http://hdl.handle.net/10564/2678 2013-06 2026-04-10T15:40:46Z http://hdl.handle.net/10564/2683 タイトル: 第132回奈良医学会 : 学会記事 2013-06-29T15:00:00Z http://hdl.handle.net/10564/2682 タイトル: 東日本大震災に対して、奈良県立医科大学精神医学講座がおこなった支援活動の報告 著者: 上田, 昇太郎; 島本, 卓也; 太田, 豊作; 紀本, 創兵; 鳥塚, 通弘; 池下, 克実; 木内, 邦明; 橋本, 和典; 芳野, 浩樹; 洪, 基朝; 岸本, 年史; 定松, 美幸; 根来, 秀樹; 岩坂, 英巳 2013-06-29T15:00:00Z http://hdl.handle.net/10564/2681 タイトル: 診断に難渋した腹腔鏡補助下残胃全摘術後に繰り返した内ヘルニアの1例 著者: 中谷, 充宏; 高山, 智燮; 松本, 壮平; 若月, 幸平; 榎本, 浩士; 田仲, 徹行; 右田, 和寛; 中島, 祥介 抄録: We report a case of internal hernia that was difficult to diagnose in long-term follow-up after laparoscopy-assisted total gastrectomy for remnant gastric cancer. A 75-yearold man, who had undergone laparoscopy-assisted total gastrectomy for remnant gastric cancer with antecolic Roux-en-Y reconstruction after open distal gastrectomy for a gastric ulcer, frequently presented slight temporary postprandial abdominal pain. His symptom was, however, reduced by diet therapy. After being discharged from hospital, he continued to complain of slight abdominal pain. He was admitted to our hospital with postprandial abdominal pain four months after surgery. An upper gastrointestinal study and abdominal CT could not reveal the cause of his symptom. His symptom was getting gradually worse, and we decided on surgical exploration of the abdominal cavity. The day before the operation, CT showed mesenteric vessel twisting for the first time. The operative findings revealed the entire small intestine had herniated through a mesenteric defect of jejunostomy. The herniated intestine had no ischemic change. It was repaired manually, and the defect was closed by interrupted suture. It is important to consider internal hernia for patients with nonspecific abdominal pain who have undergone laparoscopy-assisted gastrectomy with Roux-en-Y reconstruction. 2013-06-29T15:00:00Z http://hdl.handle.net/10564/2680 タイトル: Monoclonal gammopathy of undetermined significanceを伴った全身性アミロイドーシスの1剖検例 著者: 山上, 新太郎; 武田, 麻衣子; 笠井, 孝彦; 榎本, 泰典; 高野, 将人; 森田, 剛平; 大林, 千穂; 高野, 啓佑; 渡邉, 知朗; 奥地, 一夫; 白土, 美佳; 高岡, 尚; 河本, 弘美 抄録: A 56-year-old man had fever and cough ten days ago on death. He was admitted to hospital for increasing dyspnea. Acute interstitial pneumonia was suspected, and he was treated with steroid pulse and some symptomatic therapies, but finally he died of respiratory insufficiency. An autopsy study revealed amyloid deposition in the lungs, spleen，and other organs. Systemic amyloidosis was diagnosed. In serum preserved, he was diagnosed with monoclonal gammopathy of undetermined significance (MGUS) 2013-06-29T15:00:00Z