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        Clinical outcomes of sigmoid colon volvulus: identification of the factors associated with successful endoscopic detorsion

        ( Tomoya Iida ),( Suguru Nakagaki ),( Shuji Satoh ),( Haruo Shimizu ),( Hiroyuki Kaneto ),( Hiroshi Nakase ) 대한장연구학회 2017 Intestinal Research Vol.15 No.2

        Background/Aims: Although multiple treatment options exist for the management of sigmoid colon volvulus, no study has examined the factors associated with successful endoscopic detorsion. This study aimed to examine the clinical course of patients with sigmoid colon volvulus and to identify factors related to successful endoscopic detorsion. Methods: This study included 30 cases (21 patients) of sigmoid volvulus from among 545 cases of intestinal obstruction at a single center. We retrospectively examined the clinical course and the factors associated with the possibility of endoscopic detorsion of sigmoid colon volvulus. Results: The rate of laxative use among the study participants was 76.2%; the rate of comorbid neuropsychiatric disorders was 61.9%; and 57.1% of patients had a history of open abdominal surgery. All patients were initially treated with endoscopic detorsion, and this procedure had a 61.9% success rate. The recurrence rate after detorsion was as high as 46.2%, but detorsion during revision endoscopy was possible in all cases. Statistical analysis revealed that the absence of abdominal tenderness (P =0.027), the use of laxatives (P =0.027), and a history of open abdominal surgery (P =0.032) were factors predictive of successful endoscopic detorsion. Conclusions: The results of our study are consistent with previous reports with respect to the success rate of endoscopic detorsion, the subsequent recurrence rate, and the proportion of patients requiring surgical treatment. In addition, we identified the absence of abdominal tenderness, the use of laxatives, and history of open abdominal surgery as factors predicting successful endoscopic detorsion of sigmoid colon volvulus. (Intest Res 2017;15:215-220)

      • Smart Suit: Soft Power Suit with Semi-active Assist Mechanism

        Takayuki Tanaka,Yuta Satoh,Shun’ichi Kaneko,Yoshihito SUZUKI,Naohisa Sakamoto,Shuji Seki 제어로봇시스템학회 2008 제어로봇시스템학회 국제학술대회 논문집 Vol.2008 No.10

        We have been developing “mart Suit”as a soft and light-weight wearable power assist system. A prototype for preventing low-back injury in agricultural works and its semi-active assist mechanism have been developed in the previous study. The previous prototype succeeded to reduce about 14% of average muscle fatigues of body trunk in waist extension/flexion motion. In this paper, we describe a prototype of smart suit for supporting waist and knee joint, and its control method for preventing the displacement of the adjustable assist force mechanism in order to keep the assist efficiency.

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