{"created":"2023-06-19T10:43:14.783195+00:00","id":3442,"links":{},"metadata":{"_buckets":{"deposit":"84d417e7-45be-4b72-80a1-8e7a812cc256"},"_deposit":{"created_by":11,"id":"3442","owners":[11],"pid":{"revision_id":0,"type":"depid","value":"3442"},"status":"published"},"_oai":{"id":"oai:shiga-med.repo.nii.ac.jp:00003442","sets":["6:7:222:223"]},"author_link":["6903","368","6898","1937","219","825","435","8218","6899"],"item_3_alternative_title_19":{"attribute_name":"タイトル（ヨミ）","attribute_value_mlt":[{"subitem_alternative_title":"ダイチョウ ナイシキョウ ケンサ ゼンショチ トシテノ ピコスルファート ナトリウム ナイフク ガ ユウイン トナッタ キョケツセイ ダイチョウエン ノ イチレイ"}]},"item_3_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2019-06-07","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"54","bibliographicPageStart":"50","bibliographicVolumeNumber":"32","bibliographic_titles":[{"bibliographic_title":"滋賀医科大学雑誌"}]}]},"item_3_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"大腸内視鏡検査前処置としてのピコスルファートナトリウム内服が誘因となり発症した虚血性大腸炎の一例を経験した。症例は77歳、女性。3年前に直腸癌手術の既往あり、術後経過観察目的に大腸内視鏡検査を予定した。検査前日に前処置としてピコスルファートナトリウムを内服した後より急激な腹痛、発熱、下血が出現したため緊急入院となった。大腸内視鏡検査にて下行結腸～Ｓ状結腸に粘膜浮腫と易出血性の粘膜壊死が認められ、内視鏡像と病理組織所見、経過から虚血性大腸炎と診断し、ピコスルファートナトリウム内服が原因と考えられた。ピコスルファートナトリウムは大腸内視鏡検査前処置に最も汎用されている腸管蠕動運動を亢進する刺激性下剤であるが、腸管内圧上昇を来すことで虚血性大腸炎発症の誘因となり得ることに注意が必要である。","subitem_description_type":"Abstract"}]},"item_3_description_42":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_description":"Departmental Bulletin Paper","subitem_description_type":"Other"}]},"item_3_identifier_registration":{"attribute_name":"ID登録","attribute_value_mlt":[{"subitem_identifier_reg_text":"10.14999/1521.00012565","subitem_identifier_reg_type":"JaLC"}]},"item_3_publisher_32":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"滋賀医科大学雑誌編集委員会"}]},"item_3_relation_11":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_text":"10.14999/1521.00012565"}],"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"http://doi.org/10.14999/1521.00012565","subitem_relation_type_select":"DOI"}}]},"item_3_version_type_15":{"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":"長門, 優"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"塩見, 尚礼"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"前川, 毅"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"東口, 貴之"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"張, 弘富"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"谷口, 正展"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"丹後, 泰久"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"中村, 一郎"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"中村, 誠昌"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2019-10-07"}],"displaytype":"detail","filename":"jsums3201p050.pdf","filesize":[{"value":"805.8 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"jsums3201p050","url":"https://shiga-med.repo.nii.ac.jp/record/3442/files/jsums3201p050.pdf"},"version_id":"ac718f60-c7d8-4202-b213-d47b2eec32b2"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"虚血性大腸炎","subitem_subject_scheme":"Other"},{"subitem_subject":"大腸内視鏡検査前処置","subitem_subject_scheme":"Other"},{"subitem_subject":"ピコスルファートナトリウム","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":"大腸内視鏡検査前処置としてのピコスルファートナトリウム内服が誘因となった虚血性大腸炎の一例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"大腸内視鏡検査前処置としてのピコスルファートナトリウム内服が誘因となった虚血性大腸炎の一例"},{"subitem_title":"A case of ischemic colitis induced by Sodium picosulfate hydrate for colonoscopy preparation.","subitem_title_language":"en"}]},"item_type_id":"3","owner":"11","path":["223"],"pubdate":{"attribute_name":"公開日","attribute_value":"2019-10-07"},"publish_date":"2019-10-07","publish_status":"0","recid":"3442","relation_version_is_last":true,"title":["大腸内視鏡検査前処置としてのピコスルファートナトリウム内服が誘因となった虚血性大腸炎の一例"],"weko_creator_id":"11","weko_shared_id":-1},"updated":"2023-06-19T11:15:18.126101+00:00"}