{"created":"2023-06-19T11:22:41.394695+00:00","id":538,"links":{},"metadata":{"_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":["14:25"]},"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","filename":"自治医科大学紀要1881-252X(41)p79-83 2019.pdf","filesize":[{"value":"530.5 kB"}],"format":"application/pdf","licensetype":"license_11","mimetype":"application/pdf","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"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2019-04-15"},"publish_date":"2019-04-15","publish_status":"0","recid":"538","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_creator_id":"12","weko_shared_id":-1},"updated":"2023-08-25T06:04:22.366378+00:00"}