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Risk stratification of postoperative orthostatic hypotension in the early period after the abdominal surgery and development of a prevention device.

Research Project

Project/Area Number 24592341
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Anesthesiology/Resuscitation studies
Research InstitutionKochi University

Principal Investigator

KITAGAWA Hiroyuki  高知大学, 教育研究部医療学系, 助教 (10403883)

Co-Investigator(Kenkyū-buntansha) YAMASAKI Fumiyasu  高知大学, 教育研究部医療学系, 講師 (10243841)
Co-Investigator(Renkei-kenkyūsha) SATO Takayuki  高知大学, 教育研究部医療学系, 教授 (90205930)
Project Period (FY) 2012-04-01 – 2015-03-31
Project Status Completed (Fiscal Year 2014)
Budget Amount *help
¥5,200,000 (Direct Cost: ¥4,000,000、Indirect Cost: ¥1,200,000)
Fiscal Year 2014: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2013: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2012: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Keywords周術期管理学 / 術後起立性低血圧 / 腹部手術 / 先端機能デバイス / 低侵襲性治療システム
Outline of Final Research Achievements

We predicted risk factors of postoperative orthostatic hypotension (OHT) in the early period after the abdominal surgery, and developed a prevention device with new shock pants which could support safety recovery. In 161 patients with post gastric cancer surgery, OHT was smaller with laparoscopic surgery than with laparotomy. And it related to the decrease of blood pressure (BP) by standing before surgery. Dizziness were frequently occurred in elderly, lower diastolic BP in standing , large decrease of BP, having calcium blocker and α blocker, Y-graft surgery. We developed a prototype of a noninvasive artificial feedback system with a modified anti-G suit. We changed air bladder and fitting feel. The system could buffer a change of pants pressure due to respiratory abdominal motion.

Report

(4 results)
  • 2014 Annual Research Report   Final Research Report ( PDF )
  • 2013 Research-status Report
  • 2012 Research-status Report
  • Research Products

    (10 results)

All 2015 2014 2013

All Journal Article (4 results) (of which Peer Reviewed: 4 results) Presentation (6 results)

  • [Journal Article] Questionnaire survey on the use of a novel artificial pancreas by intensive care unit nurses2015

    • Author(s)
      Mibu K, Yatabe T, Yamasaki F, Kitagawa H, Munekage M, Namikawa T, Hanazaki K
    • Journal Title

      J Artif Organs

      Volume: 23 Issue: 2 Pages: 162-165

    • DOI

      10.1007/s10047-015-0818-0

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Clinicopathological Characteristics and Therapeutic Outcomes of Synchronous Gastric Adenocarcinoma and Gastric Lymphoma2014

    • Author(s)
      Namikawa T, Munekage E, Fukudome I, Maeda H, Kitagawa H, Togitani K, Takasaki M, Yokoyama A, Kobayashi M, Hanazaki K
    • Journal Title

      Anticancer Res

      Volume: 34 Pages: 5067-5074

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Double tract reconstruction after gastrectomy facilitates endoscopic access to the biliary tree2013

    • Author(s)
      Namikawa T, Munekage E, Kitagawa H, Okabayashi T, Kobayashi M, Hanazaki K
    • Journal Title

      Digest Dis Sci

      Volume: 58 Issue: 5 Pages: 1422-1427

    • DOI

      10.1007/s10620-012-2498-4

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Efficacy of Laparoscopic Gastric Mobilization for Esophagectomy: Comparison with Open Thoracoabdominal Approach2013

    • Author(s)
      Kitagawa H, Namikawa T, Iwabu J, Akimori T, Okabayashi T, Sugimoto T, Mimura T, Kobayashi M, Hanazaki K
    • Journal Title

      J Laparoendosc Adv Surg Tech A

      Volume: 23 Issue: 5 Pages: 452-455

    • DOI

      10.1089/lap.2012.0377

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Presentation] 術後QOLの視点からみた胃癌に対する手術および再建法の評価2015

    • Author(s)
      北川博之、並川 努、福留惟行、宗景絵里、宗景匡哉、志賀 舞、前田広道、岡本 健、小林道也、花﨑和弘
    • Organizer
      第87回日本胃癌学会学術集会
    • Place of Presentation
      広島: リーガロイヤルホテル広島
    • Year and Date
      2015-03-04 – 2015-03-06
    • Related Report
      2014 Annual Research Report
  • [Presentation] Comparison between a novel and conventional artificial pancreas for perioperative glycemic control using a closed-loop system2015

    • Author(s)
      Hanazaki K, Munekage M, Yatabe T, Kitagawa H, Kinoshita Y, Asano T, Namikawa T
    • Organizer
      8th International Conference Advanced Technologies Treatments Diabetes (ATTD 2015)
    • Place of Presentation
      Paris, France : CNIT Paris La Defense
    • Year and Date
      2015-02-18 – 2015-02-21
    • Related Report
      2014 Annual Research Report
  • [Presentation] Novel Therapeutic Approach for Orthostatic Hypotension: Deep Brain Stimulation2014

    • Author(s)
      弘田隆省、山崎文靖、古野貴志、森田ゆかり、杉浦哲朗、佐藤隆幸、北岡裕章
    • Organizer
      第78回日本循環器学会学術集会
    • Place of Presentation
      東京国際フォーラム(東京)
    • Related Report
      2013 Research-status Report
  • [Presentation] Double tract reconstruction facilitates endoscopic access for pancreatobiliary disorders in patients after gastrectomy for gastric cancer2013

    • Author(s)
      Namikawa T, Munekage E, Shiga M, Kitagawa H, Kobayashi M, Hanazaki K
    • Organizer
      10th International Gastric Cancer Congress
    • Place of Presentation
      Gran Guardia Palace (Verona, Italy)
    • Related Report
      2013 Research-status Report
  • [Presentation] 胃癌術後 double tract 再建における ERCP 関連手技の評価2013

    • Author(s)
      並川努、北川博之、山岡 肇、水田 洋、東谷芳史、岡本宣人、小林道也、西原利治、花崎和弘
    • Organizer
      第85回日本消化器内視鏡学会総会
    • Place of Presentation
      国立京都国際会館 (京都)
    • Related Report
      2013 Research-status Report
  • [Presentation] 食道癌手術における周術期管理の工夫2013

    • Author(s)
      北川博之、並川 努、志賀 舞、宗景絵里、秋森豊一、小林道也、花﨑和弘
    • Organizer
      第68回日本消化器外科学会定期学術総会
    • Place of Presentation
      シーガイアコンベンションセンター (宮崎)
    • Related Report
      2013 Research-status Report

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Published: 2013-05-31   Modified: 2019-07-29  

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