{"created":"2023-06-20T15:52:51.453511+00:00","id":7211,"links":{},"metadata":{"_buckets":{"deposit":"da7c6726-303d-42f5-aab7-7b3a72e9b757"},"_deposit":{"created_by":34,"id":"7211","owners":[34],"pid":{"revision_id":0,"type":"depid","value":"7211"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00007211","sets":["195:197:201"]},"author_link":["25877","25878","25874","25876","25879","25873","25880","25875","25872"],"item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2012-12","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"7","bibliographicPageStart":"3","bibliographicVolumeNumber":"37","bibliographic_titles":[{"bibliographic_title":"松山赤十字病院医学雑誌"}]}]},"item_10002_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"当センターにおける、過去4年間の胃粘膜生検後出血の現状を検討した。検討期間内に25,052例の上部消化管内視鏡検査(esophagogastroduodenoscopy:EGD)が施行され、8,174例(32.6%)に胃粘膜生検が行われた。そのうち20例(0.24%)に生検後出血を来した。年齢は35歳から89歳(中央値65.9歳)、性別は男女とも10例であった。非ステロイド性抗炎症薬(NSAIDs)服用が4例、低用量アスピリン(LDA)が1例で、抗凝固薬服用例はなかった。生検対象は腫瘍性病変が8例と最も多く、粘膜下腫瘍が4例、びらん及び潰瘍性病変が4例、正常粘膜からの生検が4例であった。生検部位はU(上部)領域が12例と最も多く、続いてL(下部)領域5例、M(中部)領域3例の順であった。20例中15例は静脈性出血で、全例にトロンビン散布が行われ予後は良好であった。20例中5例は動脈性出血を来し、そのうち4例は胃体上部小弯からの生検であった。止血法は、クリップ法、高張Naエピネフリン法(HSE法)と高周波電気凝固法が行われ、全て内視鏡的に止血し得た。2例でHb値2.0g/dL以上の低下があったが、輸血を要した症例はなかった。当センターにおける胃粘膜生検後の出血は、全て内視鏡的に止血可能で予後良好であった。しかし動脈性出血を来した症例が5例(0.06%)あり、胃体上部小弯の生検時には注意が必要と考えられた。今後は新ガイドラインの普及に伴い、生検後出血症例の実態把握がさらに重要になると思われる。(著者抄録)","subitem_description_type":"Abstract"}]},"item_10002_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{}]},"item_10002_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0385-3888","subitem_source_identifier_type":"ISSN"}]},"item_10002_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_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"尾石, 義謙"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"蔵原, 晃一"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"河内, 修司"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"川崎, 啓祐"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"岡本, 康治"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"永田, 豊"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"阿部, 洋文"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"徳本, 真矢"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"渕上, 忠彦"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2015-03-26"}],"displaytype":"simple","filename":"尾石先生-144.pdf","filesize":[{"value":"606.3 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"matsuyama00013","url":"https://redcross.repo.nii.ac.jp/record/7211/files/尾石先生-144.pdf"},"version_id":"1cc604d7-c815-4394-ba11-48234b65dca3"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"endoscopic biopsy","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"gastric bleeding","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"complications","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"gastroscopy","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":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"当センターにおける胃粘膜生検後出血の現状","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"当センターにおける胃粘膜生検後出血の現状"}]},"item_type_id":"10002","owner":"34","path":["201"],"pubdate":{"attribute_name":"公開日","attribute_value":"2015-03-26"},"publish_date":"2015-03-26","publish_status":"0","recid":"7211","relation_version_is_last":true,"title":["当センターにおける胃粘膜生検後出血の現状"],"weko_creator_id":"34","weko_shared_id":-1},"updated":"2023-06-20T20:14:59.822432+00:00"}