{"created":"2023-06-19T08:46:12.227767+00:00","id":1673,"links":{},"metadata":{"_buckets":{"deposit":"f7ead412-5f13-4542-8a0c-d39aaa4dfc97"},"_deposit":{"created_by":25,"id":"1673","owners":[25],"pid":{"revision_id":0,"type":"depid","value":"1673"},"status":"published"},"_oai":{"id":"oai:ycu.repo.nii.ac.jp:00001673","sets":["4:71:361:389"]},"author_link":["3163","3165","572","2225","2904","587","283","3164","3166","2228","588","2612","570","589","578","3060","590","3162"],"item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2018-10-30","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"4","bibliographicPageEnd":"571","bibliographicPageStart":"567","bibliographicVolumeNumber":"69","bibliographic_titles":[{"bibliographic_title":"横浜医学"},{"bibliographic_title":"Yokohama Medical Journal","bibliographic_titleLang":"en"}]}]},"item_10002_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"症例は62歳男性．既往歴に高血圧，糖尿病，心筋梗塞，心房細動があった．2012年7月，突然の心窩部痛と嘔吐を認め，当院へ救急搬送された．血液検査では代謝性アシドーシス，腹部造影CTでは上腸間膜動脈領域の血流障害と腸管拡張を認めた．上腸間膜動脈閉塞症と診断し，同日緊急手術を施行した．術中所見では，Treitz 靭帯より30cmの空腸から上行結腸口側1/3 までの腸管が広範に壊死していたため，小腸亜全摘と回盲部切除を行った．術後は短腸症候群による重度の下痢と栄養障害を認めたが，NSTの早期介入とグルタミン・ファイバー・オリゴ糖（GFO）療法を中心とした栄養療法を行い，術後65日で完全経口栄養が可能となった．残存小腸が50cm未満の短腸症候群では，経口摂取のみでの栄養維持が困難であるとされているが，今回われわれは残存小腸30cmで完全経口栄養が可能となった短腸症候群の1例を経験したため，文献的考察を加えて報告する．","subitem_description_type":"Abstract"}]},"item_10002_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"横浜市立大学医学会"}]},"item_10002_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0372-7726","subitem_source_identifier_type":"ISSN"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"原, 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REMAINING","subitem_title_language":"en"}]},"item_type_id":"10002","owner":"25","path":["389"],"pubdate":{"attribute_name":"公開日","attribute_value":"2019-03-12"},"publish_date":"2019-03-12","publish_status":"0","recid":"1673","relation_version_is_last":true,"title":["GFO療法を経て完全経口栄養が可能となった残存小腸30cmの短腸症候群の一例"],"weko_creator_id":"25","weko_shared_id":-1},"updated":"2023-06-19T09:36:44.198339+00:00"}