{"created":"2023-06-19T11:24:13.418789+00:00","id":4905,"links":{},"metadata":{"_buckets":{"deposit":"02a946e6-dd17-430d-b219-658a219b4fac"},"_deposit":{"created_by":1,"id":"4905","owners":[1],"pid":{"revision_id":0,"type":"depid","value":"4905"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00004905","sets":["7","7:23"]},"author_link":["15168","15166","15167","15169"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2012-03-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"135","bibliographicPageStart":"128","bibliographicVolumeNumber":"26","bibliographic_titles":[{"bibliographic_title":"胆道"}]}]},"item_5_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"肝門部胆管狭窄を呈する病態としては、悪性疾患が多いが、良性疾患もある。良性肝門部胆管狭窄では、IgG4関連硬化性胆管炎が多いと推定されるが、原因が明らかではない炎症性狭窄例も存在する。鑑別診断には、血液生化学的検査、胆管像の評価に加え、病理組織診断を積極的に行っていく必要がある。但し、細胞診では炎症性異型と癌との鑑別は難しく、生検が望ましい。さらに、胆道鏡による精査も診断の一助となる。しかしながら、精査を行っても鑑別診断が困難な例は存在し、その場合には慎重な対処が必要であり、胆管狭窄に対しては抜去可能なステントを用いることが肝要である。(著者抄録)","subitem_description_type":"Abstract"}]},"item_5_description_36":{"attribute_name":"内容記述","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_relation_27":{"attribute_name":"医中誌ID","attribute_value_mlt":[{"subitem_relation_type_id":{"subitem_relation_type_id_text":"2012194757","subitem_relation_type_select":"ICHUSHI"}}]},"item_5_source_id_22":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0914-0077","subitem_source_identifier_type":"ISSN"}]},"item_5_text_44":{"attribute_name":"ID(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"2012194757"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"417"}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"340"}]},"item_5_text_7":{"attribute_name":"著者 ローマ字","attribute_value_mlt":[{"subitem_text_value":"Maguchi, Hiroyuki"},{"subitem_text_value":"Osanai, Manabu"},{"subitem_text_value":"Katanuma, Akio"},{"subitem_text_value":"Takahashi, Kuniyuki"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"真口, 宏介"},{"creatorName":"マグチ, ヒロユキ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"15166","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"小山内, 学"},{"creatorName":"オサナイ, マナブ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"15167","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"潟沼, 朗生"},{"creatorName":"カタヌマ, アキオ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"15168","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"高橋, 邦幸"},{"creatorName":"タカハシ, クニユキ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"15169","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":"2021-07-06"}],"displaytype":"detail","filename":"5744.pdf","filesize":[{"value":"12.4 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"5744.pdf","url":"https://asahikawa-med.repo.nii.ac.jp/record/4905/files/5744.pdf"},"version_id":"26193f52-6c83-4164-a347-6e9359fc46ff"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"肝門部胆管狭窄、良性胆管狭窄、IgG4関連硬化症胆管炎","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"胆道専門医講座　鑑別診断が困難な症例の取り扱い(第1回)　肝門部胆管　鑑別診断が困難な症例の取り扱い-肝門部胆管","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"胆道専門医講座　鑑別診断が困難な症例の取り扱い(第1回)　肝門部胆管　鑑別診断が困難な症例の取り扱い-肝門部胆管"}]},"item_type_id":"5","owner":"1","path":["6","7","23"],"pubdate":{"attribute_name":"公開日","attribute_value":"2014-05-29"},"publish_date":"2014-05-29","publish_status":"0","recid":"4905","relation_version_is_last":true,"title":["胆道専門医講座　鑑別診断が困難な症例の取り扱い(第1回)　肝門部胆管　鑑別診断が困難な症例の取り扱い-肝門部胆管"],"weko_creator_id":"1","weko_shared_id":-1},"updated":"2023-06-19T12:33:42.109377+00:00"}