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The association between anal function and tissue degeneration after radiotherapy

Research Project

Project/Area Number 26462019
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Digestive surgery
Research InstitutionNational Cancer Center Japan

Principal Investigator

Nishizawa Yuji  国立研究開発法人国立がん研究センター, 東病院, 医員 (50545001)

Co-Investigator(Kenkyū-buntansha) 藤井 誠志  国立研究開発法人国立がん研究センター, 先端医療開発センター, ユニット長 (30314743)
中村 達雄  京都大学, ウイルス・再生医科学研究所, 准教授 (70227908)
道川 祐市  国立研究開発法人量子科学技術研究開発機構, 緊急被ばく医療研究センター, 主任研究員 (20360688)
Project Period (FY) 2014-04-01 – 2017-03-31
Project Status Completed (Fiscal Year 2016)
Budget Amount *help
¥4,810,000 (Direct Cost: ¥3,700,000、Indirect Cost: ¥1,110,000)
Fiscal Year 2016: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2015: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2014: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Keywords直腸癌 / 放射線治療 / 組織障害 / 術後排便機能 / 再生医療 / 放射線障害 / 直腸癌治療 / 腸内細菌叢 / 放射線化学療法 / 排便機能障害 / 脂肪幹細胞 / 肛門温存手術 / 神経障害 / 化学療法 / 脂肪肝細胞再生医療
Outline of Final Research Achievements

Preoperative chemoradiotherapy for rectal cancer is administered to improve local control, but it can also induce severe anal dysfunction after surgery. Preoperative chemoradiotherapy induced marked tissue degeneration around the rectal tumor. The management of therapeutic benefit and anal function is required following ISR, and we intend to examine approaches to maintenance of the therapeutic benefit of preoperative CRT. We have studied the development of a tissue degeneration mitigation treatment model with the mouse anus tissue. Tissue injury in mouse sphincter muscle was found to show degenerative findings from 10Gy, and it became clear that serious obstacles leading to death of mouse occurred more than 15 Gy. In addition, to prepare a treatment model to relieve tissue degeneration by using a method of regenerative medicine, a model using stem cells was examined and there was no adverse event, but improvement of tissue degeneration could not be shown with a significant difference.

Report

(4 results)
  • 2016 Annual Research Report   Final Research Report ( PDF )
  • 2015 Research-status Report
  • 2014 Research-status Report
  • Research Products

    (25 results)

All 2017 2016 2015 2014

All Journal Article (14 results) (of which Peer Reviewed: 13 results,  Open Access: 1 results) Presentation (9 results) Book (2 results)

  • [Journal Article] Quantitative evaluation of 3D imaging in laparoscopic surgery2017

    • Author(s)
      Nishizawa Y 2番目5名省略
    • Journal Title

      Surg Today

      Volume: 47(4) Issue: 4 Pages: 440-444

    • DOI

      10.1007/s00595-016-1428-z

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed
  • [Journal Article] A novel transanal tube designed to prevent anastomotic leakage after rectal cancer surgery: the WING DRAIN.2017

    • Author(s)
      Nishizawa Y 3番目2名省略
    • Journal Title

      Surg Today

      Volume: 47(4) Issue: 4 Pages: 513-520

    • DOI

      10.1007/s00595-016-1392-7

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Relationship between tissue tension and thermal diffusion to peripheral tissue using an energy device2016

    • Author(s)
      Kondo A, Nishizawa Y, Akamoto S, Fujiwara M, Okano K, Suzuki Y, Ito Masaaki, Norio Saito
    • Journal Title

      Asian J Endosc Surg

      Volume: 未定 Issue: 3 Pages: 226-30

    • DOI

      10.1111/ases.12283

    • Related Report
      2016 Annual Research Report 2015 Research-status Report
    • Peer Reviewed
  • [Journal Article] Morphological study of the neurovascular bundle to elucidate nerve damage in pelvic surger2016

    • Author(s)
      Nishimura M, Nishizawa Y, Naito M, Hirai S, Itoh M, Ito M, Akamoto S, Suzuki Y
    • Journal Title

      Int J Colorectal Dis.

      Volume: 31(3) Issue: 3 Pages: 503-9

    • DOI

      10.1007/s00384-015-2470-9

    • Related Report
      2016 Annual Research Report 2015 Research-status Report
    • Peer Reviewed
  • [Journal Article] Association between pathologic features of peripheral nerves and postoperative anal function after neoadjuvant therapy for low rectal cancer.2016

    • Author(s)
      Koushi K, Nishizawa Y, Kojima M, Fujii S 4名省略
    • Journal Title

      Int J Colorectal Dis

      Volume: 31(12) Issue: 12 Pages: 1845-1852

    • DOI

      10.1007/s00384-016-2640-4

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Gene expression profile in the activation of subperitoneal fibroblasts reflects prognosis of patients with colon cancer2016

    • Author(s)
      Nishizawa Y, 4番目7名省略
    • Journal Title

      Int J Cancer

      Volume: 138(6) Issue: 6 Pages: 1422-31

    • DOI

      10.1002/ijc.29851

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 治療成績と術後排便機能の両立をめざしたISR2015

    • Author(s)
      西澤祐吏、伊藤雅昭、合志健一、塚田祐一郎、横田満、小林昭広、齋藤典男
    • Journal Title

      外科

      Volume: 77(3) Pages: 289-296

    • Related Report
      2015 Research-status Report
    • Peer Reviewed
  • [Journal Article] 肛門威力の現状と未来-永久人工肛門の廃絶を目指して2015

    • Author(s)
      荒木 淳、西澤祐吏、齋藤典男、光嶋勲
    • Journal Title

      日外会誌

      Volume: 116(2) Pages: 114-118

    • Related Report
      2015 Research-status Report
    • Peer Reviewed
  • [Journal Article] Mobile locally operated detachable end-effector manipulator for endoscopic surgery2015

    • Author(s)
      Kawai T, Shin N, Nishizawa Y, Horise Y, Nishikawa A, Nakamura T
    • Journal Title

      Int J Comput Assist Radiol Surg

      Volume: 10(2) Pages: 161-169

    • NAID

      120007104222

    • Related Report
      2015 Research-status Report
    • Peer Reviewed
  • [Journal Article] Anorectal autotransplantation in a canine model: the first successful report in the short term with the non-laparotomy approach.2014

    • Author(s)
      Nishizawa Y, Araki J, Nakamura T, Sato T, Naito M他
    • Journal Title

      Sci Rep.

      Volume: 10

    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Long-term outcomes after intersphincteric resection for low-lying rectal cancer2014

    • Author(s)
      Saito N, Ito M, Kobayashi A, Nishizawa Y他
    • Journal Title

      Ann Surg Oncol

      Volume: 21 Pages: 3608-3615

    • Related Report
      2014 Research-status Report
    • Peer Reviewed
  • [Journal Article] Effectiveness of a Transanal Tube for the Prevention of Anastomotic Leakage after Rectal Cancer Surgery2014

    • Author(s)
      Nishigori H, Ito M, Nishizawa Y
    • Journal Title

      World J Surg

      Volume: 38 Pages: 1843-1851

    • Related Report
      2014 Research-status Report
    • Peer Reviewed
  • [Journal Article] Clinical Impact of Elastic Laminal Invasion in Colon Cancer: Elastic Laminal Invasion-Positive Stage II Colon Cancer Is a High-Risk Equivalent to Stage III2014

    • Author(s)
      Yokota M, Kojima M, Nomura S, Nishizawa Y
    • Journal Title

      Dis Colon & Rectum

      Volume: 57 Pages: 830-838

    • Related Report
      2014 Research-status Report
    • Peer Reviewed
  • [Journal Article] 第21回指定研究賞 肛門機能の再生・再建を目指した基礎研究の成果2014

    • Author(s)
      西澤祐吏
    • Journal Title

      手術

      Volume: 68 Pages: 870-874

    • Related Report
      2014 Research-status Report
  • [Presentation] 腹腔鏡下ISRにおける鏡視下解剖を考慮した安全な肛門管剥離2015

    • Author(s)
      西澤祐吏、伊藤雅昭、佐々木剛志、小林昭広
    • Organizer
      第28回日本内視鏡外科学会総会
    • Place of Presentation
      大阪
    • Year and Date
      2015-12-10
    • Related Report
      2015 Research-status Report
  • [Presentation] ISR術後の排便機能障害に対する治療 [The therapeufic strategy for anal dysfunction followed by ISR]2015

    • Author(s)
      西澤祐吏、伊藤雅昭、塚田祐一郎、合志健一、小林昭広、佐々木剛志
    • Organizer
      第70回日本大腸肛門病学会学術集会
    • Place of Presentation
      名古屋
    • Year and Date
      2015-11-13
    • Related Report
      2015 Research-status Report
  • [Presentation] 排便機能障害に対する新たな治療コンセプト―再生医療と移植医療の基礎研究から2015

    • Author(s)
      西澤祐吏、中村達雄、荒木淳、伊藤雅昭、齋藤典男
    • Organizer
      第74回日本癌学会学術総会
    • Place of Presentation
      名古屋
    • Year and Date
      2015-10-08
    • Related Report
      2015 Research-status Report
  • [Presentation] 治療成績と術後肛門機能の両立を目指した直腸癌治療-術前治療から術後肛門機能不全に対する治療まで-2015

    • Author(s)
      西澤祐吏、伊藤雅昭、荒木淳、中村達雄、齋藤典男
    • Organizer
      第70回日本消化器外科学会総会
    • Place of Presentation
      浜松
    • Year and Date
      2015-07-15
    • Related Report
      2015 Research-status Report
  • [Presentation] 解剖学特性とエネルギーデバイスの熱拡散に配慮した腹腔鏡下直腸癌手術の定型化2014

    • Author(s)
      西澤祐吏、齋藤典男、伊藤雅昭他
    • Organizer
      第76回日本臨床外科学会
    • Place of Presentation
      郡山
    • Year and Date
      2014-11-20 – 2014-11-21
    • Related Report
      2014 Research-status Report
  • [Presentation] 機能温存に配慮した腹腔鏡下直腸癌手術ー神経解剖とエネルギーデバイスにおける熱拡散の知見からー2014

    • Author(s)
      西澤祐吏、齋藤典男、伊藤雅昭他
    • Organizer
      第69回日本大腸肛門病学会
    • Place of Presentation
      横浜
    • Year and Date
      2014-11-07 – 2014-11-08
    • Related Report
      2014 Research-status Report
  • [Presentation] 機能温存に配慮した腹腔鏡下ISRの手術手技2014

    • Author(s)
      西澤祐吏、齋藤典男、伊藤雅昭他
    • Organizer
      第27回日本内視鏡外科学会
    • Place of Presentation
      盛岡
    • Year and Date
      2014-10-02 – 2014-10-04
    • Related Report
      2014 Research-status Report
  • [Presentation] 肛門機能における陰部神経の役割-陰部神経切離・吻合モデルの検討-2014

    • Author(s)
      西澤祐吏、齋藤典男、伊藤雅昭、中村達雄他
    • Organizer
      第20回大腸肛門機能障害研究会
    • Place of Presentation
      東京
    • Year and Date
      2014-09-08
    • Related Report
      2014 Research-status Report
  • [Presentation] 肛門機能の再生・再建を目的とした再生・移植医療2014

    • Author(s)
      西澤祐吏、齋藤典男、伊藤雅昭、中村達雄他
    • Organizer
      第69回日本消化器外科学会総会
    • Place of Presentation
      郡山
    • Year and Date
      2014-07-16 – 2014-07-18
    • Related Report
      2014 Research-status Report
  • [Book] 腹腔鏡下S状結腸切除術徹底レクチャー2015

    • Author(s)
      伊藤雅昭 西澤祐吏他
    • Total Pages
      143
    • Publisher
      金原出版
    • Related Report
      2014 Research-status Report
  • [Book] 皮膚の悪性腫瘍-実践に役立つ再診の診断・治療-2014

    • Author(s)
      西澤祐吏 齋藤典男他
    • Total Pages
      5
    • Publisher
      医学書院
    • Related Report
      2014 Research-status Report

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Published: 2014-04-04   Modified: 2018-03-22  

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