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A fundamental study of cell sheet treatment for gastrointestinal tract anastomotic stricture

Research Project

Project/Area Number 25462039
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Digestive surgery
Research InstitutionTokyo Women's Medical University

Principal Investigator

Ohki Takeshi  東京女子医科大学, 医学部, 講師 (90307562)

Project Period (FY) 2013-04-01 – 2016-03-31
Project Status Completed (Fiscal Year 2015)
Budget Amount *help
¥5,070,000 (Direct Cost: ¥3,900,000、Indirect Cost: ¥1,170,000)
Fiscal Year 2015: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2014: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Fiscal Year 2013: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Keywords再生医療 / 細胞シート工学 / 食道狭窄 / 吻合部狭窄 / RIC / ロボット支援手術 / 細胞シート
Outline of Final Research Achievements

Based on our knowledge and experience in clinical application of regenerative medical treatments, particularly on transplanting autologous human oral mucosal epithelial cell sheets to prevent stricture after esophageal endoscopic mucosal dissection (ESD), we conducted some basic experiments on big animals in order to develop a new treatment for patients with anastomotic stricture after surgery.
In this study, several gastrointestinal stricture models using pigs were tested. First, an open esophagogatric anastomotic stricture model was tested. However, anastomoses were not stable because the operation was highly invasive. Next, a robot-assisted esophagogatric anastomotic stricture model was tested. Anastomoses were stable, but the pigs underwent surgery were not able to eat soon. Finally, a new gastric-elevated jejunum anastomotic model was tested, and the result was satisfactory. We plan to continue our study using this gastrointestinal stricture model.

Report

(3 results)
  • 2015 Annual Research Report   Final Research Report ( PDF )
  • 2013 Research-status Report
  • Research Products

    (10 results)

All 2015 2014 2013 Other

All Journal Article (4 results) (of which Peer Reviewed: 1 results) Presentation (6 results) (of which Int'l Joint Research: 3 results,  Invited: 2 results)

  • [Journal Article] 細胞シートを用いたESD後食道再生2014

    • Author(s)
      大木岳志、大和雅之、岡野光夫、山本雅一
    • Journal Title

      Surgery Frontier

      Volume: 49 Pages: 49-53

    • Related Report
      2013 Research-status Report
  • [Journal Article] Regenerative Medicine Tissue-Engineered Cell Sheet for the Prevention of Post–Endoscopic Submucosal Dissection Esophageal Stricture2014

    • Author(s)
      Takeshi Ohki, Masayuki Yamato, Teruo Okano, Masakazu Yamamoto
    • Journal Title

      Gastrointest Endoscopy Clin N Am

      Volume: 24 Issue: 2 Pages: 273-281

    • DOI

      10.1016/j.giec.2013.11.003

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] 食道ESDに対する培養口腔粘膜上皮細胞シートの臨床応用2013

    • Author(s)
      大木岳志、大和雅之、太田正穂、高木亮、近藤誠、佐々木亮、金井信雄、大脇敏之、岡野光夫、山本雅一
    • Journal Title

      胃と腸

      Volume: 48 Pages: 1311-1320

    • Related Report
      2013 Research-status Report
  • [Journal Article] 早期食道癌に対する細胞シート治療2013

    • Author(s)
      大木岳志、大和雅之、高木亮、近藤誠、金井信雄、岡野光夫、山本雅一
    • Journal Title

      再生医療

      Volume: 12 Pages: 372-377

    • Related Report
      2013 Research-status Report
  • [Presentation] Endoscopic Transplantation utilizing Cell Sheet Technology to Prevent Stricture after Esophageal ESD2015

    • Author(s)
      Takeshi Ohki
    • Organizer
      第5回世界工学会議( WECC2015)
    • Place of Presentation
      国立京都国際会館(京都府京都市)
    • Year and Date
      2015-11-29
    • Related Report
      2015 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] 食道ESD後の狭窄予防のための細胞シート治療2015

    • Author(s)
      大木岳志
    • Organizer
      第67回日本気管食道科学会総会ならびに学術講演会
    • Place of Presentation
      ザ・セクレトン福島(福島県福島市)
    • Year and Date
      2015-11-19
    • Related Report
      2015 Annual Research Report
    • Invited
  • [Presentation] Education for widespread of endoscopic cell sheet transplantation to prevent a stricture after esophageal ESD2015

    • Author(s)
      T. Ohki, M. Yamato N. Kanai, R. Takagi, T. Okano, M. Yamamoto
    • Organizer
      UEGW
    • Place of Presentation
      Austria Center Vienna, Austria
    • Year and Date
      2015-10-15
    • Related Report
      2015 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Long-term Outcomes Of Endoscopic Transplantation Of Oral Mucosal Epithelial Cell Sheets To Prevent Of Esophageal Stricture After Endoscopic Submucosal Dissection2015

    • Author(s)
      T. Ohki, M. Yamato N. Kanai, R. Takagi, T. Okano, M. Yamamoto
    • Organizer
      4 Th TERMIS World Congress
    • Place of Presentation
      Boston Marriott Copley Place, USA
    • Year and Date
      2015-09-08
    • Related Report
      2015 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 細胞シート工学による食道再生治療の現状と展望2015

    • Author(s)
      大木岳志、大和雅之、金井信雄、太田正穂、江上美芽、岡野光夫、小林慎一朗、金高賢吾、 江口晋、山本雅一
    • Organizer
      第70回日本消化器外科学会総会
    • Place of Presentation
      アクトシティ浜松(静岡県浜松市)
    • Year and Date
      2015-07-15
    • Related Report
      2015 Annual Research Report
  • [Presentation] 食道ESDの手技の定型化と食道狭窄に対する再生医療技術の応用

    • Author(s)
      大木岳志、太田正穂、山本雅一
    • 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
    • Related Report
      2013 Research-status Report

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Published: 2014-07-25   Modified: 2019-07-29  

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