{"created":"2023-06-19T11:20:43.095386+00:00","id":788,"links":{},"metadata":{"_buckets":{"deposit":"1ce36fad-fef2-455c-95d3-8174905c2d17"},"_deposit":{"created_by":3,"id":"788","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"788"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00000788","sets":["7","7:23"]},"author_link":["2301","2302","2303","2304","2305","2306"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2004-01-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"36","bibliographicPageStart":"33","bibliographicVolumeNumber":"25","bibliographic_titles":[{"bibliographic_title":"胆と膵"}]}]},"item_5_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"胆嚢癌を合併していない胆管非拡張型膵・胆管合流異常症の14例について検討した.術前は11例に心窩部痛がみられたが,3例は無症状であり健診時に胆嚢壁肥厚を指摘された.術前全例にERCPを施行し,手術は,ERCP検査時に膵管から胆管への逆流を指摘された胆石症の1例に対しては腹腔鏡下胆嚢摘出術のみを施行し,その他の例では開腹し胆嚢摘出・胆管切除十二指腸吻合術(分流術)を施行した.術後平均在院日数は17日で,術後早期合併症はなかった.病理像では,胆嚢adenomatous hyperplasiaを10例に,慢性胆嚢炎を4例に認めた.術後経過観察期間は1年から10年で,術後定期的に胆道系の画像診断を継続しており,現在まで胆道悪性腫瘍はみられていない.長期経過観察症例では,1例に軽度肝機能異常が,1例にイレウス症状がみられたが,いずれも保存的に軽快した.術後の胆管内胆汁中アミラーゼ値は術前と比較し著明に低下しており,分流は効果的と考えられた","subitem_description_language":"ja","subitem_description_type":"Abstract"}]},"item_5_description_36":{"attribute_name":"注記","attribute_value_mlt":[{"subitem_description":"著者版","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":"0388-9408","subitem_source_identifier_type":"PISSN"}]},"item_5_text_44":{"attribute_name":"ID(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"2004188384"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"2109"}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"1376"}]},"item_5_text_7":{"attribute_name":"著者 ローマ字","attribute_value_mlt":[{"subitem_text_value":"Inagaki, Mitsuhiro"},{"subitem_text_language":"en","subitem_text_value":"Obara, Mitsuhiro"},{"subitem_text_language":"en","subitem_text_value":"Ishizaki, Akira"},{"subitem_text_language":"en","subitem_text_value":"Kino, Syuichi"},{"subitem_text_language":"en","subitem_text_value":"Onodera, Kazuhiko"},{"subitem_text_language":"en","subitem_text_value":"Kasai, Shinichi"},{"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_ab4af688f83e57aa","subitem_version_type":"AM"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"稲垣, 光裕","creatorNameLang":"ja"},{"creatorName":"イナガキ, ミツヒロ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"2301","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"小原, 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