{"created":"2023-05-15T11:23:23.238060+00:00","id":2979,"links":{},"metadata":{"_buckets":{"deposit":"60731cd3-bf33-4984-91c1-045fc23cb5fe"},"_deposit":{"created_by":1,"id":"2979","owners":[1],"pid":{"revision_id":0,"type":"depid","value":"2979"},"status":"published"},"_oai":{"id":"oai:showa.repo.nii.ac.jp:00002979","sets":["1:6:7:240"]},"author_link":["10169","10178","10172","10170","10175","10168","10174","10176","10171","10166","10167","10177","10173"],"item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2018-12"},"bibliographicIssueNumber":"6","bibliographicPageEnd":"687","bibliographicPageStart":"682","bibliographicVolumeNumber":"78","bibliographic_titles":[{"bibliographic_title":"昭和学士会雑誌"}]}]},"item_10002_description_6":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"症例は16歳の男性で，幼少期から食べ過ぎると嘔気，嘔吐を来していたが，自然軽快するため医療機関は受診せず放置していた．今回は食後の嘔気が2週間持続するため，前医を受診した．上部消化管内視鏡検査で胃内に大量の残渣を認め，上部消化管の通過障害を疑われ，精査加療目的に当院へ紹介となった．腹部造影CTや経口胃十二指腸造影等の結果から，明らかな通過障害は認めずnonrotation型の中腸軸捻転を伴う腸回転異常症と診断した．検査所見，臨床所見の結果より腸管虚血を疑う所見が乏しいことから，絶食として保存的加療を選択した．その後腹部症状は改善するも，食事再開後に再度嘔吐を認め，腹腔鏡下にて軸捻転整復術を行う予定となった．腹腔内所見で小腸間膜間の癒着が強く開腹移行し，軸捻転を解除した．術後は良好に経過し，特に合併症無く退院となった．腸回転異常症の多くは乳児期に発見されるものが多いが，若年期以降に発見される症例も散見され，反復性の嘔吐や持続性の腹部症状を呈する症例では，本疾患も念頭に置くべきだと考えられる．","subitem_description_type":"Abstract"}]},"item_10002_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"昭和大学学士会"}]},"item_10002_relation_14":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_type_id":{"subitem_relation_type_id_text":"10.14930/jshowaunivsoc.78.682"}}]},"item_10002_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"2187-719X"}]},"item_10002_version_type_20":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"箱崎, 智樹"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"村上, 雅彦"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"草野, 智一"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"山崎, 達哉"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"平井, 隆仁"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"冨岡, 幸大"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"吉澤, 宗大"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"小澤, 慶彰"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"田代, 良彦"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"野垣, 航二"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"古泉, 友丈"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"藤森, 聰"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"青木, 武士"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2019-08-09"}],"displaytype":"detail","filename":"78_682.pdf","filesize":[{"value":"606.5 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"78_682.pdf","url":"https://showa.repo.nii.ac.jp/record/2979/files/78_682.pdf"},"version_id":"516c237f-9dbc-4358-9494-c214b0caf61c"}]},"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"}]},"item_title":"待機的に整復手術を試みた若年者腸回転異常症の1例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"待機的に整復手術を試みた若年者腸回転異常症の1例"}]},"item_type_id":"10002","owner":"1","path":["240"],"pubdate":{"attribute_name":"公開日","attribute_value":"2019-08-09"},"publish_date":"2019-08-09","publish_status":"0","recid":"2979","relation_version_is_last":true,"title":["待機的に整復手術を試みた若年者腸回転異常症の1例"],"weko_creator_id":"1","weko_shared_id":-1},"updated":"2023-05-15T12:47:27.189732+00:00"}