

    Acute medicine & surgery   6 ( 4 )   419 - 422   2019.10

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    Language：English  

    Background: Portal venous gas (PVG) and pneumatosis intestinalis (PI) are rare pathologic findings, and a delayed appearance of portal vein thrombosis (PVT) in such patients is extremely rare. Case Presentation: A 51-year-old man complaining of epigastric pain was referred to our hospital. Computed tomography (CT) at admission revealed massive PVG and extensive PI, but no PVT. Emergency laparotomy was carried out, but bowel resection was unnecessary. On follow-up CT on postoperative day 5, thrombosis was noted in the portal venous system, and anticoagulant was started immediately. This patient was discharged and continued to take the anticoagulant. Seven months after discharge, PVT had disappeared on CT without any thromboembolic complications. Conclusion: If acute PVT is detected, anticoagulant is needed to prevent bowel ischemia and/or portal hypertension due to the growth of the thrombus. Clinicians should be aware of the potential for such a complication, and make their best efforts to exclude this entity using CT or sonography.

    DOI： 10.1002/ams2.448

    PubMed

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Misc.

  • 直腸穿通、壊死性腸炎に対し2度の緊急手術を要した潰瘍性大腸炎の1例

    長嶺 嘉通, 瀧口 徹, 重田 健太, 秋山 真之, 石木 義人, 萩原 純, 石井 浩統, 増野 智彦, 小笠原 智子, 金 史英, 新井 正徳, 辻井 厚子, 横田 裕行

    日本救急医学会関東地方会雑誌   39 ( 1 )   151 - 151   2018.1

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    Language：Japanese   Publisher：日本救急医学会-関東地方会  

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  • 救命率を向上させる外科とIVRとのコラボレーション 腹部非外傷性疾患に対するIVR症例の検討

    金 史英, 萩原 純, 長嶺 嘉通, 重田 健太, 萩原 一樹, 瀧口 徹, 秋山 真之, 石木 義人, 石井 浩統, 増野 智彦, 小笠原 智子, 新井 正徳, 辻井 厚子, 横田 裕行

    Japanese Journal of Acute Care Surgery   7 ( 1 )   132 - 132   2017.9

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    Language：Japanese   Publisher：日本Acute Care Surgery学会  

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