{"created":"2021-03-01T06:10:26.968861+00:00","id":6538,"links":{},"metadata":{"_buckets":{"deposit":"ee7ad7f2-436c-4191-962b-67a0238790e3"},"_deposit":{"id":"6538","owners":[],"pid":{"revision_id":0,"type":"depid","value":"6538"},"status":"published"},"_oai":{"id":"oai:niigata-u.repo.nii.ac.jp:00006538","sets":["453:456","471:537:568:632"]},"item_7_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"1993-03","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"57","bibliographicPageStart":"45","bibliographicVolumeNumber":"41","bibliographic_titles":[{"bibliographic_title":"Acta medica et biologica"},{"bibliographic_title":"Acta medica et biologica","bibliographic_titleLang":"en"}]}]},"item_7_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"Previous macroscopic classification of intestinal tuberculosis (Tb) have been generally based on its active phase; however, it often shows spontaneous healing as other inflammatory bowel diseases. This study was designed to define the macroscopic features and classification of intestinal Tb in all its stages, making these available for radiological and endoscopic diagnosis as well as for distinction from other inflammatory diseases. Twenty-three definite intestinal Tbs (with acid-fast bacilli and/or caseation granuloma), 13 probable intestinal Tbs, 6 ischemic enterocolitis and 3 radiation-induced enterocolitis were selected from our intestinal file of surgically resected specimens. Specimens from 22 of 36 Tbs and 9 control cases were cut stepwise for detecting granuloma, a form of open and healed ulcers and fibrosis. These were mapped out on color prints with cutting lines on the lesions. Twenty of 23 definite intestinal Tbs (86.9%) had circular open and/ or healed ulcerative lesion(s) and the remaining 3 showed a wide circular mucosa-atrophic zone with circular to round ulcer-scars and inflammatory polyps. Sixteen of 23 definite Tbs were associated with round to oval ulcers (open and healed). Definite Tbs could be classified macroscopically into round to oval ulcers and circular ulcer each having open to healed stages and a wide circular mucosa-atrophic type. The three different lesions with a circular ulcer, wide circular mucosal atrophy or oval ulcer could be distinguished macroscopically from each other in combination with the such findings as the location of ulcer, the most affected side of the mesentery or tenia, depth of the ulcer, features of the ulcer-margin, the presence of inflammatory polyps, and the condition of the intervening or surrounding mucosa (normal, congestive, edema and atrophy). Thirteen probable intestinal Tbs showed a very similar gross appearance to that of definite Tb, and 7 of them had non-caseating epithelioid cell granuloma. It is suggested that our macroscopic findings and classifications are useful for the preoperative diagnosis of intestinal tuberculosis.","subitem_description_type":"Abstract"}]},"item_7_publisher_7":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"Niigata University School of Medicine"}]},"item_7_select_19":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_select_item":"publisher"}]},"item_7_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AA00508361","subitem_source_identifier_type":"NCID"}]},"item_7_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"05677734","subitem_source_identifier_type":"ISSN"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"Ishikawa, Hiroyuki"}],"nameIdentifiers":[{"nameIdentifier":"53393","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":"2019-08-06"}],"displaytype":"detail","filename":"41(1)_45-57.pdf","filesize":[{"value":"1.9 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"41(1)_45-57.pdf","url":"https://niigata-u.repo.nii.ac.jp/record/6538/files/41(1)_45-57.pdf"},"version_id":"9e1d2cd2-1e89-44f7-ad61-cbde2db9bfa4"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"Macroscopic Characteristics of Intestinal Tuberculosis and Their Use for Differential Diagnosis","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Macroscopic Characteristics of Intestinal Tuberculosis and Their Use for Differential Diagnosis"},{"subitem_title":"Macroscopic Characteristics of Intestinal Tuberculosis and Their Use for Differential Diagnosis","subitem_title_language":"en"}]},"item_type_id":"7","owner":"1","path":["456","632"],"pubdate":{"attribute_name":"公開日","attribute_value":"2015-09-11"},"publish_date":"2015-09-11","publish_status":"0","recid":"6538","relation_version_is_last":true,"title":["Macroscopic Characteristics of Intestinal Tuberculosis and Their Use for Differential Diagnosis"],"weko_creator_id":"1","weko_shared_id":null},"updated":"2022-12-15T03:39:50.683113+00:00"}