{"created":"2023-06-19T10:29:34.128822+00:00","id":1674,"links":{},"metadata":{"_buckets":{"deposit":"3372fe91-d995-4386-a995-252d73ba204f"},"_deposit":{"created_by":31,"id":"1674","owners":[31],"pid":{"revision_id":0,"type":"depid","value":"1674"},"status":"published"},"_oai":{"id":"oai:kwmed.repo.nii.ac.jp:00001674","sets":["1709617079800:35:317:562"]},"author_link":["111039","111040","111041","111042","111043","111044","111045","111046"],"item_1694495855422":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_type":"VoR"}]},"item_3_biblio_info_12":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2015","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"55","bibliographicPageStart":"51","bibliographicVolumeNumber":"41","bibliographic_titles":[{"bibliographic_title":"川崎医学会誌","bibliographic_titleLang":"ja"},{"bibliographic_title":"Kawasaki medical journal","bibliographic_titleLang":"en"}]}]},"item_3_description_8":{"attribute_name":"記事種別(日)","attribute_value_mlt":[{"subitem_description":"症例報告","subitem_description_language":"ja","subitem_description_type":"Other"}]},"item_3_description_9":{"attribute_name":"記事種別(英)","attribute_value_mlt":[{"subitem_description":"Case Report","subitem_description_language":"en","subitem_description_type":"Other"}]},"item_3_identifier_14":{"attribute_name":"URL","attribute_value_mlt":[{"subitem_identifier_type":"URI","subitem_identifier_uri":"http://igakkai.kms-igakkai.com/wp/wp-content/uploads/2015/KMJ-J41(1)51.pdf"}]},"item_3_relation_20":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_type_id":{"subitem_relation_type_id_text":"https://doi.org/10.11482/KMJ-J41(1)51","subitem_relation_type_select":"DOI"}}]},"item_3_source_id_1":{"attribute_name":"雑誌書誌ID","attribute_value_mlt":[{"subitem_source_identifier":"AN00045593","subitem_source_identifier_type":"NCID"},{"subitem_source_identifier":"AN12940574","subitem_source_identifier_type":"NCID"}]},"item_3_source_id_19":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0386-5924","subitem_source_identifier_type":"PISSN"},{"subitem_source_identifier":"2758-089X","subitem_source_identifier_type":"EISSN"}]},"item_3_text_6":{"attribute_name":"著者所属(日)","attribute_value_mlt":[{"subitem_text_language":"ja","subitem_text_value":"水島協同病院内科"},{"subitem_text_language":"ja","subitem_text_value":"水島協同病院内科"},{"subitem_text_language":"ja","subitem_text_value":"水島協同病院神経内科"},{"subitem_text_language":"ja","subitem_text_value":"水島協同病院内科"}]},"item_3_text_7":{"attribute_name":"著者所属(英)","attribute_value_mlt":[{"subitem_text_language":"en","subitem_text_value":"Department of internal medicine, Mizushima Kyodo Hospital"},{"subitem_text_language":"en","subitem_text_value":"Department of internal medicine, Mizushima Kyodo Hospital"},{"subitem_text_language":"en","subitem_text_value":"Department of Neurology, Mizushima Kyodo Hospital"},{"subitem_text_language":"en","subitem_text_value":"Department of internal medicine, Mizushima Kyodo Hospital"}]},"item_3_textarea_10":{"attribute_name":"抄録(日)","attribute_value_mlt":[{"subitem_textarea_language":"ja","subitem_textarea_value":"ビタミンB1欠乏は急性心不全,末梢神経障害,ウェルニッケ脳症など重篤な病態をきたしうるため,プライマリケア医が認識しておくべき重要な病態と考える.今回,我々は胃切除後にWernicke脳症を発症した症例を経験したため文献的考察を加え報告する.患者はアルコール多飲歴,偏食はないが,7年前に胃全摘術(Roux-Y 再建)を受けている.入院時,回転性めまい,複視,歩行障害,下肢の感覚低下を認め,腰椎疾患やフィッシャー症候群などを疑い検査を行ったが特徴的な所見が得られなかった.第40病日に意識レベルの低下と小脳症状,眼球運動障害の増悪を認めた.頭部MRIで中脳水道や小脳虫部に左右対称性の高信号域を認め,Wernicke脳症として治療を開始した.治療開始前の血清ビタミンB1濃度は低値であった.治療開始後,意識レベル,眼球運動障害は改善したが,呼吸筋の筋力低下が出現し,肺炎にて第60病日に永眠された.胃切除後の患者に点滴を行う際にはビタミンB1を補充したものを投与するべきである."}]},"item_3_textarea_11":{"attribute_name":"抄録(英)","attribute_value_mlt":[{"subitem_textarea_language":"en","subitem_textarea_value":"Thiamine deficiency causes serious disorders, including acute cardiac failure, peripheral neuropathy, and Wernicke encephalopathy, of which primary care physicians should be aware. We report a case of Wernicke encephalopathy following gastrectomy. Despite the absence of a history of alcoholism and unbalanced nutrition, the patient underwent total gastrectomy with Roux-Y reconstruction 7 years previously. He developed vertigo, diplopia, unsteady gait, and hypoesthesia of the lower extremities. Brain computed tomography and magnetic resonance imaging (MRI), blood test, and lumbar puncture were performed under the suspicion of lumbar disease, Fisher syndrome, or other such diseases. However, no abnormalities were found. At 40 days after admission, he rapidly developed disturbance of consciousness, ataxia, and oculomotor dysfunction. The brain MRI revealed symmetrical high-intensity in the periaqueductal area and cerebellar vermis, coincident with a low serum thiamine level. He was diagnosed with Wernicke encephalopathy and was immediately treated with thiamine supplementation. He recovered consciousness and ocular signs, but died of respiratory muscle failure and pneumonia at 60 days after admission. This case underscores the importance for post-gastrectomy patients to be administered intravenous glucose with thiamine supplementation."}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"宗兼, 麻美","creatorNameLang":"ja"},{"creatorName":"ムネカネ, アサミ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"大橋, 英智","creatorNameLang":"ja"},{"creatorName":"オオハシ, ヒデトモ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"太田, 仁士","creatorNameLang":"ja"},{"creatorName":"オオタ, ヒトシ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"里見, 和彦","creatorNameLang":"ja"},{"creatorName":"サトミ, カズヒコ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Munekane, Asami","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Ohashi, Hidetomo","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Ota, Hitoshi","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Satomi, Kazuhiko","creatorNameLang":"en"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2017-01-23"}],"displaytype":"detail","filename":"KJ00009881199.pdf","filesize":[{"value":"1.3 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"KJ00009881199.pdf","objectType":"fulltext","url":"https://kwmed.repo.nii.ac.jp/record/1674/files/KJ00009881199.pdf"},"version_id":"06da9d35-1572-432f-b202-977866477cbb"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"Wernicke","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"脳症","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"ビタミンB1欠乏","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"Wernicke's encephalopathy","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"thiamine deficiency","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":"胃切除後にWernicke脳症を呈した一例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"胃切除後にWernicke脳症を呈した一例","subitem_title_language":"ja"},{"subitem_title":"A case of Wernicke's encephalopathy after gastrectomy","subitem_title_language":"en"}]},"item_type_id":"3","owner":"31","path":["562"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2017-01-23"},"publish_date":"2017-01-23","publish_status":"0","recid":"1674","relation_version_is_last":true,"title":["胃切除後にWernicke脳症を呈した一例"],"weko_creator_id":"31","weko_shared_id":-1},"updated":"2023-10-11T01:36:04.571918+00:00"}