| Item type |
学術雑誌論文 / Journal Article(1) |
| タイトル |
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タイトル |
The Indicator of Nutritional Status is useful for Determining the Operative Method at the Time of Operation for Ulcerative Colitis |
| 言語 |
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言語 |
jpn |
| キーワード |
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言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Ulcerative colitis |
| キーワード |
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言語 |
en |
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主題Scheme |
Other |
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主題 |
Surgery |
| キーワード |
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言語 |
en |
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主題Scheme |
Other |
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主題 |
Nutritional status |
| 資源タイプ |
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資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
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資源タイプ |
journal article |
| 著者 |
Ihara, Keisuke
Nakamura, Takatoshi
Yamaguchi, Satoru
Takayanaghi, Masashi
Fujita, Junki
Mise, Minori
Muroi, Hiroto
Nakagawa, Masatoshi
Nakajima, Masanobu
Morita, Shinji
Kanazawa, Mimari
Sugaya, Takeshi
Tominaga, Keiichi
Kojima, Kazuyuki
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| 著者所属 |
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値 |
First Department of Surgery, Dokkyo Medical University, Mibu Shimotsuga-gun, Tochigi, Japan |
| 著者所属 |
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値 |
First Department of Surgery, Dokkyo Medical University, Mibu Shimotsuga-gun, Tochigi, Japan |
| 著者所属 |
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値 |
First Department of Surgery, Dokkyo Medical University, Mibu Shimotsuga-gun, Tochigi, Japan |
| 著者所属 |
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値 |
First Department of Surgery, Dokkyo Medical University, Mibu Shimotsuga-gun, Tochigi, Japan |
| 著者所属 |
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値 |
First Department of Surgery, Dokkyo Medical University, Mibu Shimotsuga-gun, Tochigi, Japan |
| 著者所属 |
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値 |
First Department of Surgery, Dokkyo Medical University, Mibu Shimotsuga-gun, Tochigi, Japan |
| 著者所属 |
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値 |
First Department of Surgery, Dokkyo Medical University, Mibu Shimotsuga-gun, Tochigi, Japan |
| 著者所属 |
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値 |
First Department of Surgery, Dokkyo Medical University, Mibu Shimotsuga-gun, Tochigi, Japan |
| 著者所属 |
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値 |
First Department of Surgery, Dokkyo Medical University, Mibu Shimotsuga-gun, Tochigi, Japan |
| 著者所属 |
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値 |
First Department of Surgery, Dokkyo Medical University, Mibu Shimotsuga-gun, Tochigi, Japan |
| 著者所属 |
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値 |
Department of Gastroenterology, Dokkyo Medical University, Tochigi, Japan. |
| 著者所属 |
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値 |
Department of Gastroenterology, Dokkyo Medical University, Tochigi, Japan. |
| 著者所属 |
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値 |
Department of Gastroenterology, Dokkyo Medical University, Tochigi, Japan. |
| 著者所属 |
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|
値 |
First Department of Surgery, Dokkyo Medical University, Mibu Shimotsuga-gun, Tochigi, Japan |
| 書誌情報 |
Dokkyo Journal of Medical Sciences
巻 48,
号 2,
p. 183-189,
発行日 2021-10-25
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| 要旨 |
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内容記述タイプ |
Other |
|
内容記述 |
Objectives：The surgical method and the timing of surgical intervention for refractory ulcerative colitis（UC）remain controversial. Several studies have reported that the nutritional indicators are useful for predicting of postoperative complications. This study aimed to clarify the relationship between nutritional status and outcome of surgery for UC.
Methods：This was a single-institution, retrospective study of patients with UC who underwent surgery between 2006 and 2019, excluding those who underwent emergency surgery. The Controlling Nutritional（CONUT）score and Onodera’s prognostic nutrition index（OPNI）were used as indicators of nutritional status. The moderate cut-off point was determined using the receiver operating characteristic curve.
Results：A total of 51 UC patients underwent surgery between 2006 and 2019. Thirty-five UC patients were included in this study after excluding those who underwent surgery for emergency indications such as perforation, toxic megacolon. 57％（n＝20）of the patients received three-stage surgery. Postoperative complications（Clavien-Dindo classification＞II）occurred in 40％（n＝14）of patients. The prevalence of surgical site infection was 12％. The areas under the curve for the frequency of surgical site infection were 0.72 and 0.75 for CONUT and OPNI, respectively. The cut-off value for CONUT was 8.00（sensitivity：84％, specificity：50％）and OPNI was 46.5（sensitivity：44.8％, specificity：100％）. The malnutrition cohort as identified using CONUT and OPNI had a higher rate of postoperative complications than non-malnutritionl cohort（p＝0.04, p＝0.01）.
Conclusion：Nutritional status indicators are useful for determining the operative method for the treatment of UC. |
| 記事種別 |
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値 |
Original |
| 出版者 |
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出版者 |
獨協医学会 |
| ISSN |
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収録物識別子タイプ |
ISSN |
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収録物識別子 |
03855023 |
| 書誌レコードID |
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収録物識別子タイプ |
NCID |
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収録物識別子 |
AA00629581 |
DJMS-48-3-Ihara-本文 (115.8 kB)
