Details of a Researcher - IMAMURA Masafumi

Reconsideration for the Severity Assessment of Acute Pancreatitis with the Severity Scoring System of Acute Pancreatitis of the Japanese Ministry of Health, Labour and Welfare (2008)

KIMURA Yasutoshi, IMAMURA Masafumi, OKUYA Koichi, KAWAMOTO Masaki, OKITA Kenji, MEGURO Makoto, TATSUMI Hiroomi, MIZUGUCHI Toru, HIRATA Koichi

日本腹部救急医学会雑誌 = Journal of abdominal emergency medicine 31 ( 3 ) 517 - 521 2011.03

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A case of pancreatic foreign-body granulation tissue showed stenosis of the main pancreatic duct

SON Seiichi, KIMURA Yasutoshi, NAGAYAMA Minoru, KONNO Ai, IMAMURA Masafumi, MIZUGUCHI Toru, FURUHATA Tomohisa, NAKANISHI Katsuya, NAGAKAWA Tatsuya, HASEGAWA Tadashi, HIRATA Koichi

膵臓 = The Journal of Japan Pancreas Society 26 ( 1 ) 91 - 98 2011.02

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Reconsideration of the Severity Assessment of Acute Cholangitis from the Perspective of Organ Dysfunction and the Prognosis

KIMURA Yasutoshi, NAGAYAMA Minoru, IMAMURA Masafumi, AKIZUKI Emi, MEGURO Makoto, OKITA Kenji, KAWAMOTO Masaki, HARADA Keisuke, NISHIDATE Toshihiko, NOBUOKA Takayuki, MIZUGUCHI Toru, FURUHATA Tomohisa, HIRATA Koichi

Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine) ( Japanese Society for Abdominal Emergency Medicine ) 30 ( 3 ) 449 - 454 2010.03

In this review, we mention the process for establishing the severity assessment of acute cholangitis and also indicate the dilemma about the severity assessment. The criteria for severity assessment of acute cholangitis consist of poor prognostic factors and the factors associated with vital-organ dysfunction. Those are the bodies of evidence that have already been reported in the literature, and are also the factors as a consensus formed by experts in agreement. Acute pulmonary dysfunction is known as acute lung injury (ALI) and adult respiratory distress syndrome (ARDS), which are associated with high mortality in SIRS and severe sepsis patients. They are frequently accompanied with acute cholangitis, however, the incidence and the mortality of acute cholangitis patients who are complicated with ALI/ARDS have not been well elucidated. We previously reported that dysfunctions of the liver, kidneys, and lungs were significantly correlated with mortality, and that the number of dysfunctional organs had a strong correlation with mortality in acute cholangitis patients in a critically ill condition. From such a situation, although acute pulmonary dysfunction has not been adopted as one of the criteria for the severity assessment, we imply that it can be a factor which should be included.

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OP-117-4 当センターにおける鈍的腹部外傷患者における肝損傷予測マーカーの検討(救急-2,一般口演,第110回日本外科学会定期学術集会)

目黒誠, 水口徹, 川本雅樹, 今村将史, 西舘敏彦, 沖田憲司, 永山稔, 信岡隆幸, 木村康利, 古畑智久, 奈良理, 森和久, 成松英智, 浅井康文, 平田公一