{"_buckets": {"deposit": "0b8aa36c-6b5f-4e80-96d0-e085fe17f516"}, "_deposit": {"created_by": 3, "id": "325", "owners": [3], "pid": {"revision_id": 0, "type": "depid", "value": "325"}, "status": "published"}, "_oai": {"id": "oai:dmu.repo.nii.ac.jp:00000325", "sets": ["33"]}, "author_link": ["1284", "1300", "1289", "1279", "1274", "1286", "1306", "1275", "1301", "1292", "1304", "1281", "1293", "1307", "1288", "1285", "1295", "1283", "1297", "1277", "1291", "1299", "1282", "1305", "1298", "1296", "1276", "1287", "1280", "1290", "1302", "1303", "1278", "1294"], "item_2_biblio_info_12": {"attribute_name": "書誌情報", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "2005-03-25", "bibliographicIssueDateType": "Issued"}, "bibliographicIssueNumber": "1", "bibliographicPageEnd": "69", "bibliographicPageStart": "63", "bibliographicVolumeNumber": "32", "bibliographic_titles": [{"bibliographic_title": "Dokkyo journal of medical sciences"}]}]}, "item_2_description_10": {"attribute_name": "抄録(日)", "attribute_value_mlt": [{"subitem_description": "十二指腸静脈瘤からの出血は稀であり致命的となりうる肝硬変の合併症であるが,その治療法は未だ確立していない.我々は,ブチル-2-シアノアクリレート(CA)を用いた内視鏡的硬化療法が有効であった出血性十二指腸静脈瘤の2例を経験したので報告する.症例1:61歳の女性.肝硬変の診断で近医通院中に下血をきたしたが,出血源不明のため当院に転院.上部消化管内視鏡検査で十二指腸静脈瘤を認め,出血源と診断した.腹部血管造影を行なったが,静脈瘤の供血路は不明であったため,CAを用いた内視鏡的硬化療法(EIS)を施行した.その後1年の経過中,再出血は認めていない.症例2:67歳の男性.肝硬変,肝細胞癌の精査のため入院,肝細胞癌に対して加療.入院中下血を認め上部消化管内視鏡検査で十二指腸の静脈瘤と赤色栓を認めたため出血源と診断し,一時止血目的にEVLを施行.腹部血管造影を行なったが,IVR治療は困難でありCAを用いたEISを施行し,その後死亡までの6ヶ月間消化管出血はみられなかった.今回,出血性十二指腸静脈瘤に対して孤立性胃静脈瘤の治療に準じCAを用いたEISを行ない,止血および再出血の予防効果がみられた.本法は十二指腸静脈瘤破綻に対して有効な治療選択の一つであることが示唆された.", "subitem_description_type": "Other"}]}, "item_2_description_11": {"attribute_name": "抄録(英)", "attribute_value_mlt": [{"subitem_description": "Bleeding from duodenal varices is rare. However, it can be fatal for patients with liver cirrhosis. The treatment remains controversial, and there has been no consensus obtained. We herein report two cases of hemorrhagic duodenal varices successfully treated with endoscopic injection sclerotherapy (EIS) using cyanoacrylate (CA). Case 1 : A 61-year-old woman was referred to Dokkyo University Hospital for investigation of melena, during the follow up of B type liver cirrhosis. Esophago-gastro-duo-denoscopy (EGD) revealed varices at the second portion of the duodenum. Which was regarded as the bleeding point. Since abdominal angiography failed to demonstrate any supplying vessel into the duodenal varices, we treated the duodenal varices with EIS using CA successfully. No bleeding has been observed for a year after the treatment. Case 2 : A 67-year-old man was hospitalized for treatment of hepatocellular carcinoma and liver cirrhosis. During the hospitalization, he experienced melena. EGD revenled duodenal varices with red plug. Since IVR approach was technically impossible, we performed EIS with CA successfully. He did not suffer from gastrointestinal bleeding for the following 6 month until he died of liver failure. We conclude that EIS with CA is one of the therapeutic options for ruptured duodenal varices.", "subitem_description_type": "Other"}]}, "item_2_description_15": {"attribute_name": "表示順", "attribute_value_mlt": [{"subitem_description": "11", "subitem_description_type": "Other"}]}, "item_2_description_16": {"attribute_name": "アクセション番号", "attribute_value_mlt": [{"subitem_description": "KJ00004161891", "subitem_description_type": "Other"}]}, "item_2_description_8": {"attribute_name": "記事種別(日)", "attribute_value_mlt": [{"subitem_description": "症例報告", "subitem_description_type": "Other"}]}, "item_2_description_9": {"attribute_name": "記事種別(英)", "attribute_value_mlt": [{"subitem_description": "Case Report", "subitem_description_type": "Other"}]}, "item_2_source_id_1": {"attribute_name": "雑誌書誌ID", "attribute_value_mlt": [{"subitem_source_identifier": "AA00629581", "subitem_source_identifier_type": "NCID"}]}, "item_2_source_id_19": {"attribute_name": "ISSN", "attribute_value_mlt": [{"subitem_source_identifier": "03855023", "subitem_source_identifier_type": "ISSN"}]}, "item_2_text_6": {"attribute_name": "著者所属(日)", "attribute_value_mlt": [{"subitem_text_value": "獨協医科大学内科学(消化器)"}, {"subitem_text_value": "獨協医科大学内科学(消化器)"}, {"subitem_text_value": "獨協医科大学内科学(消化器)"}, {"subitem_text_value": "獨協医科大学内科学(消化器)"}, {"subitem_text_value": "獨協医科大学内科学(消化器)"}, {"subitem_text_value": "獨協医科大学内科学(消化器)"}, {"subitem_text_value": "獨協医科大学内科学(消化器)"}, {"subitem_text_value": "獨協医科大学内科学(消化器)"}, {"subitem_text_value": "獨協医科大学内科学(消化器)"}, {"subitem_text_value": "獨協医科大学内科学(消化器)"}, {"subitem_text_value": "獨協医科大学内科学(消化器)"}, {"subitem_text_value": "獨協医科大学内科学(消化器)"}, {"subitem_text_value": "獨協医科大学内科学(消化器)"}, {"subitem_text_value": "獨協医科大学内科学(消化器)"}, {"subitem_text_value": "獨協医科大学内科学(消化器)"}, {"subitem_text_value": "獨協医科大学内科学(消化器)"}, {"subitem_text_value": "獨協医科大学"}]}, "item_2_text_7": {"attribute_name": "著者所属(英)", "attribute_value_mlt": [{"subitem_text_language": "en", "subitem_text_value": "Department of Gastroenterology, Dokkyo University School of Medicine"}, {"subitem_text_language": "en", "subitem_text_value": "Department of Gastroenterology, Dokkyo University School of Medicine"}, {"subitem_text_language": "en", "subitem_text_value": "Department of Gastroenterology, Dokkyo University School of Medicine"}, {"subitem_text_language": "en", "subitem_text_value": "Department of Gastroenterology, Dokkyo University School of Medicine"}, {"subitem_text_language": "en", "subitem_text_value": "Department of Gastroenterology, Dokkyo University School of Medicine"}, {"subitem_text_language": "en", "subitem_text_value": "Department of Gastroenterology, Dokkyo University School of Medicine"}, {"subitem_text_language": "en", "subitem_text_value": "Department of Gastroenterology, Dokkyo University School of Medicine"}, {"subitem_text_language": "en", "subitem_text_value": "Department of Gastroenterology, Dokkyo University School of Medicine"}, {"subitem_text_language": "en", "subitem_text_value": "Department of Gastroenterology, Dokkyo University School of Medicine"}, {"subitem_text_language": "en", "subitem_text_value": "Department of Gastroenterology, Dokkyo University School of Medicine"}, {"subitem_text_language": "en", "subitem_text_value": "Department of Gastroenterology, Dokkyo University School of Medicine"}, {"subitem_text_language": "en", "subitem_text_value": "Department of Gastroenterology, Dokkyo University School of Medicine"}, {"subitem_text_language": "en", "subitem_text_value": "Department of Gastroenterology, Dokkyo University School of Medicine"}, {"subitem_text_language": "en", "subitem_text_value": "Department of Gastroenterology, Dokkyo University School of Medicine"}, {"subitem_text_language": "en", "subitem_text_value": "Department of Gastroenterology, Dokkyo University School of Medicine"}, {"subitem_text_language": "en", "subitem_text_value": "Department of Gastroenterology, Dokkyo University School of Medicine"}, {"subitem_text_language": "en", "subitem_text_value": "Dokkyo University School of Medicine"}]}, "item_2_title_3": {"attribute_name": "論文名よみ", "attribute_value_mlt": [{"subitem_title": "ブチル-2-シアノアクリレート オ モチイタ ナイシキョウテキ コウカ リョウホウ ガ ユウコウ デ アッタ シュッケツセイ ジュウニシチョウ ジョウミャクリュウ ノ 2レイ"}]}, "item_creator": {"attribute_name": "著者", "attribute_type": "creator", "attribute_value_mlt": [{"creatorNames": [{"creatorName": "藤井, 陽一朗"}, {"creatorName": "フジイ, ヨウイチロウ", "creatorNameLang": "ja-Kana"}], "nameIdentifiers": [{"nameIdentifier": "1274", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "鈴木, 保永"}, {"creatorName": "スズキ, ヤスナガ", "creatorNameLang": "ja-Kana"}], "nameIdentifiers": [{"nameIdentifier": "1275", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "石川, 潤"}, {"creatorName": "イシカワ, ジュン", "creatorNameLang": "ja-Kana"}], "nameIdentifiers": [{"nameIdentifier": "1276", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "須藤, 康司"}, {"creatorName": "スドウ, コウジ", "creatorNameLang": "ja-Kana"}], "nameIdentifiers": [{"nameIdentifier": "1277", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "米倉, 悦子"}, {"creatorName": "ヨネクラ, エツコ", "creatorNameLang": "ja-Kana"}], "nameIdentifiers": [{"nameIdentifier": "1278", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "小板橋, 綾子"}, {"creatorName": "コイタバシ, アヤコ", "creatorNameLang": "ja-Kana"}], "nameIdentifiers": [{"nameIdentifier": "1279", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "中野, 道子"}, {"creatorName": "ナカノ, ミチコ", "creatorNameLang": "ja-Kana"}], "nameIdentifiers": [{"nameIdentifier": "1280", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "三橋, 孝宏"}, {"creatorName": "ミツハシ, タカヒロ", "creatorNameLang": "ja-Kana"}], "nameIdentifiers": [{"nameIdentifier": "1281", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "知花, 洋子"}, {"creatorName": "チバナ, ヨウコ", "creatorNameLang": "ja-Kana"}], "nameIdentifiers": [{"nameIdentifier": "1282", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "笹井, 貴子"}, {"creatorName": "ササイ, タカコ", "creatorNameLang": "ja-Kana"}], "nameIdentifiers": [{"nameIdentifier": "1283", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "生沼, 健司"}, {"creatorName": "オイヌマ, タケシ", "creatorNameLang": "ja-Kana"}], "nameIdentifiers": [{"nameIdentifier": "1284", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "菅家, 一成"}, {"creatorName": "カンケ, カズナリ", "creatorNameLang": "ja-Kana"}], "nameIdentifiers": [{"nameIdentifier": "1285", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "渡辺, 秀考"}, {"creatorName": "ワタナベ, ヒデタカ", "creatorNameLang": "ja-Kana"}], "nameIdentifiers": [{"nameIdentifier": "1286", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "渡辺, 喜人"}, {"creatorName": "ワタナベ, ヨシヒト", "creatorNameLang": "ja-Kana"}], "nameIdentifiers": [{"nameIdentifier": "1287", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "飯島, 誠"}, {"creatorName": "イイジマ, マコト", "creatorNameLang": "ja-Kana"}], "nameIdentifiers": [{"nameIdentifier": "1288", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "平石, 秀幸"}, {"creatorName": "ヒライシ, ヒデユキ", "creatorNameLang": "ja-Kana"}], "nameIdentifiers": [{"nameIdentifier": "1289", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "寺野, 彰"}, {"creatorName": "テラノ, アキラ", "creatorNameLang": "ja-Kana"}], "nameIdentifiers": [{"nameIdentifier": "1290", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Fujii, Yoichiro", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "1291", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Suzuki, Yasunaga", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "1292", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Ishikawa, Jun", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "1293", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Sudoh, Koji", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "1294", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Yonekura, Etsuko", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "1295", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Koitabashi, Ayako", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "1296", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Nakano, Michiko", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "1297", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Mitsuhashi, Takahiro", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "1298", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Chibana, Yoko", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "1299", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Sasai, Takako", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "1300", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Oinuma, Takeshi", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "1301", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Kanke, Kazunari", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "1302", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Watanabe, Hidetaka", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "1303", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Watanabe, Yoshihito", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "1304", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Iijima, Makoto", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "1305", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Hiraishi, Hideyuki", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "1306", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Terano, Akira", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "1307", "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": "2017-05-24"}], "displaytype": "detail", "download_preview_message": "", "file_order": 0, "filename": "KJ00004161891.pdf", "filesize": [{"value": "1.0 MB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "licensetype": "license_free", "mimetype": "application/pdf", "size": 1000000.0, "url": {"label": "KJ00004161891.pdf", "url": "https://dmu.repo.nii.ac.jp/record/325/files/KJ00004161891.pdf"}, "version_id": "fd838bbf-bbcb-42e1-9361-2472c487f013"}]}, "item_keyword": {"attribute_name": "キーワード", "attribute_value_mlt": [{"subitem_subject": "十二指腸静脈瘤", "subitem_subject_scheme": "Other"}, {"subitem_subject": "ブチル-2-シアノアクリレート", "subitem_subject_scheme": "Other"}, {"subitem_subject": "内視鏡的静脈瘤硬化療法", "subitem_subject_scheme": "Other"}, {"subitem_subject": "duodenal varices", "subitem_subject_language": "en", "subitem_subject_scheme": "Other"}, {"subitem_subject": "cyanoacrylate", "subitem_subject_language": "en", "subitem_subject_scheme": "Other"}, {"subitem_subject": "endoscopic injection sclerotherapy", "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": "ブチル-2-シアノアクリレートを用いた内視鏡的硬化療法が有効であった出血性十二指腸静脈瘤の2例", "item_titles": {"attribute_name": "タイトル", "attribute_value_mlt": [{"subitem_title": "ブチル-2-シアノアクリレートを用いた内視鏡的硬化療法が有効であった出血性十二指腸静脈瘤の2例"}, {"subitem_title": "Two Cases of the Hemorrhagic Duodenal Varices Successfully Treated with Endoscopic Injection Sclerotherapy Using Cyanoacrylate", "subitem_title_language": "en"}]}, "item_type_id": "2", "owner": "3", "path": ["33"], "permalink_uri": "https://dmu.repo.nii.ac.jp/records/325", "pubdate": {"attribute_name": "公開日", "attribute_value": "2017-05-24"}, "publish_date": "2017-05-24", "publish_status": "0", "recid": "325", "relation": {}, "relation_version_is_last": true, "title": ["ブチル-2-シアノアクリレートを用いた内視鏡的硬化療法が有効であった出血性十二指腸静脈瘤の2例"], "weko_shared_id": 3}