Massive hemorrhage and pseudo-obstruction of the small intestine caused by primary AL amyloidosis associated with gastric cancer: report of a case.


:We report a case of AL amyloidosis in a patient diagnosed with early gastric cancer after presenting with massive gastrointestinal hemorrhage and pseudo-obstruction of the small intestine. Primary systemic amyloidosis accounts for 7% of nonhematological malignancies, but very few cases of gastric carcinoma in patients with primary amyloidosis have been described. We performed distal gastrectomy with biopsy of the small intestine in the absence of a diagnosis of systemic amyloidosis associated with early gastric cancer; however, the patient suffered severe postoperative complications secondary to the amyloidosis. Although acute pseudo-obstruction is an uncommon clinical manifestation of AL amyloidosis, the coexistence of both gastrointestinal hemorrhage and pseudo-obstruction of the small intestine should alert the clinician to a diagnosis of gastrointestinal amyloidosis. We discuss the clinical manifestations of primary amyloidosis occurring in association with gastric cancer.


Surg Today


Surgery today


Iwahashi N,Tame E,Nagasaka T,Furuta M,Nagashima H,Nimura Y




Has Abstract


2004-01-01 00:00:00












  • Surgery or stereotactic body radiotherapy for elderly stage I lung cancer? A propensity score matching analysis.

    abstract:PURPOSE:The aim of this study was to compare the outcomes of surgery and stereotactic body radiotherapy (SBRT) for elderly clinical stage I non-small cell lung cancer (NSCLC) patients. METHODS:Patients ≥80 years of age with clinical stage I NSCLC between August 2008 and December 2014 were treated either surgery or SBR...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Miyazaki T,Yamazaki T,Nakamura D,Sato S,Yamasaki N,Tsuchiya T,Matsumoto K,Kamohara R,Hatachi G,Nagayasu T

    更新日期:2017-12-01 00:00:00

  • Pneumoperitoneum following the spontaneous rupture of a gas-containing pyogenic liver abscess: report of a case.

    abstract::We report herein the case of a ruptured liver abscess that resulted in pneumoperitoneum. A patient with diabetes mellitus presented with symptoms of acute abdomen. The plain abdominal radiograph and computed tomography findings revealed abdominal free air and a gas-containing liver abscess, whereby a diagnosis of a ru...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Ukikusa M,Inomoto T,Kitai T,Ino K,Higashiyama H,Arimoto A,Nakajima Y,Hanafusa T,Awane H

    更新日期:2001-01-01 00:00:00

  • Sternal semi-closure using a bioresorbable osteosynthesis device: a new method for delayed sternal closure.

    abstract:PURPOSE:To evaluate the safety and efficacy of our new delayed sternal closure (DSC) method, involving sternal semi-closure using a bioresorbable osteosynthesis device and complete skin closure. METHODS:Between 2013 and 2017, 36 patients underwent DCS at our hospital. The patients were divided into two groups based on...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Tanaka Y,Miyamoto T,Naito Y,Yoshitake S,Sasahara A,Miyaji K

    更新日期:2018-08-01 00:00:00

  • The effect of upper dorsal thoracoscopic sympathectomy on the total amount of body perspiration.

    abstract::Thoracoscopic T2-T3 sympathectomy is the treatment of choice for primary palmar hyperhidrosis (PPH); however, compensatory hyperhidrosis (CH) is a disturbing sequela of this operation, the mechanism of which is poorly understood. This study was conducted to evaluate the effect of heat stress on total body perspiration...

    journal_title:Surgery today

    pub_type: 临床试验,杂志文章


    authors: Kopelman D,Assalia A,Ehrenreich M,Ben-Amnon Y,Bahous H,Hashmonai M

    更新日期:2000-01-01 00:00:00

  • Traction-type heart stabilizer for off-pump coronary bypass grafting.

    abstract::We designed a stabilizer to assist us in performing coronary artery bypass grafting on the beating heart. The stabilizer consists of a U-shaped holed platform, an articulating arm, and a clamp for attachment to an ordinary sternal retractor. The target coronary artery is dissected, then two elastic sutures, 15-20mm ap...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Morishita K,Komatsu K,Kuwaki K,Koshino T,Abe T

    更新日期:2001-01-01 00:00:00

  • Videothoracoscopic management of middle esophageal diverticulum with secondary bronchoesophageal fistula: report of a case.

    abstract::Middle esophageal diverticulum is rare, but can result in bronchoesophageal fistula. Previous reports have described open surgical techniques to treat esophageal diverticula, but few have evaluated the effectiveness of a videothoracoscopy approach. We report a case of middle esophageal diverticulum associated with bro...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Braghetto I,Cardemil G,Schwartz E,Valladares H,Rencoret G,Estay R,Rodriguez-Navarro AJ

    更新日期:2008-01-01 00:00:00

  • The impact of age on the postoperative response of the diastolic function and left ventricular mass regression after surgical or transcatheter aortic valve replacement for severe aortic stenosis.

    abstract:PURPOSE:We examined the impact of advanced age on left ventricular mass regression and the change in the diastolic function after aortic valve replacement in patients with aortic stenosis. METHODS:The present study included 129 patients who underwent either surgical or transcatheter aortic valve replacement and 1-year...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Nakamura T,Toda K,Kuratani T,Miyagawa S,Yoshikawa Y,Fukushima S,Saito S,Sawa Y

    更新日期:2017-06-01 00:00:00

  • Postoperative atrial fibrillation: mechanism, prevention, and future perspective.

    abstract::Postoperative atrial fibrillation (POAF) is the most common complication after cardiac surgery, despite improvements in anesthesia, surgical techniques, and medical therapies. Although beta-blockers have been proven to be effective, the incidence of POAF is around 20 % even with these agents. The mechanism of POAF is ...

    journal_title:Surgery today

    pub_type: 杂志文章,评审


    authors: Shingu Y,Kubota S,Wakasa S,Ooka T,Tachibana T,Matsui Y

    更新日期:2012-09-01 00:00:00

  • Association of inflammatory biomarkers with long-term outcomes after curative surgery for mass-forming intrahepatic cholangiocarcinoma.

    abstract:PURPOSE:Inflammatory biomarkers such as the neutrophil-to-lymphocyte ratio (NLR), lymphocyte-to-monocyte ratio (LMR), and platelet-to-lymphocyte ratio (PLR) are reportedly predictive of the long-term outcomes of several cancers. We evaluated their correlations with the post-surgical long-term outcomes of patients with ...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Ohira M,Yoshizumi T,Yugawa K,Kosai-Fujimoto Y,Inokuchi S,Motomura T,Mano Y,Toshima T,Itoh S,Harada N,Ikegami T,Soejima Y,Taketomi A,Mori M

    更新日期:2020-04-01 00:00:00

  • The effect of cold cardioplegic cardiac arrest and electrically induced ventricular fibrillation on human cardiac beta-adrenoceptors during open-heart surgery.

    abstract::This study was designed to test the hypothesis that distinct alterations in cardiac beta-adrenoceptors (betaARs) may occur during cardiopulmonary bypass (CPB) alone, during CPB with cold cardioplegic cardiac arrest (CCCA), and during CPB with electrically induced ventricular fibrillation (EIVF). We assessed the densit...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Tsuda K,Hamada Y,Morishita Y

    更新日期:1998-01-01 00:00:00

  • Tetanus after a resection for a gangrenous perforated small intestine: report of a case.

    abstract::We report herein the case of a 75-year-old man who developed severe tetanus 24 h after the resection of a gangrenous perforated small intestine. It seemed that the tetanus was caused by a spillage of the intestinal contents harboring Clostridium tetani; however, this was not identified by a culture. The diagnosis of t...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Furui J,Enjyoji A,Susumu S,Okudaira S,Takayama K,Kanematsu T

    更新日期:1999-01-01 00:00:00

  • Thymic papillo-tubular adenocarcinoma containing a cyst: report of a case.

    abstract::We report a case of thymic papillo-tubular adenocarcinoma in a 55-year-old man, who had no symptoms. Sternotomy revealed a tumor in the anterior mediastinum, tightly adhered to the pericardium. It was resected completely. Interestingly, the tumor contained a unilocular cyst filled with mucinous fluid, suggesting that ...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Teramoto K,Kawaguchi Y,Hori T,Ishida M,Hashimoto M,Kitamura S,Motoishi M,Hanaoka J,Tezuka N,Okabe H

    更新日期:2012-10-01 00:00:00

  • Separate functions of alpha2beta1 and alpha3beta1 integrins in the metastatic process of human gastric carcinoma.

    abstract::The expression of alpha2beta1 and alpha3beta1 integrins was studied immunohistochemically in 110 resected human gastric carcinomas. Formalin-fixed and paraffin-embedded samples were serially sectioned and stained with monoclonal antibodies specifically against the alpha2 and alpha3 subunits of beta1 integrins. Approxi...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Ura H,Denno R,Hirata K,Yamaguchi K,Yasoshima T

    更新日期:1998-01-01 00:00:00

  • Airway stenting.

    abstract::Interventional pulmonology, otherwise known as "airway stenting," has developed in the field of pulmonary medicine focused on using advanced bronchoscopic techniques to treat airway disorders. Tracheobronchial disorders can be caused by malignant or benign tumors, extrinsic compression, postintubation tracheal injurie...

    journal_title:Surgery today

    pub_type: 杂志文章,评审


    authors: Saito Y,Imamura H

    更新日期:2005-01-01 00:00:00

  • A novel technique for managing open abdomen with the combined use of mesh-mediated traction and the bilateral anterior rectus abdominis sheath turnover flap method: how to do it.

    abstract::Proper management of abdominal compartment syndrome and open abdomen is important for improving the survival of critically ill patients. However, in cases requiring a prolonged period of open abdomen, it is frequently difficult to perform definitive fascial closure due to lateralization of the abdominal musculature. W...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Arai M,Kushimoto S,Kim S,Masuno T,Hagiwara J,Ishii H,Yokota H

    更新日期:2015-10-01 00:00:00

  • Primary gastric T-cell lymphoma without human T-lymphotropic virus type 1: report of a case.

    abstract::Although primary gastric malignant lymphoma accounts for slightly more than 10% of all lymphomas at extranodular sites, it is relatively rare clinically, representing only 1% of all malignant diseases of the stomach. In addition, most such diseases tend to be B-cell lymphoma, while T-cell lymphoma is extremely rare. W...

    journal_title:Surgery today

    pub_type: 杂志文章,评审


    authors: Watanabe M,Moriyama Y

    更新日期:2002-01-01 00:00:00

  • Intraoperative colonoscopy for stapled anastomosis in colorectal surgery.

    abstract::Although stapling colorectal anastomosis is widely accepted as an alternative for hand-sewn anastomosis, we continue to experience postoperative complications such as anastomotic hemorrhage and leakage, which sometimes lead to serious morbidity or even mortality. To secure stapling colorectal anastomosis, we adopted i...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Ishihara S,Watanabe T,Nagawa H

    更新日期:2008-01-01 00:00:00

  • Cellular localization of tumor necrosis factor-alpha mRNA and interleukin-6 mRNA in the rat liver after hemorrhagic shock.

    abstract:PURPOSE:Our previous studies showed that tumor necrosis factor (TNF)-alpha and interleukin (IL)-6 are induced after hemorrhagic shock and that their induction is attenuated by hyperbaric oxygen treatment. In this study, we tried to identify the cell types in the liver that are responsible for the increase in TNF-alpha ...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Yamashita M,Taniyama M,Tamai M

    更新日期:2002-01-01 00:00:00

  • Blunt rupture of the right hemi-diaphragm with complete dislocation of the right hepatic lobe: report of a case.

    abstract::We present herein a case of blunt rupture of the right hemidiaphragm occurring with complete intrathoracic dislocation of the right hepatic lobe in a polytraumatized patient. The initial chest X-ray was interpreted as right-sided hemothorax, and a thoracic drainage tube was accidentally placed into the liver. A comput...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Wirbel RJ,Mutschler W

    更新日期:1998-01-01 00:00:00

  • Right hemi-reconstruction of the left atrium using two equine pericardial patches for recurrent malignant fibrous histiocytoma: report of a case.

    abstract::We report a case of recurrent malignant fibrous histiocytoma (MFH) in the left atrium, treated by removal of the tumor and the right half of the left atrium, which was reconstructed with two equine pericardial patches. Postoperative echocardiography showed patent right pulmonary veins and a properly shaped left atrium...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Inoue H,Iguro Y,Matsumoto H,Ueno M,Higashi A,Sakata R

    更新日期:2009-01-01 00:00:00

  • Perioperative management for pancreatoduodenectomy following severe acute pancreatitis in patients with periampullary cancer: our experience with six consecutive cases.

    abstract:PURPOSE:We rarely have an opportunity to perform pancreatoduodenectomy (PD) following the onset of severe acute pancreatitis (SAP) for patients with periampullary cancer. The perioperative risks and optimal timing of subsequent PD have, therefore, remained unclear. METHODS:Between January 2006 and December 2012, we pe...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Asari S,Matsumoto I,Ajiki T,Shinzeki M,Goto T,Fukumoto T,Ku Y

    更新日期:2015-02-01 00:00:00

  • Successful surgical treatment of advanced follicular thyroid carcinoma with tumor thrombus infiltrating the superior vena cava: report of a case.

    abstract::We report a case of advanced follicular thyroid carcinoma with massive involvement of the great veins of the cervix and mediastinum, and extensive tumor thrombus growing intraluminally into the superior vena cava. The patient, a 70-year-old Japanese woman, was treated successfully by a cooperative surgical team of end...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Onoda N,Nakamura M,Hosono M,Sasaki Y,Kawajiri H,Takashima T,Ishikawa T,Hirakawa K

    更新日期:2012-01-01 00:00:00

  • Case-matched comparison of the short-term outcomes between laparoscopic and open abdominoperineal resection for rectal cancer.

    abstract:PURPOSE:The aim of this study was to evaluate the short-term surgical outcomes of laparoscopic abdominoperineal resection (APR) for rectal cancer, by comparing it with a case-control series of open APR. METHODS:Fourteen patients with rectal cancer who underwent laparoscopic APR between August 2004 and November 2011 we...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Inada R,Yamamoto S,Oshiro T,Takawa M,Fujita S,Akasu T

    更新日期:2014-04-01 00:00:00

  • Elevated serum arginase activity levels in patients with breast cancer.

    abstract:PURPOSE:Recently, the high activity of arginase enzyme has been observed in the sera of malignant neoplasms. In this pathogenic condition, it is said that arginase strongly inhibits lymphocyte proliferation and plays a role in providing ornithine as a substrate for biosynthesis of polyamines, which have been found in v...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Polat MF,Taysi S,Polat S,Böyük A,Bakan E

    更新日期:2003-01-01 00:00:00

  • Primary axillary venous aneurysm: report of a case.

    abstract::We report a case of nontraumatic, spontaneous venous aneurysm of the left axillary vein. This case may represent only the second such case ever reported in the English-language medical literature. Venous aneurysms are often associated with trauma, arteriovenous fistula, or other venous abnormal hemodynamic conditions,...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Ko PJ,Chu JJ,Lin PJ,Liu YH

    更新日期:2005-01-01 00:00:00

  • Activation of neutrophil function by recombinant human granulocyte colony-stimulating factor improves the survival of rats with peritonitis.

    abstract::We examined the effects of recombinant human granulocyte colony-stimulating factor (rhG-CSF) and cefmetazole sodium on survival, neutrophil count, and neutrophil function in rats with peritonitis produced by cecal ligation and puncture. Rats with peritonitis received either rhG-CSF (50 or 100 micrograms/kg) with or wi...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Ishikura H,Uedono Y,Yamagami K,Arai T,Takeyama N,Tanaka T

    更新日期:1996-01-01 00:00:00

  • Limited effectiveness of FK506 administration for ongoing rejection in heterotopic rat heart transplantation.

    abstract::A comparison was made of the histological findings for myocardial tissue of heterotopic transplanted rat hearts administered with FK506. ACI rats were used as donors and Lewis rats as recipients. FK506 was used for 6 days except for group I (control group). Group II received 0.32 mg/kg/day of FK506 from the day of ope...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Hisatomi K,Sato T,Nishimi M,Hirano A,Isomura T,Aoyagi S,Kosuga K,Ohishi K

    更新日期:1994-01-01 00:00:00

  • Hydrogen sulfide augments survival signals in warm ischemia and reperfusion of the mouse liver.

    abstract:BACKGROUND AND PURPOSE:Hydrogen sulfide (H2S) ameliorates hepatic ischemia and reperfusion injury (IRI), but the precise mechanism remains elusive. We investigated whether sodium hydrogen sulfide (NaHS), a soluble derivative of H2S, would ameliorate hepatic IRI, and if so, via what mechanism. METHODS:Mice were subject...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Shimada S,Fukai M,Wakayama K,Ishikawa T,Kobayashi N,Kimura T,Yamashita K,Kamiyama T,Shimamura T,Taketomi A,Todo S

    更新日期:2015-07-01 00:00:00

  • Initial experiences with MR Image-guided laparoscopic microwave coagulation therapy for hepatic tumors.

    abstract:PURPOSE:Percutaneous thermal ablation is used for treating hepatic tumors. Recent advances in laparoscopy and imaging modalities have led to the development of a novel image-guided minimally invasive loco-regional treatment. The aim of this trial was to apply laparoscopic assistance to magnetic resonance (MR) image-gui...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Murakami K,Naka S,Shiomi H,Akabori H,Kurumi Y,Morikawa S,Tani T

    更新日期:2015-09-01 00:00:00

  • Positive peritoneal washing cytology is a potential risk factor for the recurrence of curatively resected colorectal cancer.

    abstract:PURPOSES:Whether free peritoneal cancer cells should be considered peritoneal dissemination in colorectal cancer patients remains controversial. The aim of this study was to investigate the clinical significance of positive peritoneal washing cytology (PWC) in patients with colorectal cancer. METHODS:We retrospectivel...

    journal_title:Surgery today

    pub_type: 杂志文章


    authors: Homma Y,Hamano T,Akazawa Y,Otsuki Y,Shimizu S,Kobayashi H,Kameoka S,Kobayashi Y

    更新日期:2014-06-01 00:00:00