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胃亜全摘Billroth I法術後の十二指腸残胃食道逆流現象と消化管運動
http://hdl.handle.net/10191/40237
http://hdl.handle.net/10191/40237560d1127-405c-4323-a93a-0eab44e37931
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
106(12)_1146-1154.pdf (1.8 MB)
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| Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
|---|---|---|---|---|---|---|
| 公開日 | 2016-03-25 | |||||
| タイトル | ||||||
| タイトル | 胃亜全摘Billroth I法術後の十二指腸残胃食道逆流現象と消化管運動 | |||||
| タイトル | ||||||
| タイトル | 胃亜全摘Billroth I法術後の十二指腸残胃食道逆流現象と消化管運動 | |||||
| 言語 | en | |||||
| 言語 | ||||||
| 言語 | jpn | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | alkaline reflux esophagitis | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | subtotal gastrectomy with Billroth I reconstruction | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | esophageal pH | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | duodenal phase III | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | アルカリ逆流性食道炎 | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | 胃亜全摘術(Billroth I法) | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | 食道内pH | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | 十二指腸強収縮波群 | |||||
| 資源タイプ | ||||||
| 資源 | http://purl.org/coar/resource_type/c_6501 | |||||
| タイプ | departmental bulletin paper | |||||
| その他のタイトル | ||||||
| その他のタイトル | Reflux Esophagitis and Gastroduodenal Motor Activity after Subtotal Gastrectomy with Billroth I (B-I) Anastomosis in Man | |||||
| 著者 |
武田, 信夫
× 武田, 信夫 |
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| 著者別名 | ||||||
| 識別子Scheme | WEKO | |||||
| 識別子 | 126660 | |||||
| 姓名 | Takeda, Nobuo | |||||
| 抄録 | ||||||
| 内容記述タイプ | Abstract | |||||
| 内容記述 | Simultaneous measurments of distal esophageal pH and gastroduodenal motor activity were recorded for 8 hrs in the night in 21 patients undergoing subtotal gastrectomy B-I anastomosis for gastric cancer. They were divided into 3 groups by Savary-Miller classifications. Group A consisted of 9 patients without esophagitis, Group B；8 with mild esophagitis, Group C；4 with severe esophagitis. Mean esophageal pH (A：5.8, B：6.6, C：7.1) and percent time of alkaline reflux in the esophagus (A：0.6%, B：12.4%, C：58.4%) were significantly correlated with the severity of esophageal mucosal damage. The manometric study showed fasting cyclic motor activity in the duodenum but these activities were not recognized in the remnant stomach. Periodic duodenal motor activity was well correlated with alkaline reflux to the esophagus. Five patients in group B or C complained heartburn 12 times (B：8, C：4). However, none of them complained heartburn during periods of duodenal motor quiescence. Occurrence of symptoms with sudden alkalizing in esophageal pH were temporally associated with duodenal phase III in group B patients (6 times). However in group C, the symptoms occurred during phase II activity since esophageal pH has already been alkalized. From these results, it is suggested that fasting duodenal motor activity plays an important role in gastroesophageal reflux. | |||||
| 書誌情報 |
新潟医学会雑誌 en : 新潟医学会雑誌 巻 106, 号 12, p. 1146-1154, 発行日 1992-12 |
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| 出版者 | ||||||
| 出版者 | 新潟医学会 | |||||
| ISSN | ||||||
| 収録物識別子タイプ | ISSN | |||||
| 収録物識別子 | 00290440 | |||||
| 書誌レコードID | ||||||
| 収録物識別子タイプ | NCID | |||||
| 収録物識別子 | AN00182415 | |||||
| 著者版フラグ | ||||||
| 値 | publisher | |||||
