{"created":"2023-05-25T05:25:46.478586+00:00","id":4256,"links":{},"metadata":{"_buckets":{"deposit":"f4439136-a4fe-4966-885f-7145d8c1c114"},"_deposit":{"created_by":17,"id":"4256","owners":[17],"pid":{"revision_id":0,"type":"depid","value":"4256"},"status":"published"},"_oai":{"id":"oai:yamagata.repo.nii.ac.jp:00004256","sets":["29:31:124:125"]},"author_link":["13586","13590","13594","13582","13592","13595","13593","13588","13596","13585","13583","13587","13591","13589","13584"],"item_3_alternative_title_18":{"attribute_name":"その他の言語のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"Nutritional indicators after pancreaticoduodenectomy and the effect of perioperative administration of oral nutritional supplements"}]},"item_3_alternative_title_19":{"attribute_name":"タイトル（ヨミ）","attribute_value_mlt":[{"subitem_alternative_title":"スイトウ ジュウニシチョウ セツジョジュツ ジュツゴ ノ エイヨウ シヒョウ ノ ヘンドウ ト ケイコウ エイヨウザイ トウヨ ガ アタエル エイキョウ"}]},"item_3_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2018-02-15","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"7","bibliographicPageStart":"1","bibliographicVolumeNumber":"36","bibliographic_titles":[{"bibliographic_title":"山形大学紀要. 医学 : 山形医学"},{"bibliographic_title":"Bulletin of the Yamagata University. Medical science : Yamagata medical journal","bibliographic_titleLang":"en"}]}]},"item_3_description_42":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_description":"論文(Article)","subitem_description_type":"Other"}]},"item_3_description_5":{"attribute_name":"内容記述","attribute_value_mlt":[{"subitem_description":"背景：高齢者における膵頭十二指腸切除術（pancreaticoduodenectomy：PD）の長期的栄養指標の推移と周術期経口栄養剤投与が与える栄養指標の影響を明らかにすることを目的とした。\n方法： １．2009年から2014年までにPDを施行した107例を対象とした。75歳以上22例（高齢者群）と74歳以下85例（非高齢者群）に分け、total protein（TP），Albumin（Alb），Hemoglobin，Lymphocyte，Onodera’s prognostic nutritional index（PNI）の術後１年目から５年目までの経時的推移を比較した。高齢者群と非高齢者群の５年生存率を比較検討した。\n２．2017年４月からPDを施行した８例を対象とし、術前１週間前から術後４週間にかけて経口栄養剤（300kcal/250ml）を投与した。術後１週間目と術後１か月目のTP，Alb，Lymphocyte，Hb，HbA1c，transthyretin（TTR）、retinol binding protein（RBP）、体重を比較した。\n結果：高齢者群でPNI以外のTP、Albは術後３年目、４年目に元に戻っており、術後５年目では全ての栄養指標で術前と有意差を認めなかった。経口栄養剤投与例では TP，Alb，Lymphocyte，PNI，TTRが術後４週目において有意に上昇していた。\n結論：高齢者のPD術後の栄養指標は長期的にみて非高齢者と同等であった。周術期経口栄養剤の投与は術後の栄養状態の改善に寄与する可能性がみられた。","subitem_description_type":"Other"}]},"item_3_full_name_2":{"attribute_name":"著者(ヨミ)","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"13587","nameIdentifierScheme":"WEKO"}],"names":[{"name":"スガワラ, シュウイチロウ"}]},{"nameIdentifiers":[{"nameIdentifier":"13588","nameIdentifierScheme":"WEKO"}],"names":[{"name":"ワタナベ, トシヒロ"}]},{"nameIdentifiers":[{"nameIdentifier":"13589","nameIdentifierScheme":"WEKO"}],"names":[{"name":"テズカ, コウジ"}]},{"nameIdentifiers":[{"nameIdentifier":"13590","nameIdentifierScheme":"WEKO"}],"names":[{"name":"ヒライ, イチロウ"}]},{"nameIdentifiers":[{"nameIdentifier":"13591","nameIdentifierScheme":"WEKO"}],"names":[{"name":"キムラ, ワタル"}]}]},"item_3_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"13592","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Sugawara, 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University"}]},"item_3_text_43":{"attribute_name":"資源タイプ・ローカル","attribute_value_mlt":[{"subitem_text_value":"紀要論文"}]},"item_3_text_44":{"attribute_name":"資源タイプ・NII","attribute_value_mlt":[{"subitem_text_value":"Departmental Bulletin Paper"}]},"item_3_text_45":{"attribute_name":"資源タイプ・DCMI","attribute_value_mlt":[{"subitem_text_value":"text"}]},"item_3_text_46":{"attribute_name":"資源タイプ・ローカル表示コード","attribute_value_mlt":[{"subitem_text_value":"2"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"菅原, 秀一郎"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"渡邊, 利広"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"手塚, 康二"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"平井, 一郎"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"木村, 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