Hitoshi Eguchi

Noguchi Hospital

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Temporary unilateral abdominal muscle paralysis due to herpes zoster without typical vesicles or pain

Journal of General and Family Medicine (2017)

Hitoshi Eguchi Naoko E. Furukawa Masaki Tago M Fujiwara Akihiko Ogushi

Abstract A 45‐year‐old man was evaluated for right abdominal bulging. Computed tomography showed segmental flaccidity of the right abdominal muscle without an abdominal hernia. Although typical vesicles and pain were absent, we diagnosed herpes zoster (HZ) because of the presence of a few eschars on the affected area without a history of diabetes mellitus. Although transient unilateral abdominal muscle paralysis due to HZ without typical skin vesicles or pain is rare, it is imperative to consider the possibility of HZ and seek skin changes such as eschars in such cases.

Varicella zoster virus

Abdominal muscles

10.1002/jgf2.20

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Citations (9)

Diffusion-Weighted Magnetic Resonance Imaging of a Patient with Hypoglycemic Encephalopathy

General Medicine (2014)

Midori Tokushima Hitoshi Eguchi Tsuneaki Yoshioka Shu‐ichi Yamashita

10.14442/general.15.76

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Current management practices for HBs antigen or anti-HCV antibody positive individuals in non-hepatology departments at a university hospital

Kanzo (2013)

Naoko E. Furukawa Yasunori Kawaguchi Satoshi Oeda N. Izumi Hitoshi Eguchi

ウイルス性肝炎対策において,医療機関における肝臓内科と非肝臓内科間の院内連携の実態は不明である.そこで,当院における非肝臓内科でのHBs抗原およびHCV抗体の測定状況,ならびに陽性者における肝炎診療の実態を明らかにすることを目的に,本研究を実施した.2010年1月~12月,肝臓内科以外の27診療科でHBs抗原またはHCV抗体を測定した症例(重複例を除外,HBs抗原6,648例,HCV抗体6,612例)を対象とした.HBs抗原陽性126例(1.9%),推定B型慢性肝炎66例(1.0%),HCV抗体陽性487例(7.4%),推定HCVキャリア369例(5.6%),推定C型慢性肝炎244例(3.7%)であった.高い感染率にもかかわらず,HBVキャリアの79%,HCVキャリアの82%は肝臓内科との連携がなく,そのうち,前者の89%,後者の97%においてウイルス性肝炎に関する診療方針の記載もみられなかった.肝炎ウイルスキャリア率が高く,かつ肝臓専門医を擁する医療機関において,適切な肝炎診療を行うための院内連携システムの構築が早急に必要である.

10.2957/kanzo.54.307

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Citations (17)

The Symptoms of Gastroesophageal Reflux Disease Correlate with High Body Mass Index, the Aspartate Aminotransferase/Alanine Aminotransferase Ratio and Insulin Resistance in Japanese Patients with Non-alcoholic Fatty Liver Disease

Internal Medicine (2015)

M Fujiwara Yuichiro Eguchi Norio Fukumori Hitoshi Eguchi Motosuke Tomonaga

This study was designed to compare the association between the body mass index (BMI) and symptoms of gastroesophageal reflux disease (GERD) in allegedly normal subjects undergoing regular medical checkups and subjects diagnosed with non-alcoholic fatty liver disease (NAFLD). Additionally, the correlation between the BMI and GERD symptoms was evaluated in subjects with NAFLD.This study included 50 patients with NAFLD and 228 normal subjects evaluated during regular medical checkups. The height, weight, BMI, frequency scale for the symptoms of GERD (FSSG), and serum concentrations of triglycerides and γ-GTP were compared between the two groups. In the NAFLD group, aspartate aminotransferase (AST) and alanine aminotransferase (ALT) concentrations were measured and insulin resistance was calculated using the quantitative insulin sensitivity check index (QUICKI).The total FSSG score moderately correlated with the BMI in the NAFLD group (r=0.342, p=0.015), but correlated negatively in the control group (r=-0.014, p=0.831). The FSSG score in the NAFLD group also negatively correlated with the AST/ALT ratio (r=-0.319) and insulin resistance calculated using the QUICKI score (r=-0.288). The BMI in the NAFLD group moderately correlated with the acid-reflux related score on the FSSG (r=0.389), and both the AST/ALT ratio (r=-0.344) and QUICKI score (r=-0.330) negatively correlated with the dyspepsia score on the FSSG.Obesity evaluated by the BMI was a significant risk factor for the exacerbation of GERD symptoms in subjects with NAFLD.

10.2169/internalmedicine.54.4297

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Citations (14)

A case of renal artery aneurysm showing the submucosal tumor-like lesion of the stomach

Gastric Cancer (2010)

Yasushi Sakata Hitoshi Eguchi Akihiko Ogushi Motosuke Tomonaga Keiji Matsunaga

Surgical oncology

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Arm span–height difference is correlated with gastroesophageal reflux symptoms in aged Japanese subjects

Journal of Clinical Biochemistry and Nutrition (2012)

Hitoshi Eguchi Yuichiro Eguchi M Fujiwara Midori Nishii Yoshinori Tokushima

Previous studies have indicated an association between the symptoms of gastroesophageal reflux disease (GERD) and aging plus height. In this study we investigated whether the arm span–height difference was related to GERD symptoms with a focus on aged subjects in the general population, since the arm span reflects the height in young adulthood before decreasing due to vertebral deformities from aging. A total of 285 elderly individuals (105 females) who visited nursing homes for the elderly in Japan were enrolled in this study. The GERD symptoms were evaluated by the Frequency Scale for the Symptoms of GERD (FSSG). The body weight, height and arm span were measured, and information regarding medications and complications were reviewed in each nursing record. 50.5% of women had more than 3 cm of arm span–height difference. In contrast, only 37.3% of men had more than 3 cm of arm span–height difference. The FSSG scores indicated more than 70% of subjects complained of any GERD symptoms. There was a significant correlation between the FSSG score and the arm span–height difference in the subjects with more than 3 cm of arm span-height difference (r = 0.236; p = 0.012). The correlation between the arm span–height difference and the FSSG score was significant only in women in females in the present study. In conclusion, our findings indicate that vertebral deformity evaluated by the arm span–height difference might have some positive relationship to the pathogenesis of GERD symptoms in elderly Japanese individuals.

10.3164/jcbn.12-89

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Citations (4)

Low-Energy Trauma: Severe Liver Injury in an Elderly Patient from a Seated Fall

American Journal of Case Reports (2024)

Naoko E. Katsuki Hitoshi Eguchi Risa Hirata Hidetoshi Aihara Masaki Tago

BACKGROUND Appropriate management of patients who have fallen is crucial for reducing damage and mortality. We report the case of a patient who fell from a seated position, which caused traumatic liver injury, with gastrointestinal symptoms as the primary patient concern. CASE REPORT A woman in her 80s who was living independently fell from a seated position during the daytime. She presented to our clinic the next day, reporting vomiting and loose stools. Her vital signs included blood pressure of 100/48 mmHg and a pulse rate of 76 beats/minute, with tenderness over the right chest wall. She was suspected of having a fracture in the absence of X-ray imaging and was advised to rest and treated with analgesia on demand. Subsequent laboratory results showed levels of hemoglobin, alanine transaminase, and lactate dehydrogenase of 98 g/L, 659 U/L, and 429 U/L, respectively. At the hospital, a computed tomography scan revealed severe liver injury and rib fractures. Vascular embolization or surgery was not performed, and hematogenous pleural effusion was drained once via thoracentesis. The hematoma did not enlarge, and the patient's ability to perform activities of daily living gradually improved. She was discharged after 10 days of hospitalization. CONCLUSIONS The patient presented with gastrointestinal symptoms, leading to a delayed diagnosis of severe liver injury. Low-energy trauma can cause fatal injuries, and physicians should assess patients who fall for the risk of organ injuries, while being mindful of potential biases. Additionally, non-specific symptoms after trauma can be associated with organ injury.

10.12659/ajcr.946094

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Safely replacing a percutaneous endoscopic gastrostomy tube using a portable X-ray system at a patient’s home

BMJ Case Reports (2021)

Hitoshi Eguchi Naoko E. Katsuki Kenichi Yamamoto Masaki Tago

An 81-year-old woman who underwent percutaneous endoscopic gastrostomy (PEG) a year before, after cerebral infarction was receiving home medical care. The first accidental PEG tube removal occurred after clinic hours, and the home-care doctor visited her home to quickly reinsert the tube. After the narrowed fistula was dilated, the tube was reinserted with a guide wire. An X-ray taken with a CALNEO Xair, which is an easily portable X-ray system launched in 2018, confirmed that the tip of the PEG tube was successfully placed in the stomach. A similar accidental removal occurred 2 months later, and we managed it in the same way. Both events were resolved with a single radiograph without significant difficulty. With in-home medical care, PEG tube replacement can be performed easily and safely with a handy portable X-ray system.

Percutaneous endoscopic gastrostomy

Gastrostomy tube

Stomach tube

Feeding tube

10.1136/bcr-2020-238462

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