{"created":"2023-06-19T11:23:56.275121+00:00","id":4565,"links":{},"metadata":{"_buckets":{"deposit":"7000640b-0d37-4f91-bc50-fb21679060ca"},"_deposit":{"created_by":3,"id":"4565","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"4565"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00004565","sets":["7","7:23"]},"author_link":["14181","14182","14183","14184","14185"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2012-12-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"129","bibliographicPageStart":"124","bibliographicVolumeNumber":"57","bibliographic_titles":[{"bibliographic_title":"北海道外科雑誌"}]}]},"item_5_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"外科的治療が必要とされる主な炎症性腸疾患は潰瘍性大腸炎とクローン病である。両者とも原因不明で患者数は急増している。潰瘍性大腸炎における肛門機能温存手術として大腸全摘、回腸Jパウチ肛門吻合、回腸双孔式人工肛門造設を二期分割で行うことが推奨される。パウチ機能を維持するため排便習慣指導が重要である。クローン病における小腸機能温存からみて狭窄形成術はこれまで強く推奨されてきたが、残存病変の増悪や癌化の問題からその適応は限定的となりつつある。腸管切除後の吻合法では機能的端端器械吻合を回避し、手縫い側側吻合が推奨される。最近、Kono-S吻合が注目されている。病的腸管切除による外科的寛解後の抗体療法など内科的治療との連携が重要。痔瘻など肛門病変では肛門機能、性機能温存からシートン法が推奨されるが、痔瘻癌などの発生にも念頭に置いた治療が必要である。","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":"0288-7509","subitem_source_identifier_type":"PISSN"}]},"item_5_text_44":{"attribute_name":"ID(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"2013209198"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"644"}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"1106"}]},"item_5_text_7":{"attribute_name":"著者 ローマ字","attribute_value_mlt":[{"subitem_text_value":"Ebisawa, Yoshiaki"},{"subitem_text_language":"en","subitem_text_value":"Chisato, Naoyuki"},{"subitem_text_language":"en","subitem_text_value":"Kitagawa, Shingo"},{"subitem_text_language":"en","subitem_text_value":"Furukawa, Hiroyuki"},{"subitem_text_language":"en"}]},"item_5_version_type_38":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"河野, 透","creatorNameLang":"ja"},{"creatorName":"コウノ, トオル","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"14181","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"海老澤, 良昭","creatorNameLang":"ja"},{"creatorName":"エビサワ, 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