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{"subitem_subject": "腸閉塞", "subitem_subject_language": "ja", "subitem_subject_scheme": "Other"}, {"subitem_subject": "高アミラーゼ血症", "subitem_subject_language": "ja", "subitem_subject_scheme": "Other"}, {"subitem_subject": "術前診断", "subitem_subject_language": "ja", "subitem_subject_scheme": "Other"}, {"subitem_subject": "胃切除", "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": "胃切除術後の輸入脚閉塞症の1例", "item_titles": {"attribute_name": "タイトル", "attribute_value_mlt": [{"subitem_title": "胃切除術後の輸入脚閉塞症の1例", "subitem_title_language": "ja"}, {"subitem_title": "A Case of Afferent Loop Obstruction after Distal Gastrectomy with Billroth Ⅱ Reconstruction :A Case Report and Review of Literature", 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胃切除術後の輸入脚閉塞症の1例
http://hdl.handle.net/10091/3700
http://hdl.handle.net/10091/37001d9ec409-db87-4af4-a623-53f8c4467ff1
名前 / ファイル | ライセンス | アクション |
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Shinshu_Med54-6-06.pdf (369.0 kB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2009-12-04 | |||||
タイトル | ||||||
言語 | ja | |||||
タイトル | 胃切除術後の輸入脚閉塞症の1例 | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | A Case of Afferent Loop Obstruction after Distal Gastrectomy with Billroth Ⅱ Reconstruction :A Case Report and Review of Literature | |||||
言語 | ||||||
言語 | jpn | |||||
キーワード | ||||||
主題 | aferent loop obstruction, ileus, high level of serum amylase, diagnosis before operation, gastric resection 輸入脚閉塞症, 腸閉塞, 高アミラーゼ血症, 術前診断, 胃切除 |
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資源タイプ | ||||||
資源 | http://purl.org/coar/resource_type/c_6501 | |||||
タイプ | journal article | |||||
著者 |
浦川, 雅己
× 浦川, 雅己× 池野, 龍雄× 古澤, 徳彦× 市川, 英幸 |
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出版者 | ||||||
出版者 | 信州医学会 | |||||
引用 | ||||||
内容記述タイプ | Other | |||||
内容記述 | 信州医学雑誌 54(6): 401-405(2006) | |||||
書誌情報 |
信州医学雑誌 巻 54, 号 6, p. 401-405, 発行日 2006-12 |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | We report a case of afferent loop obstruction after distal gastrectomy. A 49-year-old woman with upper abdominal pain was admitted to our hospital. She had a past history of distal gastrectomy combined with Billroth Ⅱ reconstruction without Braun anastomosis for gastric carcinoma and bilateral oophorectomy for ovarian metastases 10 months before this admission. Laboratory findings showed a high level of serum amylase and abdominal CT revealed severe dilatation of the afferent loop. Judging from these findings, we diagnosed this case as afferent loop obstruction after distal gastrectomy and performed emergency surgery. Torsion of the afferent loop made the intestinal tract lapse into necrosis, and partial resection of about 20 cm of the intestinal tract including the necrotic lesion was done. Exact preoperative diagnosis of afferent loop obstruction is very difficult as in this case. A high level of serum amylase and a characteristic CT with dilatation of the afferent loop may be useful diagnostic findings for this disease. In addition, it is said that too long or too short an afferent loop may cause this disease and Braun anastomosis may prevent it from occurring. In this case, a long afferent loop might have been the cause of the disease, and Braun anastomosis might have better been done to prevent it. | |||||
資源タイプ(コンテンツの種類) | ||||||
内容記述タイプ | Other | |||||
内容記述 | Article | |||||
ISSN | ||||||
収録物識別子タイプ | PISSN | |||||
収録物識別子 | 0037-3826 | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AN00120815 | |||||
DOI | ||||||
関連タイプ | isIdenticalTo | |||||
識別子タイプ | DOI | |||||
関連識別子 | https://doi.org/10.11441/shinshumedj.54.401 | |||||
関連名称 | 10.11441/shinshumedj.54.401 | |||||
出版タイプ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 |