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食道胃接合部の機能評価に関する研究 : 食道内圧測定に基ずくLES-Indexの意義
http://hdl.handle.net/10191/38890
http://hdl.handle.net/10191/38890a4695ffa-2b02-4669-8934-043181e5a658
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
105(6)_380-392.pdf (3.5 MB)
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| Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
|---|---|---|---|---|---|---|
| 公開日 | 2016-02-26 | |||||
| タイトル | ||||||
| タイトル | 食道胃接合部の機能評価に関する研究 : 食道内圧測定に基ずくLES-Indexの意義 | |||||
| タイトル | ||||||
| タイトル | 食道胃接合部の機能評価に関する研究 : 食道内圧測定に基ずくLES-Indexの意義 | |||||
| 言語 | en | |||||
| 言語 | ||||||
| 言語 | jpn | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | esophagogastric junction | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | manometric study of lower esophageal sphincter function | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | LES-index | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | esophageal achalasia | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | esophageal hiatal hernia | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | 食道胃接合部 | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | 下部食道括約筋機能の内圧測定検査 | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | 食道アカラシア | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | 食道裂孔ヘルニア | |||||
| 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 | Significance of LES-INDEX in Evaluating Lower Esophageal Sphincter Function in Patients with Achalasia and Hiatal Hernia | |||||
| 著者 |
宮下, 薫
× 宮下, 薫 |
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| 著者別名 | ||||||
| 識別子Scheme | WEKO | |||||
| 識別子 | 130897 | |||||
| 姓名 | Miyashita, Kaoru | |||||
| 抄録 | ||||||
| 内容記述タイプ | Abstract | |||||
| 内容記述 | Parameters representing the lower esophageal sphincter function, such as the lower esophageal sphincter pressure (LES-P), the width of the lower esophageal sphincter (LES-W), square inside the pressure curve and the baseline (LES-S), LES-index (LES-S/LES-W) and the pressure difference between the gastric fundus and the intrathoracic esophagus (dp(G-E)), were measured in patients with achalasia (Group A, n=10) and with hiatal hernia (Group B, n=19) and in control volunteers (Group C, n=13). In Group C, LES-P amounted to 33.7±11.2cmH2_O, LES-W 4.4±0.9cm, LES-S 55.6±23.5cm^2H_2O, LES-Index 12.4±3.2cmH_2O and dp (G-E) -3.8±3.0cmH_2O, respectively. These values were 52.5±17.4cmH_2O, 4.0±1.5cm, 90.1±44.4cm^2H_2O, 22.3±5.1cmH_2O and +6.3±5.9cmH_2O, respectively in Group A, and 33.3±13.8cmH_2O, 6.0±3.2cm, 50.0±28.6cm^2H_2O, 8.4±3.3cmH_2O and -3.1±4.8cmH_2O, respectively, in Group B. In Group A, LES-Index, LES-P and LES-S were significantly higher than those in Group C (p<0.001, p<0.005 and p<0.05, respectively), and dp (G-E) was changed to positive. Group B showed an extending tendency of LES-W and significantly lower LES-index (p<0.005) in comparing Group C. With respect to the correlation among each value as well as the coefficient of variation in the three Groups, LES-index correlated signifcantly with LES-S (r=0.91, p<0.001) and LES-P (r-0.79, p<0.001). With an exception of dp (G-E), the remaining four values showed positive mutual correlations each other (p<0.05～p<0.001). Judging the degree of variance of each value from the coefficient of variation, the degree of variation of LES-P, LES-S and LES-index was 0.33, 0.42 and 0.25, respectively. Coefficient of variation of LES-index was the smallest, and therefore, it is an useful value in evalue in evaluating pathologic conditions in the esophagogastric junction. | |||||
| 書誌情報 |
新潟医学会雑誌 en : 新潟医学会雑誌 巻 105, 号 6, p. 380-392, 発行日 1991-06 |
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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 | |||||
