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Development of new treatment for pancreaticobiliary maljunction based on the mechanism causing symptoms

Research Project

Project/Area Number 19592054
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Pediatric surgery
Research InstitutionNagoya University

Principal Investigator

KANEKO Kenitiro  Nagoya University, 大学院・医学系研究科, 准教授 (90335042)

Co-Investigator(Kenkyū-buntansha) ONO Yasuyuki  名古屋大学, 医学部・附属病院, 講師 (10378193)
TAINAKA Takahisa  名古屋大学, 医学部・附属病院, 病院助手 (30378195)
Project Period (FY) 2007 – 2008
Project Status Completed (Fiscal Year 2008)
Budget Amount *help
¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2008: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2007: ¥3,250,000 (Direct Cost: ¥2,500,000、Indirect Cost: ¥750,000)
Keywords先天性消化器疾患 / 膵胆管合流異常 / 先天性胆道拡張症 / lithostathine / 蛋白栓 / タンパク栓 / Lithostathine / 内視鏡的胆道ドレナージ / 溶解実験 / 治療 / 内視鏡的胆導ドレナージ / ブロムヘキシン塩酸塩 / 小児外科
Research Abstract

過去の研究により, 膵胆管合流異常の症状はlithostathine蛋白栓による膵胆管の閉塞により生じることが明らかとなった。本研究では, 発症時に蛋白栓の閉塞を内視鏡的に解除する臨床応用と, 蛋白栓を溶解する基礎実験を実施した。臨床応用は内視鏡的胆管ステントチューブ留置を10名に実施し, 速やかな症状改善をみた。体外に出ない点で小児に有用であった。基礎実験で, 蛋白栓は有機酸などの酸性および塩基性溶液に溶解することが判明した。有機酸の臨床応用が考えられた。

Report

(3 results)
  • 2008 Annual Research Report   Final Research Report ( PDF )
  • 2007 Annual Research Report
  • Research Products

    (27 results)

All 2009 2008 2007

All Journal Article (17 results) (of which Peer Reviewed: 17 results) Presentation (10 results)

  • [Journal Article] Acidic and basic solutions dissolve protein plugs made of lithostathine complicating choledochal cyst/pancreaticobiliary maljunction2009

    • Author(s)
      K.Kaneko, Y.Ono, T.Tainaka, W.Sumida, H.Ando
    • Journal Title

      Dig Dis Sci (in press)

    • Related Report
      2008 Final Research Report
    • Peer Reviewed
  • [Journal Article] Different polyunsaturated fatty acid profiles in patients with biliary atresia after successful Kasai operation and liver transplantation2009

    • Author(s)
      W.Sumida, K.Kaneko, Y.Ono, T.Tainaka, H.Ando
    • Journal Title

      Pediatr Surg Int (in press)

    • NAID

      10029304634

    • Related Report
      2008 Final Research Report
    • Peer Reviewed
  • [Journal Article] Fatty acid calcium stones in patients with pancreaticobiliary maljunction/choledochal cyst as another cause of obstructive symptoms besides protein plugs2008

    • Author(s)
      K.Kaneko, Y.Ono, T.Tainaka, W.Sumida, H.Ando
    • Journal Title

      J Pediatr Surg 43

      Pages: 564-7

    • Related Report
      2008 Final Research Report
    • Peer Reviewed
  • [Journal Article] Histological assessment of bile lake formation after hepatic portoenterostomy for biliary atresia2008

    • Author(s)
      T.Tainaka, K.Kaneko, S.Nakamura, Y.Ono, W.Sumida, H.Ando
    • Journal Title

      Pediatr Surg Int 24

      Pages: 268-9

    • NAID

      10027861071

    • Related Report
      2008 Final Research Report
    • Peer Reviewed
  • [Journal Article] Pancreaticobiliary maljunction without bile duct dilatation in children : Distinction from choledochal cyst2008

    • Author(s)
      Y.Ono, K.Kaneko, T.Tainaka, W.Sumida, H.Ando
    • Journal Title

      J Pediatr Gastroenterol Nutr 46

      Pages: 555-60

    • Related Report
      2008 Final Research Report
    • Peer Reviewed
  • [Journal Article] Simultaneous monitoring by real-time polymerase chain reaction of epstein-barr virus, human cytomegalovirus, and human herpesvirus-6 in juvenile and adult liver transplant recipients2008

    • Author(s)
      Y.Ono, Y.Ito, K.Kaneko, Y.Shibata-Watanabe, T.Tainaka, W.Sumida, T.Nakamura, H.Kamei, T.Kiuchi, H.Ando, H.Kimura
    • Journal Title

      Transplant Proc 40

      Pages: 3578-82

    • Related Report
      2008 Final Research Report
    • Peer Reviewed
  • [Journal Article] Simultaneous monitoring by real-time polymerase chain reaction of epstein-barr virus, human cytomegalovirus, and human herpesvirus-6 in juvenile and adult liver tran splant recipients.2008

    • Author(s)
      Y. Ono
    • Journal Title

      Transplant Proc 40

      Pages: 3578-82

    • Related Report
      2008 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Histological assessment of bile lake formation after he patic portoenterostomy for biliary atresia2008

    • Author(s)
      T. Tainaka
    • Journal Title

      Pediatr Surg Int 24

      Pages: 268-9

    • Related Report
      2008 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Pancreaticobiliary maljunction without bile duct dilatation in children : Distinction from choledochal cyst2008

    • Author(s)
      Y. Ono
    • Journal Title

      J Pediatr Gastroenterol Nutr 46

      Pages: 555-60

    • Related Report
      2008 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Fatty acid calcium stones in patients with pancreaticobiliary maljunction/choledochal cyst as another cause of obstructive symptoms besides protein plugs2008

    • Author(s)
      K. Kaneko
    • Journal Title

      J Pediatr Surg 43

      Pages: 564-7

    • Related Report
      2008 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Histological assessment of bile lake formation after hepatic portoenterostomy for biliary atresia2008

    • Author(s)
      T. Tainaka
    • Journal Title

      Pediatr Surg Int 24

      Pages: 268-269

    • NAID

      10027861071

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Intrahepatic cystic lesions after hepatic portoenterostomy for biliary atresia with bile lake and dilated bile ducts2007

    • Author(s)
      T.Tainaka, K.Kaneko, T.Seo, Y.Ono, W.Sumida, H.Ando
    • Journal Title

      J Pediatr Gastroenterol Nutr 44

      Pages: 104-7

    • Related Report
      2008 Final Research Report
    • Peer Reviewed
  • [Journal Article] Liver transplantation for multiple liver metastases from solid pseudopapillary tumor of the pancreas2007

    • Author(s)
      W.Sumida, K.Kaneko, T.Tainaka, Y.Ono, T.Kiuchi, H.Ando
    • Journal Title

      J Pediatr Surg 42(12)

    • Related Report
      2008 Final Research Report
    • Peer Reviewed
  • [Journal Article] Proteomic analysis of protein plugs : causative agent of symptoms in patients with choledochal cyst2007

    • Author(s)
      K.Kaneko, H.Ando, T.Seo, Y.Ono, T.Tainaka, W.Sumida
    • Journal Title

      Dig Dis Sci 52

      Pages: 1979-86

    • Related Report
      2008 Final Research Report
    • Peer Reviewed
  • [Journal Article] Proteomic analysis of protein plugs: causative agent of symptoms in patients with choledochal cyst2007

    • Author(s)
      K. Kaneko
    • Journal Title

      Dig Dis Sci 52

      Pages: 1979-1986

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Intrahepatic cystic lesions after hepatic portoenterostomy for biliary atresia with bile lake and dilated bile ducts2007

    • Author(s)
      T. Tainaka
    • Journal Title

      J Pediatr Gastroenterol Nutr 44

      Pages: 104-107

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Liver transplantation for multiple liver metastases from solid pseudopapillary tumor of the pancreas2007

    • Author(s)
      W. Sumida
    • Journal Title

      J Pediatr Surg 42

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Presentation] 膵胆管合流異常に合併するprotein plugのビソルボンによる溶解2008

    • Author(s)
      金子健一朗, 小野靖之, 田井中貴久, 住田亙, 安藤久實
    • Organizer
      第31回日本膵管胆道合流異常研究会
    • Place of Presentation
      京都
    • Year and Date
      2008-09-27
    • Related Report
      2008 Annual Research Report 2008 Final Research Report
  • [Presentation] 膵胆管合流異常に合併する脂肪酸カルシウム石 : protein plugとは異なる閉塞原因について2008

    • Author(s)
      金子健一朗, 小野靖之, 田井中貴久, 住田亙, 安藤久實
    • Organizer
      第31回日本膵管胆道合流異常研究会
    • Place of Presentation
      京都
    • Year and Date
      2008-09-27
    • Related Report
      2008 Annual Research Report 2008 Final Research Report
  • [Presentation] 先天性胆道拡張症・膵胆管合流異常に合併するprotein plugの溶解実験2008

    • Author(s)
      金子健一朗, 安藤久實, 小野靖之, 田井中貴久, 住田亙
    • Organizer
      第45回日本小児外科学会総会
    • Place of Presentation
      筑波
    • Year and Date
      2008-05-31
    • Related Report
      2008 Final Research Report
  • [Presentation] 先天性胆道拡張症・膵胆管合流異常に合併するprotein plugの溶解実験.2008

    • Author(s)
      金子健一朗
    • Organizer
      第45回日本小児外科学会総会
    • Place of Presentation
      筑波
    • Year and Date
      2008-05-31
    • Related Report
      2008 Annual Research Report
  • [Presentation] 胆汁のプロテオーム解析からみた小児膵胆管合流異常の病態2008

    • Author(s)
      金子健一朗, 澤井潤, 小野靖之, 田井中貴久, 住田亙, 安藤久實
    • Organizer
      第108回日本外科学会総会
    • Place of Presentation
      長崎
    • Year and Date
      2008-05-15
    • Related Report
      2008 Final Research Report
  • [Presentation] 胆汁のプロテオーム解析からみた小児膵管合流異常の病態2008

    • Author(s)
      金子健一朗
    • Organizer
      第108回日本外科学会総会
    • Place of Presentation
      長崎
    • Year and Date
      2008-05-15
    • Related Report
      2008 Annual Research Report
  • [Presentation] 膵・胆管合流異常に合併するprotein plugのプロテオーム解析2007

    • Author(s)
      金子健一朗, 安藤久實, 瀬尾孝彦, 小野靖之, 田井中貴久, 住田亙
    • Organizer
      第30回日本膵管胆道合流異常研究会
    • Place of Presentation
      鹿児島
    • Year and Date
      2007-09-22
    • Related Report
      2008 Final Research Report
  • [Presentation] 膵・胆管合流異常に合併するprotein plugのプロテオーム解析2007

    • Author(s)
      金子健一朗
    • Organizer
      日本膵・胆管合流異常研究会
    • Place of Presentation
      鹿児島
    • Year and Date
      2007-09-22
    • Related Report
      2007 Annual Research Report
  • [Presentation] 先天性胆道拡張症に合併する脂肪酸カルシウム石 : 蛋白栓とは異なる閉塞原因について2007

    • Author(s)
      金子健一朗, 安藤久實, 小野靖之, 田井中貴久, 住田亙
    • Organizer
      第44回日本小児外科学会総会
    • Place of Presentation
      東京
    • Year and Date
      2007-05-31
    • Related Report
      2008 Final Research Report
  • [Presentation] 先天性胆道拡張症に合併する脂肪酸カルシウム石:蛋白栓とは異なる閉塞原因について2007

    • Author(s)
      金子健一朗
    • Organizer
      日本小児外科学会総会
    • Place of Presentation
      東京
    • Year and Date
      2007-05-31
    • Related Report
      2007 Annual Research Report

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Published: 2007-04-01   Modified: 2016-04-21  

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