{"created":"2023-06-20T16:59:35.607080+00:00","id":18745,"links":{},"metadata":{"_buckets":{"deposit":"17ff1bd1-e187-429b-8e63-3ac9d5f237ab"},"_deposit":{"created_by":3,"id":"18745","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"18745"},"status":"published"},"_oai":{"id":"oai:twinkle.repo.nii.ac.jp:00018745","sets":["140:1307:1308:1965:1970"]},"author_link":["266736","266726","266731","266724","266733","266728","266720","266734","266729","266718","266716","266732","266715","266717","266725","266730","266727","266722","266719","266735","266737","266714","266723","266721"],"item_10001_alternative_title_1":{"attribute_name":"別タイトル","attribute_value_mlt":[{"subitem_alternative_title":"在宅静脈栄養(Home Parenteral Nutrition: HPN)が著効している重度短腸症候群(Short Bowel Syndrome: SBS)の1例"}]},"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2002-08-25","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"7/8","bibliographicPageEnd":"237","bibliographicPageStart":"230","bibliographicVolumeNumber":"72","bibliographic_titles":[{"bibliographic_title":"東京女子医科大学雑誌"}]}]},"item_10001_creator_2":{"attribute_name":"著者名","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"SOGA, Yukihiro"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"SUGA, Hiroyasu"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"ABE, Masaru"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"KAWASAKI, Takahiro"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"TERADA, Takahiro"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"YAMADA, Sou"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"ORITA, Tomohiko"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"KOGA, Seigi"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"SHIBUYA, Mihoko"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"NAKAGAWA, Takao"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"ISHIKAWA, Masatake"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"SUZUKI, Tadashi"}],"nameIdentifiers":[{}]}]},"item_10001_date_25":{"attribute_name":"受付日付","attribute_value_mlt":[{"subitem_date_issued_datetime":"2010-08-10","subitem_date_issued_type":"Created"}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"短腸症候群は大腸が正常でも残存小腸が60cm以下では完全静脈栄養(TPN)からの離脱は困難とされる重症病態で,それにともない日常生活範囲も制限されることが多い.我々は残存腸管が食道・胃・十二指腸・S状結腸・直腸の重度短腸症候群で,在宅静脈栄養(以下HPN)に大部分が依存しているが,術後9年間にわたり海外出張をこなすまで社会復帰しているQOLの高い1症例を経験したので報告する.患者は38歳,女性.29歳時,過食後の腹痛・血圧低下により救急搬送され,汎発性腹膜炎の診断で緊急手術を施行した.2期的手術の後,現状となり退院後はHPNによる栄養管理を行い現在に至っている.HPNは皮下埋め込みリザーバーポートを留置し,輸液ポンプを用いて夜間間歇的投与で自由摂食としている.輸液は清潔操作の簡便性と製剤の安定性よりシングルバッグ製剤を用いており,H_2-blockerを800mg/日,微量元素製剤および脂肪乳剤を週2日投与している.また夏季には脱水予防のため細胞外液輸液を追加投与している.退院後9年目の現在,代償性に肥大した十二指腸,軽度骨密度低下を認めるが,栄養状態は良好である.合併症としてTPNの観点からの肝機能障害(脂肪肝)とHPNの観点からのカテーテル感染症があるが,どちらも重症化することなく対処している.国内の長距離移動にはクール宅急便を,海外には郵便輸送によって輸液製剤を搬送しているが,大きなトラブルもなく良好な社会生活を営んでいる.","subitem_description_type":"Abstract"},{"subitem_description":"Short bowel syndrome (SBS) is a serious condition that often limits daily activities. This paper reports a case with serious SBS where the residual intestine is limited to the esophagus, stomach, duodenum, sigmoid colon, and rectum (there is no small intestine). Although the patient largely depends on HPN, she has been successfully rehabilitated for 9 years postoperatively and obtained a high QOL. She arrived at our hospital in 1993 in an ambulance due to abdominal pain and hypotension (shock state) after overeating when she was 29 years old. She was diagnosed with general peritonitis and had an emergency operation. After she discharged from hospital, a subcutaneous implantable reservoir port for HPN was placed. She has been allowed to intermittently administer HPN adlibitum with the infusion pump at night. The port had to be replaced twice due to infection and once due to the occlusion of the catheter in 9 years. The following tests were performed to determine her digestion and absorption ability were low, indicating poor digestion. The duodenum and sigmoid colon was enlarged to compensate for the loss of the intestine. For the delivery of infusion preparations for traveling, it is useful to use home delivery services with refrigerated cars for domestic travel and the postal service for travel abroad. The applicable regulations differ between countries.","subitem_description_type":"Abstract"}]},"item_10001_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"266726","nameIdentifierScheme":"WEKO"}],"names":[{"name":"曽我, 幸弘"}]},{"nameIdentifiers":[{"nameIdentifier":"266727","nameIdentifierScheme":"WEKO"}],"names":[{"name":"須賀, 弘泰"}]},{"nameIdentifiers":[{"nameIdentifier":"266728","nameIdentifierScheme":"WEKO"}],"names":[{"name":"阿部, 勝"}]},{"nameIdentifiers":[{"nameIdentifier":"266729","nameIdentifierScheme":"WEKO"}],"names":[{"name":"川崎, 孝広"}]},{"nameIdentifiers":[{"nameIdentifier":"266730","nameIdentifierScheme":"WEKO"}],"names":[{"name":"寺田, 尚弘"}]},{"nameIdentifiers":[{"nameIdentifier":"266731","nameIdentifierScheme":"WEKO"}],"names":[{"name":"山田, 創"}]},{"nameIdentifiers":[{"nameIdentifier":"266732","nameIdentifierScheme":"WEKO"}],"names":[{"name":"折田, 智彦"}]},{"nameIdentifiers":[{"nameIdentifier":"266733","nameIdentifierScheme":"WEKO"}],"names":[{"name":"古賀, 正義"}]},{"nameIdentifiers":[{"nameIdentifier":"266734","nameIdentifierScheme":"WEKO"}],"names":[{"name":"澁谷, 美穂子"}]},{"nameIdentifiers":[{"nameIdentifier":"266735","nameIdentifierScheme":"WEKO"}],"names":[{"name":"中川, 隆雄"}]},{"nameIdentifiers":[{"nameIdentifier":"266736","nameIdentifierScheme":"WEKO"}],"names":[{"name":"石川, 雅健"}]},{"nameIdentifiers":[{"nameIdentifier":"266737","nameIdentifierScheme":"WEKO"}],"names":[{"name":"鈴木, 忠"}]}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"東京女子医科大学学会"}]},"item_10001_source_id_11":{"attribute_name":"NCID","attribute_value_mlt":[{"subitem_source_identifier":"AN00161368","subitem_source_identifier_type":"NCID"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0040-9022","subitem_source_identifier_type":"ISSN"}]},"item_10001_text_35":{"attribute_name":"著者所属","attribute_value_mlt":[{"subitem_text_value":"Department of Emergency Medicine, Tokyo Women's Medical University Daini Hospital"},{"subitem_text_value":"Department of Emergency Medicine, Tokyo Women's Medical University Daini Hospital"},{"subitem_text_value":"Department of Emergency Medicine, Tokyo Women's Medical University Daini Hospital"},{"subitem_text_value":"Department of Emergency Medicine, Tokyo Women's Medical University Daini Hospital"},{"subitem_text_value":"Department of Emergency Medicine, Tokyo Women's Medical University Daini Hospital"},{"subitem_text_value":"Department of Emergency Medicine, Tokyo Women's Medical University Daini Hospital"},{"subitem_text_value":"Department of Emergency Medicine, Tokyo Women's Medical University Daini Hospital"},{"subitem_text_value":"Department of Emergency Medicine, Tokyo Women's Medical University Daini Hospital"},{"subitem_text_value":"Department of Emergency Medicine, Tokyo Women's Medical University Daini Hospital"},{"subitem_text_value":"Department of Emergency Medicine, Tokyo Women's Medical University Daini Hospital"},{"subitem_text_value":"Department of Emergency Medicine, Tokyo Women's Medical University, School of Medicine"},{"subitem_text_value":"Department of Emergency Medicine, Tokyo Women's Medical University, School of Medicine"},{"subitem_text_value":"東京女子医科大学附属第二病院救急医療科"},{"subitem_text_value":"東京女子医科大学附属第二病院救急医療科"},{"subitem_text_value":"東京女子医科大学附属第二病院救急医療科"},{"subitem_text_value":"東京女子医科大学附属第二病院救急医療科"},{"subitem_text_value":"東京女子医科大学附属第二病院救急医療科"},{"subitem_text_value":"東京女子医科大学附属第二病院救急医療科"},{"subitem_text_value":"東京女子医科大学附属第二病院救急医療科"},{"subitem_text_value":"東京女子医科大学附属第二病院救急医療科"},{"subitem_text_value":"東京女子医科大学附属第二病院救急医療科"},{"subitem_text_value":"東京女子医科大学附属第二病院救急医療科"},{"subitem_text_value":"東京女子医科大学医学部救急医学"},{"subitem_text_value":"東京女子医科大学医学部救急医学"}]},"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_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2017-03-27"}],"displaytype":"detail","filename":"KJ00006019545.pdf","filesize":[{"value":"854.0 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"KJ00006019545.pdf","url":"https://twinkle.repo.nii.ac.jp/record/18745/files/KJ00006019545.pdf"},"version_id":"0035c8ab-03e0-48ca-b3fa-e22c668e18f0"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"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":"Serious Short Bowel Syndrome Case Successfully Managed with Home Parenteral Nutrition","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Serious Short Bowel Syndrome Case Successfully Managed with Home Parenteral Nutrition"}]},"item_type_id":"10001","owner":"3","path":["1970"],"pubdate":{"attribute_name":"公開日","attribute_value":"2010-08-10"},"publish_date":"2010-08-10","publish_status":"0","recid":"18745","relation_version_is_last":true,"title":["Serious Short Bowel Syndrome Case Successfully Managed with Home Parenteral Nutrition"],"weko_creator_id":"3","weko_shared_id":-1},"updated":"2023-06-20T22:23:18.654806+00:00"}