講演・口頭発表等 - 三池 忠
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Endoscopic features of fundic gland polyps associated with proton pump inhibitors
三池忠
The 110th General Meeting of the JSGE 2024
開催年月日： 2024年5月9日 - 2024年5月11日
記述言語：英語 会議種別：シンポジウム・ワークショップ パネル（公募）
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Endoscopic evaluation of immunogloblin G4-related gastrointestinal disease
Tadashi MIIKE, Shojiro YAMAMOTO, Hiroshi KAWAKAMI
Japan Digestive Disease Week (JDDW) 2021 2021年11月4日
開催年月日： 2021年11月4日 - 2021年11月7日
記述言語：英語 会議種別：シンポジウム・ワークショップ パネル（公募）
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Endoscopic evaluation of esophageal lesions in connective tissue disease
Tadashi MIIKE, Shojiro YAMAMOTO, Hiroshi KAWAKAMI
Japan Digestive Disease Week (JDDW) 2020
開催年月日： 2020年11月5日 - 2020年11月7日
記述言語：日本語 会議種別：シンポジウム・ワークショップ パネル（公募）
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Endoscopic evaluation of lower gastrointestinal lesions in connective tissue disease
Tadashi MIIKE, Shojiro YAMAMOTO, Hiroshi KAWAKAMI
Japan Digestive Disease Week (JDDW) 2019 (神戸)
開催年月日： 2019年11月21日 - 2019年11月24日
記述言語：日本語 会議種別：シンポジウム・ワークショップ パネル（公募）
開催地：神戸
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CLINICAL MANIFESTATIONS OF T-CELL LEUKEMIA/LYMPHOMA INFILTRATION OF UPPER GASTROINTESTINAL TRACT LESIONS 国際会議
Tadashi Miike, Shojiro Yamamoto, Naoki Ichinari, Emi Yonezawa, Kazuki Sakamoto, Tomoya Hirata, Takaho Noda, Sho Suzuki, Shuichiro Natsuda, Hiroo Abe, Yoshihiro Tahara, Kazuya Shimoda, Hiroshi Kawakami
Digestive Disease Week (DDW) 2018 (Washington, DC)
開催年月日： 2018年6月2日 - 2018年6月5日
記述言語：英語 会議種別：ポスター発表
開催地：Washington, DC
Introduction: Adult T-cell leukemia/lymphoma (ATLL) is a peripheral T-cell malignancy caused by the human T-cell lymphotropic virus type I. ATLL has a various clinical manifestations, because latent ATLL develops over years. ATLL is a systemic disease with an unfavorable prognosis, and ATLL with upper gastrointestinal tract lesions has been described recently years. Few detailed studies, however, have investigated ATLL infiltration into upper gastrointestinal tract lesions. Aims & Methods: This study evaluated the clinical manifestations of ATLL with upper gastrointestinal tract lesions and the infiltration of ATLL into these lesions. Clinical data were collected retrospectively from the medical records of 40 patients diagnosed with ATLL and upper gastrointestinal tract lesions between January 2009 and December 2015 at the University of Miyazaki in Japan. Patients were classified into the four clinical subtypes of ATLL defined by the Japan Clinical Oncology Group-Lymphoma Study Group: acute, lymphoma, chronic, and smoldering. The 40 patients were examined by upper gastrointestinal endoscopy. Biopsy specimens of the gastrointestinal tracts were examined histologically. Patients with and without ATLL infiltration of the upper gastrointestinal tract were compared. The study conformed to the Declaration of Helsinki and was approved by the ethics committee and institutional review board of the University of Miyazaki. Results: Of the 40 patients, 11 showed ATLL infiltration of the upper gastrointestinal tract, whereas 29 did not. There were no differences in age, sex, swelling of superficial lymph nodes, and the presence of hepatosplenomegaly, digestive symptoms, and opportunistic infections between patients with and without ATLL infiltration of the upper gastrointestinal tract. Univariate analysis showed that clinical subtypes and absence of skin lesions were significantly associated with ATLL infiltration into the upper gastrointestinal tract (P < 0.05 each). Multivariate logistic regression analysis showed that the absence of skin lesions tended to be associated with ATLL infiltration of the upper gastrointestinal tract (P = 0.058). Magnified endoscopic images with narrow band imaging (NBI) of 3 patients showed that all had obscure glandular structures and bifurcated blood vessels, presumably caused by the infiltration of ATLL cells. Interestingly, abnormal findings on NBI were specific to lymphoproliferative disease. Conclusion: Patients with ATLL should be examined by gastrointestinal endoscopy to assess ATLL infiltration into the upper gastrointestinal tract and by magnifying endoscopy with NBI to evaluate the occurrence of lymphoproliferative disease. The abnormal finding on NBI and the absence of skin lesions may be helpful in diagnosing ATLL infiltration into the upper gastrointestinal tract.
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RISK FACTORS FOR ASPIRATION PNEUMONIA AFTER ENDOSCOPIC SUBMUCOSAL DISSECTION FOR GASTRIC NEOPLASIA 国際会議
Miike Tadashi, Yamamoto Shojiro, Miyata Yoshifumi, Hirata Tomoya, Noda Yuko, Noda Takaho, Suzuki Sho, Takeda Sachiko, Sakaguchi Mai, Natsuda Shuichiro, Maemura Kosuke, Hashimoto Kanna, Yamaji Takumi, Abe Hiroo, Tahara Yoshihiro, Arimura Yasuji, Shimoda Kazuya
Digestive Disease Week (DDW) 2016 (San Diego)
開催年月日： 2016年5月21日 - 2016年5月24日
記述言語：英語 会議種別：ポスター発表
開催地：San Diego
Introduction: The incidence rates of gastric cancer are high in Japan. Gastric cancer is mostly screened using endoscopy. Endoscopic submucosal dissection (ESD) is commonly performed for early gastric cancers that are confined to the mucosa and do not show lymph node metastasis. ESD, however, is a time-consuming procedure that requires a high level of endoscopic skill to resect in an en bloc fashion and sometimes causes serious adverse events. Therefore, endoscopists performing ESD should have sufficient knowledge of the complications associated with the procedure. One of the important complications is aspiration pneumonia (AP). AP can prolong hospital stay, be costly, and increase in-hospital mortality. Reports on AP after ESD are rare; the risk factors are unidentified, and the clinical course is unclear. Aims & Methods: We aimed to analyze the risk factors for AP after ESD and develop a treatment plan. We retrospectively examined 114 patients who underwent ESD for gastric neoplasia between April 2011 and January 2015 at the University of Miyazaki, Japan. We evaluated AP according to the JRS guideline for the management of hospital-acquired pneumonia in adults. Diagnosis of AP was confirmed based on the following indications: abnormal swallowing function or dysphagia, infiltrative shadows on chest radiography, and elevated peripheral white blood cell count (≥10,000/μL). We intermittently administered an intravenous bolus of midazolam /pentazocine if the patient started moving or showing signs of discomfort. Under these settings, we aimed at conscious sedation. Results: Sixteen patients were diagnosed with AP and 98 without AP. There was no difference between the groups in age and sex, specimen size, macroscopic type, histological type and depth, procedure time, the presence of ulcer scar in the tumor, and perforation. We evaluated the risk factors for AP by comparing the patients with AP to those without AP. Pulmonary disease was associated with AP in the univariate analysis (P < 0.05). To identify the association of each analyzed factor with AP, we performed a multivariate analysis. Of interest, the location of tumor, pulmonary disease, and pentazocine administration were associated with AP in the multiple logistic regression analysis (P < 0.05). Conclusion: The location of tumor (middle or lower), pulmonary disease, and pentazocine administration might be independent predictors of AP after ESD for gastric neoplasia.
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A discrepancy in pathological diagnosis of gastric neoplasia between biopsy and endoscopic submucosal dissection 国際会議
Sho Suzuki, Tadashi Miike, Takaho Noda, Yuko Noda, Natsumi Uehara, Sachiko Takeda, Mai Sakaguchi, Shuichiro Natsuda, Kanna Hashimoto, Kousuke Maemura, Takumi Yamaji, Hiroo Abe, Shojiro Yamamoto, Kenji Yorita, Hiroaki Kataoka, Kazuya Shimoda
Asian Pacific Digestive Disease Week (APDW) 2014 (Bali)
開催年月日： 2014年11月22日 - 2014年11月25日
記述言語：英語 会議種別：ポスター発表
開催地：Bali
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Discrimination of early gastric cancer from gastric adenoma,based on the characteristics of gastric neoplasia 国際会議
Miike T,Miyata Y, Yamamoto S, Noda Y, Noda T, Suzuki S, Takeda S, Maemura K, Hashimoto K, Yamaji T, Abe H, Tahara Y, Yorita K, Kataoka H, Shimoda K:
22th United European Gastroenterology Week (UEGW) (Vienna,Austria) UEG
開催年月日： 2014年10月18日 - 2014年10月22日
記述言語：英語 会議種別：ポスター発表
開催地：Vienna,Austria
INTRODUCTION: Background and Aim: Chronic atrophic gastritis has received increased attention, in Japan, because the observed gastric mucosa characteristics have been reported to be associated with gastric neoplasia. However, chronic atrophic gastritis is caused by a Helicobacter pylori infection. In the present study, we aimed to discriminate between early gastric cancer (EGC) and gastric adenoma (GA) by analyzing the characteristics of gastric neoplasia. AIMS & METHODS: Methods: We retrospectively examined the records of 211 patients who underwent endoscopic submucosal dissection for gastric neoplasia at the Miyazaki University Hospital between October 2009 and March 2014. Of these, 78 patients who had not previously undergone H. pylori eradication treatment were evaluated and assessed for the presence of pepsinogen and the degree of gastric atrophy. If the border of the atrophy was on the lesser curvature of the stomach, it was defined as a closed-type (Ctype). These were subdivided into C0, Cl, C2, and C3 patterns. If the border was shifted orally and did not exist on the lesser curvature, it was defined as an open-type (0-type), subdivided into 01, 02, O3, and 0p patterns. Therefore, gastric atrophy was graded as C0-l, C2-3, 01-2, and 03-p, based on its severity. Statistical analyses were conducted using a chi-squared test, with P < 0.05 indicating statistical significance. RESULTS: Results: In total, 78 patients had gastric neoplasia; of these, 64 were graded as having the 0-type (82%), and 14 with the C-type. EGC was diagnosed in 57 patients, including 13 patients were graded as C2-3, 37 as 01-2, and 7 as 03-p. Moreover, 21 patients had GA, including 1 graded as C2-3, 11 as 01-2, and 9 as 03-p. The degree of atrophy associated with GA was significantly higher than that associated with EGC (P < 0.05). CONCLUSION: Conclusion: The current findings showed that gastric neoplasia was well correlated with severe atrophic gastritis. Based on the current findings, the degree of atrophy appears to be useful for discriminating between EGC and GA.
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Discrimination between superficial esophageal squamous cell carcinoma and intraepithelial neoplasia using narrow band imaging with magnification. 国際会議
Tadashi Miike, Y. Miyata, S. Yamamoto, S. Suzuki, N. Uehara, S. Takeda, S. Natsuda, K. Hashimoto, T. Yamaji, M. Nagayama, H. Abe, K. Yorita, H. Kataoka, K. Shimoda
21th United European Gastroenterology Week (UEGW) (Berilin/Germany) UEG
開催年月日： 2013年10月12日 - 2013年10月15日
記述言語：英語 会議種別：ポスター発表
開催地：Berilin/Germany
INTRODUCTION: Superficial esophageal tumors were recategorized in 2011 according to a new Japanese esophagus tumor’ classification system. This system is based in part on background coloration, a color change in the area between intrapapillary capillary loops (IPCLs) in superficial esophageal tumors, using narrow band imaging (NBI) with magnification. AIMS&METHODS: Here, we retrospectively examined superficial esophageal squamous cell carcinoma (SCC) and intraepithelial neoplasia (IN) to determine whether they could be distinguished on the basis of this new classification system. Between June 2009 and July 2012, a total of 24 lesions were diagnosed as SCC or IN on the basis of endoscopic submucosal dissection performed at the Miyazaki University Hospital. These cases were assessed in the current study. Five endoscopic images with white light and NBI were randomly selected. These were then reviewed by 13 specialist or non- specialist endoscopists in a blinded manner to determine whether these lesions were SCC or IN according to the new Japanese esophagus tumor’ classification system using NBI with magnification. If the lesion was diagnosed as SCC, the basis for this diagnosis was recorded with respect to 4 characteristic IPCL patterns (dilatation, winding, caliber variation, and non-uniformity). RESULTS: The overall accuracy with which SCC was distinguished from IN was 60.9%, and the accuracy for diagnosing SCC was 67.0%. The total accuracy achieved by specialists (84.3% ± 14.0%) was significantly higher than that achieved by non-specialists (61.8% ± 15.7%, P < 0.05). The accuracy of SCC diagnosis achieved by specialists (71.0% ± 4.0%) was also significantly higher than that achieved by non-specialists (57.9% ± 13.8%, P < 0.05). The basis for SCC diagnosis was additional dilatation in 16.9% of casas, winding in 36.9%, caliber variation in 13.8%, and non-uniformity in 32.3%. CONCLUSION: Specialist’ endoscopists could discriminate between SCC and IN according to the new Japanese esophagus tumor’ classification system using NBI with magnification with greater accuracy than non-specialist endoscopists. Winding and non-uniformity were the particularly important specific IPCL patterns for diagnosing SCC.
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Evaluation of serum pepsinogen measurement as an indication for endoscopic submucosal dissection of early gastric cancer 国際会議
Tadashi Miike, Shojiro Yamamoto, Sho Suzuki, Natsumi Uehara, Sachiko Takeda, Shuichiro Natsuda, Kanna Hashimoto, Takumi Yamaji, Manabu Nagayama, Hiroo Abe, Kazuya Shimoda
Asian Pacific Digestive Disease Week (APDW) 2012 (バンコク) アジア太平洋消化器病学会
開催年月日： 2012年11月5日 - 2012年11月8日
記述言語：英語 会議種別：ポスター発表
開催地：バンコク
Background and aim: The diagnostic value of serum pepsinogen (PG) measurement for various gastroduodenal disorders, in particular atrophic gastritis and gastric cancer, has been widely discussed. The aim of this study was to elucidate the usefulness of PG measurement as an indications for endoscopic submucosal dissection (ESD) of early gastric cancer (EGC). Methods: We examined the records of 79 patients who underwent ESD for gastric neoplasia at the Miyazaki University Hospital between June 2009 and February 2011. On the basis of their serum PG levels, PG-positive subjects were classified as PG (+), PG-negative subjects, as PG (+). Results: Of the 79 patients, 55 patients had EGC, We evaluated 28 of these patients who had not undergone Helicobacter pylori eradication previously. Of these 28 patients, 16 patients were PG (+) and 12 were PG (-). Of the 12 PG (-) patients, 3 (25.0%) had absolute indications for ESD and 9 (75.0%) did not have absolute indications for ESD. The number of PG (-) patients who had did not have absolute indications for ESD was significantly higher than the number of PG (-) patients who had absolute indications for ESD (P< 0.05). Conclusion: The results suggest that serum PG measurement is useful for determining the indications for ESD.
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Invastigation of the clinical manifestation and infiltration of adult T-cell leukemia/ lymphoma with gastrointestinal tract lesions
三池忠、山本章二朗、下田和哉
Japan Digestive Disease Week (JDDW) 2016 (神戸市) 日本消化器病学会
開催年月日： 2016年11月3日 - 2016年11月6日
記述言語：日本語 会議種別：シンポジウム・ワークショップ パネル（公募）
開催地：神戸市
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DISCRIMINATION BETWEEN SQUAMOUS CELL CARCINIMA AND HIGH GRADE INTRAEPITHELIAL NEOPLASIA BY THE FOUR CHARACTER OF IPCL USING NBI
三池忠、山本章二朗、下田和哉
第89回日本消化器内視鏡学会総会 (愛知県名古屋市) 日本消化器内視鏡学会
開催年月日： 2015年5月29日 - 2015年5月31日
記述言語：日本語 会議種別：シンポジウム・ワークショップ パネル（公募）
開催地：愛知県名古屋市
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生活習慣と関連する消化器疾患の「今」と「これから」 肥満患者における食道腫瘍の内視鏡治療と誤嚥のリスク
鈴木 翔 (三池 忠, 山本 章二朗, 河上 洋)
日本消化器病学会九州支部例会・日本消化器内視鏡学会九州支部例会 122回・116回
開催年月日： 2023年11月24日 - 2023年11月25日
記述言語：日本語 会議種別：シンポジウム・ワークショップ パネル（公募）
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内視鏡診断が有用であった乳癌胃転移の1例
大槻 佑生子 (三池 忠, 瀬戸口 翔子, 坂元 一樹, 中村 佳菜子, 篠原 実成, 押川 一達, 宮後 冴, 鈴木 翔, 黒木 大介, 坂口 舞, 中島 孝治, 安倍 弘生, 山本 章二朗, 稲津 東彦, 冨永 洋平, 中村 恵理子, 都築 諒, 佐藤 勇一郎, 河上 洋)
日本消化器病学会九州支部例会・日本消化器内視鏡学会九州支部例会 122回・116回
開催年月日： 2023年11月24日 - 2023年11月25日
記述言語：日本語 会議種別：口頭発表（一般）
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難治性の咽頭痛で発症し,消化器症状に乏しく,診断に難渋した小児クローン病の1例
小川 宗一郎 (山本 章二朗, 坂元 一樹, 市成 直樹, 黒木 利樹, 内田 圭祐, 田村 穂高, 吉田 直樹, 内山 尚美, 畑田 紘志, 瀬戸口 翔子, 中村 佳菜子, 平田 智也, 鈴木 翔, 黒木 大介, 坂口 舞, 三池 忠, 安倍 弘生, 河上 洋)
日本大腸肛門病学会
開催年月日： 2023年11月10日 - 2023年11月11日
記述言語：日本語 会議種別：ポスター発表
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当院における潰瘍性大腸炎に対するUstekinumabでの内視鏡所見の改善効果についての検討
坂元 一樹 (山本 章二朗, 市成 直樹, 田村 穂高, 吉田 直樹, 小川 宗一郎, 瀬戸口 翔子, 中村 佳菜子, 鈴木 翔, 大園 芳範, 坂口 舞, 安倍 弘生, 三池 忠, 稲津 東彦, 河上 洋)
第105回日本消化器内視鏡学会総会
開催年月日： 2023年5月25日 - 2023年5月27日
記述言語：日本語 会議種別：口頭発表（一般）
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潰瘍性大腸炎の経過中に腺腫様ポリープを契機に発見された多発大腸癌の1例
内田 圭祐 (山本 章二朗, 瀬戸口 翔子, 畑田 紘志, 市成 直樹, 米澤 瑛美, 中村 佳菜子, 平田 智也, 鈴木 翔, 坂口 舞, 安倍 弘生, 三池 忠, 市来 伸彦, 池田 拓人, 梅北 佳子, 田中 弘之, 河上 洋)
第103回日本消化器内視鏡学会総会
開催年月日： 2023年5月13日 - 2023年5月15日
記述言語：日本語 会議種別：口頭発表（一般）
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蛋白漏出性胃腸症をきたしたNSAIDs起因性消化管粘膜傷害の一例
吉田 直樹 (山本 章二朗, 安倍 弘生, 三池 忠, 内田 圭祐, 小川 宗一郎, 畑田 紘志, 堀口 みなみ, 篠原 実成, 市成 直樹, 押川 一達, 中村 佳菜子, 宮後 冴, 平田 智也, 黒木 大介, 鈴木 翔, 坂口 舞, 芦塚 伸也, 中島 孝治, 稲津 東彦, 河上 洋)
第103回日本消化器内視鏡学会総会
開催年月日： 2023年5月13日 - 2023年5月15日
記述言語：日本語 会議種別：口頭発表（一般）
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ESDにて治癒切除を行えた胃底腺粘膜型腺癌type2の一例
中島 孝治 (黒木 大介, 鈴木 翔, 三池 忠, 河上 洋, 大栗 伸行, 佐藤 勇一郎, 槇 信一朗)
日本消化器病学会九州支部例会・日本消化器内視鏡学会九州支部例会 121回・115回
開催年月日： 2023年5月12日 - 2023年5月13日
記述言語：日本語 会議種別：口頭発表（一般）
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内視鏡治療を行った食道空腸吻合部静脈瘤の2例
蓮池 悟 (野田 貴穂, 小牧 優里, 鈴木 翔, 大園 芳範, 中村 憲一, 安倍 弘生, 三池 忠, 岩切 久芳, 末田 光恵, 山本 章二朗, 永田 賢治, 河上 洋)
日本消化器病学会九州支部例会・日本消化器内視鏡学会九州支部例会 121回・115回
開催年月日： 2023年5月12日 - 2023年5月13日
記述言語：日本語 会議種別：口頭発表（一般）