胃腸班の取り組み

消化管疾患の診断から治療に携わっています。
消化管の中でも食道癌、胃癌および大腸癌の診断、内視鏡切除(特に内視鏡的粘膜下層剥離術:ESD)に関してはスタッフの多くが国立がん研究センターを含めた癌専門病院でのスタッフ歴を有することで高い知識と技術を誇っています。内視鏡件数も平成28年度は前年度の150%増、胃ESDに関しては42例だったのが142例と3倍以上、未施行だった大腸ESDも44例となっています。 さらに最近では、癌に対する化学療法にも力を入れており、消化器外科との定期的なCancer Boardを行うことで術前化学療法や術後補助化学療法を行うことで予後成績の向上に寄与しています。
また、消化管疾患は癌ばかりではなく炎症性腸疾患などの慢性疾患、ヘリコバクター感染胃炎や腸炎などの感染症、あるいは機能性消化管疾患に対する治療にも注力しています。 また、当院の人間ドック受診患者に対する上部・下部内視鏡検査は当科の医師が全て対応することで高い診断力を担保しています。
診療と同時に、大学人として必須である論文業績もまだまだ不十分ではありますが発信を心がけています。

平成28年度論文業績

  1. Kusano C, Gotoda T, Ishikawa H, Moriyama M. The administrative project of Helicobacter pylori infection screening among junior high school students in an area of Japan with a high incidence of gastric cancer. Gastric Cancer. 2017 Mar;20(Suppl 1):16-19.
  2. Maeda M, Nakajima T, Oda I, Shimazu T, Yamamichi N, Maekita T, Asada K, Yokoi C, Ando T, Yoshida T, Nanjo S, Fujishiro M, Gotoda T, Ichinose M, Ushijima T. High impact of methylation accumulation on metachronous gastric cancer: 5-year follow-up of a multicentre prospective cohort study. Gut. 2016 Dec 21. [Epub ahead of print]
  3. Gotoda T, Hatta W. Are randomized control studies needed to evaluate the efficacy of treatment techniques that are clearly minimally invasive and already widely used? Gastrointest Endosc. 2017 Jan;85(1):153-154
  4. Coman RM, Gotoda T, Forsmark CE, Draganov PV. Prospective evaluation of the clinical utility of endoscopic submucosal dissection (ESD) in patients with Barrett's esophagus: a Western center experience. Endosc Int Open. 2016 Jun;4(6):E715-21.
  5. Furuichi Y, Gotoda T, Moriyasu F, Ogawa S, Kasai Y, Takeuchi H, Yoshimasu Y, Sano T, Sugimoto K, Kawai T, Kobayashi Y, Nakamura I, Itoi T. Dual red imaging (novel advanced endoscopy) can increase visibility and can predict the depth in diagnosing esophageal varices. J Gastroenterol. 2016 Aug 8. [Epub ahead of print]
  6. Kusano C, Yamada N, Kikuchi K, Hashimoto M, Gotoda T. Current status of percutaneous endoscopic gastrostomy (PEG) in a general hospital in Japan: a cross-sectional study. J Rural Med. 2016;11(1):7-10.
  7. Koga M, Kusano C, Gotoda T, Suzuki S, Sato T, Fukuzawa M, Itoi T, Moriyasu F. Barium impaction therapy with balloon occlusion for deep colonic diverticular bleeding: a three-case series. Endosc Int Open. 2016 May;4(5):E560-3.
  8. Suzuki S, Gotoda T, Kusano C, Iwatsuka K, Moriyama M. The Efficacy and Tolerability of a Triple Therapy Containing a Potassium-Competitive Acid Blocker Compared With a 7-Day PPI-Based Low-Dose Clarithromycin Triple Therapy. Am J Gastroenterol. 2016 Jul;111(7):949-56.
  9. Gotoda T. Clinical views on the indications of endoscopic resection for mucosal gastric cancer. Gastrointest Endosc. 2016 May;83(5):902-4.
  10. Hatta W, Gotoda T, Oyama T, Kawata N, Takahashi A, Yoshifuku Y, Hoteya S, Nakamura K, Hirano M, Esaki M, Matsuda M, Ohnita K, Shimoda R, Yoshida M, Dohi O, Takada J, Tanaka K, Yamada S, Tsuji T, Ito H, Hayashi Y, Nakamura T, Shimosegawa T. Is radical surgery necessary in all patients who do not meet the curative criteria for endoscopic submucosal dissection in early gastric cancer? A multi-center retrospective study in Japan. J Gastroenterol. 2016 Apr 20. [Epub ahead of print]
  11. Iacopini F, Saito Y, Gotoda T, Grossi C, Costamagna G. Endoscopic submucosal dissection of a nonpolypoid superficial neoplasm of the terminal ileum. Endoscopy. 2016;48 Suppl 1:E57-8. doi: 10.1055/s-0042-101760. Epub 2016 Feb 18.
  12. Uedo N, Gotoda T, Yoshinaga S, Tanuma T, Morita Y, Doyama H, Aso A, Hirasawa T, Yano T, Uchita N, Ho SH, Hsieh PH. Differences in routine esophagogastroduodenoscopy between Japanese and international facilities: a questionnaire survey. Dig Endosc. 2016 Feb 8. doi: 10.1111/den.12629. [Epub ahead of print]
  13. Gotoda T, Uedo N, Yoshinaga S, Tanuma T, Morita Y, Doyama H, Aso A, Hirasawa T, Yano T, Uchita K, Ho SH, Hsieh PH. Basic principles and practice of gastric cancer screening using high-definition white light gastroscopy: eyes can only see what the brain knows. Dig Endosc. 2016 Feb 2. doi: 10.1111/den.12623. [Epub ahead of print]
  14. Tsuji Y, Kusano C, Gotoda T, Itokawa F, Fukuzawa M, Sofuni A, Matsubayashi J, Nagao T, Itoi T, Moriyasu F. Diagnostic potential of Endoscopic ultrasonography-elastography for gastric submucosal tumors: A pilot study. Dig Endosc. 2015 Nov 3. doi: 10.1111/den.12569. [Epub ahead of print]
  15. Mori G, Nakajima T, Asada K, Shimazu T, Yamamichi N, Maekita T, Yokoi C, Fujishiro M, Gotoda T, Ichinose M, Ushijima T, Oda I. Incidence of and risk factors for metachronous gastric cancer after endoscopic resection and successful Helicobacter pylori eradication: results of a large-scale, multicenter cohort study in Japan. Gastric Cancer. 2015 Sep 29. [Epub ahead of print]
  16. Iwatsuka K, Gotoda T, Kono S, Suzuki S, Yagi Kuwata N, Kusano C, Sugimoto K, Itoi T, Moriyasu F. Clinical Backgrounds and Outcomes of Elderly Japanese Patients with Gastrointestinal Bleeding. Intern Med. 2016;55(4):325-332.
  17. Suzuki S, Gotoda T, Kobayashi Y, Kono S, Iwatsuka K, Yagi-Kuwata N, Kusano C, Fukuzawa M, Moriyasu F. Usefulness of a traction method using dental floss and a hemoclip for gastric endoscopic submucosal dissection: a propensity score matching analysis (with videos). Gastrointest Endosc. 2016;83(2):337-346.
  18. Kusano C, Gotoda T, Kaltenbach T, Soetikno R, Moriyasu F. Differences in the endoscopic detection rates of Barrett’s esophagus using the Japanese and Western criteria: a pilot study. Esophagus 2016;13:25-29.

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