{"created":"2023-06-19T11:22:56.682593+00:00","id":1121,"links":{},"metadata":{"_buckets":{"deposit":"cf1884ff-838a-49bd-8540-70853806cfd0"},"_deposit":{"created_by":12,"id":"1121","owners":[12],"pid":{"revision_id":0,"type":"depid","value":"1121"},"status":"published"},"_oai":{"id":"oai:jichi-ir.repo.nii.ac.jp:00001121","sets":["14:43"]},"author_link":[],"item_2_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2022-03","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"20","bibliographicPageStart":"15","bibliographicVolumeNumber":"44","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":"【目的】高度肥満症患者に対する減量・代謝改善手術症例の治療効果を検討する。\n【方法】2010年７月から2021年3月までに当院で行った107回（103症例）の減量・代謝改善手術を対象とした。主に体重変化と糖尿病治療効果を後ろ向きに評価した。\n【結果】99症例がデータ解析可能であった。術後総体重減少率は，術後１年目で28.4％，２年目で28.3％，５年目で27.3％であり，約30％の体重減少効果を認めた。糖尿病患者は47例であり，HbA1cの推移は術前の6.8％±1.4から術後６ヶ月で5.9％（±0.8），術後１年で5.8％（±0.93）と改善を認めた。糖尿病寛解率は，術後６ヶ月で65.9％，術後１年で76.5％，術後４年で50.0％であり，糖尿病患者の半数で寛解を認めた。術前インスリン非使用群でインスリン使用群より糖尿病寛解率が良好な傾向が認められた。また，術前mABCDスコアが高い症例ほど術後寛解度が高かった。\n【結語】当院での減量・代謝改善手術症例において比較的良好な減量効果・糖尿病治療効果が得られた。","subitem_description_type":"Abstract"}]},"item_2_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"names":[{"name":"Koike, Akira","nameLang":"en"}]},{"names":[{"name":"Saito, Shin","nameLang":"en"}]},{"names":[{"name":"Haruta, Hidenori","nameLang":"en"}]},{"names":[{"name":"Okada, Kenta","nameLang":"en"}]},{"names":[{"name":"Ishibashi, Shun","nameLang":"en"}]},{"names":[{"name":"Kurashina, Kentaro","nameLang":"en"}]},{"names":[{"name":"Hashimoto, Ai","nameLang":"en"}]},{"names":[{"name":"Yamanoi, Noriko","nameLang":"en"}]},{"names":[{"name":"Shiba, Juntaro","nameLang":"en"}]},{"names":[{"name":"Suzuki, Akihiro","nameLang":"en"}]},{"names":[{"name":"Takeuchi, Mamoru","nameLang":"en"}]},{"names":[{"name":"Chiba, Mana","nameLang":"en"}]},{"names":[{"name":"Chiba, Saya","nameLang":"en"}]},{"names":[{"name":"Kaneko, Yuki","nameLang":"en"}]},{"names":[{"name":"Takahashi, Kazuya","nameLang":"en"}]},{"names":[{"name":"Kitayama, Joji","nameLang":"en"}]},{"names":[{"name":"Alan K., Lefor","nameLang":"en"}]},{"names":[{"name":"Hosoya, Yoshinori","nameLang":"en"}]},{"names":[{"name":"Sata, Naohiro","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":"小池, 瑛","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"齋藤, 心","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"春田, 英律","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"岡田, 健太","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"石橋, 俊","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"倉科, 憲太郎","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"橋本, 愛","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"山野井, 徳子","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"芝, 順太郎","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"鈴木, 昭広","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"竹内, 護","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"千葉, 蒔七","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"千葉, 小夜","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"金子, 勇貴","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"高橋, 和也","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"北山, 丈二","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"Alan K.,  Lefor","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"細谷, 好則","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"佐田, 尚宏","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":"2022-06-07"}],"displaytype":"detail","filename":"自治医科大学紀要 1881-252X(44)p15-20 2022.pdf","filesize":[{"value":"656.4 kB"}],"format":"application/pdf","licensetype":"license_11","mimetype":"application/pdf","url":{"label":"自治医科大学紀要 1881-252X(44)p15-20 2022","url":"https://jichi-ir.repo.nii.ac.jp/record/1121/files/自治医科大学紀要 1881-252X(44)p15-20 2022.pdf"},"version_id":"57cb1236-7af9-4ffc-99d9-6dae9f3a6971"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"高度肥満","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"減量・代謝改善手術","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"ABCDスコア","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"糖尿病寛解率","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 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