{"created":"2023-06-19T11:24:15.044482+00:00","id":4938,"links":{},"metadata":{"_buckets":{"deposit":"6d3c54a1-95e4-4584-95a8-1e48a14701ea"},"_deposit":{"created_by":1,"id":"4938","owners":[1],"pid":{"revision_id":0,"type":"depid","value":"4938"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00004938","sets":["7","7:23"]},"author_link":["15320","15317","15319","15316","15318","15321"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2013-02-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"395","bibliographicPageStart":"391","bibliographicVolumeNumber":"74","bibliographic_titles":[{"bibliographic_title":"日本臨床外科学会雑誌"}]}]},"item_5_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"症例は76歳男性で,54歳時に胃癌にて胃全摘(Roux-en-Y再建).75歳時突然の上腹部痛にて受診した.CTでは上腹部の拡張腸管内に同心円状層状構造の腫瘤像を認め,イレウス管造影ではY吻合部でカニ爪様の途絶を認めた.腸重積による腸閉塞を疑い開腹した.Y吻合部より肛門側の空腸が逆行性に重積していた.整復し空腸を一部切除した.先進部分に異常は認めなかった.1年後,同様に突然の上腹部痛にて受診した.CTより腸重積症の再発と診断し開腹した.Y吻合部の逆行性腸重積症であり,Y吻合部を含めて空腸を切除,再吻合した.以後再々発は認めていない.胃切除後の腸重積症は突然の上腹部痛,嘔吐で発症し,CTでは層状構造の腫瘤像が特徴的である.先進部腸管の異常を認めることはまれで,機械的因子や機能的因子が原因として推測される.胃切除後の腸重積症はまれではあるが,術後腸閉塞の原因疾患の一つとして念頭に置く必要がある.","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":"2013217432","subitem_relation_type_select":"ICHUSHI"}}]},"item_5_source_id_22":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1345-2843","subitem_source_identifier_type":"ISSN"}]},"item_5_text_44":{"attribute_name":"ID(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"2013217432"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"631"}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"262"}]},"item_5_text_7":{"attribute_name":"著者 ローマ字","attribute_value_mlt":[{"subitem_text_value":"Kita, Kengo"},{"subitem_text_value":"Yabuki, Hidehiko"},{"subitem_text_value":"Inaba, Satoshi"},{"subitem_text_value":"Ohara, Kei"},{"subitem_text_value":"Syounaka, Tatsuya"},{"subitem_text_value":"Watanabe, Kenji"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"北, 健吾"},{"creatorName":"キタ, ケンゴ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"15316","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"矢吹, 英彦"},{"creatorName":"ヤブキ, ヒデヒコ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"15317","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"稲葉, 聡"},{"creatorName":"イナバ, サトシ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"15318","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"小原, 啓"},{"creatorName":"オハラ, 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