{"created":"2023-06-19T11:22:25.595792+00:00","id":17,"links":{},"metadata":{"_buckets":{"deposit":"100b3c1f-d042-48ab-8fc4-25a8ab9614d1"},"_deposit":{"created_by":12,"id":"17","owners":[12],"pid":{"revision_id":0,"type":"depid","value":"17"},"status":"published"},"_oai":{"id":"oai:jichi-ir.repo.nii.ac.jp:00000017","sets":["14:16"]},"author_link":[],"item_2_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2012-03","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"95","bibliographicPageStart":"87","bibliographicVolumeNumber":"34","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":"While guidelines have been established for the treatment of esophageal and gastric varices, there is as yet no consensus with regard to the optimal method of treatment of ectopic varices. We report a case of ruptured duodenal varices treated successfully by endoscopic injection sclerotherapy（EIS） under radiographic guidance with a mixture of Nbutyl-2-cyanoacrylate（NBCA）-lipiodol. A 73-year-old female patient with a history of liver cirrhosis was transferred to our hospital for the treatment of ruptured duodenal varices.\nEsophagogastroduodenoscopy（EGD） revealed distended duodenal varices with a mucosal erosion and a coagulum in the descending portion of the duodenum. Dynamic contrastenhanced computed tomography（CT） of the abdomen revealed duodenal varices arising from the pancreaticoduodenal vein, being a branch of the superior mesenteric vein, the efferent vessel draining through the veins of Retzius. A total of 6 mL of an NBCA + lipiodol mixture（mixing ratio, 3:1） was injected into 3 sites of the duodenal varices via a 23-gauge disposable injection needle. Radiographic imaging during the EIS demonstrated that the NBCA + lipiodol mixture had reached the distended veins connected to the duodenal varices.\nAt the follow-up CT conducted 6 days after the EIS, the duodenal varices with its collateral vessels were almost completely obliterated by the NBCA + lipiodol mixture. Even a single EIS session eradicated the varices almost completely without any complications.\nEIS under radiographic guidance using a mixture of NBCA-lipiodol （75%NBCA） is an effective method of treatment of duodenal varices in hemorrhagic or elective cases.","subitem_description_type":"Abstract"}]},"item_2_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"自治医科大学"}]},"item_2_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AA11819432","subitem_source_identifier_type":"NCID"}]},"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":"Takamatsu, Toru","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"Ootake, Haruka","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"Uehara, Takeshi","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"Shindou, Yuji","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"Ikeya, Takashi","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"Toukai, Kouichi","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"Ikeda, Masatoshi","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"Ushimaru, Shinya","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"Asano, Takeharu","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"Matsumoto, Satohiro","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"Iwaki, Takaaki","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"Fukunishi, Masanori","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"Sagihara, Noriyoshi","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"Asabe, Shinichi","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"Miyatani, Hiroyuki","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"Yoshida, Yukio","creatorNameLang":"en"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2012-11-30"}],"displaytype":"detail","filename":"p87-95.pdf","filesize":[{"value":"603.0 kB"}],"format":"application/pdf","licensetype":"license_11","mimetype":"application/pdf","url":{"label":"p87-95","url":"https://jichi-ir.repo.nii.ac.jp/record/17/files/p87-95.pdf"},"version_id":"ac8f40b4-075b-476f-82bb-d4d75ce46e48"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"duodenal varices","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"endoscopic injection sclerotherapy","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"N-butyl-2-cyanoacrylate","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"lipiodol","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"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":"A case of ruptured duodenal varices treated successfully by endoscopic injection sclerotherapy under radiographic guidance with a mixture of N-butyl-2-cyanoacrylate-lipiodol","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"A case of ruptured duodenal varices treated successfully by endoscopic injection sclerotherapy under radiographic guidance with a mixture of N-butyl-2-cyanoacrylate-lipiodol","subitem_title_language":"en"}]},"item_type_id":"2","owner":"12","path":["16"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2012-11-30"},"publish_date":"2012-11-30","publish_status":"0","recid":"17","relation_version_is_last":true,"title":["A case of ruptured duodenal varices treated successfully by endoscopic injection sclerotherapy under radiographic guidance with a mixture of N-butyl-2-cyanoacrylate-lipiodol"],"weko_creator_id":"12","weko_shared_id":-1},"updated":"2023-08-25T06:01:31.848734+00:00"}