KINDAI UNIVERSITY


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Junichiro Kawamura

Profile

FacultyDepartment of Medicine / Graduate School of Medical Sciences
PositionProfessor
Degree
Commentator Guidehttps://www.kindai.ac.jp/meikan/1396-kawamura-jyunichirou.html
URL
Mail
Last Updated :2019/07/19

Research Activities

Research Areas

  • Clinical surgery, General surgery

Research Interests

  • colorectal cancer, laparoscopic surgery, metastatic liver cancer

Published Papers

  • Transanal minimally invasive approach for the resection of retrorectal tumour - a video vignette., Kawamura J, Ueda K, Ushijima H, Daito K, Okuno K, Colorectal Dis., 20(7), 646 - 647, Jul. 2018 , Refereed
  • Cytotoxic T lymphocyte response to peptide vaccination predicts survival in stage III colorectal cancer., Kawamura J, Sugiura F, Sukegawa Y, Yoshioka Y, Hida JI, Hazama S, Okuno K, Cancer science, 109(5), 1545 - 1551, May 2018 , Refereed
  • Multicenter, phase II clinical trial of peptide vaccination with oral chemotherapy following curative resection for stage III colorectal cancer., Kawamura J, Sugiura F, Sukegawa Y, Yoshioka Y, Hida JI, Hazama S, Okuno K, Oncology letters, 15(4), 4241 - 4247, Apr. 2018 , Refereed
  • New laparoscopic procedure for left-sided pancreatic cancer-artery-first approach laparoscopic RAMPS using 3D technique., Yamamoto M, Zaima M, Yamamoto H, Harada H, Kawamura J, Yamada M, Yazawa T, Kawasoe J, World journal of surgical oncology, 15(1), 213, Dec. 02 2017 , Refereed
  • A Multicenter Phase 2 Study on the Feasibility and Efficacy of Neoadjuvant Chemotherapy Without Radiotherapy for Locally Advanced Rectal Cancer., Hasegawa S, Goto S, Matsumoto T, Hida K, Kawada K, Matsusue R, Yamaguchi T, Nishitai R, Manaka D, Kato S, Kadokawa Y, Yamanokuchi S, Kawamura J, Zaima M, Kyogoku T, Kanazawa A, Mori Y, Kanai M, Matsumoto S, Sakai Y, Annals of surgical oncology, 24(12), 3587 - 3595, Nov. 2017 , Refereed
  • [A Case of Local Resection for Rectal GIST Following Neoadjuvant Imatinib Mesylate Treatment]., Yoshioka Y, Tokoro T, Ushijima H, Daito K, Kawamura J, Ueda K, Hida J, Okuno K, Gan to kagaku ryoho. Cancer & chemotherapy, 44(12), 1997 - 1999, Nov. 2017 , Refereed
  • [Survival Benefit by Combined Administration of Cyclophosphamide, Lentinula edodes Mycelia Extract(LEM), and Ganoderma lucidum Mycelia Extract(MAK)in S1018B10 Tumor-Bearing Mice]., Sukegawa Y, Kawamura J, Okuno K, Gan to kagaku ryoho. Cancer & chemotherapy, 44(10), 896 - 899, Oct. 2017 , Refereed
  • Liver necrosis shortly after pancreaticoduodenectomy with resection of the replaced left hepatic artery., Yamamoto M, Zaima M, Yamamoto H, Harada H, Kawamura J, Yamada M, Yazawa T, Kawasoe J, World journal of surgical oncology, 15(1), 77, Apr. 2017 , Refereed
  • Successful laparoscopic treatment of a giant solitary fibrous tumor of the mesorectum: A case report and literature review., Kawamura J, Tani M, Kida Y, Sumida K, Ogawa R, Kawasoe J, Yazawa T, Yamada M, Yamamoto M, Harada H, Yamamoto H, Zaima M, Asian journal of endoscopic surgery, 10(1), 51 - 54, Feb. 2017 , Refereed
  • The use of transureteroureterostomy during ureteral reconstruction for advanced primary or recurrent pelvic malignancy in the era of multimodal therapy., Kawamura J, Tani M, Sumida K, Yazawa T, Kawasoe J, Yamamoto M, Harada H, Yamamoto H, Zaima M, International journal of colorectal disease, 32(1), 135 - 138, Jan. 2017 , Refereed
  • A Novel Procedure for Single-Incision Laparoscopic Cholecystectomy-The Teres Hanging Technique Combined with Fundus-First, Dome-Down Separation., Yamamoto M, Zaima M, Kida Y, Yamamoto H, Harada H, Kawamura J, Yamada M, Yazawa T, Journal of laparoendoscopic & advanced surgical techniques. Part A, 26(12), 1003 - 1009, Dec. 2016 , Refereed
  • [Diagnosis of and therapy for endocrine tumors of the pancreas]., Komoto I, Shimada Y, Fujimoto K, Itami A, Kawamura J, Doi R, Imamura M, Nihon Naika Gakkai zasshi. The Journal of the Japanese Society of Internal Medicine, 93, 77 - 83, Jan. 2004 , Refereed
  • Pancreatic endocrine tumor in Japan., Doi R, Komoto I, Nakamura Y, Kawamura J, Fujimoto K, Wada M, Saga T, Imamura M, Pancreas, 28, 247 - 252, Apr. 2004 , Refereed
  • The prognostic relevance of fascin expression in human gastric carcinoma., Hashimoto Y, Shimada Y, Kawamura J, Yamasaki S, Imamura M, Oncology, 67, 262 - 270, 2004 , Refereed
  • Multiple endocrine neoplasia type 1 gene mutations in sporadic gastrinomas in Japan., Kawamura J, Shimada Y, Komoto I, Okamoto H, Itami A, Doi R, Fujimoto K, Kosugi S, Imamura M, Oncology reports, 14, 47 - 52, Jul. 2005 , Refereed
  • Clinical significance of osteopontin in esophageal squamous cell carcinoma: comparison with common tumor markers., Shimada Y, Watanabe G, Kawamura J, Soma T, Okabe M, Ito T, Inoue H, Kondo M, Mori Y, Tanaka E, Imamura M, Oncology, 68, 285 - 292, 2005 , Refereed
  • GPR40 gene expression in human pancreas and insulinoma., Tomita T, Masuzaki H, Noguchi M, Iwakura H, Fujikura J, Tanaka T, Ebihara K, Kawamura J, Komoto I, Kawaguchi Y, Fujimoto K, Doi R, Shimada Y, Hosoda K, Imamura M, Nakao K, Biochemical and biophysical research communications, 338, 1788 - 1790, Dec. 2005 , Refereed
  • Clinicopathological significance of aminopeptidase N/CD13 expression in human gastric carcinoma., Kawamura J, Shimada Y, Kitaichi H, Komoto I, Hashimoto Y, Kaganoi J, Miyake M, Yamasaki S, Kondo K, Imamura M, Hepato-gastroenterology, 54(73), 36 - 40, Jan. 2007 , Refereed
  • Medially approached radical lymph node dissection along the surgical trunk for advanced right-sided colon cancers., Hasegawa S, Kawamura J, Nagayama S, Nomura A, Kondo K, Sakai Y, Surgical endoscopy, 21(9), 1657, Sep. 2007 , Refereed
  • Laparoscopic restorative total proctocolectomy with mucosal resection., Hasegawa S, Nomura A, Kawamura J, Nagayama S, Hata H, Yamaguchi T, Kuroyanagi H, Sakai Y, Diseases of the colon and rectum, 50(8), 1152 - 1156, Aug. 2007 , Refereed
  • Video. A novel laparoscopic approach for safe and simplified suprapancreatic lymph node dissection of gastric cancer., Satoh S, Okabe H, Kondo K, Tanaka E, Itami A, Kawamura J, Nomura A, Nagayama S, Watanabe G, Sakai Y, Surgical endoscopy, 23, 436 - 437, Feb. 2009 , Refereed
  • Molecular insights into Peutz-Jeghers syndrome: two probands with a germline mutation of LKB1., Hosogi H, Nagayama S, Kawamura J, Koshiba Y, Nomura A, Itami A, Okabe H, Satoh S, Watanabe G, Sakai Y, Journal of gastroenterology, 43(6), 492 - 497, 2008 , Refereed
  • Long-term outcomes of peripheral arm ports implanted in patients with colorectal cancer., Kawamura J, Nagayama S, Nomura A, Itami A, Okabe H, Sato S, Watanabe G, Sakai Y, International journal of clinical oncology, 13(4), 349 - 354, Aug. 2008 , Refereed
  • VEGF hypersecretion as a plausible mechanism for pseudo-meigs' syndrome in advanced colorectal cancer., Okuchi Y, Nagayama S, Mori Y, Kawamura J, Matsumoto S, Nishimura T, Yoshizawa A, Sakai Y, Japanese journal of clinical oncology, 40, 476 - 481, May 2010 , Refereed
  • Fixation of intestinal tissue using a novel endoscopic device., Calisto JL, Kawamura J, Trencheva K, Oliveira O, Ho V, Yan J, Lei W, Milsom J, Surgical innovation, 18, 44 - 47, Mar. 2011 , Refereed
  • Endoscopic fixation of the rectum for rectal prolapse: a feasibility and survival experimental study., Milsom J, Trencheva K, Pavoor R, Dirocco J, Shukla PJ, Kawamura J, Sonoda T, Surgical endoscopy, 25, 3691 - 3697, Nov. 2011 , Refereed
  • Molecular mechanisms of liver metastasis., Kawada K, Hasegawa S, Murakami T, Itatani Y, Hosogi H, Sonoshita M, Kitamura T, Fujishita T, Iwamoto M, Matsumoto T, Matsusue R, Hida K, Akiyama G, Okoshi K, Yamada M, Kawamura J, Taketo MM, Sakai Y, International journal of clinical oncology, 16, 464 - 472, Oct. 2011 , Refereed
  • Fluorescence diagnosis of metastatic lymph nodes using 5-aminolevulinic acid (5-ALA) in a mouse model of colon cancer., Kato S, Kawamura J, Kawada K, Hasegawa S, Sakai Y, The Journal of surgical research, 176, 430 - 436, Aug. 2012 , Refereed
  • Efficacy of transanal drainage for anastomotic leakage after laparoscopic low anterior resection of the rectum., Okoshi K, Masano Y, Hasegawa S, Hida K, Kawada K, Nomura A, Kawamura J, Nagayama S, Yoshimura T, Sakai Y, Asian journal of endoscopic surgery, 6, 90 - 95, May 2013 , Refereed
  • Feasibility and safety of laparoscopic total proctocolectomy with ileal pouch-anal anastomosis for severe ulcerative colitis., Kawamura J, Hasegawa S, Kawada K, Yamaguchi T, Nagayama S, Matsusue R, Nomura A, Sakai Y, Asian journal of endoscopic surgery, 6, 271 - 278, Nov. 2013 , Refereed
  • Risk factors for anastomotic leakage after laparoscopic low anterior resection with DST anastomosis., Kawada K, Hasegawa S, Hida K, Hirai K, Okoshi K, Nomura A, Kawamura J, Nagayama S, Sakai Y, Surgical endoscopy, 28, 2988 - 2995, Oct. 2014 , Refereed
  • A modified overlap method using a linear stapler for intracorporeal esophagojejunostomy after laparoscopic total gastrectomy., Yamamoto M, Zaima M, Yamamoto H, Harada H, Kawamura J, Yamaguchi T, Hepato-gastroenterology, 61, 543 - 548, Mar. 2014 , Refereed

Misc

  • 【これぞ達人の技!最新の消化器内視鏡外科手術】 結腸・直腸・肛門の鏡視下手術 腹腔鏡下直腸高位前方切除術, 川村 純一郎, 牛嶋 北斗, 吉岡 康多, 奥野 清隆, 消化器外科, 41, 5, 650, 658,   2018 04
  • 局所進行直腸癌に対する術前化学放射線療法8例の検討, 稲田 正浩, 福田 浩平, 建部 仁志, 石川 一樹, 西川 龍之, 中松 清志, 金森 修一, 西村 恭昌, 川村 純一郎, Japanese Journal of Radiology, 36, Suppl., 37, 37,   2018 02
  • 横行結腸癌に対する郭清・切除範囲決定方法と手術手技, 上田 和毅, 川村 純一郎, 大東 弘治, 牛嶋 北斗, 所 忠男, 肥田 仁一, 今本 治彦, 奥野 清隆, 日本内視鏡外科学会雑誌, 22, 7, SSF01, 02,   2017 12
  • カラー蛍光内視鏡システムを用いたリンパ流に基づく腹腔鏡下結腸切除術の可能性の検討, 川村 純一郎, 上田 和毅, 牛嶋 北斗, 大東 弘治, 所 忠男, 肥田 仁一, 今本 治彦, 奥野 清隆, 日本内視鏡外科学会雑誌, 22, 7, SF088, 03,   2017 12
  • 潰瘍性大腸炎3期手術における残存大腸全摘回腸嚢肛門吻合術の手術成績, 大東 弘治, 上田 和毅, 川村 純一郎, 牛嶋 北斗, 吉岡 康多, 所 忠男, 肥田 仁一, 今本 治彦, 奥野 清隆, 日本内視鏡外科学会雑誌, 22, 7, SF093, 04,   2017 12
  • 直腸GISTに対して術前メシル酸イマチニブ投与により局所切除術を成し得た1例, 吉岡 康多, 所 忠男, 牛嶋 北斗, 大東 弘治, 川村 純一郎, 上田 和毅, 肥田 仁一, 奥野 清隆, 癌と化学療法, 44, 12, 1997, 1999,   2017 11
    Summary:症例は67歳、女性。主訴は血便。直腸診で、AV 3cmに表面平滑、弾性硬、径5cm大の腫瘤を触知した。生検結果はgastrointestinal stromal tumor(GIST)で、画像診断では肛門挙筋への浸潤が疑われた。肛門温存の希望が強く、術前補助療法としてメシル酸イマチニブ(IM)400mg/dayを投与した。投与開始23日目には、腫瘍は2cm大に縮小したが、紅斑型薬疹(Grade 3)を認めたためIMの休薬およびステロイド療法を施行した。薬疹消退の後、IMを200mg/日で再開し、36日目に経肛門的局所切除術を施行した。術後1年の時点で無再発生存中であり、ステロイド併用IM投与を継続している。術前IM療法に関する適応や至適投与期間は現時点で明確ではなく、今後も引き続き症例を蓄積する必要があると考えられる。(著者抄録)
  • XELOX療法施行患者のQOL及び副作用に対するシイタケ菌糸体の効果(LEM-OX study), 亀井 敬子, 所 忠男, 大東 弘治, 上田 和毅, 川村 純一郎, 肥田 仁一, 石丸 英三郎, 塚本 義貴, 奥野 清隆, 日本癌治療学会学術集会抄録集, 55回, O15, 4,   2017 10
  • 重症潰瘍性大腸炎症例への腹腔鏡下大腸全摘、回腸嚢肛門吻合術の検討, 大東 弘治, 上田 和毅, 川村 純一郎, 牛嶋 北斗, 吉岡 康多, 所 忠男, 肥田 仁一, 奥野 清隆, 日本大腸肛門病学会雑誌, 70, 抄録号, A78, A78,   2017 09 , 10.3862/jcoloproctology.70.78
  • カラー蛍光内視鏡システムを用いたリンパ流に基づく腹腔鏡下結腸切除術の可能性の検討, 川村 純一郎, 牛嶋 北斗, 上田 和毅, 吉岡 康多, 大東 弘治, 所 忠男, 肥田 仁一, 今本 治彦, 奥野 清隆, 日本大腸肛門病学会雑誌, 70, 抄録号, A165, A165,   2017 09
  • 早期大腸印環細胞癌の1例, 吉岡 康多, 所 忠男, 牛嶋 北斗, 大東 弘治, 川村 純一郎, 上田 和毅, 肥田 仁一, 奥野 清隆, 日本大腸肛門病学会雑誌, 70, 抄録号, A309, A309,   2017 09
  • A case of familial adenomatous polyposis (FAP) presenting with dyspnea and abdominal distention, NAGAYAMA SATOSHI, KAWAMURA JUNICHIRO, NOMURA AKINARI, NAKAU MASAYUKI, MORI YUKIKO, ITAM ATSUSHI, OKABE HIROSHI, SATOH SEIJI, WATANABE GO, SAKAI YOSHIHARU, 日本癌学会学術総会記事, 66th, 555, 556,   2007 08 25 , http://jglobal.jst.go.jp/detail.php?from=API&JGLOBAL_ID=200902215107225909
  • Laparoscopic total mesorectal excision with the understanding of the lap-enhanced surgical anatomy, SAKAI YOSHIHARU, NOMURA AKINARI, MASUMORI KOJI, KAWAMURA JUNICHIRO, NAGAYAMA SATOSHI, TANAKA EIJI, OBAMA KAZUTAKA, ITAMI ATSUSHI, OKABE HIROSHI, 日本外科学会雑誌, 110, 77,   2009 02 25 , http://jglobal.jst.go.jp/detail.php?from=API&JGLOBAL_ID=200902246499110619
  • LAPAROSCOPIC RESTORATIVE PROCTOCOLECTOMY WITH ILEAL POUCH-ANAL ANASTOMOSIS (Lap-IPAA) FOR ULCEATIVE COLITIS, KAWAMURA JUNICHIRO, NAGAYAMA SATOSHI, NOMURA AKINARI, NAKAU MASAYUKI, KAWADA KENJI, MORI YUKIKO, TANAKA EIJI, OBAMA KAZUTAKA, ITAMI ATSUSHI, OKABE HIROSHI, WATANABE GO, SAKAI YOSHIHARU, Asian J Endosc Surg (Web), 2, 3, WEB ONLY WWS62-5,   2009 12 , http://jglobal.jst.go.jp/detail.php?from=API&JGLOBAL_ID=201502215388842810
  • POTENTIAL INCREASE IN RISK OF DEVELOPING PANCREATIC FISTULA AFTER LAPAROSCOPIC GASTRECTOMY WITH RADICAL LYMPH NODE DISSECTION, OBAMA KAZUTAKA, OKABE HIROSHI, NAKAU MASAYUKI, TANAKA EIJI, KAWAMURA JUNICHIRO, NOMURA AKINARI, NAGAYAMA SATOSHI, ITAMI ATSUSHI, WATANABE GO, SAKAI YOSHIHARU, Asian J Endosc Surg (Web), 2, 3, WEB ONLY WP5-2,   2009 12 , http://jglobal.jst.go.jp/detail.php?from=API&JGLOBAL_ID=201502218458248723
  • CLINICAL BENEFIT OF MINIMALLY INVASIVE ESOPHAGECTOMY IN REDUCED MORBIDITY FOR PATIENTS WITH ESOPHAGEAL CANCER, TANAKA EIJI, ITAMI ATSUSHI, WATANABE GO, NAKAYAMA SHINYA, OKABE HIROSHI, OBAMA KAZUTAKA, KAWAMURA JUNICHIRO, NOMURA AKINARI, NAGAYAMA SATOSHI, SAKAI YOSHIHARU, Asian J Endosc Surg (Web), 2, 3, WEB ONLY WP3-8,   2009 12 , http://jglobal.jst.go.jp/detail.php?from=API&JGLOBAL_ID=201502238340986100
  • VEGF Hypersecretion as a Plausible Mechanism for Pseudo-Meigs' Syndrome in Advanced Colorectal Cancer, OKUCHI YOSHIHISA, NAGAYAMA SATOSHI, MORI YUKIKO, KAWAMURA JUNICHIRO, MATSUMOTO SHIGEMI, NISHIMURA TAKAFUMI, YOSHIZAWA AKIHIKO, SAKAI YOSHIHARU, Jpn J Clin Oncol, 40, 5, 476, 481,   2010 05 , 10.1093/jjco/hyq014, http://jglobal.jst.go.jp/detail.php?from=API&JGLOBAL_ID=201002226190406416
  • SUCCESSFUL TREATMENT OF BRONCHOENTERAL FISTULA AFTER ESOPHAGECTOMS BY EMERGENT DISCONNECTION AND ELECTIVE RECONSTRUCTION OF THE DIGESTIVE TRACT, NAKAMURA Naohiko, KAWAMURA Jyunitirou, HARADA Hideki, YAMAMOTO Hidekazu, ZAIMA Masazumi, TANAKA Yoichi, 74, 7, 1827, 1831,   2013 07 25 , 10.3919/jjsa.74.1827, http://ci.nii.ac.jp/naid/10031203021
  • Successful Endovascular Treatment Using a Covered Stent for Hepatic Artery Pseudoaneurysm and Stenosis after Hepatopancreatoduodenectmy, Nakamura Naohiko, Nakagawa Jyun, Yazawa Takehumi, Kawamura JyuJynicirou, Harada Hideki, Yamamoto Hidekazu, Zaima Masazumi, Okada Masaharu, The Japanese Journal of Gastroenterological Surgery, 47, 1, 73, 79,   2014 , 10.5833/jjgs.2012.0152, http://ci.nii.ac.jp/naid/130004560977
    Summary:A 66-year-old woman underwent hepatopancreatoduodenectomy for advanced gallbladder carcinoma. The postoperative course was complicated by portal vein thrombosis and pancreatic fistula. The portal vein thrombosis was managed conservatively while relaparotomy was done for drainage of the pancreatic fistula. In spite of these measures for the complications, the hepatic insufficiency gradually deteriorated. On postoperative day 48, she had sudden bleeding from the drainage tube placed near the pancreatic stump. Abdominal enhanced computed tomographic angiography revealed marked stenosis of the hepatic artery and a false aneurysm arising at the right hepatic artery stump. Angiography was carried out immediately and a covered stent was implanted at the site of extravasation to exclude the pseudoaneurysm and maintain hepatic arterial blood flow. Consequently hepatic insufficiency was relieved with improved blood flow, by dilation of the stenotic hepatic artery. Hepatic arterial pseudoaneurysm formation can be a fatal complication in hepatobiliary surgery. Transcatheter arterial embolization (TAE) has been applied for this situation, however, TAE is associated with a high risk of liver abscess or liver failure caused by interruption of hepatic arterial flow. Thus, for preserving hepatic arterial flow, the utilization of a covered stent is considered to be a better treatment of choice than TAE. Hepatic artery stenosis caused by lymphadenectomy or other operative procedures is also a serious complication which sometimes may result in liver failure. It seems, in our experience, that endovascular covered stent grafting is an effective option for the treatment of not only pseudoaneurysm, but also liver dysfunction due to hepatic artery stenosis.
  • A Case of Ascending Colon Cancer accompanied by Suspected Portal Vein Tumor Thrombosis with Long-Term Survival who received Systemic Chemotherapy followed by Resection of Primary Lesion, Itami Atsushi, Iguchi Kouta, Nagayama Satoshi, Nomura Akinari, Kawamura Junichiro, Mori Yukiko, Sakai Yoshiharu, The Japanese Journal of Gastroenterological Surgery, 42, 1, 112, 117,   2009 , 10.5833/jjgs.42.112, http://ci.nii.ac.jp/naid/130004560423
    Summary:A 52-year-old woman undergoing right mastectomy followed by adjuvant radiotherapy and hormone therapy soon reported upper abdominal discomfort. Enhanced computed tomography showed a portal vein embolism, and CEA and CA19-9 were elevated. The gastrointestinal tract was examined, and an ascending colon cancer was found in colonoscopy. She was admitted and, based on a diagnosis of ascending colon cancer with portal vein tumor thrombosis, she was treated with FOLFIRI, which reduced the tumor thrombosis and CEA. A year later, however, the primary tumor had grown, necessitating laparoscopic right hemicolectomy, followed by FOLFOX, S-1+irinotecan, and S-1 alone. She remains well with no apparent sign of tumor regrowth or recurrence 30 months after surgery.
  • Surgical Treatment of Delayed Pancreatic Fistula following Pancreatoduodenectomy, NAKAGAWA Jun, YAMAMOTO Michihiro, KAWAMURA Junichirou, HARADA Hideki, YAMAMOTO Hidekazu, ZAIMA Masazumi, Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association), 74, 10, 2669, 2674,   2013 , 10.3919/jjsa.74.2669, http://ci.nii.ac.jp/naid/130004518468
    Summary:A postoperative pancreatic fistula continues to be a common complication after pancreatoduodenectomy. Although most fistulas occur in the perioperative period and are caused by leakage of the pancreaticoenteric anastomosis, a delayed pancreatic fistulas may sometimes occur in the follow-up period after US-guided drainage of a perianastomotic pseudocyst. These fistulas usually heal spontaneously with conservative treatment. However, some develop into a persistent external pancreatic fistula as a result of a complete dehiscence of the pancreaticoenteric anastomosis. In such cases, conservative management with radiological and endoscopic intervention is now more frequently employed ; this sometimes results in a prolonged hospital stay and increased costs. On the other hand, early repeat laparotomy and surgical repair are rarely instituted in these cases, because it is thought that surgical intervention may be associated with a high postoperative complication rate and technical difficulties. We report 3 cases of delayed pancreatic fistula successfully treated with repeat laparotomy and repair of the pancreaticojejunostomy. The results indicate that early surgical intervention is preferable for treating a delayed pancreatic fistula.
  • LAPAROSCOPIC-ASSISTED RIGHT COLECTOMY FOR CROHN'S DISEASE WITH A DUODENO-COLIC FISTULA, HASEGAWA Suguru, NAGAYAMA Satoshi, KAWAMURA Junnichiro, NOMURA Akinari, KATAYAMA Hiroshi, SAKAI Yoshiharu, Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association), 68, 9, 2283, 2287,   2007 , 10.3919/jjsa.68.2283, http://ci.nii.ac.jp/naid/130004516696
    Summary:Laparoscopic-assisted right hemicolectomy was undertaken for Crohn's disease with a duodeno-colic fistula. It was difficult to dissect the extremely thickened tissue around the ascending colon. Using all approaching techniques, such as medial, lateral, retroperitoneal and superior approaches to the fistula, made it possible to encircle the fistula without causing damage to the surrounding tissues or organs and finally to divide it laparoscopically. It is important to learn and obtain the all approaching techniques for laparoscopic surgery for inflammatory bowel diseases.
  • A Case of Multifocal Microcarcinoids and Rectal Adenocarcinoma in Long-Standing Ulcerative Colitis, Hosogi Hisahiro, Nagayama Satoshi, Kawamura Junichiro, Nomura Akinari, Itami Atsushi, Okabe Hiroshi, Hasegawa Suguru, Satoh Seiji, Watanabe Go, Sakai Yoshiharu, The Japanese Journal of Gastroenterological Surgery, 41, 5, 558, 563,   2008 , 10.5833/jjgs.41.558, http://ci.nii.ac.jp/naid/130004344848
    Summary:A 54-year-old man with a 30-year history of ulcerative colitis (UC) involving the entire colon underwent total surveillance colonoscopy, which showed the presence of a dysplasia-associated lesion or mass (DALM) in the rectum. Since the endoscopically resected DALM was found to be well-differentiated adenocarcinoma, the man underwent total laparoscopic proctocolectomy with an ileal pouch and anal anastomosis in 2006. Pathological examinations including chromogranin A staining of the resected specimen showed multifocal proliferation of endocrine cells in the crypts and multifocal microcarcinoids in the rectal mucosa. The literature contains 26 case reports of pathologically documented carcinoid tumors or microcarcinoids in colons of UC patients. These carcinoids are frequently found in total-colon UC (88%) and in long-term UC patients, hose average morbidity is 13.4 years. Of the 26 patients, 10 (38.5%) developed dysplasia or adenocarcinoma of the colon. It is well documented that long-term UC, especially total-colon UC, is complicated by the development of colorectal adenocarcinoma or dysplasia due to field injuries involving pluripotential stem cells of the colorectal lining induced by chronic mucosal inflammation. Although the incidence of carcinoid tumors or microcarcinoids arising in UC-affected colons is relatively low, microcarcinoids may develop due to reactive phenomena induced by persistent chronic mucosal inflammation, a mechanism similar to that seen in colitic cancer development.
  • A Case of Small Bowel Carcinoma with Crohn's Disease, Hida Koya, Kawamura Junichiro, Nagayama Satoshi, Sakurai Takaki, Mizumoto Yoshinori, Sakai Yoshiharu, The Japanese Journal of Gastroenterological Surgery, 41, 3, 329, 334,   2008 , 10.5833/jjgs.41.329, http://ci.nii.ac.jp/naid/130004117592
    Summary:We report a case of Crohn's disease associated with small bowel carcinoma that developed in a 49-year-old Japanese man. He was diagnosed to have Crohn's disease at the age of 22 years, and the symptoms resolved following treatment with salazosulfapyridine at that time. At the age of 36 years, he had an operation because of small bowel perforation. Since then, he has had repeated episodes of bowel obstruction and balloon dilatation. Because the obstructive symptoms were persistent, he was admitted for a second operation to our hospital. There were many obstructed segments, therefore, small-bowel resection up to the terminal ileum was performed. Pathologic examination of the resected specimen revealed dysplasia spreading over a length of 90mm with focal cancer (T2 N0 M0). In Japan, the number of Crohn's disease patients continues to grow yearly, and reports of small bowel carcinoma in association with Crohn's disease have also been increasing. In cases of Crohn's disease with significant obstruction, the probability of carcinoma should be considered.
  • The role of laparoscopic surgery in the treatment of colorectal cancer, Japanese journal of clinical medicine, 69, 0, 409, 413,   2011 04 , http://ci.nii.ac.jp/naid/40018805564
  • Treatment of gastroenteropancreatic neuroendocrine tumors by octreotide, KOMOTO Izumi, DOI Ryuichiro, FUJIMOTO Koji, KAWAMURA Junichiro, IMAMURA Masayuki, 21, 2, 92, 98,   2004 06 30 , http://ci.nii.ac.jp/naid/10013484276
  • New treatment system for gastrinoma, KOMOTO Izumi, DOI Ryuchiro, FUJIMOTO Koji, SHIMADA Yutaka, KAWAMURA Junichiro, IMAMURA Masayuki, 19, 2, 71, 76,   2002 06 30 , http://ci.nii.ac.jp/naid/10013943877
  • Other rare gastroenteropancreatic neuroendocrine tumors, KOMOTO Izumi, DOI Ryuchiro, FUJIMOTO Koji, KAWAMURA Junichiro, SHIMADA Yutaka, IMAMURA Masayuki, 20, 1, 92, 96,   2003 03 30 , http://ci.nii.ac.jp/naid/50000788287
  • Recent advances in diagnosis and treatment of gastrointestinal hormone-producing tumors, KOMOTO Izumi, DOI Ryuichiro, FUJIMOTO Koji, ITAMI Atsushi, KAWAMURA Junichiro, IMAMURA Masayuki, 20, 2, 151, 157,   2003 06 30 , http://ci.nii.ac.jp/naid/10013945065
  • Perioperative management for gastro-entero-pancreatic neuroendocrine tumors with MEN-1, KOMOTO Izumi, DOI Ryuichiro, FUJIMOTO Koji, ITAMI Atsushi, KAWAMURA Junichiro, SHIMADA Yutaka, IMAMURA Masayuki, 20, 4, 327, 332,   2003 12 30 , http://ci.nii.ac.jp/naid/10013945436
  • LAPAROSCOPIC RESECTION FOR ADVANCED CANCER OF THE RIGHT-SIDED COLON WITH DUODENAL INVASION : REPORT OF TWO CASES, HASEGAWA Suguru, NOMURA Akinari, NAGAYAMA Satoshi, KAWAMURA Junnichiro, SAKAI Yoshiharu, 68, 4, 938, 942,   2007 04 25 , 10.3919/jjsa.68.938, http://ci.nii.ac.jp/naid/10019502287
  • LAPAROSCOPIC-ASSISTED RIGHT COLECTOMY FOR CROHN'S DISEASE WITH A DUODENO-COLIC FISTULA, HASEGAWA Suguru, NAGAYAMA Satoshi, KAWAMURA Junnichiro, NOMURA Akinari, KATAYAMA Hiroshi, SAKAI Yoshiharu, 68, 9, 2283, 2287,   2007 09 25 , 10.3919/jjsa.68.2283, http://ci.nii.ac.jp/naid/10019985379
  • A Case of Small Bowel Carcinoma with Crohn's Disease, Hida Koya, Kawamura Junichiro, Nagayama Satoshi, Sakurai Takaki, Mizumoto Yoshinori, Sakai Yoshiharu, The Japanese journal of gastroenterological surgery, 41, 3, 329, 334,   2008 03 01 , 10.5833/jjgs.41.329, http://ci.nii.ac.jp/naid/110006623698
    Summary:We report a case of Crohn's disease associated with small bowel carcinoma that developed in a 49-year-old Japanese man. He was diagnosed to have Crohn's disease at the age of 22 years, and the symptoms resolved following treatment with salazosulfapyridine at that time. At the age of 36 years, he had an operation because of small bowel perforation. Since then, he has had repeated episodes of bowel obstruction and balloon dilatation. Because the obstructive symptoms were persistent, he was admitted for a second operation to our hospital. There were many obstructed segments, therefore, small-bowel resection up to the terminal ileum was performed. Pathologic examination of the resected specimen revealed dysplasia spreading over a length of 90mm with focal cancer (T2 N0 M0). In Japan, the number of Crohn's disease patients continues to grow yearly, and reports of small bowel carcinoma in association with Crohn's disease have also been increasing. In cases of Crohn's disease with significant obstruction, the probability of carcinoma should be considered.
  • A Case of Multifocal Microcarcinoids and Rectal Adenocarcinoma in Long-Standing Ulcerative Colitis, Hosogi Hisahiro, Nagayama Satoshi, Kawamura Junichiro, Nomura Akinari, Itami Atsushi, Okabe Hiroshi, Hasegawa Suguru, Satoh Seiji, Watanabe Go, Sakai Yoshiharu, The Japanese journal of gastroenterological surgery, 41, 5, 558, 563,   2008 05 01 , 10.5833/jjgs.41.558, http://ci.nii.ac.jp/naid/110006664558
    Summary:A 54-year-old man with a 30-year history of ulcerative colitis (UC) involving the entire colon underwent total surveillance colonoscopy, which showed the presence of a dysplasia-associated lesion or mass (DALM) in the rectum. Since the endoscopically resected DALM was found to be well-differentiated adenocarcinoma, the man underwent total laparoscopic proctocolectomy with an ileal pouch and anal anastomosis in 2006. Pathological examinations including chromogranin A staining of the resected specimen showed multifocal proliferation of endocrine cells in the crypts and multifocal microcarcinoids in the rectal mucosa. The literature contains 26 case reports of pathologically documented carcinoid tumors or microcarcinoids in colons of UC patients. These carcinoids are frequently found in total-colon UC (88%) and in long-term UC patients, whose average morbidity is 13.4 years. Of the 26 patients, 10 (38.5%) developed dysplasia or adenocarcinoma of the colon. It is well documented that long-term UC, especially total-colon UC, is complicated by the development of colorectal adenocarcinoma or dysplasia due to field injuries involving pluripotential stem cells of the colorectal lining induced by chronic mucosal inflammation. Although the incidence of carcinoid tumors or microcarcinoids arising in UC-affected colons is relatively low, microcarcinoids may develop due to reactive phenomena induced by persistent chronic mucosal inflammation, a mechanism similar to that seen in colitic cancer development.
  • A Case of Ascending Colon Cancer accompanied by Suspected Portal Vein Tumor Thrombosis with Long-Term Survival who received Systemic Chemotherapy followed by Resection of Primary Lesion, Itami Atsushi, Iguchi Kouta, Nagayama Satoshi, Nomura Akinari, Kawamura Junichiro, Mori Yukiko, Sakai Yoshiharu, The Japanese journal of gastroenterological surgery, 42, 1, 112, 117,   2009 01 01 , 10.5833/jjgs.42.112, http://ci.nii.ac.jp/naid/110007024902
    Summary:A 52-year-old woman undergoing right mastectomy followed by adjuvant radiotherapy and hormone therapy soon reported upper abdominal discomfort. Enhanced computed tomography showed a portal vein embolism, and CEA and CA19-9 were elevated. The gastrointestinal tract was examined, and an ascending colon cancer was found in colonoscopy. She was admitted and, based on a diagnosis of ascending colon cancer with portal vein tumor thrombosis, she was treated with FOLFIRI, which reduced the tumor thrombosis and CEA. A year later, however, the primary tumor had grown, necessitating laparoscopic right hemicolectomy, followed by FOLFOX, S-1+irinotecan, and S-1 alone. She remains well with no apparent sign of tumor regrowth or recurrence 30 months after surgery.
  • Transanal Drainage for Anastomotic Leakage after Laparoscopic Low Anterior Resection of Rectum, Masano Yuuki, Hasegawa Suguru, Naito Masato, Furuyama Hiroaki, Yoshimura Tsunehiro, Nomura Akinari, Kawamura Junichiro, Nagayama Satoshi, Sakai Yoshiharu, The Japanese journal of gastroenterological surgery, 43, 5, 601, 607,   2010 05 01 , 10.5833/jjgs.43.601, http://ci.nii.ac.jp/naid/110007619524
    Summary:In seven cases of anastomotic leakage causing pelvic abscess after laparoscopic low anterior resction treated by transanal drainage, anastomotic leakage was diagnosed by enema, the fistula was dilated by forefinger, and abscess cavities were drained into the rectum, avoiding surgical intervention including percutaneous drainage and/or laparotomy and/or diverting ileostomy. In one case, transanal drainage was ineffective and diverting ileostomy was performed. The patient's general condition must be good, however, and the abscess limited to within the presacral space not expanded into the abdominal cavity. Cases of peritonitis and septicemia due to leakage should be excluded. Transanal drainage can be one of the therapeutic options for the anastomotic leakage following laparoscopic low anterior resection.
  • A CASE OF PULMONARY SUPPURATION CAUSED BY MINOR LEAKAGE DEVELOPED AFTER SURGERY FOR RECTAL CANCER, MATSUSUE Ryo, NOMURA Akinari, MASUMORI Koji, KAWAMURA Jun-ichiro, NAGAYAMA Satoshi, SAKAI Yoshiharu, 71, 11, 2840, 2845,   2010 11 25 , 10.3919/jjsa.71.2840, http://ci.nii.ac.jp/naid/10027750132