{"_buckets": {"deposit": "15830d9d-47c8-40b9-b622-fe0f7c140f45"}, "_deposit": {"id": "4228", "owners": [], "pid": {"revision_id": 0, "type": "depid", "value": "4228"}, "status": "published"}, "_oai": {"id": "oai:soar-ir.repo.nii.ac.jp:00004228", "sets": ["515"]}, "author_link": ["9677", "9678", "9679", "9680"], "item_1628147817048": {"attribute_name": "出版タイプ", "attribute_value_mlt": [{"subitem_version_resource": "http://purl.org/coar/version/c_970fb48d4fbd8a85", "subitem_version_type": "VoR"}]}, "item_6_alternative_title_1": {"attribute_name": "その他（別言語等）のタイトル", "attribute_value_mlt": [{"subitem_alternative_title": "A Case of Afferent Loop Obstruction after Distal Gastrectomy with Billroth Ⅱ Reconstruction :A Case Report and Review of Literature", "subitem_alternative_title_language": "en"}]}, "item_6_biblio_info_6": {"attribute_name": "書誌情報", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "2006-12", "bibliographicIssueDateType": "Issued"}, "bibliographicIssueNumber": "6", "bibliographicPageEnd": "405", "bibliographicPageStart": "401", "bibliographicVolumeNumber": "54", "bibliographic_titles": [{"bibliographic_title": "信州医学雑誌"}]}]}, "item_6_description_20": {"attribute_name": "抄録", "attribute_value_mlt": [{"subitem_description": "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.", "subitem_description_type": "Abstract"}]}, "item_6_description_30": {"attribute_name": "資源タイプ（コンテンツの種類）", "attribute_value_mlt": [{"subitem_description": "Article", "subitem_description_type": "Other"}]}, "item_6_description_31": {"attribute_name": "フォーマット：mimeタイプ", "attribute_value_mlt": [{"subitem_description": "application/pdf", "subitem_description_type": "Other"}]}, "item_6_description_5": {"attribute_name": "引用", "attribute_value_mlt": [{"subitem_description": "信州医学雑誌 54(6): 401-405(2006)", "subitem_description_type": "Other"}]}, "item_6_publisher_4": {"attribute_name": "出版者", "attribute_value_mlt": [{"subitem_publisher": "信州医学会"}]}, "item_6_relation_48": {"attribute_name": "DOI", "attribute_value_mlt": [{"subitem_relation_name": [{"subitem_relation_name_text": "10.11441/shinshumedj.54.401"}], "subitem_relation_type": "isIdenticalTo", "subitem_relation_type_id": {"subitem_relation_type_id_text": "https://doi.org/10.11441/shinshumedj.54.401", "subitem_relation_type_select": "DOI"}}]}, "item_6_select_64": {"attribute_name": "著者版フラグ", "attribute_value_mlt": [{"subitem_select_item": "publisher"}]}, "item_6_source_id_35": {"attribute_name": "ISSN", "attribute_value_mlt": [{"subitem_source_identifier": "0037-3826", "subitem_source_identifier_type": "PISSN"}]}, "item_6_source_id_39": {"attribute_name": "NII ISSN", "attribute_value_mlt": [{"subitem_source_identifier": "0037-3826", "subitem_source_identifier_type": "PISSN"}]}, "item_6_source_id_40": {"attribute_name": "書誌レコードID", "attribute_value_mlt": [{"subitem_source_identifier": "AN00120815", "subitem_source_identifier_type": "NCID"}]}, "item_6_text_66": {"attribute_name": "sortkey", "attribute_value_mlt": [{"subitem_text_value": "06"}]}, "item_creator": {"attribute_name": "著者", "attribute_type": "creator", "attribute_value_mlt": [{"creatorNames": [{"creatorName": "浦川, 雅己", "creatorNameLang": "ja"}], "nameIdentifiers": [{"nameIdentifier": "9677", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "池野, 龍雄", "creatorNameLang": "ja"}], "nameIdentifiers": [{"nameIdentifier": "9678", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "古澤, 徳彦", "creatorNameLang": "ja"}], "nameIdentifiers": [{"nameIdentifier": "9679", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "市川, 英幸", "creatorNameLang": "ja"}], "nameIdentifiers": [{"nameIdentifier": "9680", "nameIdentifierScheme": "WEKO"}]}]}, "item_files": {"attribute_name": "ファイル情報", "attribute_type": "file", "attribute_value_mlt": [{"accessrole": "open_date", "date": [{"dateType": "Available", "dateValue": "2015-09-24"}], "displaytype": "detail", "download_preview_message": "", "file_order": 0, "filename": "Shinshu_Med54-6-06.pdf", "filesize": [{"value": "369.0 kB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "licensetype": "license_note", "mimetype": "application/pdf", "size": 369000.0, "url": {"label": "Shinshu_Med54-6-06.pdf", "url": "https://soar-ir.repo.nii.ac.jp/record/4228/files/Shinshu_Med54-6-06.pdf"}, "version_id": "58112117-db7c-4b0f-b4aa-dd7b09e6df4a"}]}, "item_keyword": {"attribute_name": "キーワード", "attribute_value_mlt": [{"subitem_subject": "aferent loop obstruction", "subitem_subject_scheme": "Other"}, {"subitem_subject": "ileus", "subitem_subject_scheme": "Other"}, {"subitem_subject": "high level of serum amylase", "subitem_subject_scheme": "Other"}, {"subitem_subject": "diagnosis before operation", "subitem_subject_scheme": "Other"}, {"subitem_subject": "gastric resection", "subitem_subject_scheme": "Other"}, {"subitem_subject": "輸入脚閉塞症", "subitem_subject_scheme": "Other"}, {"subitem_subject": "腸閉塞", "subitem_subject_scheme": "Other"}, {"subitem_subject": "高アミラーゼ血症", "subitem_subject_scheme": "Other"}, {"subitem_subject": "術前診断", "subitem_subject_scheme": "Other"}, {"subitem_subject": "胃切除", "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"}]}, "item_type_id": "6", "owner": "1", "path": ["515"], "permalink_uri": "http://hdl.handle.net/10091/3700", "pubdate": {"attribute_name": "PubDate", "attribute_value": "2009-12-04"}, "publish_date": "2009-12-04", "publish_status": "0", "recid": "4228", "relation": {}, "relation_version_is_last": true, "title": ["胃切除術後の輸入脚閉塞症の１例"], "weko_shared_id": -1}