{"created":"2023-05-18T10:11:19.745973+00:00","id":3062,"links":{},"metadata":{"_buckets":{"deposit":"3b1ab867-1f29-47e3-a874-4ddfb3a41802"},"_deposit":{"created_by":1,"id":"3062","owners":[1],"pid":{"revision_id":0,"type":"depid","value":"3062"},"status":"published"},"_oai":{"id":"oai:yamanashi.repo.nii.ac.jp:00003062","sets":["205:251:276"]},"author_link":["14158","14159","14160","14161","14162","14163","14164","14165","14166","14167","14168","14169","14170","14171","14172","14173","14174","14175","14176","14177","14178","14179","14180","14181"],"control_number":"3062","item_10001_alternative_title_1":{"attribute_name":"タイトル(別表記)","attribute_value_mlt":[{"subitem_alternative_title":"Expandable Metallic Stent Malignant Bile Duct Obstruction Biliary Endoprosthesis Radiation Therapy","subitem_alternative_title_language":"en"}]},"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"1996","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"4","bibliographicPageEnd":"93","bibliographicPageStart":"85","bibliographicVolumeNumber":"11","bibliographic_titles":[{"bibliographic_title":"山梨医科大学雑誌","bibliographic_titleLang":"ja"},{"bibliographic_title":"Yamanashi medical journal","bibliographic_titleLang":"en"}]}]},"item_10001_creator_2":{"attribute_name":"著者名","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"荒木, 拓次","creatorNameLang":"ja"}],"nameIdentifiers":[{"nameIdentifier":"14158","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"大西, 洋","creatorNameLang":"ja"}],"nameIdentifiers":[{"nameIdentifier":"14159","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"白須, 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力","creatorNameLang":"ja"}],"nameIdentifiers":[{"nameIdentifier":"14166","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"大友, 邦","creatorNameLang":"ja"}],"nameIdentifiers":[{"nameIdentifier":"14167","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"藤井, 秀樹","creatorNameLang":"ja"}],"nameIdentifiers":[{"nameIdentifier":"14168","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"松本, 由朗","creatorNameLang":"ja"}],"nameIdentifiers":[{"nameIdentifier":"14169","nameIdentifierScheme":"WEKO"}]}]},"item_10001_description_5":{"attribute_name":"内容","attribute_value_mlt":[{"subitem_description":"平成3年4月から平成8年2月にかけ当院及び関連施設で expandable metallic stent(EMS)による経皮経肝的悪性胆道狭窄内瘻術を29例(男性12例,女性17例,31～92歳,平均70歳)に施行した。原疾患は,肝門部胆管癌11例,中下部胆管癌10例,胆嚢癌4例,その他4例であった。EMSの留置は,PTCDに引続き,そのルートを用いて行った。EMS留置成功率は96.6%,家庭復帰率は89.7%であった。外瘻チュープ抜去時からの全体の累積生存期間は,50%生存期間で30週であった。予後因子について多変量解析の結果,病変の範囲(病変の限局性),放射線治療,胆道の狭窄の長さが予後に影響していた。併用抗腫瘍療法としては,病変の限局群では放射線療法が有意に予後の改善に寄与したが,病変の非限局群では,併用抗腫瘍療法は,予後の改善に寄与しなかった。ステントの閉塞は,31%に見られ,閉塞群の平均ステント開存期間は14週であった。原因は腫瘍の再増殖,および sludgeによるものが多かった。合併症は,重篤なものとして肝膿瘍が2例に見られた。逸脱は,1例に見られたが合併症はなかった。EMSによる悪性胆道狭窄内瘻術は,患者のQOLの改善に寄与し,有用な方法であるが,併用抗腫瘍療法は,その症例の病変の範囲などから予後を考慮して行うべきと考えられた","subitem_description_language":"ja","subitem_description_type":"Other"}]},"item_10001_full_name_24":{"attribute_name":"著者名(別表記)","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"14170","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Araki, Takuji","nameLang":"en"}]},{"nameIdentifiers":[{"nameIdentifier":"14171","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Ohnishi, Hiroshi","nameLang":"en"}]},{"nameIdentifiers":[{"nameIdentifier":"14172","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Shirasu, Masayo","nameLang":"en"}]},{"nameIdentifiers":[{"nameIdentifier":"14173","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Hiraike, Sachiko","nameLang":"en"}]},{"nameIdentifiers":[{"nameIdentifier":"14174","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Yamaguchi, Motoshi","nameLang":"en"}]},{"nameIdentifiers":[{"nameIdentifier":"14175","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Tohyama, Keiji","nameLang":"en"}]},{"nameIdentifiers":[{"nameIdentifier":"14176","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Nokata, Yohko","nameLang":"en"}]},{"nameIdentifiers":[{"nameIdentifier":"14177","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Kachi, Kenji","nameLang":"en"}]},{"nameIdentifiers":[{"nameIdentifier":"14178","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Araki, Tsutomu","nameLang":"en"}]},{"nameIdentifiers":[{"nameIdentifier":"14179","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Ohtomo, Kuni","nameLang":"en"}]},{"nameIdentifiers":[{"nameIdentifier":"14180","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Fujii, Hideki","nameLang":"en"}]},{"nameIdentifiers":[{"nameIdentifier":"14181","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Matsumoto, Yoshiro","nameLang":"en"}]}]},"item_10001_identifier_registration":{"attribute_name":"ID登録","attribute_value_mlt":[{"subitem_identifier_reg_text":"10.34429/00003055","subitem_identifier_reg_type":"JaLC"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"山梨医科大学医学会","subitem_publisher_language":"ja"}]},"item_10001_source_id_11":{"attribute_name":"NCID","attribute_value_mlt":[{"subitem_source_identifier":"AN10044054","subitem_source_identifier_type":"NCID"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0912-0025","subitem_source_identifier_type":"ISSN"}]},"item_10001_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_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2020-02-27"}],"displaytype":"detail","filename":"AN10044054_11_04_03.pdf","filesize":[{"value":"2.3 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"AN10044054_11_04_03.pdf","url":"https://yamanashi.repo.nii.ac.jp/record/3062/files/AN10044054_11_04_03.pdf"},"version_id":"3a079cbb-89f0-4ae4-acd9-d3079df741c1"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"金属ステント","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"悪性胆道狭窄","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"胆道内瘻術","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"放射線治療","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"expandable metallic stent","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"malignant bile duct obstruction","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"biliary endoprosthesis","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"radiation therapy","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"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":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"<原著>金属ステント(expandable metallic stent)による悪性胆道狭窄内瘻術の治療成績","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"<原著>金属ステント(expandable metallic stent)による悪性胆道狭窄内瘻術の治療成績","subitem_title_language":"ja"},{"subitem_title":"ゲンチョ キンゾクステント expandable metallic stent ニ ヨル アクセイ タンドウ キョウサク ナイロウ ジュツ ノ チリョウ セイセキ","subitem_title_language":"ja-Kana"}]},"item_type_id":"10001","owner":"1","path":["276"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2010-05-18"},"publish_date":"2010-05-18","publish_status":"0","recid":"3062","relation_version_is_last":true,"title":["<原著>金属ステント(expandable metallic stent)による悪性胆道狭窄内瘻術の治療成績"],"weko_creator_id":"1","weko_shared_id":-1},"updated":"2024-11-25T05:26:30.637484+00:00"}