{"created":"2023-06-19T11:23:01.973904+00:00","id":3499,"links":{},"metadata":{"_buckets":{"deposit":"f251f51a-e5b4-443b-aed0-427657af9e28"},"_deposit":{"created_by":3,"id":"3499","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"3499"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00003499","sets":["7","7:23"]},"author_link":["9825","9826","9827","9828","9829","9830","9831","9832","9833","9834","9835","9836"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"1999-12-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"154","bibliographicPageStart":"150","bibliographicVolumeNumber":"9","bibliographic_titles":[{"bibliographic_title":"旭川厚生病院医誌"}]}]},"item_5_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"64歳男.平成11年3月より腫瘤形成性膵炎で経過観察,5月初めに閉塞性黄疸を認め再入院.3月のCTでは膵全体に軽度の腫大を認めたが,5月には膵全体が著明に腫大していた.又,3月のERCP像では頭体移行部主膵管が限局性に拡張していたが,5月には主膵管は全長にわたり狭細化像を示した.短期間のうちに主膵管が全長にわたって狭細化し,かつ口径不同を呈したため膵全体癌を否定できず膵生検を施行.組織の結果,悪性所見は認めず,膵実質の脱落,炎症性細胞浸潤と線維化を認め,瀰漫性膵管狭細型慢性膵炎と診断.免疫学的異常がなくステロイドを使用せずに経過観察したところ,膵腫大と下部胆管狭窄の改善を認めた","subitem_description_language":"ja","subitem_description_type":"Abstract"}]},"item_5_description_36":{"attribute_name":"注記","attribute_value_mlt":[{"subitem_description":"雑誌掲載版","subitem_description_type":"Other"}]},"item_5_description_37":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_description":"text","subitem_description_type":"Other"}]},"item_5_description_41":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"application/pdf","subitem_description_type":"Other"}]},"item_5_source_id_22":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0917-8066","subitem_source_identifier_type":"PISSN"}]},"item_5_text_44":{"attribute_name":"ID(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"2000153819"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"1089"}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"1061"}]},"item_5_text_7":{"attribute_name":"著者 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