{"created":"2023-06-19T10:30:50.228652+00:00","id":2989,"links":{},"metadata":{"_buckets":{"deposit":"45c1c5f6-2c28-4016-88db-d3964fb79c30"},"_deposit":{"created_by":31,"id":"2989","owners":[31],"pid":{"revision_id":0,"type":"depid","value":"2989"},"status":"published"},"_oai":{"id":"oai:kwmed.repo.nii.ac.jp:00002989","sets":["1709617079800:35:800"]},"author_link":["130693","130694","130695","130696","130697","130698","130699","130700","130701","130702","130703","130704","130705","130706","130707","130708","130709","130710","130711","130712","130713","130714","130715","130716"],"item_10001_alternative_title_1":{"attribute_name":"その他(別言語等)のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"A case of early gastric cancer with difficulty in achieving \nhemostasis after endoscopic submucosal dissection","subitem_alternative_title_language":"en"}]},"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2021","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"75","bibliographicPageStart":"69","bibliographicVolumeNumber":"47","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":"症例報告","subitem_description_language":"ja","subitem_description_type":"Other"}]},"item_10001_description_34":{"attribute_name":"記事種別(英)","attribute_value_mlt":[{"subitem_description":"Case 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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 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"}]},"item_10001_textarea_5":{"attribute_name":"抄録(英)","attribute_value_mlt":[{"subitem_textarea_language":"en","subitem_textarea_value":"　The patient was a man in his 80s. He was referred to our department for anemia. He was diagnosed with early gastric cancer in the lesser curvature of the antrum confirmed by upper gastrointestinal endoscopy and underwent endoscopic submucosal dissection (ESD). Histopathological examination was curative resection. Afterward, recurrent bleeding from an ulcer led to endoscopic hemostasis nine times and transcatheter arterial embolization three times. We covered the base of the ulcer with a polyglycolic acid sheet and fibrin tissue adhesive to prevent bleeding. Subsequently, he passed without rebleeding, and the ulcer became epithelial. There have been some reports on the effectiveness of covering an ulcer with a polyglycolic acid sheet and fibrin tissue adhesive. We may consider using polyglycolic acid sheets for patients with hemorrhage high risk for post-ESD bleeding."}]},"item_10001_textarea_6":{"attribute_name":"抄録(日)","attribute_value_mlt":[{"subitem_textarea_language":"ja","subitem_textarea_value":"　症例は80歳代，男性．貧血の精査目的で当科受診し，上部消化管内視鏡検査で前庭部小弯に早期胃癌を認めた．内視鏡的粘膜下層剥離術（ESD）を施行し，治癒切除であった．その後，ESD 後潰瘍からの出血を繰り返し，内視鏡的止血術を計９回，経カテーテル的動脈塞栓術を計３回行った．潰瘍からの再出血予防のためポリグリコール酸シート（以下 PGA シート）とフィブリン糊を貼付した．その後は出血なく潰瘍の上皮化を確認した．PGA シートとフィブリン糊を用いた内視鏡的粘膜欠損被覆法は，ESD の後出血予防における有用性に関していくつかの報告がされており，出血リスクが高いと思われる症例に関しては PGA シートによる被覆法を検討する必要がある．"}]},"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":"葉, 祥元","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"村尾, 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Eiji","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"SHIOTANI, Akiko","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":"2022-04-01"}],"displaytype":"detail","filename":"KMJ-J202147069.pdf","filesize":[{"value":"2.2 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"PDF","objectType":"fulltext","url":"https://kwmed.repo.nii.ac.jp/record/2989/files/KMJ-J202147069.pdf"},"version_id":"ea81834a-87de-4e33-8a40-dac5ed9c9c37"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"早期胃癌","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"ESD","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"後出血","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"ポリグリコール酸シート","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"Early gastric cancer","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"ESD","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":" Bleeding","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Polyglycolic acid sheet","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":"胃内視鏡的粘膜下層剥離術後出血に対する止血に難渋した早期胃癌の一例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"胃内視鏡的粘膜下層剥離術後出血に対する止血に難渋した早期胃癌の一例","subitem_title_language":"ja"}]},"item_type_id":"10001","owner":"31","path":["800"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2022-04-01"},"publish_date":"2022-04-01","publish_status":"0","recid":"2989","relation_version_is_last":true,"title":["胃内視鏡的粘膜下層剥離術後出血に対する止血に難渋した早期胃癌の一例"],"weko_creator_id":"31","weko_shared_id":-1},"updated":"2024-04-19T04:22:13.335114+00:00"}