Updated on 2026/03/10

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写真a

 
Akihiko Kusakabe
 
Organization
Yokohama City University Hospital General Medicine/Diagnostic Medicine Associate Professor
Title
Associate Professor
External link

Degree

  • 博士(医学) ( 横浜市立大学 )

Research Interests

  • セクシュアリティ

  • 人工的水分栄養補給

  • 老年医療

  • 緩和ケア病棟

  • 在宅医療

  • 胃瘻

  • 緩和医療

Research Areas

  • Life Science / Gastroenterology

  • Life Science / General internal medicine  / 緩和ケア

Papers

  • Identifying the unmet physical and psychological intimacy and sexual needs of partners of patients with terminal cancer. International journal

    Akihiko Kusakabe, Hironori Mawatari, Kazue Hirano, Mitsuyasu Ohta, Masahiko Inamori, Tatsuya Morita

    The journal of sexual medicine   20 ( 11 )   1312 - 1318   2023.10

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    BACKGROUND: Palliative care aims to improve the quality of life of patients who are terminally ill, but support for the sexuality of these patients is often inadequate. AIM: To identify factors related to the unmet needs of bereaved partners whose significant others died of cancer during hospitalization. METHODS: Bereaved individuals in Japan aged >50 years who had lost their partners to cancer in a hospital in the last 5 years answered a questionnaire on the support desired for "time to nurture love with your partner." OUTCOMES: We used 3 sexual questions in the 34-item Supportive Care Needs Survey-Short Form (SCNS-SF34) and measured the unmet needs of partners of patients with terminal cancer. RESULTS: We obtained 290 responses (equal number of males and females). Respondents' age distribution was as follows: 50 to 59 years, 34.8%; 60 to 69 years, 44.5%; 70 to 79 years, 19.3%; ≥80 years, 1.4%. In total, 81% had children. Most partners died in the general ward (59.3%). Frequency of time to nurture love with one's partner before the illness was as follows: none at all, 44 (15.2%); very little, 84 (29.0%); once in a while, 76 (26.2%); occasionally, 45 (15.5%); and often, 41 (14.1%). Roughly 20% of participants reported experiencing unmet sexual needs across all 3 selected questions in the SCNS-SF34. Multivariate analysis showed that younger age (P = .00097) and a higher frequency of time to nurture love with one's partner before illness (P = .004) were positively associated with unmet needs for sexuality during hospitalization. CLINICAL IMPLICATIONS: The study may help health care workers identify patients who are seeking sexual support. STRENGTHS AND LIMITATIONS: This study identified the unmet needs and underlying factors regarding sexuality during hospitalization for partners of patients with terminal cancer. However, differences by cancer type could not be analyzed. Additionally, the modified version of the supportive care needs measure used in this study (SCNS-SF34) may have decreased validity owing to the alterations made for its use. CONCLUSION: Some hospitalized patients with terminal cancer could need support for time to nurture love with their partners. Health care providers can play a crucial role by anticipating the needs of patients, preparing them mentally, and offering counseling and information to help them maintain an intimate connection with their loved ones.

    DOI: 10.1093/jsxmed/qdad116

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  • "Guidebook on Doctors' Behaviors for Death Diagnosis Created by Community Healthcare Providers" Changed Residents' Mind for Death Diagnosis. International journal

    Akihiko Kusakabe, Jyunko Nozato, Kazue Hirano, Naohiro Saitou, Keiko Ikenaga, Hukiko Mikan, Takaomi Kessoku, Tetuya Matuura, Asuka Yoshimi, Hironori Mawatari, Akemi Naito, Masato Okita, Mitsuyasu Ohta, Tatsuya Morita, Masahiko Inamori

    Journal of palliative care   825859720951698 - 825859720951698   2020.8

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    BACKGROUND: Education regarding death diagnosis is not often included in the medical education. OBJECTIVE: To investigate the change minds at the time of death diagnosis among residents after lectures based on our guidebook. DESIGN: Uncontrolled, open-label, multi-center trial. SUBJECTS: A total of 131 doctors undergoing their initial training were enrolled this study. MEASUREMENTS: Questionnaires were administered to volunteers before and after the lecture by the clinical training instructor presented information regarding doctors' behaviors at the death diagnosis based on our guidebook at each hospital. RESULTS: The subjects had an average age of 27.1 years and comprised 76 men (58.0%) and 54 women (41.2%). A total of 83 subjects (63.4%) had learned how to diagnose death as medical students, and 52 subjects (39.7%) had experienced death diagnosis scenes as medical students. Among those who had difficulties related to death diagnoses, the highest number (88.4%) indicated that "I do not know what to say to the family after a death diagnosis". Self-evaluation significantly increased after the lecture for many items concerning explanations to and considerations of the family: the effect size for "Give words of comfort and encouragement to family" increased significantly after the lecture to 0.9. CONCLUSIONS: Few of the residents felt that they had received education regarding death diagnoses; they reported difficulties with diagnosing death and responding to patients' families. After the lecture using our guidebook, residents' mind changed significantly for death diagnosis, suggesting that the guidebook at the time of death diagnosis may be useful.

    DOI: 10.1177/0825859720951698

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  • Death Pronouncements: Recommendations Based on a Survey of Bereaved Family Members Reviewed

    Akihiko Kusakabe, Akemi Shirado Naito, Kazue Hirano, Keiko Ikenaga, Naohiro Saitou, Hukiko Mikan, Masato Okita, Masahiko Inamori, Tatsuya Morita

    JOURNAL OF PALLIATIVE MEDICINE   19 ( 6 )   646 - 651   2016.6

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    DOI: 10.1089/jpm.2015.0333

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  • 便秘、腹痛、食思不振で来院した塗装工の若年男性の1例

    浜 薫, 石塚 晃介, 黒沼 尚人, 日下部 明彦, 吉江 浩一郎, 太田 光泰

    日本病院総合診療医学会雑誌   21 ( 臨増1 )   154 - 154   2025.2

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  • 早期医療体験実習における行政、福祉現場との連携教育実践

    飯田 洋, 岩田 悠里, 西村 謙一, 藤田 浩司, 日下部 明彦, 太田 光泰, 稲森 正彦

    医学教育   55 ( Suppl. )   294 - 294   2024.7

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  • 抗TIF1-γ抗体陽性皮膚筋炎の診断に包括的統合アプローチが有効であった1例

    高田 尚子, 石塚 晃介, 河原 崇司, 大野 滋, 日下部 明彦, 太田 光泰

    日本病院総合診療医学会雑誌   20 ( 臨増1 )   222 - 222   2024.3

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  • 当院でのオピオイド処方の推移

    竹田 雄馬, 石木 寛人, 阿部 晃子, 小林 弥生子, 木内 大佑, 天野 晃滋, 里見 絵理子, 田中 幸介, 岩城 慶大, 冬木 晶子, 結束 貴臣, 日下部 明彦, 大久保 直紀, 鈴木 章浩, 徳久 元彦, 小林 規俊, 市川 靖史

    Palliative Care Research   17 ( Suppl. )   S.227 - S.227   2022.7

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  • 終末期がん患者のパートナーの最期の入院における「パートナーとの愛を育む時間」についてのアンメットニーズの検討(第二報)

    日下部 明彦, 馬渡 弘典, 平野 和恵, 太田 光泰, 稲森 正彦, 森田 達也

    Palliative Care Research   17 ( Suppl. )   S.302 - S.302   2022.7

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  • 座学・ビデオ・ロールプレイを用いた看取りの学生教育に対する困難感の改善効果の検討

    田中 幸介, 結束 貴臣, 平塚 裕介, 釆野 優, 大屋 清文, 岡本 宗一郎, 松本 衣里, 山代 亜紀子, 野里 洵子, 田上 恵太, 馬渡 弘典, 日下部 明彦, 中島 淳, 市川 靖史, 森 雅紀, 森田 達也

    Palliative Care Research   17 ( Suppl. )   S.181 - S.181   2022.7

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  • Development of a list of competencies and entrustable professional activities for resident physicians during death pronouncement: a modified Delphi study. International journal

    Takaomi Kessoku, Yu Uneno, Yuka Urushibara-Miyachi, Kiyofumi Oya, Akihiko Kusakabe, Atsushi Nakajima, Noritoshi Kobayashi, Yasushi Ichikawa, Mitsunori Miyashita, Manabu Muto, Masanori Mori, Tatsuya Morita

    BMC medical education   22 ( 1 )   119 - 119   2022.2

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    BACKGROUND: The appropriate delivery of death pronouncements potentially affects bereaved families' wellbeing positively. Although younger physicians need to learn the competencies and entrustable professional activities (EPAs) to conduct death pronouncement independently, both of which have not been clarified. Therefore, this study aimed to develop a list of competencies and EPAs necessary for death pronouncement practice, which resident physicians need to acquire by the end of their residency training (postgraduate year 2). METHODS: An anonymous modified Delphi study was conducted with a panel of 31 experts. The experts were invited online from general wards in hospitals with resident physicians across Japan to participate in the study using the purposive and snowball sampling method. A non-anonymous web conference was held with three additional external evaluators to finalize the item list. The consensus criterion was defined as a mean response of at least 4 points on a 5-point Likert scale for each competency and EPA item and a rating of 4 or 5 points by at least 80% of the participants. RESULTS: Consensus was achieved, with consistently high levels of agreement across panel members, on 11 competencies and 9 EPA items. Additionally, a correspondence matrix table between competencies and EPAs was developed. CONCLUSIONS: This study clarified the standardized educational outcomes as competencies in death pronouncement practice and the unit of professional practice of physicians who can perform this independently (EPAs), serving as a blueprint to aid the development of an educational model and evaluation method for clinical educational institutions and developers of medical school curriculums.

    DOI: 10.1186/s12909-022-03149-5

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  • 薬剤師を地域在宅緩和ケアに参画させることへの期待と問題点

    奈良 健, 日下部 明彦, 稲森 正彦, 飯田 洋, 宮崎 百合, 中里 裕之, 太田 光泰

    横浜医学   72 ( 4 )   503 - 511   2021.10

  • 終末期がん患者の「パートナーとの愛を育む時間」についての遺族調査

    日下部 明彦, 馬渡 弘典, 平野 和恵, 岡本 宗一郎, 結束 貴臣, 吉見 明香, 稲森 正彦, 太田 光泰, 森田 達也

    Palliative Care Research   16 ( Suppl. )   S289 - S289   2021.6

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  • 大学附属病院が自治体と共に行う緩和医療専門医育成事業

    日下部 明彦, 冬木 晶子, 岩城 慶大, 吉原 努, 本多 靖, 阿部 紀絵, 吉見 明香, 結束 貴臣, 市川 靖史, 山崎 巧偉, 木野内 正己, 古賀 美弥子

    Palliative Care Research   16 ( Suppl. )   S429 - S429   2021.6

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  • 死亡診断時の医師の立ち居振る舞いに関するコンピテンシーおよびEntrustable professional activityの確立

    結束 貴臣, 釆野 優, 大屋 清文, 宮地 由佳, 日下部 明彦, 中島 淳, 市川 靖史, 宮下 光令, 森 雅紀, 森田 達也

    Palliative Care Research   16 ( Suppl. )   S409 - S409   2021.6

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  • 「お看取り」の教育を考える 死亡診断時の医師の立ち居振る舞いに関するコンピテンシーとEntrustable professional activityリストの確立

    結束 貴臣, 釆野 優, 大屋 清文, 宮地 由佳, 日下部 明彦, 小林 規俊, 中島 淳, 市川 靖史, 宮下 光令, 森 雅紀, 森田 達也

    Palliative Care Research   16 ( Suppl. )   S164 - S164   2021.6

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  • [Not Available].

    Megumi Kaai, Masahiko Inamori, Mizue Matsuura, Yuri Iwata, Hiroshi Iida, Koji Fujita, Akihiko Kusakabe, Atsushi Nakajima

    Journal of clinical biochemistry and nutrition   68 ( 3 )   264 - 267   2021.5

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    The effects of acotiamide on gastrointestinal motility have not been sufficiently investigated. The aim of this study was to determine whether single preprandial acotiamide or mosapride intake might affect the gastric emptying rate using the 13C breath test. Here, 11 healthy volunteers participated in a randomized three-way crossover study. The subjects received acotiamide (100 mg) or mosapride (5 mg) or placebo before liquid test meal ingestion. Gastric emptying was estimated by determining following parameters: the time required for 50% emptying of the labeled meal (T1/2), lag time for 10% emptying of the labeled meal (Tlag), gastric emptying coefficient (GEC) and regression-estimated constants (β and κ). These parameters were calculated from a 13CO2 breath excretion curve using conventional formulas. The acotiamide, mosapride and placebo conditions were compared, revealing that for gastric emptying rates (values expressed as median), T1/2 (87.83571 min vs 79.95057 min vs 88.74378 min, p = 0.1496), Tlag (46.36449 min vs 42.2897 min vs 47.08094 min, p = 0.4966), GEC (4.382027 vs 4.211441 vs 4.248495, p = 0.8858), β (1.917728 vs 1.757062 vs 1.869141, p = 0.4066) and κ (0.834051 vs 0.819820 vs 0.789523, p = 0.1225) did not significantly differ. In this study, acotiamide (100 mg) or mosapride (5 mg) had no effect on gastric emptying.

    DOI: 10.3164/jcbn.20-162

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  • Early effects of acotiamide or mosapride intake on gastric emptying: A randomized 3-way crossover study using the 13C breath test

    Megumi Kaai, Masahiko Inamori, Mizue Matsuura, Yuri Iwata, Hiroshi Iida, Koji Fujita, Akihiko Kusakabe, Atsushi Nakajima

    Journal of Clinical Biochemistry and Nutrition   68 ( 3 )   264 - 267   2021

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    Language:English   Publishing type:Research paper (scientific journal)   Publisher:The Society for Free Radical Research Japan  

    The effects of acotiamide on gastrointestinal motility have not been sufficiently investigated. The aim of this study was to determine whether single preprandial acotiamide or mosapride intake might affect the gastric emptying rate using the 13C breath test. Here, 11 healthy volunteers participated in a randomized three-way crossover study. The subjects received acotiamide (100 mg) or mosapride (5 mg) or placebo before liquid test meal ingestion. Gastric emptying was estimated by determining following parameters: the time required for 50% emptying of the labeled meal (T1/2), lag time for 10% emptying of the labeled meal (Tlag), gastric emptying coefficient (GEC) and regression-estimated constants (β and κ). These parameters were calculated from a 13CO2 breath excretion curve using conventional formulas. The acotiamide, mosapride and placebo conditions were compared, revealing that for gastric emptying rates (values expressed as median), T1/2 (87.83571 min vs 79.95057 min vs 88.74378 min, p = 0.1496), Tlag (46.36449 min vs 42.2897 min vs 47.08094 min, p = 0.4966), GEC (4.382027 vs 4.211441 vs 4.248495, p = 0.8858), β (1.917728 vs 1.757062 vs 1.869141, p = 0.4066) and κ (0.834051 vs 0.819820 vs 0.789523, p = 0.1225) did not significantly differ. In this study, acotiamide (100 mg) or mosapride (5 mg) had no effect on gastric emptying.

    DOI: 10.3164/JCBN.20-162

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  • 終末期がん患者のセクシュアリティ 「パートナーとの愛を育む時間」に対する緩和ケア病棟の看護師の認識、感情、支援への行動意図と実践経験についての実態調査

    日下部 明彦, 馬渡 弘典, 平野 和恵, 田辺 公一, 渡邉 眞理, 結束 貴臣, 吉見 明香, 太田 光泰, 稲森 正彦, 高橋 都, 森田 達也

    Palliative Care Research   16 ( 2 )   153 - 162   2021

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  • 卒後教育として内科医に行う、実技指導を交えた小外科講義の教育効果

    袴田 智伸, 國司 洋佑, 吉江 浩一郎, 福澤 邦康, 岩田 悠里, 稲森 正彦, 日下部 明彦, 太田 光泰

    地域医学   34 ( 12 )   1014 - 1019   2020.12

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  • 神奈川県内で緩和ケア医として働くことを考えている医師へのキャリア情報の集約・提供を目的とした「かながわ緩和ケア医キャリアパス説明会」の活動報告

    馬渡 弘典, 結束 貴臣, 鈴木 理央, 日下部 明彦, 太田 周平

    Palliative Care Research   15 ( Suppl. )   S287 - S287   2020.8

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  • 緩和ケア病棟をもたない急性期病院における緊急緩和ケア病床の運用と今後の課題

    畑 千秋, 小林 瑞穂, 齋藤 幸枝, 町永 弘美, 宮下 陽子, 結束 貴臣, 吉見 明香, 助川 明子, 日下部 明彦, 市川 靖史

    Palliative Care Research   15 ( Suppl. )   S827 - S827   2020.8

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  • 髄膜播種に伴う難治性神経障害性疼痛に対しメサドン塩酸塩が効果を示した1例

    尾崎 杏奈, 葛西 祐樹, 岩城 慶大, 大久保 直紀, 小林 貴, 吉原 努, 本多 靖, 結束 貴臣, 松浦 哲也, 冬木 晶子, 日下部 明彦, 助川 明子, 中島 淳, 市川 靖史

    Palliative Care Research   15 ( Suppl. )   S330 - S330   2020.8

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  • 膵神経内分泌腫瘍による難治性疼痛に対して、ランレオチド酪酸塩投与が著効した一例

    岩城 慶大, 結束 貴臣, 尾崎 杏奈, 小林 貴, 吉原 努, 本多 靖, 松浦 哲也, 日下部 明彦, 助川 明子, 小林 規俊, 中島 淳, 市川 靖史

    Palliative Care Research   15 ( Suppl. )   S339 - S339   2020.8

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  • 新型コロナウイルス禍での緩和ケア 急性期病院で行うCovid-19への緩和ケアの困難さ

    日下部 明彦

    エンド・オブ・ライフケア   4 ( 3 )   40 - 41   2020.7

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  • 医学部1年生に対する早期医療体験実習の学習者評価に関する検討(第2報)

    飯田 洋, 岩田 悠里, 藤田 浩司, 日下部 明彦, 太田 光泰, 西巻 滋, 稲森 正彦

    医学教育   51 ( Suppl. )   240 - 240   2020.7

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  • 終末期がん患者の「パートナーとの愛を育む時間」に対するまなざしと支援 緩和ケア病棟看護師を対象とした実態調査

    日下部 明彦, 馬渡 弘典, 平野 和恵, 渡邉 眞理, 結束 貴臣, 吉見 明香, 田辺 公一, 稲森 正彦, 森田 達也, 太田 光泰

    日本在宅医療連合学会大会プログラム・講演抄録集   2回   295 - 295   2020.6

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  • 死亡診断時の医師の立ち居振る舞い

    日下部 明彦

    藤沢市内科医学会雑誌   ( 31 )   3 - 6   2020.3

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  • “Guidebook on Doctors’ Behaviors for Death Diagnosis Created by Community Healthcare Providers” Changed Residents’ Mind for Death Diagnosis

    Akihiko Kusakabe, Jyunko Nozato, Kazue Hirano, Naohiro Saitou, Keiko Ikenaga, Hukiko Mikan, Takaomi Kessoku, Tetuya Matuura, Asuka Yoshimi, Hironori Mawatari, Akemi Naito, Masato Okita, Mitsuyasu Ohta, Tatsuya Morita, Masahiko Inamori

    Journal of Palliative Care   2020

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    © The Author(s) 2020. Background: Education regarding death diagnosis is not often included in the medical education. Objective: To investigate the change minds at the time of death diagnosis among residents after lectures based on our guidebook. Design: Uncontrolled, open-label, multi-center trial. Subjects: A total of 131 doctors undergoing their initial training were enrolled this study. Measurements: Questionnaires were administered to volunteers before and after the lecture by the clinical training instructor presented information regarding doctors’ behaviors at the death diagnosis based on our guidebook at each hospital. Results: The subjects had an average age of 27.1 years and comprised 76 men (58.0%) and 54 women (41.2%). A total of 83 subjects (63.4%) had learned how to diagnose death as medical students, and 52 subjects (39.7%) had experienced death diagnosis scenes as medical students. Among those who had difficulties related to death diagnoses, the highest number (88.4%) indicated that “I do not know what to say to the family after a death diagnosis”. Self-evaluation significantly increased after the lecture for many items concerning explanations to and considerations of the family: the effect size for “Give words of comfort and encouragement to family” increased significantly after the lecture to 0.9. Conclusions: Few of the residents felt that they had received education regarding death diagnoses; they reported difficulties with diagnosing death and responding to patients’ families. After the lecture using our guidebook, residents’ mind changed significantly for death diagnosis, suggesting that the guidebook at the time of death diagnosis may be useful.

    DOI: 10.1177/0825859720951698

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  • Comparison of computed tomography findings with clinical risks factors for endoscopic therapy in upper gastrointestinal bleeding cases.

    Fumitake Jono, Hiroshi Iida, Koji Fujita, Megumi Kaai, Kenji Kanoshima, Kanji Ohkuma, Takashi Nonaka, Tomonori Ida, Akihiko Kusakabe, Atsushi Nakamura, Shigeru Koyama, Atsushi Nakajima, Masahiko Inamori

    Journal of clinical biochemistry and nutrition   65 ( 2 )   138 - 145   2019.9

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    Several risk scoring systems exist for acute upper gastrointestinal bleeding (UGIB). The clinical Rockall score (clinical RS) and the Glasgow-Blatchford score (GBS) are major risk scores that consider only clinical data. Computed tomography (CT) findings are equivocal in non-variceal UGIB. We compared CT findings with clinical data to predict mortality, rebleeding and need for endoscopic therapy in non-variceal UGIB patients. This retrospective, single-center study included 386 patients admitted to our emergency department with diagnosis of non-variceal UGIB by urgent endoscopy between January 2009 and March 2015. Multivariable logistic regression analysis was used to investigate CT findings and risk factors derived from clinical data. CT findings could not significantly predict mortality and rebleeding in non-variceal UGIB patients. However, upper gastrointestinal hemorrhage in CT findings better predicted the need for endoscopic therapy than clinical data. The adjusted odds ratios were 10.10 (95% CI 5.01-20.40) for clinical RS and 10.70 (95% CI 5.08-22.70) for the GBS. UGI hemorrhage in CT findings could predict the need for endoscopic therapy in non-variceal UGIB patients in our emergency department. CT findings as well as risk score systems may be useful for predicting the need for endoscopic therapy.

    DOI: 10.3164/jcbn.18-115

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  • 病院と在宅医療の連携 10年後への投資 医学生教育

    日下部 明彦, 飯田 洋, 稲森 正彦, 太田 光泰

    日本在宅医療連合学会大会プログラム・講演抄録集   1回   333 - 333   2019.7

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  • 内科系救急初療設定でのメディカル・ラリーの試み

    太田 光泰, 倉上 優一, 安田 優, 岩渕 敬介, 高橋 幸大, 吉江 浩一郎, 袴田 智伸, 日下部 明彦, 岩田 悠里, 八百 壮大, 飯田 洋, 加藤 佳央, 稲森 正彦

    医学教育   50 ( Suppl. )   152 - 152   2019.7

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  • オピオイド誘発性便秘に対して便秘症治療薬を投与された患者のQOLを調べる探索的前向き観察研究

    結束 貴臣, 日下部 明彦, 松浦 哲也, 本多 靖, 吉見 明香, 石木 寛人, 田上 恵太, 馬渡 弘典, 小杉 和博, 中島 淳, 市川 靖史

    Palliative Care Research   14 ( Suppl. )   S234 - S234   2019.6

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  • 緩和ケア病棟における死亡時間の調査

    竹田 雄馬, 日下部 明彦, 徳久 元彦, 廣島 幸彦, 後藤 歩, 小林 規俊, 市川 靖史, 宮森 正, 佐藤 恭子, 久保田 敬乃, 西 智弘

    Palliative Care Research   14 ( Suppl. )   S365 - S365   2019.6

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  • 終末期がん患者の「パートナーとの愛を育む時間」に対する医療者の援助 多施設緩和ケア病棟看護師を対象とした質問紙による調査

    日下部 明彦, 馬渡 弘典, 平野 和恵, 渡邉 眞理, 久保田 顕子, 稲森 正彦, 太田 光泰, 森田 達也

    Palliative Care Research   14 ( Suppl. )   S341 - S341   2019.6

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  • 神経鞘腫に伴う難治性疼痛に対してステロイドが著効した一例

    松浦 哲也, 結束 貴臣, 本多 靖, 小林 貴, 吉見 明香, 日下部 明彦, 助川 明子, 中島 淳, 市川 靖史

    Palliative Care Research   14 ( Suppl. )   S325 - S325   2019.6

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  • [Differences in Concepts between Hospital Oncologists and Home Physicians].

    Yuma Takeda, Akihiko Kusakabe, Masahiro Kanari, Motohiko Tokuhisa, Yukihiko Hiroshima, Ayumu Goto, Noritoshi Kobayashi, Yasushi Ichikawa

    Gan to kagaku ryoho. Cancer & chemotherapy   46 ( Suppl 1 )   115 - 117   2019.5

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    Although many patients with terminal cancers desire to be cared for at home, frequently, such patients cannot be shifted to home care due to their unstable symptoms. In severe cases, emergency hospitalizations may be frequently required after introducinghome medical care. We report a case of makinghome medical care difficult due to repeated emergency hospitalizations despite of the patient's deep desire. Interviews were conducted with both the oncologist in charge of the case and a home physician, and their viewpoints were compared. For patients and their families to achieve desired livingconditions, it was considered necessary to give supportive medical care that meet their desires until the end of their lives as mutual viewpoints are taken in a good balance.

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  • [A Case of Malignant Ameloblastoma Associated with Uncontrollable Hypercalcemia]. Reviewed

    Kobayashi T, Kessoku T, Kusakabe A, Matsuura T, Honda Y, Yoshimi A, Sukegawa A, Takeda Y, Hata C, Saito Y, Miyashita Y, Arai S, Nakajima A, Ichikawa Y

    Gan to kagaku ryoho. Cancer & chemotherapy   46 ( Suppl 1 )   55 - 56   2019.5

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    Approximately 20-30% of cancers are associated with hypercalcemia, and this is a complication often encountered in cancer care. Hypercalcemia causes disorders such as disturbance of consciousness and, in severe cases, kidney failure and even death. In this report, we present a case of malignant ameloblastoma associated with uncontrollable hypercalcemia followed by a life-threatening disease course. In this case, hypercalcemia shortened the period of home care, and the medical staff could have extended this period by acquiring knowledge that leads to early detection and better control of hypercalcemia. In addition, the choice of the place for end-of-life care may have been expanded by considering the treatment of not only the malignant tumor but also hypercalcemia as its complication.

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  • 終末期がん患者のセクシュアリティについての苦悩に医療者は備えているか?

    日下部 明彦, 平野 和恵, 馬渡 弘典, 森田 千雅子, 奈良 健, 結束 貴臣, 松浦 哲也, 吉見 明香, 後藤 歩, 稲森 正彦, 太田 光泰

    癌と化学療法   46 ( Suppl.I )   57 - 59   2019.5

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  • ケミカルコーピングに関する後方視的観察研究

    結束 貴臣, 小林 貴, 日下部 明彦, 松浦 哲也, 本多 靖, 吉見 明香, 助川 明子, 竹田 雄馬, 畑 千秋, 齋藤 幸枝, 宮下 陽子, 荒井 幸子, 土屋 佳世, 中島 淳, 市川 靖史

    癌と化学療法   46 ( Suppl.I )   60 - 62   2019.5

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  • [Are the Medical Staff Ready to Respond to the Suffering from Sexuality of Terminal Cancer Patients ?] Reviewed

    Kusakabe A, Hirano K, Mawatari H, Morita C, Nara T, Kessoku T, Matsuura T, Yoshimi A, Gotou A, Inamori M, Ohta M

    Gan to kagaku ryoho. Cancer & chemotherapy   46 ( Suppl 1 )   57 - 59   2019.5

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    The goal of palliative care is to support the ideal life of cancer patients and their partners, but the medical staff does not listen to all the needs of cancer patients and their partners. Cancer patients choose opponents and situations and express their suffering. Additionally, the typical problem of hidden suffering is not the issues of sexuality ? The suffering from sexuality of cancer patients is not expected to be expressed unless there is a suitable opponent. Are we the medical staff ready to respond to the suffering from sexuality of terminal cancer patients ? In this study, we thought that it was necessary to investigate the preparation of medical staff for the suffering from sexuality of terminal cancer patients, through a relationship with the hospitalized inpatient who reported suffering from sexuality.

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  • [Retrospective Observational Study on Chemical Coping]. Reviewed

    Kessoku T, Kobayashi T, Kusakabe A, Matsuura T, Honda Y, Yoshimi A, Sukegawa A, Takeda Y, Hata C, Saito S, Miyashita Y, Arai S, Tsuchiya K, Nakajima A, Ichikawa Y

    Gan to kagaku ryoho. Cancer & chemotherapy   46 ( Suppl 1 )   60 - 62   2019.5

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    Chemical coping also has an idea that it is an early stage of abuse and dependence of opioids, it is important to grasp the frequency, complaints, and risk factors of chemical coping. In this study, observational research was performed backwardly with 549 people using opioids who were newly requested to the palliative care team. Results revealed that 13 of 549 patients (2.4%)were diagnosed with chemical coping. In terms of a breakdown of the complaint, and it was following rate and reasons, 6 people(46%)felt easy, 2 people(15%)were anxious, 2 people(15%)could sleep, 2 people(15%)had unknown reasons, and 1(8%)was calm. Characteristics of each patient diagnosed with chemical coping included frequent psychiatric symptoms such as life expectancy of 3 months, opioid oral administration period of 1 year or more, disease incidence period of 1 year or more, anxiety, delirium, and depression. One benign disease also confirmed the transition to opioid dependence.

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  • [Case of Hyperammonemia Induced by High-Dose Fluorouracil].

    Akihito Hagiwara, Masashi Abe, Kenichi Mafune, Mari Saito, Akihiko Kusakabe

    Gan to kagaku ryoho. Cancer & chemotherapy   46 ( Suppl 1 )   147 - 149   2019.5

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    A case of hyperammonemia induced by chemotherapy, including high-dose fluorouracil(5-FU), for advanced unresectable large intestinal cancer has been reported. This case involved an 81-year-old female who was diagnosed with pT4bcN2M1 (multiple hepatic metastases; stage Ⅳ; KRAS: mutant)after emergency surgery for sigmoid colon cancer and diffuse peritonitis. Post-operation, the 4 courses of mFOLFOX6 plus Bmab therapy was started for advanced unresectable recurrent large intestinal cancer; 48 hours later, she developed consciousness disorder(JCS Ⅲ-300). The disorder promptly disappeared after discontinuation of high-dose 5-FU. Because high-dose 5-FU was inferred to be the main cause of hyperammonemia, XELOX plus Bmab therapy was started as a post-treatment. She did not develop hyperammonemia; therefore, 8 courses were administered. The patient is being followed-up now.

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  • コントロール不能な高カルシウム血症を合併した悪性エナメル上皮腫の1例

    小林 貴, 結束 貴臣, 日下部 明彦, 松浦 哲也, 本多 靖, 吉見 明香, 助川 明子, 竹田 雄馬, 畑 千秋, 齋藤 幸枝, 宮下 陽子, 荒井 幸子, 土屋 佳世, 中島 淳, 市川 靖史

    癌と化学療法   46 ( Suppl.I )   55 - 56   2019.5

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  • 高用量5-FUによる高アンモニア血症を来した1例

    萩原 彰人, 安部 仁, 真船 健一, 斎藤 真理, 日下部 明彦

    癌と化学療法   46 ( Suppl.I )   147 - 149   2019.5

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  • 病院のがん治療医と在宅医の考え方の相違について

    竹田 雄馬, 日下部 明彦, 金成 正浩, 徳久 元彦, 廣島 幸彦, 後藤 歩, 小林 規俊, 市川 靖史

    癌と化学療法   46 ( Suppl.I )   115 - 117   2019.5

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  • オピオイド誘発性便秘症に対してナルデメジンが著効した一例

    松浦 哲也, 結束 貴臣, 日下部 明彦, 本多 靖, 中島 淳

    日本消化器病学会雑誌   116 ( 臨増総会 )   A444 - A444   2019.3

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  • 【慢性便秘症の診療の進歩】慢性便秘の診断の実際 病歴聴取、身体診察、検査

    稲森 正彦, 飯田 洋, 日下部 明彦

    日本内科学会雑誌   108 ( 1 )   16 - 21   2019.1

  • Comparison of the early effects of vonoprazan, lansoprazole and famotidine on intragastric pH: a three-way crossover study. Reviewed

    Ohkuma K, Iida H, Inoh Y, Kanoshima K, Ohkubo H, Nonaka T, Fujita K, Kusakabe A, Inamori M, Nakajima A

    Journal of clinical biochemistry and nutrition   63 ( 1 )   80 - 83   2018.7

  • Comparison of clinical findings with symptom assessment systems (gerdq and fssg) for functional gastrointestinal diseases

    Mizue Matsuura, Masahiko Inamori, Takashi Nonaka, Yumi Inoh, Kenji Kanoshima, Takuma Higurashi, Hidenori Ohkubo, Yusuke Sekino, Hiroshi Iida, Koji Fujita, Akihiko Kusakabe, Atsushi Nakajima

    Surgery, Gastroenterology and Oncology   23 ( 3 )   198 - 203   2018.6

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    DOI: 10.21614/sgo-23-3-198

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  • A phase II study of s-1 in elderly patients with unresectable pancreatic cancer

    Hitoshi Kuriyama, Masahiko Inamori, Hiroshi Iida, Koji Fujita, Akihiko Kusakabe, Hidenori Ohkubo, Eiji Sakai, Yoriko Murata, Shin Maeda, Atsushi Nakajima, Yasuo Hata

    Surgery, Gastroenterology and Oncology   23 ( 3 )   191 - 197   2018.6

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    DOI: 10.21614/sgo-23-3-191

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  • 当院のケミカルコーピングに関する後方視的観察研究

    結束 貴臣, 日下部 明彦, 松浦 哲也, 本多 靖, 小林 貴, 吉見 明香, 後藤 歩, 畑 千秋, 荒井 幸子, 中島 淳, 市川 靖史

    Palliative Care Research   13 ( Suppl. )   S461 - S461   2018.6

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  • 乳癌骨転移に伴う難治性疼痛に対してタペンタドールとオキシコドンの併用療法が有効だった1例

    松浦 哲也, 結束 貴臣, 本田 靖, 日下部 明彦, 助川 明子, 吉見 明香

    Palliative Care Research   13 ( Suppl. )   S346 - S346   2018.6

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  • 頸動脈洞性失神に対してペースメーカー導入が有用であった中咽頭癌の1例

    結束 貴臣, 日下部 明彦, 松浦 哲也, 本多 靖, 小林 貴, 吉見 明香, 宮下 陽子, 斉藤 幸枝, 荒井 幸子, 中島 淳, 市川 靖史

    Palliative Care Research   13 ( Suppl. )   S386 - S386   2018.6

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  • Assessment of colonic contents in patients with chronic constipation using MRI. Reviewed

    Inoh Y, Kanoshima K, Ohkuma K, Fuyuki A, Uchiyama S, Ohkubo H, Higurashi T, Iida H, Nonaka T, Fujita K, Kusakabe A, Inamori M, Hiroishi K, Nagase H, Nakajima A, Takahara T

    J Clin Biochem Nutr   62 ( 3 )   277 - 280   2018.5

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    Although chronic constipation is common, colonic functional evaluating tests are uncommon. This study examines whether chronic constipation and gastrointestinal symptoms are correlated with the lateral diameter of the colon measured from MRI images. We included chronic constipation patients in a prospective, cross-sectional study using MRI at three centers. We divided 3D MRI colorectal images into 6 segments using with specified sequences and selected the maximum luminal diameter from each segment. We used the GSRS questionnaire to evaluate gastrointestinal symptoms. We evaluated the correlation between luminal diameters and GSRS scores. We found the following positive correlations: descending colon and unsatisfactory defecation symptoms; sigmoid colon and diarrhea; and rectum and constipation. The sum and ratio of the ascending and sigmoid colon diameters correlated with nausea and diarrhea. The sum of the transvers to the sigmoid colon diameter also correlated with nausea and diarrhea. The sum of all segment diameters correlated with nausea and constipation. In conclusion, we showed cross-sectional study of colonic MRI correlate with gastrointestinal symptoms. MRI might be useful for colonic motility evaluations to determine appropriate constipation treatments (Clinical trial registry number UMIN 000021274).

    DOI: 10.3164/jcbn.17-104

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  • [Assessing Patient Factors Influencing the Discontinuation of Opioids after Intra-Arterial Chemotherapy for Oral Cancer - A Retrospective Study]. Reviewed

    Kessoku T, Kusakabe A, Matsuura T, Honda Y, Yoshimi A, Goto A, Yoshida H, Sukegawa A, Hata C, Saito Y, Miyashita Y, Yashiro R, Komori T, Arai S, Kamata Y, Shimizu T, Mitsudo K, Koizumi T, Tohnai I, Nakajima A, Ichikawa Y

    Gan to kagaku ryoho. Cancer & chemotherapy   45 ( Suppl 1 )   95 - 97   2018.3

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    Superselective intra-arterial chemoradiation therapy for oral cancer induces the complication of mucositis. Although the associated pain is controlled using opioids, major questions from patients in clinical practice are as follows:(1)the mean number of days from the completion of superselective intra-arterial chemoradiation therapy to the discontinuation of opioid administration, and(2)patient factors enabling the discontinuation of opioids. The purpose of this study was to clarify these points. A retrospective follow-up study was conducted from April 2016 to March 2017 on patients who underwent superselective intra-arterial chemoradiation therapy at our department of oral surgery. The patients were divided into 2 groups:one who discontinued opioids, and the other who did not. Clinical backgrounds and data were compared between the 2 groups. The mean number of days from the completion of superselective intra-arterial chemoradiation therapy to the discontinuation of opioid administration was 51±34.4 days. The absence of diabetes and deliria during treatment were determined as factors contributing to the discontinuation of opioids.

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  • [Patient Factors Enabling the Decannulation of the Gastrostomy Tube after Superselective Intra-Arterial Chemoradiation Therapy for Locally Advanced Oral Cancer - A Retrospective Study]. Reviewed

    Honda Y, Kessoku T, Kusakabe A, Matsuura T, Yoshimi A, Goto A, Yoshida H, Sukegawa A, Hata C, Saito Y, Miyashita Y, Yashiro R, Komori T, Arai S, Kamata Y, Shimizu T, Mitsudo K, Koizumi T, Tohnai I, Nakajima A, Ichikawa Y

    Gan to kagaku ryoho. Cancer & chemotherapy   45 ( Suppl 1 )   104 - 106   2018.3

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    Superselective intra-arterial chemoradiation therapy for locally advanced oral cancer induces complications such as mucositis, which impedes oral intake. Thus, at our hospital, a gastrostomy is performed in almost all patients during the treatment period to ensure the presence of an alternative administration route for nutrition and drugs. The purpose of this study was to calculate the mean number of days from completion of superselective intra-arterial chemoradiation therapy to the decannulation of gastrostomy, and extract patient factors for the decannulation. A retrospective follow-up study was conducted from April 2016 to March 2017 on patients who underwent superselective intra-arterial chemoradiation therapy at our department of oral surgery. The patients were divided into 2 groups:one who was decannulated and the other who did not. Clinical backgrounds and data were compared between the 2 groups. In the group with the decannulation, the mean period from treatment completion to the decannulation was 132±51.6 days. Heavy alcohol consumption, absence of haphalgesia before treatment, and possible securement of the opening with the breadth of 3 fingers, were determined as factors contributing to the decannulation of gastrostomy tube.

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  • [Fentanyl Citrate Sublingual Tablets Were Effective in Relieving Symptoms of Akathisia - A Case Report]. Reviewed

    Kessoku T, Kusakabe A, Matsuura T, Honda Y, Yoshimi A, Goto A, Yoshida H, Sukegawa A, Hata C, Saito Y, Miyashita Y, Yashiro R, Komori T, Arai S, Nakajima A, Ichikawa Y

    Gan to kagaku ryoho. Cancer & chemotherapy   45 ( Suppl 1 )   89 - 91   2018.3

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    Akathisia is a condition wherein sitting calmly and quietly is impossible, with a representative complaint of restless legs. It is generally assumed to be caused by anti-dopamine activity. In severe cases, it has been known to result in suicide attempt. We reported a case of drug-induced akathisia with difficulty in oral intake, in which fentanyl citrate sublingual tablets were found to be effective in relieving symptoms. The patient was a female aged 50's who had a gastric cancer with peritoneal dissemination causing pain and vomiting. Palliative care was requested for management of symptoms. Metoclopramide and haloperidol were administered for vomiting. However, because of the complaints of restless legs, the case was diagnosed as drug-induced akathisia. Fentanyl citrate sublingual tablets were then administered for pain management, resulting in temporary improvement of akathisia symptoms.

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  • [Usefulness of Suvorexant for Complicated Delirium in Cancer Patients Who Experience Sleep Disturbance during Hospitalization]. Reviewed

    Kessoku T, Kusakabe A, Matsuura T, Honda Y, Yoshimi A, Goto A, Yoshida H, Sukegawa A, Hata C, Saito Y, Miyashita Y, Yashiro R, Komori T, Arai S, Nakajima A, Ichikawa Y

    Gan to kagaku ryoho. Cancer & chemotherapy   45 ( Suppl 1 )   92 - 94   2018.3

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    We investigated the usefulness of suvorexant for complicated delirium in patients with cancer who experience sleep disturbance during hospitalization. Nine patients with malignant tumors complicated with symptoms of delirium and insomnia were included in this study; their palliative care was managed by the palliative care team of our hospital for a period of one year from April 2016 to March 2017. A retrospective follow-up study was then conducted. The Japanese version of DRS-R98 was used to evaluate the severity of the patient's delirium. The total severity score of DRS-R98 significantly decreased after the administration of suvorexant when compared to the score before its administration(6.66±1.73 vs 10±3.20, p=0.0031). In addition, suvorexant did not exhibit any harmful effects. Our results indicate that suvorexant was useful in alleviating delirium symptoms in cancer patients who experience sleep disturbance.

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  • 乳がん骨転移による難治性疼痛に対してオキシコドンとタペンタドールの併用療法が有効であった1例

    松浦 哲也, 日下部 明彦, 結束 貴臣, 本多 靖, 吉見 明香, 後藤 歩, 吉田 晴久, 助川 明子, 中島 淳, 市川 靖史

    癌と化学療法   45 ( Suppl.I )   74 - 76   2018.3

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  • アカシジアに対してフェンタニルクエン酸塩舌下錠が症状緩和に有効であった1例

    結束 貴臣, 日下部 明彦, 松浦 哲也, 本多 靖, 吉見 明香, 後藤 歩, 吉田 晴久, 助川 明子, 畑 千秋, 齋藤 幸枝, 宮下 陽子, 屋代 涼子, 小森 智也, 荒井 幸子, 中島 淳, 市川 靖史

    癌と化学療法   45 ( Suppl.I )   89 - 91   2018.3

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  • 局所進行口腔癌に対する超選択的動注化学放射線療法後の胃瘻抜去が可能な患者因子の検討 後方視的研究

    本多 靖, 結束 貴臣, 日下部 明彦, 松浦 哲也, 吉見 明香, 後藤 歩, 吉田 晴久, 助川 明子, 畑 千秋, 齋藤 幸枝, 宮下 陽子, 屋代 涼子, 小森 智也, 荒井 幸子, 鎌田 要平, 清水 智子, 光藤 健司, 小泉 敏之, 藤内 祝, 中島 淳, 市川 靖史

    癌と化学療法   45 ( Suppl.I )   104 - 106   2018.3

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  • [Combination Therapy of Oxycodone and Tapentadol Was Effective for Intractable Pain Caused by Breast Cancer Bone Metastasis - A Case Report]. Reviewed

    Matsuura T, Kusakabe A, Kessoku T, Honda Y, Yoshimi A, Goto A, Yoshida H, Sukegawa A, Nakajima A, Ichikawa Y

    Gan to kagaku ryoho. Cancer & chemotherapy   45 ( Suppl 1 )   74 - 76   2018.3

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    A 52-year-old woman had been prescribed oral medication of acetaminophen, non-steroidal anti-inflammatory drugs (NSAIDs), and oxycodone for intractable pain associated with thoracic metastasis of breast cancer. However, the pain control was poor. Although pregabalin and gabapentin were used as supplementary analgesics, they could not be continued because of their side effects. Based on the noradrenalin reincorporation-inhibiting action of tapentadol, a combination therapy of tapentadol and oxycodone was introduced and satisfactory pain control was achieved. No side effects from the combined opioids were observed. This finding indicates the potential of administrating a combination therapy of m-opioid receptor agonists(such as morphine, oxycodone, and fentanyl)with tapentadol, which has a noradrenaline reincorporation-inhibiting action, as an effective remedy for alleviating intractable pain complicated with neuropathic pain.

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  • 入院中に睡眠障害を有したがん患者に合併したせん妄に対するSuvorexantの有用性の検討

    結束 貴臣, 日下部 明彦, 松浦 哲也, 本多 靖, 吉見 明香, 後藤 歩, 吉田 晴久, 助川 明子, 畑 千秋, 齋藤 幸枝, 宮下 陽子, 屋代 涼子, 小森 智也, 荒井 幸子, 中島 淳, 市川 靖史

    癌と化学療法   45 ( Suppl.I )   92 - 94   2018.3

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  • 口腔癌に対する超選択的動注化学放射線療法治療後のオピオイド中止が可能な患者因子の検討 後方視的研究

    結束 貴臣, 日下部 明彦, 松浦 哲也, 本多 靖, 吉見 明香, 後藤 歩, 吉田 晴久, 助川 明子, 畑 千秋, 齋藤 幸枝, 宮下 陽子, 屋代 涼子, 小森 智也, 荒井 幸子, 鎌田 要平, 清水 智子, 光藤 健司, 小泉 敏之, 藤内 祝, 中島 淳, 市川 靖史

    癌と化学療法   45 ( Suppl.I )   95 - 97   2018.3

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  • 【慢性便秘-新たな分類と病態・診断・治療】診断

    稲森 正彦, 飯田 洋, 藤田 浩司, 日下部 明彦

    臨床消化器内科   33 ( 4 )   387 - 392   2018.3

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  • 【便秘症-古くて新しいcommon disease】便秘症、便秘型過敏性腸症候群の診断の実際

    稲森 正彦, 飯田 洋, 藤田 浩司, 日下部 明彦

    臨床栄養   132 ( 2 )   156 - 161   2018.2

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  • 【便秘をきわめる!】(II章)個別診療科における便秘診療編 緩和診療 緩和診療における便秘治療

    松浦 哲也, 結束 貴臣, 日下部 明彦

    月刊レジデント   11 ( 1 )   37 - 44   2018.1

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  • Can sedation using a combination of propofol and dexmedetomidine enhance the satisfaction of the endoscopist in endoscopic submucosal dissection? Reviewed International journal

    Nonaka T, Inamori M, Miyashita T, Inoh Y, Kanoshima K, Higurashi T, Ohkubo H, Iida H, Fujita K, Kusakabe A, Gotoh T, Nakajima A

    Endoscopy international open   6 ( 1 )   E3 - E10   2018.1

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    Background and study aims:  The aim of this pilot randomized controlled trial was to evaluate and compare the satisfaction of the endoscopist along with the effectiveness and safety of sedation between sedation protocol using a combination of propofol (PF) and dexmedetomidine (DEX) (Combination group) and sedation protocol using PF alone (PF group) during gastric endoscopic submucosal dissection (ESD). Patients and methods : Fifty-eight patients with gastric neoplasias scheduled for gastric ESD were enrolled and randomly assigned to the two groups. The satisfaction scores of the endoscopists and the parameters for the effectiveness and safety of sedation were evaluated by comparisons between the two groups. Results : The satisfaction scores of the endoscopists, which were measured using a visual analogue scale, were significantly higher in the Combination group than in the PF group (88 vs. 69, P  = 0.003). The maintenance dose of PF was lower in the Combination group than in the PF group (2 mg/kg/h vs. 5 mg/kg/h, P  < 0.001), and the number of rescue PF injections was fewer in the Combination group than in the PF group (2 times vs. 6 times, P  < 0.001). The incidence of bradycardia (defined as a pulse rate ≤ 45 bpm) in the Combination group was higher than that in the PF group (37.9 % vs. 10.3 %, P  = 0.029). Conclusions : This study suggests that gastroenterologist-directed sedation using a combination of PF and DEX during gastric ESD can enhance the satisfaction levels of endoscopists by providing stable sedation with an acceptable safety profile.

    DOI: 10.1055/s-0043-122228

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  • THE GUIDELINE FOR TELLING TRUTH TO CANCER PATIENTS OF THE YOKOHAMA CITY UNIVERSITY HOSPITAL

    佐藤美紀子, 畑千秋, 吉見明香, 梶原良介, 佐藤隆, 高瀬健次, 中山博貴, 三輪治生, 小坂隆司, 町永弘美, 宮下陽子, 齊藤幸枝, 日下部明彦, 勝山貴美子, 平井美佳, 有馬斉, 斎藤真理, 市川靖史, 市川靖史

    横浜医学   68 ( 4 )   549‐561   2017.10

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  • がん患者の予後規定因子としてのせん妄 認知機能障害との関連

    吉見 明香, 吉田 晴久, 恩田 優子, 日下部 明彦, 結束 貴臣, 松浦 哲也, 市川 靖史, 平安 良雄

    日本サイコオンコロジー学会総会・日本臨床死生学会総会合同大会プログラム・抄録集   30回・23回   173 - 173   2017.10

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  • 緩和ケアチームに依頼されたせん妄症例の検討 カルテ調査より

    吉見 明香, 日下部 明彦, 結束 貴臣, 松浦 哲也, 吉田 晴久, 市川 靖史

    Palliative Care Research   12 ( Suppl. )   S515 - S515   2017.6

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  • Lubiprostone improves visualization of small bowel for capsule endoscopy: a double-blind, placebo-controlled 2-way crossover study. Reviewed International journal

    Matsuura M, Inamori M, Inou Y, Kanoshima K, Higurashi T, Ohkubo H, Iida H, Endo H, Nonaka T, Kusakabe A, Maeda S, Nakajima A

    Endoscopy international open   5 ( 6 )   E424 - E429   2017.6

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    BACKGROUND AND STUDY AIMS:  Lubiprostone has been reported to be an anti-constipation drug. The aim of the study was to investigate the usefulness of lubiprostone both for bowel preparation and as a propulsive agent in small bowel endoscopy. PATIENTS AND METHODS:  This was a double-blind, placebo-controlled, 2-way crossover study of subjects who volunteered to undergo capsule endoscopy (CE). A total of 20 subjects (16 male and 4 female volunteers) were randomly assigned to receive a 24-μg tablet of lubiprostone 120 minutes prior to capsule ingestion for CE (L regimen), or a placebo tablet 120 minutes prior to capsule ingestion for CE (P regimen). Main outcome was gastric transit time (GTT) and small-bowel transit time (SBTT). Secondary outcome was adequacy of small-bowel cleansing and the fluid score in the small bowel. The quality of the capsule endoscopic images and fluid in the small bowel were assessed on 5-point scale. RESULTS:  The capsule passed into the small bowel in all cases. Median GTT was 57.3 (3 - 221) minutes for the P regimen and 61.3 (10 - 218) minutes for the L regimen ( P  = 0.836). Median SBTT was 245.0 (164 - 353) minutes for the P regimen and 228.05 (116 - 502) minutes for the L regimen ( P  = 0.501). The image quality score in the small bowel was 3.05 ± 1.08 for the P regimen and 3.80 ± 0.49 for the L regimen ( P  < 0.001). The fluid score in the small bowel was 2.04 ± 1.58 for the P regimen and 2.72 ± 1.43 for the L regimen ( P  < 0.001). There was a significant difference between the 2 regimens with regard to image quality. The fluid score was more plentiful for the L regimen than for the P regimen. There were no cases of capsule retention or serious adverse events in this study. CONCLUSION:  Our study showed that use of lubiprostone prior to CE significantly improved visualization of the small bowel during CE as a result of inducing fluid secretion into the small bowel.

    DOI: 10.1055/s-0043-105487

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  • コントロール不能な高カルシウム血症を合併した悪性エナメル上皮腫の1例

    結束 貴臣, 日下部 明彦, 松浦 哲也, 吉見 明香, 後藤 歩, 畑 千秋, 齋藤 幸枝, 宮下 陽子, 屋代 涼子, 中島 淳, 市川 靖史

    Palliative Care Research   12 ( Suppl. )   S483 - S483   2017.6

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  • オピオイド減量時に退薬症候を認めた小児急性リンパ性白血病の1例

    結束 貴臣, 日下部 明彦, 松浦 哲也, 吉見 明香, 後藤 歩, 畑 千秋, 齋藤 幸枝, 宮下 陽子, 屋代 涼子, 中島 淳, 市川 靖史

    Palliative Care Research   12 ( Suppl. )   S505 - S505   2017.6

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  • The alpha-glucosidase inhibitor voglibose stimulates delayed gastric emptying in healthy subjects: a crossover study with a C-13 breath test Reviewed

    Kenji Kanoshima, Mizue Matsuura, Megumi Kaai, Yumi Inoh, Kanji Ohkuma, Hiroshi Iida, Takashi Nonaka, Koji Fujita, Tomonori Ida, Akihiko Kusakabe, Atsushi Nakajima, Masahiko Inamori

    JOURNAL OF CLINICAL BIOCHEMISTRY AND NUTRITION   60 ( 3 )   216 - 218   2017.5

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    DOI: 10.3164/jcbn.16-100

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  • 食道ESDに対するプロポフォール・デクスメデトミジン塩酸塩併用鎮静の実現性

    野中 敬, 稲森 正彦, 宮下 徹也, 原田 紳介, 稲生 優海, 鹿野島 健二, 松浦 瑞恵, 日暮 琢磨, 大久保 秀則, 飯田 洋, 遠藤 宏樹, 日下部 明彦, 前田 慎, 後藤 隆久, 中島 淳

    Gastroenterological Endoscopy   59 ( 2 )   226 - 233   2017.2

  • Clinical Characteristics of Severe Erosive Esophagitis among Patients with Erosive Esophagitis: A Case-control Study Reviewed

    Tomonori Ida, Masahiko Inamori, Yumi Inoh, Koji Fujita, Jun Hamanaka, Hideyuki Chiba, Akihiko Kusakabe, Taiki Morohashi, Toru Goto, Shin Maeda

    INTERNAL MEDICINE   56 ( 11 )   1293 - 1300   2017

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    DOI: 10.2169/internalmedicine.56.8058

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  • Early effect on intragastric pH of oral administration of rabeprazole with mosapride compared with rabeprazole alone. Reviewed

    Iida H, Kaai M, Inoh Y, Kanoshima K, Ohkuma K, Nonaka T, Fujita K, Ida T, Kusakabe A, Maeda S, Nakajima A, Inamori M

    Annals of gastroenterology   30 ( 4 )   424 - 428   2017

  • Feasibility of deep sedation with a combination of propofol and dexmedetomidine hydrochloride for esophageal endoscopic submucosal dissection

    Takashi Nonaka, Masahiko Inamori, Tetsuya Miyashita, Shinsuke Harada, Yumi Inoh, Kenji Kanoshima, Mizue Matsuura, Takuma Higurashi, Hidenori Ohkubo, Hiroshi Iida, Hiroki Endo, Akihiko Kusakabe, Shin Maeda, Takahisa Gotoh, Atsushi Nakajima

    Gastroenterological Endoscopy   59 ( 2 )   226 - 233   2017

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  • Can magnifying endoscopy with narrow-band imaging discriminate between carcinomas and low grade adenomas in gastric superficial elevated lesions? Reviewed

    Nonaka T, Inamori M, Honda Y, Kanoshima K, Inoh Y, Matsuura M, Uchiyama S, Sakai E, Higurashi T, Ohkubo H, Iida H, Endo H, Fujita K, Kusakabe A, Atsukawa K, Takahashi H, Tateishi Y, Maeda S, Ohashi K, Nakajima A

    Endoscopy international open   4 ( 11 )   E1203 - E1210   2016.11

  • Evaluation of endoscopic findings for discriminating between early carcinomas and low-grade adenomas in superficial elevated gastric lesions Reviewed

    Takashi Nonaka, Masahiko Inamori, Kenji Kanoshima, Kanji Ohkuma, Yumi Inoh, Mizue Matsuura, Akiko Fuyuki, Shiori Uchiyama, Takuma Higurashi, Hidenori Ohkubo, Hiroshi Iida, Hiroki Endo, Yoko Tateishi, Akihiko Kusakabe, Kenichi Ohashi, Shin Maeda, Atsushi Nakajima

    TURKISH JOURNAL OF GASTROENTEROLOGY   27 ( 2 )   108 - 114   2016.3

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    DOI: 10.5152/tjg.2015.150359

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  • Feasibility of deep sedation with a combination of propofol and dexmedetomidine hydrochloride for esophageal endoscopic submucosal dissection Reviewed

    Takashi Nonaka, Masahiko Inamori, Tetsuya Miyashita, Shinsuke Harada, Yumi Inoh, Kenji Kanoshima, Mizue Matsuura, Takuma Higurashi, Hidenori Ohkubo, Hiroshi Iida, Hiroki Endo, Akihiko Kusakabe, Shin Maeda, Takahisa Gotoh, Atsushi Nakajima

    DIGESTIVE ENDOSCOPY   28 ( 2 )   145 - 151   2016.3

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    DOI: 10.1111/den.12559

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  • ["Manual on physician behavior at the time of death certification" created through collaboration with different local healthcare workers]. Reviewed

    Kusakabe A, Hirano K, Ikenaga K, Saitou N, Mikan F, Okita M, Inamori M, Shirado A, Morita T

    Gan to kagaku ryoho. Cancer & chemotherapy   41 Suppl 1   42 - 44   2014.12

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  • 地域の多職種で作る「死亡診断時の医師の立ち居振る舞いについてのマニュアル」

    日下部 明彦, 平野 和恵, 池永 恵子, 齊藤 直裕, 櫁柑 富貴子, 沖田 将人, 稲森 正彦, 白土 明美, 森田 達也

    癌と化学療法   41 ( Suppl.I )   42 - 44   2014.12

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  • 高齢者ケアの意思決定プロセスに関するガイドラインに沿って、胃瘻からの栄養補給法の中止を検討した1例

    沖田 将人, 日下部 明彦, 秋葉 涼子, 八木 宏章, 田村 陽一

    日本老年医学会雑誌   51 ( 6 )   560 - 563   2014.11

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    94歳女性。80歳頃から妄想・健忘が出現、近医にてアルツハイマー型認知症と診断された。次いで89歳頃よりは誤嚥性肺炎を繰り返し、90歳時に胃瘻を造成、その後、介護老人保健施設に入居したが92歳時に同施設を退所した。今回、退所後、発熱などで病院への救急搬送、入退院が増えたことからケアマネージャーの勧めもあり、在宅医療目的で著者らの施設へ受診となった。初診時、呼びかけに対して全く反応がなくアルツハイマー型認知症のFAST分類7-fであった。胃瘻からの人工的水分、栄養補給法(AHN)についてはトラブルなく成立していたが、患者の娘からAHN中止の希望が出された。そこで、日本老年医学会の高齢者ケアの意思決定プロセスに関するガイドラインにそって、約2ヵ月の時間をかけて複数医師の診察、家族、訪問看護ステーション責任者、ケアマネージャーほか、訪問介護事業所責任者、訪問入浴事業所責任者、介護用具貸出事業所責任者と話し合いを重ねた末にAHNの中止を決断した。しかし、患者はインフルエンザを罹患、肺炎も併発したためAHNは中止せずに経過したが、肺炎発症から7日目に死亡となった。以上、本症例をとおして胃瘻を中止することが命を断ち切るという家族の悩みや、意思疎通のできない患者を如何にして持つべき本人らしさを引き出すかの難しさを改めて実感することができた。

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    Other Link: https://search.jamas.or.jp/default/link?pub_year=2014&ichushi_jid=J01214&link_issn=&doc_id=20150116190010&doc_link_id=1390001205025576448&url=https%3A%2F%2Fcir.nii.ac.jp%2Fcrid%2F1390001205025576448&type=CiNii&icon=https%3A%2F%2Fjk04.jamas.or.jp%2Ficon%2F00003_3.gif

  • Effects of Ramosetron Oral Disintegrating Tablets on Gastric Emptying: Crossover Study Using the 13(C)-Acetic Acid Breath Test Reviewed

    Akihiko Kusakabe, Takashi Nonaka, Yusuke Sekino, Hiroshi Iida, Hiroki Endo, Tomoko Koide, Hirokazu Takahashi, Koji Fujita, Masato Yoneda, Ayumu Goto, Eiji Gotoh, Shin Maeda, Atsushi Nakajima, Chihiro Nosaka, Masahiko Inamori

    HEPATO-GASTROENTEROLOGY   61 ( 133 )   1279 - 1282   2014.7

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  • A case of an elderly woman with dementia in whom nutrition via gastrostomy was discontinued after considerable discussion according to the guidelines Reviewed

    Masato Okita, Akihiko Kusakabe, Ryouko Akiba, Hiroaki Yagi, Youichi Tamura

    Japanese Journal of Geriatrics   51 ( 6 )   560 - 563   2014

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    DOI: 10.3143/geriatrics.51.560

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  • [Trends in admission to a new palliative care unit from home and subjects for the future]. Reviewed

    Sato A, Hirata T, Hayashi E, Sasaki T, Fukano F, Kusakabe A

    Gan to kagaku ryoho. Cancer & chemotherapy   40 Suppl 2   185 - 187   2013.12

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    We investigated the trend in admission to new a palliative care unit (PCU) over 9 months. We observed a significant difference in the length of PCU stay depending on whether patients had access to a house call doctor. These findings suggest that house call doctors play an important role in ensuring a smooth admission to the PCU. In addition, our study suggests that review of the operational management in the PCU is required.

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  • 死亡診断時の医師の立ち振る舞いについてのマニュアル作成の意義

    日下部 明彦, 大谷 洋一, 角藤 厚美, 岩見 加奈子, 佐藤 晶子, 平田 知子, 横井 信人, 津崎 洋子, 八木 宏章, 田村 陽一, 沖田 将人, 稲森 正彦

    癌と化学療法   40 ( Suppl.II )   199 - 201   2013.12

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  • 新設緩和ケア病棟における在宅療養患者の入院動向および今後の課題

    佐藤 晶子, 平田 知子, 林 ゑり子, 佐々木 琢実, 深野 史靖, 日下部 明彦

    癌と化学療法   40 ( Suppl.II )   185 - 187   2013.12

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  • 当院ホスピス病棟の運用システム 在宅療養を支えるには

    日下部 明彦, 杉浦 龍太, 山本 かおり, 横井 信人, 津崎 洋子, 野田 優子, 佐藤 晶子, 沖田 将人, 馬渡 弘典, 稲森 正彦

    癌と化学療法   39 ( Suppl.I )   39 - 41   2012.12

  • [Operational management in our hospice ward-from the viewpoint of supporting a patient's recuperation at home]. Reviewed

    Kusakabe A, Sugiura R, Yamamoto K, Yokoi N, Tsuzaki Y, Noda Y, Satou A, Okita M, Mawatari H, Inamori M

    Gan to kagaku ryoho. Cancer & chemotherapy   39 Suppl 1   39 - 41   2012.12

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  • Can the Japanese discriminate between manpuku (satiety) and bouman (epigastric bloating)?

    Yasunari Sakamoto, Masahiko Inamori, Sho Inoue, Mizue Iinuma, Yusuke Sekino, Hiroshi Iida, Hiroki Endo, Takashi Nonaka, Tomoko Koide, Hirokazu Takahashi, Masato Yonedau, Akihiko Kusakabe, Eiji Gotoh, Atsushi Nakajima, Shin Maeda, Michio Hongo

    Yokohama Medical Journal   63 ( 4 )   589 - 595   2012

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  • 緩和医療における胃瘻適応の標準化に向けて

    日下部 明彦, 佐藤 晶子, 杉浦 龍太, 古出 智子, 稲森 正彦

    癌と化学療法   38 ( Suppl.I )   85 - 86   2011.12

  • [The role of percutaneous endoscopic gastrostomy(PEG)in palliative care]. Reviewed

    Kusakabe A, Sato A, Sugiura R, Koide T, Inamori M

    Gan to kagaku ryoho. Cancer & chemotherapy   38 Suppl 1   85 - 86   2011.12

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  • Early complications following percutaneous endoscopic gastrostomy: results of use of a new direct technique. Reviewed

    Koide T, Inamori M, Kusakabe A, Uchiyama T, Watanabe S, Iida H, Endo H, Hosono K, Sakamoto Y, Fujita K, Takahashi H, Yoneda M, Tokoro C, Yasuzaki H, Goto A, Abe Y, Kobayashi N, Kubota K, Saito S, Nahajima A

    Hepato-gastroenterology   57   1639 - 1644   2010.11

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  • 超高齢者に対する内視鏡的胃ろう造設術の経験

    池田 多聞, 稲森 正彦, 内山 崇, 飯田 洋, 細野 邦広, 遠藤 宏樹, 坂本 康成, 古出 智子, 米田 正人, 高橋 宏和, 所 知加子, 後藤 歩, 阿部 泰伸, 日下部 明彦, 桐越 博之, 小林 規俊, 窪田 賢輔, 斉藤 聡, 神里 信夫, 中島 淳

    日本消化器病学会雑誌   107 ( 臨増総会 )   A250 - A250   2010.3

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  • Identification of Cystatin SN as a novel tumor marker for colorectal cancer Reviewed

    Kyoko Yoneda, Hiroshi Iida, Hiroki Endo, Kunihiro Hosono, Tomoyuki Akiyama, Hirokazu Takahashi, Masahiko Inamori, Yasunobu Abe, Masato Yoneda, Koji Fujita, Shingo Kato, Yuichi Nozaki, Yasushi Ichikawa, Hiroshi Uozaki, Masashi Fukayama, Takahiro Shimamura, Tatsuhiko Kodama, Hiroyuki Aburatani, Chihiro Miyazawa, Keisuke Ishii, Naoki Hosomi, Mina Sagara, Masazumi Takahashi, Hideyuki Ike, Hiroaki Saito, Akihiko Kusakabe, Atsushi Nakajima

    INTERNATIONAL JOURNAL OF ONCOLOGY   35 ( 1 )   33 - 40   2009.7

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  • Eosinophilic gastroenteritis cured with Helicobacter pylori eradication Reviewed

    Yoshiaki Kawaguchi, Tetsuya Mine, Hiroaki Yasuzaki, Akihiko Kusakabe, Ichiro Kawana, Satoshi Umemura

    JOURNAL OF CLINICAL GASTROENTEROLOGY   42 ( 9 )   1063 - 1064   2008.10

  • Recovery of a misinserted gastrostomy tube during replacement: Effectiveness of gastropexy using a 'Funada style' kit Reviewed

    Hitomi Sakai, Masahiko Inamori, Hiroshi Iida, Keiko Akimoto, Hiroki Endo, Yuichi Nozaki, Tomoyuki Akiyama, Yasunari Sakamoto, Koji Fujita, Hirokazu Takahashi, Masato Yoneda, Yasunobu Abe, Kensuke Kubota, Norio Ueno, Akihiko Kusakabe, Atsushi Nakajima

    DIGESTION   75 ( 4 )   179 - 179   2007

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  • COVID-19パンデミック下の児童虐待に関するオンライン関心動向の検証:インフォデミオロジー研究

    高田尚子, 石塚晃介, 宮上泰樹, 斎田瑞恵, 日下部明彦, 太田光泰, 内藤俊夫

    日本プライマリ・ケア連合学会学術大会(Web)   16th   2025

  • 便秘,腹痛,食思不振で来院した塗装工の若年男性の1例

    浜薫, 石塚晃介, 黒沼尚人, 日下部明彦, 吉江浩一郎, 太田光泰

    日本病院総合診療医学会雑誌(Web)   21   2025

  • 抗TIF1-γ抗体陽性皮膚筋炎の診断に包括的統合アプローチが有効であった1例

    高田尚子, 石塚晃介, 河原崇司, 大野滋, 日下部明彦, 太田光泰

    日本病院総合診療医学会雑誌(Web)   20   2024

  • 座学・ビデオ・ロールプレイを用いた看取りの学生教育に対する困難感の改善効果の検討 Reviewed

    田中 幸介, 結束 貴臣, 平塚 裕介, 釆野 優, 大屋 清文, 岡本 宗一郎, 松本 衣里, 山代 亜紀子, 野里 洵子, 田上 恵太, 馬渡 弘典, 日下部 明彦, 中島 淳, 市川 靖史, 森 雅紀, 森田 達也

    Palliative Care Research   17 ( Suppl. )   S.181 - S.181   2022.7

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  • 当院の強オピオイド徐放製剤処方の実態

    竹田雄馬, 石木寛人, 木内大佑, 天野晃滋, 里見絵理子, 田中幸介, 結束貴臣, 日下部明彦, 大久保直紀, 鈴木章浩, 徳久元彦, 小林規俊, 市川靖史

    日本がんサポーティブケア学会学術集会プログラム・抄録集(CD-ROM)   7th (Web)   2022

  • Effectiveness of lecture-based education with hands-on training on minor surgery to physicians as a postgraduate education

    袴田智伸, 國司洋佑, 吉江浩一郎, 福澤邦康, 岩田悠里, 稲森正彦, 日下部明彦, 太田光泰

    月刊地域医学   34 ( 12 )   2020

  • がん患者のオピオイド誘発性便秘に対する酸化マグネシウムまたはナルデメジンの予防投与の有効性を比較する探索的ランダム化比較試験

    結束貴臣, 結束貴臣, 尾崎杏奈, 葛西祐樹, 岩城慶大, 岩城慶大, 大久保直紀, 小林貴, 吉原努, 吉原努, 本多靖, 本多靖, 三澤昇, 松浦哲也, 冬木晶子, 日暮琢磨, 日下部明彦, 助川晶子, 石木寛人, 中島淳, 市川靖史, 市川靖史

    日本サイコオンコロジー学会総会プログラム・抄録集   33rd (Web)   2020

  • オピオイド誘発性便秘を携帯型腹部超音波で確認し,有効的な治療が可能であった肺癌患者の1例

    結束貴臣, 結束貴臣, 葛西祐樹, 尾崎杏奈, 岩城慶大, 岩城慶大, 大久保直紀, 小林貴, 吉原努, 吉原努, 本多靖, 三澤昇, 松浦哲也, 冬木晶子, 日暮琢磨, 日下部明彦, 助川晶子, 中島淳, 市川靖史, 市川靖史

    日本サイコオンコロジー学会総会プログラム・抄録集   33rd (Web)   2020

  • 私が臨終の場面で看護師に期待する立ち居振る舞い

    日下部 明彦

    エンド・オブ・ライフケア   3 ( 4 )   28 - 33   2019.9

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  • 医学部1年生に対する早期医療体験実習の学習者評価に関する検討

    飯田 洋, 岩田 悠里, 藤田 浩司, 日下部 明彦, 太田 光泰, 西巻 滋, 稲森 正彦

    医学教育   50 ( Suppl. )   198 - 198   2019.7

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  • 見逃せない!標準治療を逸脱した症例 グリーフケア

    日下部 明彦

    月刊薬事   61 ( 10 )   192 - 196   2019.6

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  • 内科医に対する小外科講義の教育効果について

    袴田智伸, 國司洋佑, 福澤邦康, 吉江浩一郎, 安田優, 日下部明彦, 稲森正彦, 太田光泰

    日本プライマリ・ケア連合学会学術大会抄録集   10th (Web)   2019

  • Practical Utilization of Home Care Support System and Influence of Home Care on the Regional Core Hospital

    高橋幸大, 岩渕敬介, 日下部明彦, 吉江浩一郎, 倉上優一, 安田優, 麻生みちる, 鈴木美絵, 太田光泰

    癌と化学療法   46 ( Supplement 1 )   2019

  • 終末期がん患者のセクシュアリティについての苦悩に医療者は備えているか?

    日下部明彦, 平野和恵, 馬渡弘典, 森田千雅子, 奈良健, 結束貴臣, 松浦哲也, 吉見明香, 後藤歩, 稲森正彦, 稲森正彦, 太田光泰

    日本在宅医療学会学術集会プログラム・抄録集   29th   165   2018.10

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  • Elsevier Reviewの使用経験 解剖学分野において

    岩田 悠里, 飯田 洋, 稲森 正彦, 日下部 明彦, 太田 光泰, 原 良紀, 藤田 浩司, 西巻 滋, 前田 愼, 船越 健悟

    医学教育   49 ( Suppl. )   218 - 218   2018.7

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  • Googleフォームを用いた試験運用の経験

    稲森 正彦, 岩田 悠里, 飯田 洋正, 日下部 明彦, 太田 光泰, 原 良紀, 藤田 浩司, 西巻 滋

    医学教育   49 ( Suppl. )   221 - 221   2018.7

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  • 医学部新入生に対する多職種連携への理解を深める試み

    飯田 洋, 岩田 悠里, 藤田 浩司, 日下部 明彦, 太田 光泰, 西巻 滋, 稲森 正彦

    医学教育   49 ( Suppl. )   158 - 158   2018.7

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  • Elsevier Reviewの使用経験 解剖学分野において

    岩田 悠里, 飯田 洋, 稲森 正彦, 日下部 明彦, 太田 光泰, 原 良紀, 藤田 浩司, 西巻 滋, 前田 愼, 船越 健悟

    医学教育   49 ( Suppl. )   218 - 218   2018.7

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  • 医学部新入生に対する多職種連携への理解を深める試み

    飯田 洋, 岩田 悠里, 藤田 浩司, 日下部 明彦, 太田 光泰, 西巻 滋, 稲森 正彦

    医学教育   49 ( Suppl. )   158 - 158   2018.7

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  • Googleフォームを用いた試験運用の経験

    稲森 正彦, 岩田 悠里, 飯田 洋正, 日下部 明彦, 太田 光泰, 原 良紀, 藤田 浩司, 西巻 滋

    医学教育   49 ( Suppl. )   221 - 221   2018.7

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  • 「薬を飲めない,飲まない」問題 各論 2 がん患者の飲めない

    日下部明彦

    Gノート   5 ( 1 )   36‐43   2018.2

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  • 継続医療における“病院機能”の役割

    日下部明彦

    日本在宅医学会雑誌   19 ( 1 )   107‐108   2017.12

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  • 最期の最後のがん診療 システムと教育 病院勤務の研修医が看取りを学ぶことの意義とその効果

    日下部明彦

    Cancer Board Square   3 ( 3 )   444‐448   2017.10

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  • 死亡診断時の立ち居振る舞いについてのガイドブック:作成経緯とその後

    日下部明彦

    日本在宅医療学会学術集会プログラム・抄録集   28th   54‐55   2017.8

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  • 『地域の多職種でつくった死亡診断時の医師の立ち居振る舞についてのガイドブック』の教育的効果の検証

    日下部 明彦, 吉見 明香, 結束 貴臣, 松浦 哲也, 平野 和恵, 馬渡 弘典, 藤澤 順, 深野 史靖, 山本 裕司, 森田 達也, 横浜市立大学附属病院緩和ケアチーム

    Palliative Care Research   12 ( Suppl. )   S341 - S341   2017.6

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  • 最期まで「口から食べたい」の願いを叶える支援の実際“最期まで口から食べる”を支える人工的栄養療法

    日下部明彦

    エンド・オブ・ライフケア   1 ( 1 )   2‐10   2017.3

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  • 「地域の多職種でつくった死亡診断時の医師の立ち居振る舞いについてのガイドブック」の医学教育に用いた報告

    日下部明彦, 野里洵子, 平野和恵, 齋藤直裕, 池永恵子, 櫁柑富貴子, 結束貴臣, 松浦哲也, 吉見明香, 内藤明美, 沖田将人, 稲森正彦, 山本裕司, 森田達也

    Palliative Care Research (Web)   12 ( 1 )   906‐910(J‐STAGE) - 910   2017

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  • がんサバイバーシップ これからの緩和ケア―誰でもできる緩和ケア!―

    日下部明彦

    治療   97 ( 10 )   1416 - 1419   2015.10

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  • Percutaneus endoscopic gastrostomy in a patient with hemophilia A

    Tomoko Koide, Mizue Iinuma, Eiji Sakai, Eiji Yamada, Takuma Higurashi, Hidenori Ohkubo, Hiroshi Iida, Kunihiro Hosono, Hiroki Endo, Takashi Nonaka, Koji Fujita, Hirokazu Takahashi, Masato Yoneda, Ayumu Goto, Tomonori Ida, Akihiko Kusakabe, Atsushi Nakajima, Shin Maeda, Eiji Gotoh, Masahiko Inamori

    TURKISH JOURNAL OF GASTROENTEROLOGY   25   241 - 241   2014.12

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    DOI: 10.5152/tjg.2014.5262

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  • Correlation between Gastric Transtit Time Measured by Vtideo Capsule Endoscopy and Gastric Emptying Determined by the Continuous real-Time 13C Breath Test (BreathID System)

    Takashi Nonaka, Masahiko Inamori, Hiroki Endo, Mizue Matsuura, Shiori Uchiyama, Eiji Yamada, Yusuke Sekino, Eiji Sakai, Takuma Higurashi, Hidenori Ohkubo, Keiko Akimoto, Hiroshi Iida, Hirokazu Takahashi, Tomoko Koide, Wataru Shibata, Tomonori Ida, Akihiko Kusakabe, Eiji Gotoh, Atsushi Nakajima, Shin Maeda

    HEPATO-GASTROENTEROLOGY   61 ( 135 )   2159 - 2162   2014.10

  • Comparative Study of the QUEST Questionnaire and GerdQ. Questionnaire for Japanese students

    Naomi Kikkawa, Masahiko Inamori, Sho Inoue, Yumi Mori, Hiroshi Iida, Takashi Nonaka, Akihiko Kusakabe, Atsushi Nakajima, Shin Maeda, Eiji Gotoh

    HEPATO-GASTROENTEROLOGY   61 ( 134 )   1605 - 1610   2014.9

  • Protective Effect of Lactoferrin on Acute Acid Reflux-Induced Esophageal Mucosal Damage

    Masahiko Inamori, Jun-ichi Togawa, Shuhei Matsumoto, Koji Hara, Mizue Matsuura, Hiroshi Iida, Keiko Akimoto, Hiroki Endo, Takashi Nonaka, Hirokazu Takahashi, Tomoko Koide, Wataru Shibata, Tomonori Ida, Akihiko Kusakabe, Hajime Nagase, Shizuo Tominaga, Katsuaki Tanaka, Eiji Gotoh, Atsushi Nakajima, Shin Maeda

    HEPATO-GASTROENTEROLOGY   61 ( 134 )   1595 - 1600   2014.9

  • Effects of Ramosetron Oral Disintegrating Tablets on Gastric Emptying: Crossover Study Using the 13(C)-Acetic Acid Breath Test

    Akihiko Kusakabe, Takashi Nonaka, Yusuke Sekino, Hiroshi Iida, Hiroki Endo, Tomoko Koide, Hirokazu Takahashi, Koji Fujita, Masato Yoneda, Ayumu Goto, Eiji Gotoh, Shin Maeda, Atsushi Nakajima, Chihiro Nosaka, Masahiko Inamori

    HEPATO-GASTROENTEROLOGY   61 ( 133 )   1279 - 1282   2014.7

  • Endoscopic removal of a migrated stent in the gallbladder

    Tomonori Ida, Masahiko Inamori, Jun Hamanaka, Hideyuki Chiba, Akihiko Kusakabe, Taiki Morohashi, Atsushi Nakajima, Shin Maeda, Toru Goto

    ENDOSCOPY   46   E539 - E540   2014

  • Lubiprostone Decreases the Small Bowel Transit Time by Capsule Endoscopy: An Exploratory, Randomised, Double-Blind, Placebo-Controlled 3-Way Crossover Study

    Mizue Matsuura, Masahiko Inamori, Hiroki Endo, Tetsuya Matsuura, Kenji Kanoshima, Yumi Inoh, Yuji Fujita, Shotaro Umezawa, Akiko Fuyuki, Shiori Uchiyama, Takuma Higurashi, Hidenori Ohkubo, Eiji Sakai, Hiroshi Iida, Takashi Nonaka, Seiji Futagami, Akihiko Kusakabe, Shin Maeda, Atsushi Nakajima

    GASTROENTEROLOGY RESEARCH AND PRACTICE   2014   2014

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  • 慢性便秘患者に対するルビプロストンの使用経験 満足度調査アンケートより

    稲森 正彦, 松浦 瑞惠, 関野 雄典, 日暮 琢磨, 大久保 秀則, 山田 英司, 飯田 洋, 遠藤 宏樹, 野中 敬, 古出 智子, 高橋 宏和, 後藤 歩, 井田 智則, 日下部 明彦, 中島 淳, 前田 愼, 後藤 英司

    日本消化器病学会雑誌   110 ( 臨増大会 )   A949 - A949   2013.9

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  • 逆流性食道炎患者におけるエソメプラゾール投与後の満足度検討

    松浦 瑞惠, 関野 雄典, 日暮 琢磨, 大久保 秀則, 山田 英司, 飯田 洋, 遠藤 宏樹, 野中 敬, 古出 智子, 高橋 宏和, 後藤 歩, 井田 智則, 日下部 明彦, 中島 淳, 前田 愼, 後藤 英司, 稲森 正彦

    日本消化器病学会雑誌   110 ( 臨増大会 )   A879 - A879   2013.9

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  • 上部消化管内視鏡検査における教育支援 画像因子の定量化

    森 由美, 稲森 正彦, 井上 祥, 吉川 奈緒美, 松浦 瑞惠, 関野 雄典, 飯田 洋, 野中 敬, 井田 智則, 日下部 明彦, 中島 淳, 前田 愼, 後藤 英司

    医学教育   44 ( Suppl. )   161 - 161   2013.7

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  • 逆流性食道炎患者におけるエソメプラゾール投与後の満足度の検討 PPI切り替え後の自己記入式問診における患者満足度の検討

    吉川 奈緒美, 稲森 正彦, 松浦 端恵, 内山 詩織, 山田 英司, 日暮 琢磨, 大久保 秀則, 酒井 英嗣, 飯田 洋, 遠藤 宏樹, 野中 敬, 高橋 宏和, 古出 智子, 芝田 渉, 井田 智則, 日下部 明彦, 後藤 英司, 中島 淳, 前田 愼

    消化器の臨床   16 ( 3 )   321 - 328   2013.6

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  • Early effect of single-dose sitagliptin administration on gastric emptying: Crossover study using the 13C breath test

    Takashi Nonaka, Yusuke Sekino, Hiroshi Iida, Eiji Yamada, Hidenori Ohkubo, Eiji Sakai, Takuma Higurashi, Kunihiro Hosono, Hiroki Endo, Tomoko Koide, Hirokazu Takahashi, Koji Fujita, Masato Yoneda, Ayumu Goto, Akihiko Kusakabe, Noritoshi Kobayashi, Eiji Gotoh, Shin Maeda, Atsushi Nakajima, Chihiro Nosaka, Masahiko Inamori

    Journal of Neurogastroenterology and Motility   19 ( 2 )   227 - 232   2013.4

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  • Social Networking Service(SNS)を用いた医育機関からの情報発信

    稲森 正彦, 関野 雄典, 飯田 洋, 遠藤 宏樹, 野中 敬, 古出 智子, 日下部 明彦, 中島 淳, 前田 愼, 後藤 英司

    日本内科学会雑誌   102 ( Suppl. )   244 - 244   2013.2

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  • [Usefulness of a manual on physician behavior at the time of death confirmation].

    Akihiko Kusakabe, Yoichi Otani, Atsumi Kakuto, Kanako Iwami, Akiko Sato, Tomoko Hirata, Nobuto Yokoi, Yoko Tsuzaki, Hiroaki Yagi, Yoichi Tamura, Masato Okita, Masahiko Inamori

    Gan to kagaku ryoho. Cancer & chemotherapy   40 Suppl 2   199 - 201   2013.1

  • Postpyloric decompression tube placement through a gastrostomy for malignant bowel obstruction

    Yusuke Kurita, Tomoko Koide, Seitaro Watanabe, Tatsuya Ogawa, Yusuke Sekino, Hiroshi Iida, Takashi Nonaka, Akihiko Kusakabe, Eiji Gotoh, Shin Maeda, Atsushi Nakajima, Masahiko Inamori

    BMC Research Notes   6 ( 1 )   2013

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  • 満腹と膨満 日本人は区別しているか

    坂本 康成, 稲森 正彦, 井上 祥, 飯沼 端恵, 関野 雄典, 飯田 洋, 遠藤 宏樹, 野中 敬, 古出 智子, 高橋 宏和, 米田 正人, 日下部 明彦, 後藤 英司, 中島 淳, 前田 愼, 本郷 道夫

    横浜医学   63 ( 4 )   589 - 595   2012.10

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  • 消化管機能性疾患への応用を念頭に、健常ボランティアを対象とした研究を組み立てる場合の問題点について

    稲森 正彦, 関野 雄典, 飯田 洋, 野中 敬, 日下部 明彦, 遠藤 宏樹, 古出 智子, 高橋 宏和, 中島 淳, 前田 愼, 井上 祥, 後藤 栄司

    臨床薬理   43 ( Suppl. )   S320 - S320   2012.10

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  • 機能性胃疾患の病態における基礎と臨床の接点 ラモセトロン塩酸塩0.1mg経口投与の胃排出能に及ぼす影響に関する検討

    野中 敬, 日下部 明彦, 関野 雄典, 飯田 洋, 後藤 英司, 前田 愼, 中島 淳, 稲森 正彦

    胃病態機能研究会誌   44   31 - 31   2012.7

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  • 瘻孔閉鎖を目的とした胃瘻カテーテル抜去の現状と閉鎖不全への対策

    古出 智子, 佐藤 孝光, 山田 英司, 加藤 真吾, 酒井 英嗣, 大久保 秀則, 日暮 琢磨, 後藤 歩, 日下部 明彦, 関野 雄典, 飯田 洋, 野中 敬, 細野 邦広, 遠藤 宏樹, 高橋 宏和, 阿部 泰伸, 後藤 英司, 前田 愼, 中島 淳, 稲森 正彦

    日本消化器病学会雑誌   109 ( 臨増総会 )   A251 - A251   2012.3

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  • 胃瘻管理および胃瘻交換の問題点と工夫 大学病院における胃瘻のフォローと地域連携

    古出 智子, 細野 邦広, 内山 崇, 関野 雄典, 酒井 英嗣, 飯田 洋, 遠藤 宏樹, 坂本 康成, 野中 敬, 高橋 宏和, 所 知加子, 後藤 歩, 阿部 泰伸, 小林 規俊, 窪田 賢輔, 前田 愼, 中島 淳, 後藤 英司, 日下部 明彦, 稲森 正彦

    Progress of Digestive Endoscopy   79 ( 1 )   74 - 74   2011.6

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  • 胃ろうカテーテル抜去後のろう孔閉鎖不全に対し、内視鏡的アルゴンプラズマ凝固とクリップによる縫縮が有効であった2例

    古出 智子, 稲森 正彦, 加藤 真吾, 内山 崇, 関野 雄典, 酒井 英嗣, 今城 健人, 鈴木 香峰理, 飯田 洋, 渡辺 誠太郎, 遠藤 宏樹, 細野 邦広, 坂本 康成, 高橋 宏和, 所 知加子, 後藤 歩, 阿部 泰伸, 中島 淳, 前田 愼, 日下部 明彦

    日本消化器病学会雑誌   108 ( 臨増総会 )   A358 - A358   2011.3

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  • 私はこう治療する 経皮内視鏡的胃瘻造設術(PEG)--一般内科医が知るべきこと

    古出 智子, 稲森 正彦, 日下部 明彦

    診断と治療   99 ( 1 )   164 - 169   2011.1

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  • 胃瘻カテーテルの抜去閉鎖を行った症例の検討:問題点の提示

    古出智子, 稲森正彦, 内山崇, 関野雄典, 酒井英嗣, 飯田洋, 細野邦広, 遠藤宏樹, 坂本康成, 米田正人, 高橋宏和, 所知加子, 安崎弘晃, 後藤歩, 阿部泰伸, 小林規俊, 窪田賢輔, 中島淳, 前田愼, 日下部明彦

    日本消化管学会総会学術集会プログラム・抄録集   7th   2011

  • 経鼻内視鏡 スクリーニング検査での有用性及び応用法の現状(ESD、イレウス管挿入、PEG、ERCPなど) 経鼻内視鏡を用いた内視鏡的胃瘻造設術は合併症を軽減させたか?

    古出 智子, 稲森 正彦, 加藤 真吾, 酒井 英嗣, 関野 雄典, 内山 崇, 渡辺 誠太郎, 飯田 洋, 細野 邦弘, 遠藤 宏樹, 坂本 康成, 高橋 宏和, 所 知加子, 後藤 歩, 阿部 泰伸, 小林 規俊, 窪田 賢輔, 中島 淳, 前田 愼, 日下部 明彦

    Progress of Digestive Endoscopy   78 ( 1 )   62 - 62   2010.12

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  • 胃ろうの閉鎖を行った症例の検討

    古出 智子, 稲森 正彦, 日下部 明彦, 内山 崇, 飯田 洋, 細野 邦広, 遠藤 宏樹, 坂本 康成, 米田 正人, 高橋 宏和, 所 知加子, 安崎 弘晃, 後藤 歩, 阿部 泰伸, 桐越 博之, 小林 規俊, 嶌村 健, 窪田 賢輔, 斉藤 聡, 中島 淳

    Gastroenterological Endoscopy   52 ( Suppl.2 )   2459 - 2459   2010.9

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  • 当院における内視鏡的胃ろう造設術の現況

    古出 智子, 稲森 正彦, 内山 崇, 渡邊 誠太郎, 飯田 洋, 細野 邦広, 遠藤 宏樹, 坂本 康成, 高橋 宏和, 所 知加子, 安崎 弘晃, 後藤 歩, 阿部 泰伸, 中島 淳, 日下部 明彦

    神奈川医学会雑誌   37 ( 2 )   260 - 260   2010.7

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  • 内視鏡的胃ろう造設術後の出血に関する検討

    古出 智子, 稲森 正彦, 日下部 明彦, 加藤 真吾, 内山 崇, 飯田 洋, 細野 邦広, 遠藤 宏樹, 坂本 康成, 藤田 浩司, 高橋 宏和, 米田 正人, 所 知加子, 後藤 歩, 阿部 泰伸, 小林 規俊, 桐越 博之, 窪田 賢輔, 斉藤 聡, 中島 淳

    日本消化器病学会雑誌   107 ( 臨増総会 )   A250 - A250   2010.3

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  • 消化器内視鏡偶発症に対するトラブルシューティング 胃瘻損傷時の胃壁固定を用いたリカバリー

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    Progress of Digestive Endoscopy   76 ( 1 )   81 - 81   2009.12

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  • 胃瘻カテーテル交換に伴う偶発症とその対策 胃瘻カテーテル交換後の細径内視鏡による経カテーテル的胃内留置確認と瘻孔損傷時の胃壁固定具を用いたリカバリー

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    Gastroenterological Endoscopy   51 ( Suppl.1 )   1043 - 1043   2009.4

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  • 胃瘻カテーテル迷入後の胃壁固定を用いた加療

    稲森 正彦, 内山 崇, 加藤 真吾, 飯田 洋, 馬渡 弘典, 遠藤 宏樹, 細野 邦弘, 秋山 智之, 米田 恭子, 藤田 浩司, 米田 正人, 高橋 宏和, 後藤 歩, 阿部 泰伸, 日下部 明彦, 桐越 博之, 小林 規俊, 窪田 賢輔, 斉藤 聡, 中島 淳

    神奈川医学会雑誌   36 ( 1 )   65 - 66   2009.1

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  • 胃瘻カテーテル交換時偶発症の現状 胃瘻カテーテル交換時のろう孔損傷の2例 胃壁固定を用いたリカバリーの有用性

    稲森 正彦, 内山 崇, 飯田 洋, 遠藤 宏樹, 秋山 智之, 藤田 浩司, 米田 恭子, 米田 正人, 高橋 宏和, 後藤 歩, 阿部 泰伸, 日下部 明彦, 小林 規俊, 窪田 賢輔, 中島 淳

    Gastroenterological Endoscopy   50 ( Suppl.1 )   1012 - 1012   2008.4

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  • 交換時に用いる胃ろうボタンの長さに関する検討

    稲森 正彦, 日下部 明彦, 廣川 智, 秋山 智之, 秋本 恵子, 池田 多聞, 坂本 康成, 飯田 洋, 遠藤 宏樹, 米田 恭子, 藤田 浩司, 米田 正人, 高橋 宏和, 後藤 歩, 阿部 泰伸, 桐越 博之, 小林 規俊, 窪田 賢輔, 斉藤 聡, 中島 淳

    日本消化器病学会雑誌   105 ( 臨増総会 )   A288 - A288   2008.3

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  • 当院における酢酸オクトレオチドの使用経験

    秋本 恵子, 稲森 正彦, 飯田 洋, 馬渡 弘典, 冨本 彩子, 米満 恭子, 秋山 智之, 藤田 浩司, 藤澤 聡郎, 高橋 宏和, 米田 正人, 後藤 歩, 阿部 泰伸, 日下部 明彦, 桐越 博之, 中戸川 満智子, 窪田 賢輔, 斉藤 聡, 上野 規男, 中島 淳

    日本消化器病学会雑誌   104 ( 臨増総会 )   A169 - A169   2007.3

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  • Giant subcutaneous abscess after percutaneous endoscopic gastrostomy.

    Sakai H, Inamori M, Sato T, Akimoto K, Akiyama T, Fujita K, Yoneda M, Takahashi H, Goto A, Kusakabe A, Abe Y, Kirikoshi H, Kubota K, Ueno N, Rino Y, Nakajima A

    Endoscopy   39 Suppl 1   E264   2007

  • 質問紙法の簡便性に関する比較検討

    稲森 正彦, 秋本 恵子, 藤田 浩司, 藤澤 聡郎, 秋山 智之, 池田 多聞, 池田 郁子, 高橋 宏和, 米田 正人, 安崎 弘晃, 原 浩二, 日下部 明彦, 阿部 泰伸, 桐越 博之, 川口 義明, 窪田 賢輔, 斉藤 聡, 川名 一朗, 上野 規男, 中島 淳

    日本消化器病学会雑誌   103 ( 臨増大会 )   A757 - A757   2006.9

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  • 吐血を繰り返し、胃排出能の評価が臨床的に有用であった一例

    秋本 恵子, 稲森 正彦, 藤田 浩司, 藤澤 聡郎, 秋山 智之, 池田 多聞, 池田 郁子, 高橋 宏和, 米田 正人, 安崎 弘晃, 原 浩二, 日下部 明彦, 阿部 泰伸, 遠藤 雄一, 桐越 博之, 川口 義明, 窪田 賢輔, 斉藤 聡, 川名 一朗, 中島 淳

    日本消化器病学会雑誌   103 ( 臨増大会 )   A790 - A790   2006.9

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  • 13C連続呼気テストによる胃排出能の評価:診断、治療に有用であった症例

    稲森 正彦, 高橋 宏和, 米田 正人, 安崎 弘晃, 河村 晴信, 阿部 泰伸, 日下部 明彦, 加藤 暁, 桐越 博之, 川口 義明, 窪田 賢輔, 斉藤 聡, 川名 一朗, 上野 規男, 中島 淳

    神奈川医学会雑誌   33 ( 2 )   219 - 219   2006.7

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  • PEGの適応と長期管理をめぐって ボタン交換後の胃内留置確認に関する検討 安全な長期管理を目指して

    稲森 正彦, 日下部 明彦, 池田 郁子, 藤田 浩司, 藤澤 聡郎, 米田 正人, 高橋 宏和, 安崎 弘晃, 阿部 泰伸, 桐越 博之, 川口 義明, 窪田 賢輔, 斎藤 聡, 川名 一朗, 上野 規男, 中島 淳

    Progress of Digestive Endoscopy   69 ( 1 )   49 - 49   2006.6

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  • 何が正解? 消化器治療 EBMで検証(46)癌は遺伝するのか(膵臓癌)

    川名 一朗, 川口 義明, 日下部 明彦

    治療   88 ( 5 )   1593 - 1600   2006.5

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  • 急性消化管GVHDの内視鏡像の検討

    川口 義明, 安崎 晃弘, 日下部 明彦, 川名 一朗, 中島 淳

    Gastroenterological Endoscopy   48 ( Suppl.1 )   719 - 719   2006.4

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  • 内視鏡的消化管瘻造設の管理と工夫の問題点 胃ろう交換時における胃内留置の確認 ボタンからのアプローチの有用性について

    稲森 正彦, 日下部 明彦, 中島 淳

    Gastroenterological Endoscopy   48 ( Suppl.1 )   640 - 640   2006.4

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  • 何が正解? 消化器治療 EBMで検証(45)ERCP(endoscopic retrograde cholangiopancreatography)後膵炎の予防は可能か?

    川口 義明, 安崎 晃弘, 日下部 明彦

    治療   88 ( 3 )   513 - 518   2006.3

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    Other Link: http://search.jamas.or.jp/link/ui/2006123556

  • Peppermint oil投与による胃排出能の変化について Breath ID systemを用いた連続呼気採取による評価

    稲森 正彦, 藤澤 信隆, 秋山 智之, 池田 郁子, 藤澤 敏郎, 藤田 浩司, 米田 正人, 高橋 宏和, 原 浩二, 安崎 弘晃, 河村 晴信, 阿部 泰伸, 日下部 明彦, 桐越 博之, 川口 義明, 窪田 賢輔, 斉藤 聡, 川名 一朗, 上野 規男, 中島 淳

    日本消化器病学会雑誌   103 ( 臨増総会 )   A288 - A288   2006.3

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  • 何が正解? 消化器治療. EBMで検証(44)癌は遺伝するのか?(大腸癌)

    川名 一朗, 川口 義明, 日下部 明彦

    治療   88 ( 1 )   197 - 204   2006.1

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    Other Link: http://search.jamas.or.jp/link/ui/2006059573

  • 総胆管結石の治療戦略 総胆管結石治療の現状

    川口 義明, 川名 一朗, 安崎 弘晃, 日下部 明彦, 窪田 賢輔, 中島 淳, 真丸 祐一, 冨山 昌一, 鈴木 亮一

    神奈川医学会雑誌   33 ( 1 )   64 - 64   2006.1

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  • 何が正解? 消化器治療 EBMで検証(43)癌は遺伝するのか?(胃癌)

    川名 一朗, 川口 義明, 日下部 明彦

    治療   87 ( 11 )   3124 - 3131   2005.11

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    Other Link: http://search.jamas.or.jp/link/ui/2006021543

  • 何が正解? 消化器治療 EBMで検証(42)胆嚢結石症に対する経口胆汁酸療法

    川口 義明, 安崎 晃弘, 日下部 明彦

    治療   87 ( 9 )   2685 - 2691   2005.9

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    Other Link: http://search.jamas.or.jp/link/ui/2005269765

  • 何が正解?消化器治療 EBMで検証(41)NSAIDと胃粘膜傷害

    川名 一朗, 川口 義明, 日下部 明彦

    治療   87 ( 7 )   2256 - 2264   2005.7

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    Other Link: http://search.jamas.or.jp/link/ui/2005230574

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Awards

  • 優秀演題賞

    2021.6   日本緩和医療学会   終末期がん患者の「パートナーとの愛を育む時間」についての遺族調査

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  • 最優秀演題賞

    2017.6   日本緩和医療学会   『地域の多職種でつくった死亡診断時の医師の立ち居振る舞いについてのガイドブック』の教育的効果の検証

    日下部 明彦

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  • 優秀演題賞

    2015.6   日本緩和医療学会   在宅療養支援診療所における死亡診断名についての調査~“老衰”と“肺炎”の境界~

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