Dokkyo Medical University

Comparison of response criteria in palliative radiotherapy for bleeding gastric cancer: A secondary analysis of the JROSG 17-3 multicenter prospective observational study

PURPOSE: In radiotherapy for bleeding gastric cancer, no standard response definition exists; studies have used transfusion-only or transfusion-plus-hemoglobin criteria. After inter-facility transfer or during home care-sometimes following palliative radiotherapy-laboratory resul...

Perioperative Cognitive Decline in Verbal Associative Memory Following Carotid Revascularization and Subsequent Risk of Adverse Events: Clinical Significance of the Standard Verbal Paired Associate Learning Test (S-PA)

Background/Objectives: This study aimed to explore whether perioperative changes in cognitive function following carotid artery revascularization, including carotid endarterectomy (CEA) and carotid artery stenting (CAS), are associated with subsequent clinical outcomes, focusing...

Executive summary of the Japanese clinical practice guidelines for tuberous sclerosis complex-associated epilepsy 2025

Purpose Tuberous sclerosis complex (TSC)-associated epilepsy often involves focal epilepsy, infantile epileptic spasms syndrome (IESS), and drug-resistant epilepsy (DRE). This article presents an executive summary of the Japanese Clinical Practice Guidelines for Tuberous Sclerosi...

A Novel Biliary Plastic Stent With a Centrally Located Flap: Initial Clinical Experience in Three Cases

ABSTRACT Endoscopic biliary plastic stent (PS) insertion is standard for maintaining bile flow, but migration and dislodgement persist as important challenges. We developed the cross range flap stent (CRF stent), a 7 Fr, 7 cm straight‐type PS. Unlike conventional stents with flap...

A Case of Tracheal Stent Placement under Extracorporeal Membrane Oxygenation for Airway Stenosis Caused by Subcarinal Lymph Node Metastasis from Muscle-Invasive Bladder Cancer

症例は64歳，女性。泌尿器科にて筋層浸潤性膀胱癌の治療後で，当科で非結核性抗酸菌症にて通院中であった。経過中に湿性咳嗽と喘鳴があり，吸入ステロイド薬/長時間作用性β2刺激薬配合剤およびステロイド点滴投与を行った。しかし呼吸困難感が増強し胸部CTを撮影したところ，径30 mmの気管分岐部リンパ...