{"created":"2023-05-25T05:25:56.168654+00:00","id":4479,"links":{},"metadata":{"_buckets":{"deposit":"d6e45820-6e7c-4c75-b148-0dcd8db0004e"},"_deposit":{"created_by":17,"id":"4479","owners":[17],"pid":{"revision_id":0,"type":"depid","value":"4479"},"status":"published"},"_oai":{"id":"oai:yamagata.repo.nii.ac.jp:00004479","sets":["29:31:124:156"]},"author_link":["13833","13827","13930","13828","13831","13931","13933","13932","13935","13832","13829","13830","13834","13936","13929","13934"],"item_3_alternative_title_18":{"attribute_name":"その他の言語のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"The effect of oral nutritional supplements for pancreaticoduodenectomy"}]},"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 ニ オケル ケイコウ ホジョ エイヨウザイ トウヨ ノ ユウヨウセイ"}]},"item_3_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2018-08-15","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"120","bibliographicPageStart":"114","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：膵頭十二指腸切除術（pancreaticoduodenectomy：PD）における周術期の経口補助栄養（oral nutritional supplements：ONS）が術後の栄養状態に与える影響を明らかにすることを目的とした。\n方法：１．2017年４月から12月までに山形大学医学部附属病院でPDを施行した12例を対象とし、術前１週間前から術後３か月にかけて経口補助栄養剤（300kcal/250ml）を１日１回経口投与した（ONS群）。コントロール群として同院でPDを施行しONSを投与しなかった107例を対象とした。\n２．ONS群とコントロール群で術後３か月目のtotal protein（TP）、Albumin（Alb）、リンパ球、Onodera’s prognostic nutritional index（PNI）、geriatric nutritional risk index（GNRI）、体重を比較した。また、術前から術後３か月目にかけてのTP、Alb、リンパ球、PNI、GNRI、体重変化率と術後１週間目から術後３か月目にかけての変化率についてONS群とコントロール群で比較した。術後１週間目のAlb値3.0g/dl以下の症例を対象に、術後１週間目から術後３か月目にかけての変化率について同様に比較した。\n３．体重変化率－10％未満（体重維持群）と－10％以上（体重減少群）に分けて性別、年齢、術前体重、術前糖尿病合併数、術後合併症発生数、ONS投与数、術前TP、Alb、リンパ球、PNI、GNRIについて比較した。\n結果：術前から術後３か月の体重変化率はONS群に有意な体重変化率の改善を認めた。術後１週間目から術後３か月目にかけての変化率ではTP、リンパ球、PNIでONS群に有意な改善を認めた。ONS投与例は体重維持群の方が有意に多くみられた。\n結論：PDにおいてONSの投与は、術後の体重減少の抑止に有効であった。","subitem_description_type":"Other"}]},"item_3_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"13929","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Sugawara, Shuichiro"}]},{"nameIdentifiers":[{"nameIdentifier":"13930","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Watanabe, Toshihiro"}]},{"nameIdentifiers":[{"nameIdentifier":"13931","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Takahashi, Ryosuke"}]},{"nameIdentifiers":[{"nameIdentifier":"13932","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Ashitomi, Yuya"}]},{"nameIdentifiers":[{"nameIdentifier":"13933","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Yamaga, Ryosuke"}]},{"nameIdentifiers":[{"nameIdentifier":"13934","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Tezuka, Koji"}]},{"nameIdentifiers":[{"nameIdentifier":"13935","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Hirai, Ichiro"}]},{"nameIdentifiers":[{"nameIdentifier":"13936","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Kimura, Wataru"}]}]},"item_3_identifier_registration":{"attribute_name":"ID登録","attribute_value_mlt":[{"subitem_identifier_reg_text":"10.15022/00004450","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":"菅原, 秀一郎"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"渡邊, 利広"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"髙橋, 良輔"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"安次富, 裕哉"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"山賀, 亮介"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"手塚, 康二"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"平井, 一郎"}],"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":"2018-08-30"}],"displaytype":"detail","filename":"kiyoum-36-2-114to120.pdf","filesize":[{"value":"550.6 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"kiyoum-36-2-114to120","url":"https://yamagata.repo.nii.ac.jp/record/4479/files/kiyoum-36-2-114to120.pdf"},"version_id":"f724c028-7591-48a3-bd75-ecf31995f346"}]},"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 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