{"created":"2023-05-25T05:25:55.999042+00:00","id":4475,"links":{},"metadata":{"_buckets":{"deposit":"c3c24eae-f1f9-41b0-9c00-12c272df7887"},"_deposit":{"created_by":17,"id":"4475","owners":[17],"pid":{"revision_id":0,"type":"depid","value":"4475"},"status":"published"},"_oai":{"id":"oai:yamagata.repo.nii.ac.jp:00004475","sets":["29:31:124:156"]},"author_link":["13805","13806","13939","13802","13941","13940","13803","13801","13938","13937","13942","13804"],"item_3_alternative_title_18":{"attribute_name":"その他の言語のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"A case of gastric volvulus treated by laparoscopic gastropexy and percutaneous endoscopic gastrostomy"}]},"item_3_alternative_title_19":{"attribute_name":"タイトル（ヨミ）","attribute_value_mlt":[{"subitem_alternative_title":"イロウ ゾウセツ ト フククウキョウカ イ コテイジュツ オ ヘイヨウ シタ ジャクネンセイ マンセイ イジク ネンテンショウ ノ イチレイ"}]},"item_3_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2018-08-15","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"168","bibliographicPageStart":"163","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":"　反復する胃軸捻転症に対して、腹腔鏡下胃固定術と胃瘻造設を併用し、良好な治療効果を認めた一例を経験したため報告する。症例は32歳女性。BMI 14とるい瘦あり。胃軸捻転症で２回の入院歴があり、保存的治療で軽快していた。嘔吐、上腹部痛を主訴に来院、CTで胃軸捻転の再発が疑われた。内視鏡的に捻転を解除するも、胃拡張は残存した。呑気あり、軸捻転の要因と考えられた。その後も捻転を繰り返し十分な整復が得られなかったため、腹腔鏡下胃固定術を施行した。その際、胃と腹壁の確実な固定として経皮的内視鏡的胃瘻造設術（Percutaneous Endoscopic Gastrostomy，PEG）を併施した。術後は再発なく経過した。腹腔鏡下での固定の一つとして、特に本症例のようなやせ型で腹壁の脆弱な症例に対しては、確実な固定のために胃および腹壁全層を貫くPEGの併用は選択肢の一つとなりうると考えられた。またPEGからの脱気・ドレナージは胃拡張・軸捻転の再発予防として有用と考えられた。","subitem_description_type":"Other"}]},"item_3_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"13937","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Sato, Tamie"}]},{"nameIdentifiers":[{"nameIdentifier":"13938","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Hachiya, Osamu"}]},{"nameIdentifiers":[{"nameIdentifier":"13939","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Fukumoto, Tsuyoshi"}]},{"nameIdentifiers":[{"nameIdentifier":"13940","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Watanabe, Toshihiro"}]},{"nameIdentifiers":[{"nameIdentifier":"13941","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Takasu, Naoki"}]},{"nameIdentifiers":[{"nameIdentifier":"13942","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Kimura, Wataru"}]}]},"item_3_identifier_registration":{"attribute_name":"ID登録","attribute_value_mlt":[{"subitem_identifier_reg_text":"10.15022/00004446","subitem_identifier_reg_type":"JaLC"}]},"item_3_publisher_32":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"山形大学"}]},"item_3_source_id_7":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0288-030X","subitem_source_identifier_type":"ISSN"}]},"item_3_source_id_9":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN00067279","subitem_source_identifier_type":"NCID"}]},"item_3_text_33":{"attribute_name":"出版者（ヨミ）","attribute_value_mlt":[{"subitem_text_value":"ヤマガタ ダイガク"}]},"item_3_text_34":{"attribute_name":"別言語の出版者","attribute_value_mlt":[{"subitem_text_value":"Yamagata 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":"佐藤, 多未笑"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"蜂谷, 修"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"福元, 剛"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"渡邊, 利広"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"高須, 直樹"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"木村, 理"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2018-08-23"}],"displaytype":"detail","filename":"kiyoum-36-2-163to168.pdf","filesize":[{"value":"1.3 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"kiyoum-36-2-163to168","url":"https://yamagata.repo.nii.ac.jp/record/4475/files/kiyoum-36-2-163to168.pdf"},"version_id":"fae6471a-3a46-4baa-aa7d-348a13e78c71"}]},"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":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"胃瘻造設と腹腔鏡下胃固定術を併用した若年性慢性胃軸捻転症の一例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"胃瘻造設と腹腔鏡下胃固定術を併用した若年性慢性胃軸捻転症の一例"}]},"item_type_id":"3","owner":"17","path":["156"],"pubdate":{"attribute_name":"公開日","attribute_value":"2018-08-15"},"publish_date":"2018-08-15","publish_status":"0","recid":"4475","relation_version_is_last":true,"title":["胃瘻造設と腹腔鏡下胃固定術を併用した若年性慢性胃軸捻転症の一例"],"weko_creator_id":"17","weko_shared_id":-1},"updated":"2023-05-25T06:24:17.419887+00:00"}