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2010 Fiscal Year Final Research Report

Basic and clinical investigation of cerebral and sacral neuromodulation in the field of pediatric surgical diseases

Research Project

  • PDF
Project/Area Number 19390448
Research Category

Grant-in-Aid for Scientific Research (B)

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

Principal Investigator

KUBOTA Masayuki  Niigata University, 医歯学系, 教授 (50205150)

Co-Investigator(Kenkyū-buntansha) OKUYAMA Naoki  新潟大学, 医歯学系, 准教授 (00312736)
Project Period (FY) 2007 – 2010
Keywords神経調節 / 高頻度磁気刺激 / 仙骨神経 / 鎖肛 / ヒルシュスプルング病 / 慢性便秘
Research Abstract

Neuromodulation is a recent technique where an electric current is applied to the cerebral cortex or the sacral nerves to improve neural disturbances. Repetitive magnetic stimulation represents a non-invasive technique to painlessly induce an electric current inside the body. Based on the animal studies, one treatment course consisted of stimulation delivered at 15Hz for 5 seconds 10 times over an interval of one minute. We performed sacral magnetic stimulation (SMS) in post-operative pediatric patients withoug any harmful events (anorectal anomalies 24 case, Hirschspurung disease 10 cases, and chronic constipation 10 cases). In three post-operative pediatric patients with severe bowel or bladder dysfunction refractory to conservative treatments, SMS induced a remarkable improvement, thereby suggesting usefulness of SMS as a new treatment modality of neuromodulation.

  • Research Products

    (59 results)

All 2011 2010 2009 2008 2007

All Journal Article (33 results) (of which Peer Reviewed: 16 results) Presentation (22 results) Book (4 results)

  • [Journal Article] Effects of neuromodulation with sacral magnetic stimulation for intractable bowel or bladder dysfunction in postoperative patients with anorectal malformation : a preliminary report2011

    • Author(s)
      窪田正幸, 奥山直樹, 小林久美子, 塚田真実, 仲谷健吾, 石川未来
    • Journal Title

      Pediatr Surg Int in press

    • Peer Reviewed
  • [Journal Article] 小児外科学2011

    • Author(s)
      窪田正幸
    • Journal Title

      医事新報 4532

      Pages: 73-77

  • [Journal Article] 見逃してはいけない家族性腫瘍、小児固形悪性腫瘍(神経芽腫、腎芽腫)における家族発症に関する検討2011

    • Author(s)
      窪田正幸
    • Journal Title

      家族性腫瘍 11

      Pages: 11-13

  • [Journal Article] Usefulness of bFGF spray in the treatment of perianal abscess and fistula-in-ano.2010

    • Author(s)
      窪田正幸, 平山裕, 奥山直樹
    • Journal Title

      Pediatr Surg Int 26

      Pages: 1037-1040

    • Peer Reviewed
  • [Journal Article] The role of surgery in the treatment of neuroblastoma2010

    • Author(s)
      Kubota M (Review)
    • Journal Title

      Surgery Today 40

      Pages: 526-537

    • Peer Reviewed
  • [Journal Article] Mortality and : morbidity of patients with neuroblastoma who survived for more than 10 years after treatment-Niigata Tumor Board Study-2010

    • Author(s)
      Kuboya M, Okuyama N, Hirayama, Asami K, Ogawa A, Watanabe
    • Journal Title

      J Pediatr Surg 45

      Pages: 673-677

    • Peer Reviewed
  • [Journal Article] 直腸肛門神経伝導速度2010

    • Author(s)
      窪田正幸
    • Journal Title

      小児外科 42

      Pages: 772-776

  • [Journal Article] Toxic megacolon2010

    • Author(s)
      窪田正幸
    • Journal Title

      小児内科 42

      Pages: 852-854

  • [Journal Article] 長期入院患者のQOL2010

    • Author(s)
      窪田正幸
    • Journal Title

      小児外科 42

      Pages: 345-348

  • [Journal Article] 肝芽腫治療後に治療関連白血病を発症した1例2010

    • Author(s)
      細貝亮介、渡邉輝浩、小川淳、浅見恵子、窪田正幸
    • Journal Title

      小児がん 47

      Pages: 116-120

    • Peer Reviewed
  • [Journal Article] 食道インピーダンス検査2010

    • Author(s)
      奥山直樹
    • Journal Title

      小児外科 42

      Pages: 705-709

  • [Journal Article] 仙骨部高頻度磁気刺激法を用いた神経調節による排便・排尿機能改善の試み2010

    • Author(s)
      奥山直樹, 窪田正幸, 小林久美子, 塚田真実, 仲谷健吾, 石川未来
    • Journal Title

      日小外会誌 46

      Pages: 578

  • [Journal Article] 排便調整困難な慢性便秘症におけるCTによる潜在性二分脊椎および脊椎の椎弓癒合不全の評価2010

    • Author(s)
      奥山直樹, 窪田正幸, 平山裕, 仲谷健吾, 石川未来
    • Journal Title

      日小外会誌 46

      Pages: 670

  • [Journal Article] A case of choledochal cyst associated with a lymphatic infiltration of a hyperplastic gallbladder epithelium2009

    • Author(s)
      Hirayama Y, Kubota M, Hasegawa G, Okuyama N, Ohtaki M, Kobayashi K, Tsukada M, Sato K, Nishikura K, Naito M, Ajioka Y
    • Journal Title

      J Pediatr Surg 44

      Pages: 831-835

    • Peer Reviewed
  • [Journal Article] Loss of carcinoembryonic antigen-related cell adhesion molecule 1 expression predicts metachronous pulmonary metastasis and poor survival in patients with hepatoblastoma2009

    • Author(s)
      Tsukada M, Wakai T, Matsuda Y, Korita PV, Shirai Y, Ajioka Y, Hatakeyama K, Kubota M
    • Journal Title

      J Pediatr Surg 44

      Pages: 1522-1528

    • Peer Reviewed
  • [Journal Article] A 2-year-old boy with a stage III yolk sac tumor occurring in an intra-abdominal retained testis2009

    • Author(s)
      Hirayama Y, Kubota M, Imamura M, Imai C, Okuyama N, Tsukada M, Kobayashi K, Sato K, Takachi T, Iwafuchi H, Uchiyama M
    • Journal Title

      J Pediatr Surg 44

      Pages: 2395-2398

    • Peer Reviewed
  • [Journal Article] HypoganglionosisとImmatureganglionosis2009

    • Author(s)
      窪田正幸
    • Journal Title

      小児外科 41

      Pages: 385-388

  • [Journal Article] 無症候性水腎症2009

    • Author(s)
      窪田正幸
    • Journal Title

      小児外科 41

      Pages: 1023-1027

  • [Journal Article] 鏡視下鎖肛根治術の合併症として過活動型膀胱に対して仙骨高頻度磁気刺激による神経調節を施行した一例2009

    • Author(s)
      窪田正幸, 奥山直樹, 平山裕, 金田聡
    • Journal Title

      日小外会誌 45

      Pages: 921-922

  • [Journal Article] GER評価における食道インピーダンス測定の有用性に関する検討-食道・胃24時間pH測定との比較2009

    • Author(s)
      奥山直樹, 窪田正幸, 平山裕, 塚田真実, 小林久美子
    • Journal Title

      日小外会誌 45

      Pages: 879

  • [Journal Article] 小児外科疾患が家庭に及ぼす影響-離婚した母親6名におけるpilot study-2009

    • Author(s)
      小林久美子, 窪田正幸, 奥山直樹, 平山裕, 塚田真実, 佐藤佳奈子
    • Journal Title

      日小外会誌 45

      Pages: 825-829

    • Peer Reviewed
  • [Journal Article] 進行神経芽腫の骨盤温存手術2009

    • Author(s)
      窪田正幸
    • Journal Title

      小児外科 40

      Pages: 619-634

  • [Journal Article] 新生児外科の進歩2008

    • Author(s)
      窪田正幸
    • Journal Title

      産婦人科治療 96増刊

      Pages: 855-860

  • [Journal Article] 慢性便秘小児における直腸拡張2008

    • Author(s)
      窪田正幸
    • Journal Title

      小児外科 40

      Pages: 185-189

  • [Journal Article] 胆道閉鎖症の集簇性2008

    • Author(s)
      窪田正幸
    • Journal Title

      小児外科 40

      Pages: 35-40

  • [Journal Article] 特異的遺伝子転座を認めず胞巣状構造を呈した横紋筋肉腫の1例2008

    • Author(s)
      李貴東, 生越章, 掘, 今井千速、窪田正幸、奥山直樹、平山裕、小川淳, 麻美恵子, 岩渕晴子
    • Journal Title

      臨整外 43

      Pages: 833-837

    • Peer Reviewed
  • [Journal Article] GER症例の食物胃内停滞時間に関する検討-24時間pH monitoring 4点測定による評価2008

    • Author(s)
      奥山直樹, 窪田正幸, 平山裕, 小林久美子, 渡邉真実, 佐藤佳奈子
    • Journal Title

      日小外会誌 44

      Pages: 399

  • [Journal Article] Mother-to-daughter occurrence of biliary atresia : A case report2008

    • Author(s)
      Kobayashi K, Kubota M, Okuyama N, Hirayama Y, Watanabe M, Sato K
    • Journal Title

      J Pediatr Surg 43

      Pages: 1566-1568

    • Peer Reviewed
  • [Journal Article] Effect of sacral magnetic stimulation on the anorectal manometric activity : A new modality for examining sacro-rectoanal interaction2007

    • Author(s)
      窪田正幸, 奥山直樹, 平山裕, 小林久美子, 佐藤佳奈子
    • Journal Title

      Pediatr Surg Int 23

      Pages: 741-745

    • Peer Reviewed
  • [Journal Article] A new method to close an intestinal wall defect using Fibrin Glue and Polyglycolic Acid Felt (FGPAF) sealant2007

    • Author(s)
      窪田正幸, 奥山直樹, 平山裕
    • Journal Title

      J Pediatr Surg 42

      Pages: 1225-1230

    • Peer Reviewed
  • [Journal Article] Is mobile testis a true pathological condition due to a gubernacular abnormality2007

    • Author(s)
      Kubota M, Okuyama N, Yamazaki S, Hirayama Y, Kobayashi K, Satoh K
    • Journal Title

      Pediatr Surg Int 23

      Pages: 633-636

    • Peer Reviewed
  • [Journal Article] Sacral parasite with Histopathological features of an unequally conjoined twin2007

    • Author(s)
      Hirayama Y, Kubota M, Kakita A, Kawasaki T, Hasegawa G, Tanaka S, Ohtaki M, Yamazaki S, Okuyama, Yagi M, Naito M
    • Journal Title

      Pediatr Surg Int 23

      Pages: 715-720

    • Peer Reviewed
  • [Journal Article] 胃食道逆流が原因で呼吸機能改善が停滞した脳死肺移植例2007

    • Author(s)
      土田正則, 橋本毅久, 篠原博彦, 小室輝元, 青木正, 林純一, 奥山直樹, 窪田正幸
    • Journal Title

      胸部外科 60

      Pages: 999-1004

    • Peer Reviewed
  • [Presentation] Effect of neuromodulation with sacral magnetic stimulation for intractable bowel or bladder dysfunction in post-operative patients with anorectal malformation : A preliminary report2010

    • Author(s)
      窪田正幸, 奥山直樹, 小林久美子, 塚田真実, 仲谷健吾, 石川未来
    • Organizer
      3rd World Congress of Pediatric Surgery
    • Place of Presentation
      New Delhi, India(oral presentation on October 24)
    • Year and Date
      20101021-20101024
  • [Presentation] Is reinforcement of anastomosis possible by wrapping absorbable materials cicumferentially on the suture line?2010

    • Author(s)
      窪田正幸, 奥山直樹, 小林久美子, 塚田真実, 仲谷健吾, 石川未来
    • Organizer
      23rd International Symposium on Paediatric Surgical Research
    • Place of Presentation
      Tokyo, Japan(poster presentation on September 14)
    • Year and Date
      20100912-20100914
  • [Presentation] Simple internal coil stenting for the treatment of tracheal wall defects-An experimental study with rabbits2010

    • Author(s)
      窪田正幸, 奥山直樹, 小林久美子, 塚田真実, 仲谷健吾, 石川未来
    • Organizer
      23rd International Symposium on Paediatric Surgical Research
    • Place of Presentation
      Tokyo, Japan(poster presentation on September 13)
    • Year and Date
      20100912-20100914
  • [Presentation] 小児固形悪性腫瘍(神経芽腫、腎芽腫)における家族発症に関する検討2010

    • Author(s)
      窪田正幸
    • Organizer
      第16回日本家族性腫瘍学会
    • Place of Presentation
      新潟(シンポジウム、7月10日)
    • Year and Date
      20100709-20100710
  • [Presentation] Postnatal transition of GGTP strongly indicates the prenatal occurrence of biliary atresia.2010

    • Author(s)
      窪田正幸, 奥山直樹, 小林久美子, 塚田真実, 仲谷健吾, 石川未来
    • Organizer
      43rd Annual Meeting of Pacific Association of Pediatric Surgeons
    • Place of Presentation
      Kobe, Japan(oral presentation on May 25)
    • Year and Date
      20100523-20100527
  • [Presentation] Simple internal coil stenting for the treatment of tracheal wall defects-An experimental study with rabbits2010

    • Author(s)
      窪田正幸, 奥山直樹, 小林久美子, 塚田真実, 仲谷健吾, 石川未来
    • Organizer
      43rd Annual Meeting of Pacific Association of Pediatric Surgeons
    • Place of Presentation
      Kobe, Japan(poster presentation on May 25)
    • Year and Date
      20100523-20100527
  • [Presentation] Measurement of the gubernaculum deviation index to express gubernaculum attachment abnormality in an undescended testis.2010

    • Author(s)
      窪田正幸, 奥山直樹, 平山裕
    • Organizer
      22nd Congress of the Asian Association of Pediatric Surgeons
    • Place of Presentation
      Kuala Lumpur, Malaysia(oral presentation on February 24)
    • Year and Date
      20100222-20100224
  • [Presentation] Usefulness of bFGF spray in the treatment of perianal abscess2010

    • Author(s)
      窪田正幸, 奥山直樹, 平山裕
    • Organizer
      22nd Congress of the Asian Association of Pediatric Surgeons
    • Place of Presentation
      Kuala Lumpur, Malaysia(oral presentation on February 22)
    • Year and Date
      20100222-20100224
  • [Presentation] 慢性便秘症における直腸拡張の有無よりみた大建中湯の効果2010

    • Author(s)
      窪田正幸、奥山直樹、小林久美子、塚田真実、仲谷健吾、石川未来
    • Organizer
      第15回小児漢方研究会
    • Place of Presentation
      横浜(口演)
    • Year and Date
      2010-11-19
  • [Presentation] 気管狭窄治療法としてのコイル内ステントの実験的検討2010

    • Author(s)
      窪田正幸、奥山直樹、小林久美子、塚田真実、仲谷健吾
    • Organizer
      第21回小児呼吸器外科研究会
    • Place of Presentation
      横浜(口演)
    • Year and Date
      2010-11-19
  • [Presentation] Watanabe A Mortality and morbidity of patients with neuroblastoma that survived more than 10 years after treatment : Niigata tumor board study2009

    • Author(s)
      窪田正幸, 奥山直樹, 平山裕, 浅見恵子, 小川淳
    • Organizer
      42nd Annual Meeting of Pacific Association of Pediatric Surgeons
    • Place of Presentation
      Hong Kong, China(oral presentation on May 13)
    • Year and Date
      20090509-20090514
  • [Presentation] Timing of biliary tract obstruction as assessed by chronological changes in direct bilirubin fraction in biliary atresia2009

    • Author(s)
      窪田正幸, 小林久美子, 塚田真実, 奥山直樹, 平山裕
    • Organizer
      42nd Annual Meeting of Pacific Association of Pediatric Surgeons
    • Place of Presentation
      Hong Kong, China(poster presentation on May 13)
    • Year and Date
      20090509-20090514
  • [Presentation] γGTPの推移からみた胆道閉鎖証発症時期の検討2009

    • Author(s)
      窪田正幸, 奥山直樹, 平山裕, 小林裕, 塚田真実
    • Organizer
      第36回日本胆道閉鎖研究会
    • Place of Presentation
      横浜(口演)
    • Year and Date
      2009-12-12
  • [Presentation] 鏡視下鎖肛根治術の合併症として過活動型膀胱に対して仙骨高頻度磁気刺激による神経調節を施行した一例2009

    • Author(s)
      窪田正幸, 奥山直樹, 平山裕
    • Organizer
      第25回日本小児外科秋季シンポジウム
    • Place of Presentation
      鹿児島(シンポジウム)
    • Year and Date
      2009-10-31
  • [Presentation] 中間位・高位型鎖肛術後soilingに対する抗コリン剤の効果2009

    • Author(s)
      窪田正幸, 奥山直樹, 平山裕
    • Organizer
      第66回直腸肛門奇形研究会
    • Place of Presentation
      鹿児島(口演10月29日)
    • Year and Date
      2009-10-29
  • [Presentation] 1県レベルTumor Boardにおける腎芽腫の問題点と臨床的特徴2008

    • Author(s)
      窪田正幸、奥山直樹、小林久美子、塚田真実、仲谷健吾、石川未来、浅見恵子、小川淳、渡辺輝浩
    • Organizer
      第26回日本小児がん学会
    • Place of Presentation
      大阪(口演12月17日)
    • Year and Date
      20081217-20081218
  • [Presentation] Effects of fibrin glue and polyglycolic acid felt (FGPAF) sealnt on the tracheal wall defects and their natural healing process in rabbits2008

    • Author(s)
      窪田正幸, 小林久美子, 塚田真実, 奥山直樹, 平山裕
    • Organizer
      21st Congress of the Asian Association of Pediatric Surgeons
    • Place of Presentation
      Bangkok, Thailand(poster presentation on November 18)
    • Year and Date
      20081116-20081119
  • [Presentation] 術前のビリルビン動態からみた胆道閉鎖症発生時期の検討2008

    • Author(s)
      窪田正幸、小林久美子、塚田真実、奥山直樹、平山裕
    • Organizer
      第35回日本胆道閉鎖研究会
    • Place of Presentation
      東京(口演)
    • Year and Date
      2008-12-06
  • [Presentation] 気管欠損に対するFGPAF法の有用性と欠損部の自然閉鎖に関する検討2008

    • Author(s)
      窪田正幸、奥山直樹、平山裕、渡辺真実、仲谷健吾
    • Organizer
      第19回日本小児呼吸器外科研究会
    • Place of Presentation
      大阪(口演)
    • Year and Date
      2008-11-12
  • [Presentation] 新潟県における神経芽腫治療成績の治療戦略別変遷-Niigata Tumor Board Study-2007

    • Author(s)
      窪田正幸、奥山直樹、平山裕、小林久美子、渡邉真実、佐藤佳奈子、浅見恵子、小川淳、渡辺輝浩
    • Organizer
      第23回日本小児がん学会
    • Place of Presentation
      仙台(口演12月16日)
    • Year and Date
      20071215-20071216
  • [Presentation] 新潟県における胆道閉鎖症の地域集簇性に関する疫学的検討2007

    • Author(s)
      窪田正幸, 奥山直樹, 平山裕, 小林久美子, 渡邉真実, 佐藤佳奈子
    • Organizer
      第23回日本小児外科学会秋季シンポジウム
    • Place of Presentation
      宇都宮(シンポジウム11月8日)
    • Year and Date
      20071108-20071109
  • [Presentation] 小児慢性便秘症例における直腸拡張の有無と検査並びに臨床経過との関連2007

    • Author(s)
      窪田正幸、奥山直樹、平山裕、小林久美子、佐藤佳奈子
    • Organizer
      第37回日本小児消化管機能研究会
    • Place of Presentation
      大阪(口演)
    • Year and Date
      2007-02-18
  • [Book] Biliary atresia(Timing of biliary tract obstruction assessed by chronological changes in direct bilirubin traction in biliary atresia)(ed Matsui A)2009

    • Author(s)
      Kubota M, Kobayashi K, Tsukada M, Okuyama N, Hirayama Y
    • Total Pages
      38-41
    • Publisher
      Kodansha Shuppan Service Center
  • [Book] 消化管X線造影検査 周産期医学第38巻増刊号(周産期臨床検査のポイント)(周産期医学編集委員会編)2008

    • Author(s)
      窪田正幸
    • Total Pages
      517-522
    • Publisher
      東京医学社
  • [Book] 排便障害,周産期医学第37巻増刊号(周産期臨床検査のポイント)(周産期医学編集委員会編)2007

    • Author(s)
      窪田正幸
    • Total Pages
      514-516
    • Publisher
      東京医学社
  • [Book] Hirschsprung病,標準小児外科第5版(伊藤泰雄、高松英夫、福澤正洋(編集))2007

    • Author(s)
      窪田正幸
    • Total Pages
      149-158
    • Publisher
      医学書院

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Published: 2012-01-26   Modified: 2016-04-21  

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