{"created":"2023-06-19T10:43:17.021502+00:00","id":3492,"links":{},"metadata":{"_buckets":{"deposit":"1aa22d4a-4e3a-47d2-9c23-38a674572757"},"_deposit":{"created_by":11,"id":"3492","owners":[11],"pid":{"revision_id":0,"type":"depid","value":"3492"},"status":"published"},"_oai":{"id":"oai:shiga-med.repo.nii.ac.jp:00003492","sets":["77:242:243"]},"author_link":["7732","7703","7725","7710","7713","707","7707","7716","7704","7719","7733","7717","7728","7705","7735","7730","7721","7736","7727","7720","7729","7731","7712","7734","7722","7711","7709","7726","7706","7714","7715","7718","7723","644","7724","7708"],"item_4_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2020-01-27","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"6","bibliographicPageEnd":"626","bibliographicPageStart":"615","bibliographicVolumeNumber":"55","bibliographic_titles":[{},{"bibliographic_title":"Journal of Gastroenterology","bibliographic_titleLang":"en"}]}]},"item_4_creator_3":{"attribute_name":"著者別名","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"馬場, 重樹"}],"nameIdentifiers":[{},{},{}]},{"creatorNames":[{"creatorName":"安藤, 朗"}],"nameIdentifiers":[{},{},{}]}]},"item_4_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"BACKGROUND:\nSmall bowel stricture is one of the most common complications in patients with Crohn's disease (CD). Endoscopic balloon dilatation (EBD) is a minimally invasive treatment intended to avoid surgery; however, whether EBD prevents subsequent surgery remains unclear. We aimed to reveal the factors contributing to surgery in patients with small bowel stricture and the factors associated with subsequent surgery after initial EBD.","subitem_description_type":"Abstract"},{"subitem_description":"METHODS:\nData were retrospectively collected from surgically untreated CD patients who developed symptomatic small bowel stricture after 2008 when the use of balloon-assisted enteroscopy and maintenance therapy with anti-tumor necrosis factor (TNF) became available.","subitem_description_type":"Abstract"},{"subitem_description":"RESULTS:\nA total of 305 cases from 32 tertiary referral centers were enrolled. Cumulative surgery-free survival was 74.0% at 1 year, 54.4% at 5 years, and 44.3% at 10 years. The factors associated with avoiding surgery were non-stricturing, non-penetrating disease at onset, mild severity of symptoms, successful EBD, stricture length < 2 cm, and immunomodulator or anti-TNF added after onset of obstructive symptoms. In 95 cases with successful initial EBD, longer EBD interval was associated with lower risk of surgery. Receiver operating characteristic analysis revealed that an EBD interval of ≤ 446 days predicted subsequent surgery, and the proportion of smokers was significantly high in patients who required frequent dilatation.","subitem_description_type":"Abstract"},{"subitem_description":"CONCLUSIONS:\nIn CD patients with symptomatic small bowel stricture, addition of immunomodulator or anti-TNF and smoking cessation may improve the outcome of symptomatic small bowel stricture, by avoiding frequent EBD and subsequent surgery after initial EBD.","subitem_description_type":"Abstract"}]},"item_4_description_42":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_description":"Journal Article","subitem_description_type":"Other"}]},"item_4_publisher_32":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"Springer Nature"}]},"item_4_relation_10":{"attribute_name":"PubMed番号","attribute_value_mlt":[{"subitem_relation_type":"isVersionOf","subitem_relation_type_id":{"subitem_relation_type_id_text":"31989252","subitem_relation_type_select":"PMID"}}]},"item_4_relation_11":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_text":"10.1007/s00535-020-01670-2"}],"subitem_relation_type":"isVersionOf","subitem_relation_type_id":{"subitem_relation_type_id_text":"https://doi.org/10.1007/s00535-020-01670-2","subitem_relation_type_select":"DOI"}}]},"item_4_rights_12":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"© Japanese Society of Gastroenterology 2020"}]},"item_4_source_id_7":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1435-5922","subitem_source_identifier_type":"ISSN"}]},"item_4_version_type_15":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_ab4af688f83e57aa","subitem_version_type":"AM"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"BAMBA, Shigeki"}],"nameIdentifiers":[{},{},{}]},{"creatorNames":[{"creatorName":"SAKEMI, Ryosuke"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"FUJII, Toshimitsu"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"TAKEDA, Teruyuki"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"FUJIOKA, Shin"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"TAKENAKA, Kento"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"KITAMOTO, Hiroki"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"UMEZAWA, Shotaro"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"SAKURABA, Hirotake"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"INOKUCHI, Toshihiro"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"FUKATA, Norimasa"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"MIZUNO, Shinta"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"YAMASHITA, Masaki"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"SHINZAKI, Shinichiro"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"TANAKA, Hiroki"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"TAKEDATSU, Hidetoshi"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"OZAKI, Ryo"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"MORIYA, Kei"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"ISHII, Manabu"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"KINJO, Tetsu"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"OZEKI, Keiji"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"OOI, Makoto"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"HAYASHI, Ryohei"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"KAKIMOTO, Kazuki"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"SHIMODATE, Yuichi"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"KITAMURA, Kazuya"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"YAMADA, Akihiro"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"SONODA, Akira"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"NISHIDA, Yu"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"YOSHIOKA, Kyouko"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"ASHIZUKA, Shinya"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"TAKAHASHI, Fumiaki"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"SHIMOKAWA, Toshio"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"KOBAYASHI, Taku"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"ANDOH, Akira"}],"nameIdentifiers":[{},{},{}]},{"creatorNames":[{"creatorName":"HIBI, Toshifumi"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2021-01-27"}],"displaytype":"detail","filename":"s00535-020-01670-2.pdf","filesize":[{"value":"994.2 kB"}],"format":"application/pdf","license_note":"© Japanese Society of Gastroenterology 2020","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"s00535-020-01670-2","url":"https://shiga-med.repo.nii.ac.jp/record/3492/files/s00535-020-01670-2.pdf"},"version_id":"3b296d5a-9b5a-45a8-9b90-b19ec6361037"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"Balloon enteroscope","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Inflammatory bowel disease","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Stenosis","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"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":"A nationwide, multi-center, retrospective study of symptomatic small bowel stricture in patients with Crohn's disease.","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"A nationwide, multi-center, retrospective study of symptomatic small bowel stricture in patients with Crohn's disease."}]},"item_type_id":"4","owner":"11","path":["243"],"pubdate":{"attribute_name":"公開日","attribute_value":"2020-02-12"},"publish_date":"2020-02-12","publish_status":"0","recid":"3492","relation_version_is_last":true,"title":["A nationwide, multi-center, retrospective study of symptomatic small bowel stricture in patients with Crohn's disease."],"weko_creator_id":"11","weko_shared_id":-1},"updated":"2023-06-19T11:19:25.842405+00:00"}