{"created":"2023-06-19T10:29:46.406746+00:00","id":1880,"links":{},"metadata":{"_buckets":{"deposit":"71702953-adec-43cc-87d2-66bfd5b19d12"},"_deposit":{"created_by":31,"id":"1880","owners":[31],"pid":{"revision_id":0,"type":"depid","value":"1880"},"status":"published"},"_oai":{"id":"oai:kwmed.repo.nii.ac.jp:00001880","sets":["1709617079800:35:604:605"]},"author_link":["110437","110438","110439","110440","110441","110442","110443","110444","110445","110446","110447","110448","110449","110450","110451","110452","110453","110454","110455","110456","110457","110458","110459","110460","110461","110462"],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2017","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"28","bibliographicPageStart":"17","bibliographicVolumeNumber":"43","bibliographic_titles":[{"bibliographic_title":"川崎医学会誌","bibliographic_titleLang":"ja"},{"bibliographic_title":"Kawasaki medical journal","bibliographic_titleLang":"en"}]}]},"item_10001_description_33":{"attribute_name":"記事種別(日)","attribute_value_mlt":[{"subitem_description":"原著論文","subitem_description_language":"ja","subitem_description_type":"Other"}]},"item_10001_description_34":{"attribute_name":"記事種別(英)","attribute_value_mlt":[{"subitem_description":"Regular Article","subitem_description_language":"en","subitem_description_type":"Other"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"川崎医学会","subitem_publisher_language":"ja"}]},"item_10001_relation_14":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"https://doi.org/10.11482/KMJ-J43(1)17","subitem_relation_type_select":"DOI"}}]},"item_10001_relation_17":{"attribute_name":"関連サイト","attribute_value_mlt":[{"subitem_relation_type_id":{"subitem_relation_type_id_text":"http://igakkai.kms-igakkai.com/wp/wp-content/uploads/2017/KMJ-J43(1)17.pdf","subitem_relation_type_select":"URI"}}]},"item_10001_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN00045593","subitem_source_identifier_type":"NCID"},{"subitem_source_identifier":"AN12940574","subitem_source_identifier_type":"NCID"}]},"item_10001_source_id_9":{"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_10001_text_31":{"attribute_name":"著者所属(日)","attribute_value_mlt":[{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学消化管内科学"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学検査診断学（内視鏡・超音波）"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学消化管内科学"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学消化管内科学"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学消化管内科学"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学消化管内科学"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学消化管内科学"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学消化管内科学"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学消化管内科学"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学総合臨床医学"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学消化管内科学"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学検査診断学（内視鏡・超音波）"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学総合内科学２"}]},"item_10001_text_32":{"attribute_name":"著者所属(英)","attribute_value_mlt":[{"subitem_text_language":"en","subitem_text_value":"Department of Gastroenterology, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Endoscopy and Ultrasound, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Gastroenterology, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Gastroenterology, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Gastroenterology, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Gastroenterology, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Gastroenterology, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Gastroenterology, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Gastroenterology, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of General Medicine, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Gastroenterology, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Endoscopy and Ultrasound, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of General Intestinal Medicine 2, Kawasaki Medical School"}]},"item_10001_textarea_5":{"attribute_name":"抄録(英)","attribute_value_mlt":[{"subitem_textarea_language":"en","subitem_textarea_value":"Achalasia is a disease presenting with esophageal motor disorder. Although this disease is benign, appropriate diagnosis and treatment are important, because it greatly impairs quality of life (QOL) and is a risk for the development of esophageal cancer. In general, endoscopic or surgical treatment is used. In our previous report, we investigated factors related to the efficacy of pneumatic dilation (PD) in 16 patients with esophageal achalasia who underwent PD. In this second report, based on recently established new diagnostic criteria for esophageal motility disorders (Chicago classification), we investigated 36 cases of achalasia. The study involved 36 patients who were diagnosed with esophageal achalasia and received treatment in our hospital and, of these, 27 (8 males and 19 females with a mean age of 51.0 ± 16.5 years) underwent PD. The subjects were divided into PD effective and ineffective groups, and patient characteristics, QOL, high-resolution manometry (HRM) findings and differences in HRM findings before and after treatment were compared between the two groups. As a result, PD was effective in 19 patients (70.4%). The comparison between the effective and ineffective groups showed that the proportion of patients classified into the ineffective group tended to be higher in females (p = 0.06). HRM findings revealed that type Ⅱ achalasia defined by the Chicago classification was significantly more common in the effective group (p = 0.04). In addition, the comparison of differences in HRM findings before and after treatment showed that the rate of change in lower esophageal sphincter pressure (LESP) before and after treatment was significantly greater in the effective group. The above results indicated that PD is highly effective in type Ⅱ achalasia defined by the Chicago classification and in patients with a high rate of change in LESP who underwent PD once."}]},"item_10001_textarea_6":{"attribute_name":"抄録(日)","attribute_value_mlt":[{"subitem_textarea_language":"ja","subitem_textarea_value":"食道アカラシアは食道運動障害を呈する疾患で，良性疾患ではあるものの，QOL を大きく障害し，食道癌の発生リスクともなるため，適切な診断治療が重要である．一般的に，治療は内視鏡的治療や外科的治療が行われる．以前，我々は内視鏡的バルーン拡張術（pneumatic dilation:PD）を行った16例の食道アカラシアについて，PD の有効性に関する因子を検討し報告した．近年，新たな食道運動障害の診断基準（Chicago 分類）も策定されたことも踏まえ，アカラシア症例36例での検討を行ったため第２報として報告する．対象は当院で食道アカラシアと診断し加療した36例で，うち27例（男性８例，女性19例，平均年齢51.0±16.5歳）にPD を行った．対象をPD有効例と無効例とに群分けし，その２群間で患者背景，QOL，High-resolution manometry（ HRM）所見，治療前後でのHRM 所見の差異について検討を行った．結果はPD 有効例は19例（70.4%）であった．有効群と無効群との比較を行うと，無効群で女性が多い傾向にあった（p=0.06）．HRM所見では有効例でChicago 分類typeⅡアカラシアが有意に多く認められた（p=0.04）．また，治療前後のHRM 所見の差異については，有効例で治療前後の下部食道括約筋（lower esophageal sphincter: LES）圧変化率が有意に大きかった．以上より，Chicago 分類typeⅡのアカラシアではPD の有効性が高く，また１度PD を行った症例でもLESP 変化率が大きい症例では有効性が高いことが示された． "}]},"item_10001_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":"中藤, 流以","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"眞部, 紀明","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"福嶋, 真弥","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"勝又, 諒","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"合田, 杏佑","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"村尾, 高久","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"石井, 学","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"藤田, 穣","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"松本, 啓志","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"楠, 裕明","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"塩谷, 昭子","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"畠, 二郎","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"春間, 賢","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"NAKATO, Rui","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"MANABE, Noriaki","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"FUKUSHIMA Shinya","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"KATSUMATA, Ryo","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"GODA, Kyosuke","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"MURAO, Takahisa","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"ISHII, Manabu","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"FUJITA, Minoru","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"MATSUMOTO, Hiroshi","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"KUSUNOKI, Hiroaki","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"SHIOTANI, Akiko","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"HATA, Jiro","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"HARUMA, Ken","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":"2017-09-28"}],"displaytype":"detail","filename":"KMJ-J43(1)17.pdf","filesize":[{"value":"1.2 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"PDF","objectType":"fulltext","url":"https://kwmed.repo.nii.ac.jp/record/1880/files/KMJ-J43(1)17.pdf"},"version_id":"ce9a93b7-93cb-4628-ae67-386244546749"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"アカラシア","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"内視鏡治療","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"内視鏡的バルーン拡張術","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"High-resolution manometry","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"HRM","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Achalasia","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"treatment","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Pneumatic Dilation","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"High-resolution manometry","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"HRM","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":"食道アカラシアの治療 : バルーン拡張術の有効性に関する検討（第２報）","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"食道アカラシアの治療 : バルーン拡張術の有効性に関する検討（第２報）","subitem_title_language":"ja"},{"subitem_title":"Achalasia treatment : factors associated with the outcome of pneumatic dilation (second report)","subitem_title_language":"en"}]},"item_type_id":"10001","owner":"31","path":["605"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2017-09-28"},"publish_date":"2017-09-28","publish_status":"0","recid":"1880","relation_version_is_last":true,"title":["食道アカラシアの治療 : バルーン拡張術の有効性に関する検討（第２報）"],"weko_creator_id":"31","weko_shared_id":-1},"updated":"2024-04-15T07:25:56.330725+00:00"}