{"_buckets": {"deposit": "b2c89fb5-f894-47d5-847a-0ba9d5326b11"}, "_deposit": {"created_by": 12, "id": "538", "owners": [12], "pid": {"revision_id": 0, "type": "depid", "value": "538"}, "status": "published"}, "_oai": {"id": "oai:jichi-ir.repo.nii.ac.jp:00000538", "sets": ["25"]}, "author_link": [], "item_2_biblio_info_7": {"attribute_name": "書誌情報", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "2019-03", "bibliographicIssueDateType": "Issued"}, "bibliographicPageEnd": "83", "bibliographicPageStart": "79", "bibliographicVolumeNumber": "41", "bibliographic_titles": [{"bibliographic_title": "自治医科大学紀要"}, {"bibliographic_title": "Jichi Medical University Journal", "bibliographic_titleLang": "en"}]}]}, "item_2_description_5": {"attribute_name": "抄録", "attribute_value_mlt": [{"subitem_description": "症例は79歳,男性。胆管炎で入院し十二指腸乳頭部癌の診断となったが,偽膜性腸炎による腎前性腎不全・低栄養を併発し手術を延期した。バンコマイシン投与で軽快後に,亜全胃温存膵頭十二指腸切除術・膵胃吻合を施行した。術後8日目にドレーンAMY高値と混濁を認め術後膵液瘻International Study Group on Pancreatic Surgery(以下,ISGPS)GradeBと診断し,絶食とドレナージによる保存的治療を施行した。しかし,術後1か月に完全膵液外瘻となり一時退院の上,外来管理にて栄養状態の改善を図り術後9ヶ月目完全膵液外瘻に対し再膵胃吻合術を施行した。合併症なく術後経過良好で退院となった。膵頭十二指腸切除術前の偽膜性腸炎には注意が必要で,治療後に栄養状態をみながら手術時期を決定する必要がある。膵縫合不全における再膵吻合は,膵空腸吻合が選択されることが多いが,膵胃吻合は有用な方法である。本例のように,膵胃吻合縫合不全後に再膵胃吻合を施行した報告例はなく,考察を加え報告する。", "subitem_description_type": "Abstract"}]}, "item_2_full_name_3": {"attribute_name": "著者別名", "attribute_value_mlt": [{"names": [{"name": "Shinohara, Shoichi", "nameLang": "en"}]}, {"names": [{"name": "Hyodo, Masanobu", "nameLang": "en"}]}, {"names": [{"name": "Hayashi, Hirohumi", "nameLang": "en"}]}, {"names": [{"name": "Inoue, Yasuhiro", "nameLang": "en"}]}, {"names": [{"name": "Sato, Hirotake", "nameLang": "en"}]}, {"names": [{"name": "Tsukahara, Munetoshi", "nameLang": "en"}]}, {"names": [{"name": "Okada, Masaki", "nameLang": "en"}]}, {"names": [{"name": "Alan, Lefor", "nameLang": "en"}]}, {"names": [{"name": "Yasuda, Yoshikazu", "nameLang": "en"}]}]}, "item_2_publisher_8": {"attribute_name": "出版者", "attribute_value_mlt": [{"subitem_publisher": "自治医科大学"}]}, "item_2_source_id_9": {"attribute_name": "ISSN", "attribute_value_mlt": [{"subitem_source_identifier": "1881-252X", "subitem_source_identifier_type": "PISSN"}]}, "item_creator": {"attribute_name": "著者", "attribute_type": "creator", "attribute_value_mlt": [{"creatorNames": [{"creatorName": "篠原, 翔一", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "俵藤, 正信", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "林, 浩史", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "井上, 康浩", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "佐藤, 寛丈", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "塚原, 宗俊", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "岡田, 真樹", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "アラン, レフォー", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "安田, 是和", "creatorNameLang": "ja"}]}]}, "item_files": {"attribute_name": "ファイル情報", "attribute_type": "file", "attribute_value_mlt": [{"accessrole": "open_date", "date": [{"dateType": "Available", "dateValue": "2019-04-15"}], "displaytype": "detail", "download_preview_message": "", "file_order": 0, "filename": "自治医科大学紀要1881-252X(41)p79-83 2019.pdf", "filesize": [{"value": "530.5 kB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "licensetype": "license_11", "mimetype": "application/pdf", "size": 530500.0, "url": {"label": "自治医科大学紀要1881-252X(41)p79-83 2019", "url": "https://jichi-ir.repo.nii.ac.jp/record/538/files/自治医科大学紀要1881-252X(41)p79-83 2019.pdf"}, "version_id": "2f806ab7-e1ce-4936-893f-a09341ddb947"}]}, "item_keyword": {"attribute_name": "キーワード", "attribute_value_mlt": [{"subitem_subject": "再膵胃吻合", "subitem_subject_language": "ja", "subitem_subject_scheme": "Other"}, {"subitem_subject": "膵胃吻合縫合不全", "subitem_subject_language": "ja", "subitem_subject_scheme": "Other"}, {"subitem_subject": "膵液瘻", "subitem_subject_language": "ja", "subitem_subject_scheme": "Other"}]}, "item_language": {"attribute_name": "言語", "attribute_value_mlt": [{"subitem_language": "jpn"}]}, "item_resource_type": {"attribute_name": "資源タイプ", "attribute_value_mlt": [{"resourcetype": "departmental bulletin paper", "resourceuri": "http://purl.org/coar/resource_type/c_6501"}]}, "item_title": "膵胃吻合縫合不全に対して再膵胃吻合術を施行した1例", "item_titles": {"attribute_name": "タイトル", "attribute_value_mlt": [{"subitem_title": "膵胃吻合縫合不全に対して再膵胃吻合術を施行した1例", "subitem_title_language": "ja"}]}, "item_type_id": "2", "owner": "12", "path": ["25"], "permalink_uri": "https://jichi-ir.repo.nii.ac.jp/records/538", "pubdate": {"attribute_name": "PubDate", "attribute_value": "2019-04-15"}, "publish_date": "2019-04-15", "publish_status": "0", "recid": "538", "relation": {}, "relation_version_is_last": true, "title": ["膵胃吻合縫合不全に対して再膵胃吻合術を施行した1例"], "weko_shared_id": -1}
膵胃吻合縫合不全に対して再膵胃吻合術を施行した1例
https://jichi-ir.repo.nii.ac.jp/records/538
https://jichi-ir.repo.nii.ac.jp/records/538