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  1. 050 医学部, 大学院医学系研究科
  2. 0502 紀要・刊行物
  3. 05021 信州医学雑誌
  4. Vol. 54 No. 6

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/10091/3700
1d9ec409-db87-4af4-a623-53f8c4467ff1
名前 / ファイル ライセンス アクション
Shinshu_Med54-6-06.pdf Shinshu_Med54-6-06.pdf (369.0 kB)
Item type 学術雑誌論文 / Journal Article(1)
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
言語
言語 jpn
キーワード
主題Scheme Other
主題 aferent loop obstruction
キーワード
主題Scheme Other
主題 ileus
キーワード
主題Scheme Other
主題 high level of serum amylase
キーワード
主題Scheme Other
主題 diagnosis before operation
キーワード
主題Scheme Other
主題 gastric resection
キーワード
主題Scheme Other
主題 輸入脚閉塞症
キーワード
主題Scheme Other
主題 腸閉塞
キーワード
主題Scheme Other
主題 高アミラーゼ血症
キーワード
主題Scheme Other
主題 術前診断
キーワード
主題Scheme Other
主題 胃切除
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ journal article
その他(別言語等)のタイトル
その他のタイトル A Case of Afferent Loop Obstruction after Distal Gastrectomy with Billroth Ⅱ Reconstruction :A Case Report and Review of Literature
言語 en
著者 浦川, 雅己

× 浦川, 雅己

WEKO 9677

ja 浦川, 雅己

Search repository
池野, 龍雄

× 池野, 龍雄

WEKO 9678

ja 池野, 龍雄

Search repository
古澤, 徳彦

× 古澤, 徳彦

WEKO 9679

ja 古澤, 徳彦

Search repository
市川, 英幸

× 市川, 英幸

WEKO 9680

ja 市川, 英幸

Search repository
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
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
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