WEKO3
アイテム
{"_buckets": {"deposit": "6997cca4-1099-483a-b055-8e9abf8b4abc"}, "_deposit": {"created_by": 1, "id": "711", "owners": [1], "pid": {"revision_id": 0, "type": "depid", "value": "711"}, "status": "published"}, "_oai": {"id": "oai:showa.repo.nii.ac.jp:00000711", "sets": ["91"]}, "author_link": ["4092", "4087", "4093", "4088", "4090", "4091", "4086", "4089"], "item_10002_biblio_info_7": {"attribute_name": "書誌情報", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "2011-06", "bibliographicIssueDateType": "Issued"}, "bibliographicIssueNumber": "2", "bibliographicPageEnd": "99", "bibliographicPageStart": "89", "bibliographicVolumeNumber": "23", "bibliographic_titles": [{"bibliographic_title": "The Showa University journal of medical sciences"}]}]}, "item_10002_description_6": {"attribute_name": "抄録", "attribute_value_mlt": [{"subitem_description": "We evaluated clinical outcomes and prognostic factors associated with survival after balloon-occluded retrograde transvenous obliteration (B-RTO) of gastric varices in patients with portal hypertension. Of 50 patients with gastric varices who underwent B-RTO, 46 (94.0%) patients in whom B-RTO was technically successful were reviewed retrospectively. Gastric and esophageal varices after B-RTO were evaluated by contrast-enhanced computer tomography and endoscopy, respectively. Liver function parameters and Child-Pugh scores were estimated before and at 1 year after B-RTO. The cumulative survival rate was calculated, and univariate and multivariate analyses were used to assess the prognostic factors. No major complications occurred in any of the patients following B-RTO and no recurrence or bleeding of gastric varices was noted. Of the 42 patients who were followed up for the progression of esophageal varices, 13 (31.0%) had worsened varices and of these, 6 (14.3%) showed bleeding. Prothrombin activity had significantly improved at 1 year after B-RTO, although there were no changes in other liver function parameters. The overall cumulative survival rates at 1, 3, and 5 years after B-RTO were 91.6%, 70.9%, and 53.6%, respectively. Multivariate analysis identified the occurrence of advanced hepatocellular carcinoma (HCC) during the observation period as a prognostic factor for survival (hazard ratio = 4.1497, 95% CI = 1.32314-13.0319, P = 0.0148). B-RTO of gastric varices is an effective treatment ensuring lower recurrence and bleeding rates; however, these patients require careful observation for progression of esophageal varices. The management of HCC is crucial for achieving long-term survival after B-RTO.", "subitem_description_type": "Abstract"}]}, "item_10002_publisher_8": {"attribute_name": "出版者", "attribute_value_mlt": [{"subitem_publisher": "Showa Medical Association and Showa University"}]}, "item_10002_relation_14": {"attribute_name": "DOI", "attribute_value_mlt": [{"subitem_relation_type": "isIdenticalTo", "subitem_relation_type_id": {"subitem_relation_type_id_text": "10.15369/sujms.23.89", "subitem_relation_type_select": "DOI"}}]}, "item_10002_source_id_11": {"attribute_name": "NCID", "attribute_value_mlt": [{"subitem_source_identifier": "AA10781651", "subitem_source_identifier_type": "NCID"}]}, "item_10002_source_id_9": {"attribute_name": "ISSN", "attribute_value_mlt": [{"subitem_source_identifier": "0915-6380", "subitem_source_identifier_type": "ISSN"}]}, "item_10002_text_26": {"attribute_name": "アイテムタイプ", "attribute_value_mlt": [{"subitem_text_value": "学内発行雑誌 / Departmental Bulletin Paper"}]}, "item_10002_text_27": {"attribute_name": "POS_INDEX", "attribute_value_mlt": [{"subitem_text_value": "学内発行雑誌/The Showa University journal of medical sciences/Vol.23(2011)/No.2"}]}, "item_10002_version_type_20": {"attribute_name": "著者版フラグ", "attribute_value_mlt": [{"subitem_version_resource": "http://purl.org/coar/version/c_970fb48d4fbd8a85", "subitem_version_type": "VoR"}]}, "item_creator": {"attribute_name": "著者", "attribute_type": "creator", "attribute_value_mlt": [{"creatorNames": [{"creatorName": "UOZUMI, Shojiro"}], "nameIdentifiers": [{"nameIdentifier": "4086", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "BABA, Toshiyuki"}], "nameIdentifiers": [{"nameIdentifier": "4087", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "SAI, Syouei"}], "nameIdentifiers": [{"nameIdentifier": "4088", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "SEINO, Noritaka"}], "nameIdentifiers": [{"nameIdentifier": "4089", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "HASHIMOTO, Toshi"}], "nameIdentifiers": [{"nameIdentifier": "4090", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "HONDA, Minoru"}], "nameIdentifiers": [{"nameIdentifier": "4091", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "GOKAN, Takehiko"}], "nameIdentifiers": [{"nameIdentifier": "4092", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "IMAWARI, Michio"}], "nameIdentifiers": [{"nameIdentifier": "4093", "nameIdentifierScheme": "WEKO"}]}]}, "item_files": {"attribute_name": "ファイル情報", "attribute_type": "file", "attribute_value_mlt": [{"accessrole": "open_date", "date": [{"dateType": "Available", "dateValue": "2019-07-26"}], "displaytype": "detail", "download_preview_message": "", "file_order": 0, "filename": "S23_89.pdf", "filesize": [{"value": "213.2 kB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "licensetype": "license_free", "mimetype": "application/pdf", "size": 213200.0, "url": {"label": "S23_89.pdf", "url": "https://showa.repo.nii.ac.jp/record/711/files/S23_89.pdf"}, "version_id": "bf45fad7-3a29-4c5b-b07a-9c1183dc8450"}]}, "item_language": {"attribute_name": "言語", "attribute_value_mlt": [{"subitem_language": "eng"}]}, "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": "Clinical Outcomes and Prognostic Factors Associated with Survival after Balloon-occluded Retrograde Transvenous Obliteration of Gastric Varices", "item_titles": {"attribute_name": "タイトル", "attribute_value_mlt": [{"subitem_title": "Clinical Outcomes and Prognostic Factors Associated with Survival after Balloon-occluded Retrograde Transvenous Obliteration of Gastric Varices", "subitem_title_language": "en"}]}, "item_type_id": "10002", "owner": "1", "path": ["91"], "permalink_uri": "https://showa.repo.nii.ac.jp/records/711", "pubdate": {"attribute_name": "公開日", "attribute_value": "2016-12-17"}, "publish_date": "2016-12-17", "publish_status": "0", "recid": "711", "relation": {}, "relation_version_is_last": true, "title": ["Clinical Outcomes and Prognostic Factors Associated with Survival after Balloon-occluded Retrograde Transvenous Obliteration of Gastric Varices"], "weko_shared_id": 1}
Clinical Outcomes and Prognostic Factors Associated with Survival after Balloon-occluded Retrograde Transvenous Obliteration of Gastric Varices
https://showa.repo.nii.ac.jp/records/711
https://showa.repo.nii.ac.jp/records/71176c3079c-190d-44e7-a3ac-6bfc3ee75d21
名前 / ファイル | ライセンス | アクション |
---|---|---|
S23_89.pdf (213.2 kB)
|
|
Item type | 学内発行雑誌 / Departmental Bulletin Paper(1) | |||||
---|---|---|---|---|---|---|
公開日 | 2016-12-17 | |||||
タイトル | ||||||
タイトル | Clinical Outcomes and Prognostic Factors Associated with Survival after Balloon-occluded Retrograde Transvenous Obliteration of Gastric Varices | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源タイプ | departmental bulletin paper | |||||
著者 |
UOZUMI, Shojiro
× UOZUMI, Shojiro× BABA, Toshiyuki× SAI, Syouei× SEINO, Noritaka× HASHIMOTO, Toshi× HONDA, Minoru× GOKAN, Takehiko× IMAWARI, Michio |
|||||
書誌情報 |
The Showa University journal of medical sciences 巻 23, 号 2, p. 89-99, 発行日 2011-06 |
|||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | We evaluated clinical outcomes and prognostic factors associated with survival after balloon-occluded retrograde transvenous obliteration (B-RTO) of gastric varices in patients with portal hypertension. Of 50 patients with gastric varices who underwent B-RTO, 46 (94.0%) patients in whom B-RTO was technically successful were reviewed retrospectively. Gastric and esophageal varices after B-RTO were evaluated by contrast-enhanced computer tomography and endoscopy, respectively. Liver function parameters and Child-Pugh scores were estimated before and at 1 year after B-RTO. The cumulative survival rate was calculated, and univariate and multivariate analyses were used to assess the prognostic factors. No major complications occurred in any of the patients following B-RTO and no recurrence or bleeding of gastric varices was noted. Of the 42 patients who were followed up for the progression of esophageal varices, 13 (31.0%) had worsened varices and of these, 6 (14.3%) showed bleeding. Prothrombin activity had significantly improved at 1 year after B-RTO, although there were no changes in other liver function parameters. The overall cumulative survival rates at 1, 3, and 5 years after B-RTO were 91.6%, 70.9%, and 53.6%, respectively. Multivariate analysis identified the occurrence of advanced hepatocellular carcinoma (HCC) during the observation period as a prognostic factor for survival (hazard ratio = 4.1497, 95% CI = 1.32314-13.0319, P = 0.0148). B-RTO of gastric varices is an effective treatment ensuring lower recurrence and bleeding rates; however, these patients require careful observation for progression of esophageal varices. The management of HCC is crucial for achieving long-term survival after B-RTO. | |||||
DOI | ||||||
関連識別子 | 10.15369/sujms.23.89 | |||||
出版者 | ||||||
出版者 | Showa Medical Association and Showa University | |||||
ISSN | ||||||
収録物識別子 | 0915-6380 | |||||
著者版フラグ | ||||||
出版タイプ | VoR |