{"created":"2023-05-15T11:21:56.832768+00:00","id":609,"links":{},"metadata":{"_buckets":{"deposit":"64bec392-7c46-40d8-acff-ba8e77ba2ab4"},"_deposit":{"created_by":1,"id":"609","owners":[1],"pid":{"revision_id":0,"type":"depid","value":"609"},"status":"published"},"_oai":{"id":"oai:showa.repo.nii.ac.jp:00000609","sets":["1:51:74:76"]},"author_link":["3311","3310","3309","3314","3312","3313","3308"],"item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2014-06"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"108","bibliographicPageStart":"101","bibliographicVolumeNumber":"26","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 investigated the safety and utility of endoscopic removal of common　bile duct stones (CBDS) in the elderly. In all, 253 patients with CBDS who　underwent endoscopic retrograde cholangiopancreatography (ERCP) between January　2007 and December 2011 at Showa University Hospital were evaluated retorspectively. The median age of the patients was 75 years ; thus, we divided patients　into two groups, those aged ≥ 75 years (Group A ; n ＝ 134) and those aged ＜75 years (Group B ; n ＝ 119). Patients in Group A had significantly higher rates　of endoscopic sphincterotomy in palliative ERCP (24.8% vs. 10.7%; p ＝ 0.008) and　palliative removal of CBDS (34.8% vs. 20.9%; p ＝ 0.015) than patients in Group　B. However, the median dose of flunitrazepam was significantly lower for patients　in Group A than Group B (1 vs. 1.4 mg, respectively ; p ＜ 0.001). The rate of use　of pentazocine (18.5% vs. 54.7%; p ＜ 0.001) and scopolamine butylbromide (6.2%　vs. 23.9%; p ＜ 0.01) was significantly lower in Group A patients, whereas the use　of glucagon was significantly higher in this group (43.8 vs. 15.4%; p ＜ 0.001).　There were no significant differences in the rate of successful endoscopic removal　of CBDS, treatment time, complications, and the recurrence of CBDS between the　two groups. Endoscopic removal of CBDS in the elderly is a safe procedure with　good outcomes if the appropriate treatment is selected.","subitem_description_type":"Abstract"}]},"item_10002_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"Showa University Society"}]},"item_10002_relation_14":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_type_id":{"subitem_relation_type_id_text":"10.15369/sujms.26.101"}}]},"item_10002_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0915-6380"}]},"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":"ISHII, Yu"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"KITAMURA, Katsuya"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"YAMAMIYA, Akira"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"SATO, Yoshiki"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"IWATA, Tomoyuki"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"NOMOTO, Tomohiro"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"YOSHIDA, Hitoshi"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2019-07-26"}],"displaytype":"detail","filename":"S26_101.pdf","filesize":[{"value":"112.3 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"S26_101.pdf","url":"https://showa.repo.nii.ac.jp/record/609/files/S26_101.pdf"},"version_id":"529fc12f-5994-4e34-8645-f27737c27826"}]},"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"}]},"item_title":"Safety and Utility of Endoscopic Removal of Common Bile Duct Stones in the Elderly","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Safety and Utility of Endoscopic Removal of Common Bile Duct Stones in the Elderly"}]},"item_type_id":"10002","owner":"1","path":["76"],"pubdate":{"attribute_name":"公開日","attribute_value":"2018-10-16"},"publish_date":"2018-10-16","publish_status":"0","recid":"609","relation_version_is_last":true,"title":["Safety and Utility of Endoscopic Removal of Common Bile Duct Stones in the Elderly"],"weko_creator_id":"1","weko_shared_id":1},"updated":"2023-05-15T12:41:02.986192+00:00"}