{"created":"2021-03-01T06:12:38.498003+00:00","id":8615,"links":{},"metadata":{"_buckets":{"deposit":"8679a2ce-5f75-4764-910f-43d1fcf7d226"},"_deposit":{"id":"8615","owners":[],"pid":{"revision_id":0,"type":"depid","value":"8615"},"status":"published"},"_oai":{"id":"oai:niigata-u.repo.nii.ac.jp:00008615","sets":["453:456","471:537:538:907"]},"item_7_alternative_title_1":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"A Case of Intra-abdominal Abscess caused by Perforation of Reconstructed Gastric-tube Ulcer after Esophagectomy"}]},"item_7_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2015-09","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"9","bibliographicPageEnd":"550","bibliographicPageStart":"545","bibliographicVolumeNumber":"129","bibliographic_titles":[{"bibliographic_title":"新潟医学会雑誌"},{"bibliographic_title":"新潟医学会雑誌","bibliographic_titleLang":"en"}]}]},"item_7_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"症例は63歳, 女性. 1年8ヶ月前に胸部中部食道癌に対して右開胸食道亜全摘術, 胸骨後経路胃管再建術を施行した. 2ヶ月ほど前より腰痛のため, 近医で消炎鎮痛薬の処方を受けていた. 背部痛を主訴に近医を受診し, 高度貧血を認めたために当科を紹介受診した. 入院後, 上部消化管内視鏡検査(EGD)で活動性の再検胃管潰瘍を認めた. また, 胸腹部造影CT検査で左横隔膜下膿瘍を認め, 再建胃管から膿瘍に連続する気腫を認めた. 全身状態は安定しており, 保存的加療を選択し, エコーガイド下で経皮的膿瘍ドレナージを施行した. 入院1週間後の上部消化管造影検査で, 胃管からの造影剤漏出は認められず, 経口摂取を開始した. 症状発現3ヶ月後のEGDで潰瘍は瘢痕化を認めた. 再発予防として抗潰瘍薬(PPI)の内服を継続していたものの, 症状発現1年後に新たな潰瘍の出現を認めた. 抗潰瘍薬の変更を行ったところ改善を認め, 以降現在までに潰瘍の増悪は認めていない. 胃管潰瘍の発生頻度は決して稀ではなく, 穿孔時は致死的な経過を辿る可能性があり, 状態に適した治療の選択が必要となる. 全身状態が安定し, 穿刺ドレナージが可能である場合は保存的加療の適応となり得る.","subitem_description_type":"Abstract"}]},"item_7_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"60008","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Otani, Takahiro"}]},{"nameIdentifiers":[{"nameIdentifier":"60009","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Kaneko, Kazuhiro"}]},{"nameIdentifiers":[{"nameIdentifier":"60010","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Sato, Tomoi"}]},{"nameIdentifiers":[{"nameIdentifier":"60011","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Suzuki, Susumu"}]},{"nameIdentifiers":[{"nameIdentifier":"60012","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Okada, Takayuki"}]},{"nameIdentifiers":[{"nameIdentifier":"60013","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Aono, Takashi"}]},{"nameIdentifiers":[{"nameIdentifier":"60014","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Muto, Ichiro"}]},{"nameIdentifiers":[{"nameIdentifier":"60015","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Hasegawa, Masaki"}]},{"nameIdentifiers":[{"nameIdentifier":"60016","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Wakai, Toshifumi"}]}]},"item_7_publisher_7":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"新潟医学会"}]},"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":"AN00182415","subitem_source_identifier_type":"NCID"}]},"item_7_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"00290440","subitem_source_identifier_type":"ISSN"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"大渓, 隆弘"}],"nameIdentifiers":[{"nameIdentifier":"59999","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"金子, 和弘"}],"nameIdentifiers":[{"nameIdentifier":"60000","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"佐藤, 友威"}],"nameIdentifiers":[{"nameIdentifier":"60001","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"鈴木, 晋"}],"nameIdentifiers":[{"nameIdentifier":"60002","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"岡田, 貴幸"}],"nameIdentifiers":[{"nameIdentifier":"60003","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"青野, 高志"}],"nameIdentifiers":[{"nameIdentifier":"60004","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"武藤, 一朗"}],"nameIdentifiers":[{"nameIdentifier":"60005","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"長谷川, 正樹"}],"nameIdentifiers":[{"nameIdentifier":"60006","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"若井, 俊文"}],"nameIdentifiers":[{"nameIdentifier":"60007","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":"129(9)_545-550.pdf","filesize":[{"value":"3.7 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