{"created":"2023-06-20T15:59:59.287004+00:00","id":18181,"links":{},"metadata":{"_buckets":{"deposit":"c3a5c449-f312-4899-9907-bf52dc4f043f"},"_deposit":{"created_by":49,"id":"18181","owners":[49],"pid":{"revision_id":0,"type":"depid","value":"18181"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00018181","sets":["561:562:567"]},"author_link":["69010","69013","69014","69006","69016","69008","69009","69012","69015","69011","69005","69007"],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2018-03","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"45","bibliographicPageStart":"43","bibliographicVolumeNumber":"30","bibliographic_titles":[{"bibliographic_title":"旭川赤十字病院医学雑誌"}]}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"70歳代女性。高血圧にて近医へ通院中であった。今回、血液検査にて肝胆道系酵素の上昇を指摘され、当科へ紹介となった。腹部造影CTでは下部胆管にリング状に造影効果を認め、MRCP検査では下部胆管に先細り状の狭窄が認められた。US検査では肝内胆管拡張と総胆管内に淡い高エコー像を認め、またERCPでは下部胆管に不整な狭窄が確認された。胆管ブラシ細胞診、胆管生検では悪性所見はみられなかったが、画像所見から下部胆管癌と考え、亜全胃温存膵頭十二指腸切除術を行った。その結果、病理組織学的には硬化性胆管炎による良性狭窄と確定診断された。術後は出血や膵液漏などの術後合併症はなく、経過良好であった。","subitem_description_type":"Abstract"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0913-4417","subitem_source_identifier_type":"ISSN"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"岸, 法磨"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"杉山, 祥晃"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"齋藤, 敦"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"太田, 勝久"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"相馬, 学"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"松崎, 伸幸"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"阿部, 真美"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"藤井, 常志"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"長谷部, 千登美"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"菊池, 智樹"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"小幡, 雅彦"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"安孫子, 剛大"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2022-05-27"}],"displaytype":"simple","filename":"asahikawa2017-14症例1.pdf","filesize":[{"value":"1.5 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"asahikawa201715","url":"https://redcross.repo.nii.ac.jp/record/18181/files/asahikawa2017-14症例1.pdf"},"version_id":"8b9aece9-48a4-4292-bc17-406f710e6319"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"誤診","subitem_subject_scheme":"Other"},{"subitem_subject":"細胞診","subitem_subject_scheme":"Other"},{"subitem_subject":"鑑別診断","subitem_subject_scheme":"Other"},{"subitem_subject":"超音波診断","subitem_subject_scheme":"Other"},{"subitem_subject":"膵頭十二指腸切除","subitem_subject_scheme":"Other"},{"subitem_subject":"生検","subitem_subject_scheme":"Other"},{"subitem_subject":"*胆管炎-硬化性(合併症,診断,外科的療法)","subitem_subject_scheme":"Other"},{"subitem_subject":"胆管癌(診断,画像診断,病理学)","subitem_subject_scheme":"Other"},{"subitem_subject":"胆管腫瘍(診断,画像診断,病理学)","subitem_subject_scheme":"Other"},{"subitem_subject":"内視鏡的逆行性胆道膵管造影","subitem_subject_scheme":"Other"},{"subitem_subject":"*胆汁うっ滞(病因,診断,外科的療法)","subitem_subject_scheme":"Other"},{"subitem_subject":"X線CT","subitem_subject_scheme":"Other"},{"subitem_subject":"磁気共鳴胆道膵管造影","subitem_subject_scheme":"Other"},{"subitem_subject":"腹部CT","subitem_subject_scheme":"Other"},{"subitem_subject":"ヒト","subitem_subject_scheme":"Other"},{"subitem_subject":"高齢者(65〜79)","subitem_subject_scheme":"Other"},{"subitem_subject":"女","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":"胆管癌との鑑別が困難であった硬化性胆管炎による良性狭窄の1例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"胆管癌との鑑別が困難であった硬化性胆管炎による良性狭窄の1例"}]},"item_type_id":"10001","owner":"49","path":["567"],"pubdate":{"attribute_name":"公開日","attribute_value":"2022-05-27"},"publish_date":"2022-05-27","publish_status":"0","recid":"18181","relation_version_is_last":true,"title":["胆管癌との鑑別が困難であった硬化性胆管炎による良性狭窄の1例"],"weko_creator_id":"49","weko_shared_id":-1},"updated":"2023-06-20T17:45:48.502341+00:00"}