| Item type |
[ELS]学術雑誌論文 / Journal Article(1) |
| 公開日 |
2017-05-24 |
| タイトル |
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タイトル |
Wernicke's Encephalopathy after Gastrectomy and Adjuvant Chemotherapy Using S-1 for Gastric cancer :Report of a Case |
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言語 |
en |
| 言語 |
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|
言語 |
eng |
| キーワード |
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|
言語 |
en |
|
主題 |
Wernicke's Encephalopathy |
| キーワード |
|
|
言語 |
en |
|
主題 |
gastrectomy |
| キーワード |
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|
言語 |
en |
|
主題 |
S-1 Chemotherapy |
| 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 |
|
資源タイプ |
journal article |
| 雑誌書誌ID |
|
|
収録物識別子 |
AA00629581 |
| 論文名よみ |
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|
タイトル |
Wernicke's Encephalopathy after Gastrectomy and Adjuvant Chemotherapy Using S-1 for Gastric cancer :Report of a Case |
| 著者 |
Okuyama, Takashi
Izumisato, Tsuyotoshi
Nakamura, Tetsuro
Yamaguchi, Masahiko
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| 著者所属(英) |
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en |
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Department of Surgery, Koshigaya Hospital, Dokkyo University School of Medicine |
| 著者所属(英) |
|
|
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en |
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Department of Surgery, Koshigaya Hospital, Dokkyo University School of Medicine |
| 著者所属(英) |
|
|
|
en |
|
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Department of Surgery, Koshigaya Hospital, Dokkyo University School of Medicine |
| 著者所属(英) |
|
|
|
en |
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Department of Surgery, Koshigaya Hospital, Dokkyo University School of Medicine |
| 記事種別(英) |
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内容記述タイプ |
Other |
|
内容記述 |
Case Report |
| 抄録(英) |
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内容記述タイプ |
Other |
|
内容記述 |
Wernicke's encephalopathy is a disease usually related to chronic alcoholism. We reported a case of Wernicke'sencephalopathy after distal gastrectomy and chemotherapy using S-1 despite of no history of alcoholism.A 58-year-old woman underwent distal gastrectomy for gastric carcinoma in February, 2005. Shereceived adjuvant chemotherapy using S-1, since histological examination of the removal specimens showedregional lymph nodes metastasis. After this therapy, she rapidly developed diplopia, ataxia and disturbanceof consciousness. Although brain CT and the routine laboratory data showed no abnormal changes, brainMRI showed a symmetrical high-intensity area in the third ventricle and periaqueductal regions;this wascharacteristic of Wernicke's encephalopathy. She was immediately treated with thiamine, and recoveredconsciousness within a few hours. S-1 based on 5-fluorouracil( 5-FU) which reduced the thiamine levels inthe patient, may have worsened the thiamine deficiency caused by distal gastorectomy. Therefore, cliniciansshould pay attention to suspicious symptoms of thiamine deficiency in patients who have undergone gastrectomy,particularly those who receive adjuvant chemotherapy with S-1 or 5-FU. |
| 書誌情報 |
Dokkyo journal of medical sciences
巻 36,
号 2,
p. 95-98,
発行日 2009-07-25
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| ISSN |
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収録物識別子タイプ |
ISSN |
|
収録物識別子 |
03855023 |
KJ00006361899.pdf (126.9 kB)
