{"created":"2023-05-15T09:06:42.340516+00:00","id":13607,"links":{},"metadata":{"_buckets":{"deposit":"a58998c2-5cf9-4c5c-9bb0-61c0199f14fc"},"_deposit":{"created_by":14,"id":"13607","owners":[14],"pid":{"revision_id":0,"type":"depid","value":"13607"},"status":"published"},"_oai":{"id":"oai:sapmed.repo.nii.ac.jp:00013607","sets":["1875:1885:2008"]},"author_link":["21163","21164","21165","21166","21167","21168","21169","21170","21171","21172","21173","21174"],"item_2_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2016-09-30","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"18","bibliographicPageStart":"14","bibliographicVolumeNumber":"41","bibliographic_titles":[{"bibliographic_title":"市立室蘭総合病院医誌 = Journal of Muroran City General Hospital"}]}]},"item_2_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"症例は48歳、男性。平成16年に十二指腸潰瘍穿孔に対して当院で幽門側胃切除術（Billroth II 法再建）を施行した。平成24年6月に心窩部痛を主訴に当科を受診し胃空腸吻合部に潰瘍を認め、proton pump inhibitorの内服を開始したが平成25年1月より通院を自己中断した。平成26年8月から下腿浮腫を自覚し同年10月に当院を受診した。全身浮腫を認め、同日当院循環器内科に入院となったが、入院時の腹部単純CT にて脂肪肝および腹水貯留、血液検査で肝胆道系酵素上昇、重度の低栄養を伴っており翌日当科転科となり精査を行った。肝生検では著明な脂肪肝を認めるのみであったが、上部消化管内視鏡検査および腹部造影CT で吻合部空腸と横行結腸の瘻孔形成を認めた。吻合部潰瘍の増悪に伴う胃空腸横行結腸瘻と診断し、当院外科にて胃空腸吻合部切除（Roux-en Y 法再建）を施行され、術後標本で47mm の瘻孔を認めた。術後栄養状態は改善し、脂肪肝および吻合部潰瘍の再発なく経過している。","subitem_description_type":"Abstract"}]},"item_2_publisher_32":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"市立室蘭総合病院"}]},"item_2_source_id_7":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0289-2774","subitem_source_identifier_type":"ISSN"}]},"item_2_version_type_15":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"谷, 元博"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"村上, 佳世"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"清水, 晴夫"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"我妻, 康平"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"伊志嶺, 優"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"佐々木, 基"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"永縄, 由美子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"佐藤, 修司"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"金戸, 宏行"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"齋藤, 慶太"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"佐々木, 賢一"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"今, 信一郎"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_access","displaytype":"detail","filename":"市立室蘭総合病院医誌_41_14.pdf","filesize":[{"value":"2.0 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"url":"https://sapmed.repo.nii.ac.jp/record/13607/files/市立室蘭総合病院医誌_41_14.pdf"},"version_id":"0ad06a81-439e-4e8f-9147-eb03f9773f5c"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"胃空腸結腸","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"吻合部潰","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"脂肪肝","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"kwashiorkor","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":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"下腿浮腫、脂肪肝を契機に発見された巨大胃空腸横行結腸瘻の1例 : 本邦報告例92例の文献的考察","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"下腿浮腫、脂肪肝を契機に発見された巨大胃空腸横行結腸瘻の1例 : 本邦報告例92例の文献的考察","subitem_title_language":"ja"}]},"item_type_id":"2","owner":"14","path":["2008"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2016-11-04"},"publish_date":"2016-11-04","publish_status":"0","recid":"13607","relation_version_is_last":true,"title":["下腿浮腫、脂肪肝を契機に発見された巨大胃空腸横行結腸瘻の1例 : 本邦報告例92例の文献的考察"],"weko_creator_id":"14","weko_shared_id":-1},"updated":"2023-12-13T03:09:52.026165+00:00"}