| Item type |
学位論文 / Thesis or Dissertation(1) |
| 公開日 |
2020-08-14 |
| タイトル |
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|
タイトル |
Evaluation of complications after endoscopic retrograde cholangiopancreatography using a short type double balloon endoscope in patients with altered gastrointestinal anatomy: a single-center retrospective study of 1,576 procedures. |
| タイトル |
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タイトル |
Evaluation of complications after endoscopic retrograde cholangiopancreatography using a short type double balloon endoscope in patients with altered gastrointestinal anatomy: a single-center retrospective study of 1,576 procedures. |
|
言語 |
en |
| 言語 |
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言語 |
eng |
| 資源タイプ |
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資源タイプ識別子 |
http://purl.org/coar/resource_type/c_46ec |
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資源タイプ |
thesis |
| 別タイトル |
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その他のタイトル |
（術後再建腸管例に対するダブルバルーン内視鏡を用いた ERCP における偶発 症の検討 単施設 1576 例の後ろ向き研究 |
| 著者 |
徳原, 満雄
Tokuhara, Mitsuo
Shimatani, Masaaki
Mitsuyama, Toshiyuki
Masuda, Masataka
Ito, Takashi
Miyamoto, Sachi
Fukata, Norimasa
Miyoshi, Hideaki
Ikeura, Tsukasa
Takaoka, Makoto
Kouda, Katsuyasu
Okazaki, Kazuichi
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| 抄録 |
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内容記述タイプ |
Abstract |
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内容記述 |
Endoscopic retrograde cholangiopancreatography (ERCP) using balloon-assisted endoscope such as double-balloon endoscope is even effective for patients with surgically altered anatomy. Yet comprehensive studies on complications of ERCP using balloon-assisted endoscope have not been made. We analyzed the characteristics and the causes of complications of ERCP using double-balloon endoscope (DB-ERCP) procedures and aimed to suggest effective managements. |
| 抄録 |
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内容記述タイプ |
Abstract |
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内容記述 |
A total of 1576 procedures of DB-ERCP in 714 patients with surgically altered gastrointestinal anatomy in our hospital were evaluated retrospectively using a statistic analysis. |
| 抄録 |
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内容記述タイプ |
Abstract |
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内容記述 |
The overall complication occurrence rate was 5.8%. By type of complications are perforation 3.2%, mucosal laceration 0.5%, hemorrhage 1.0%, pancreatitis 0.6%, respiratory disorder 0.4%, and others 0.2%. By type of surgical reconstruction methods were Roux-en-Y reconstruction with choledocho-jejunal anastomosis 4.2%, Roux-en-Y reconstruction without choledocho-jejunal anastomosis 6.7%, pancreaticoduodenectomy 4.5%, pylorus preserving pancreaticoduodenectomy 4.2%, Billroth II gastrectomy (B-II) 11.6%, and other reconstruction method (others) 7.4%. The contributing factors calculated by a multivariate analysis were B-II (odds ratio: 1.864, 95% confidence interval: 1.001-3.471, P = 0.050) and the presence of naïve papilla (odds ratio: 3.268, 95% confidence interval: 1.426-7.490, P = 0.005). |
| 抄録 |
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内容記述タイプ |
Abstract |
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内容記述 |
DB-ERCP is a safe method with a total complication rate of 5.8% that could be considered within an acceptable range. The most common complication was the injury of the digestive tract such as perforation. Affecting risk factors for complications were B-II and the presence of naïve papilla. DB-ERCP procedures should be performed carefully of these factors. |
| 学位名 |
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学位名 |
博士（医学） |
| 学位授与機関 |
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学位授与機関名 |
関西医科大学 |
| 学位授与年度 |
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内容記述タイプ |
Other |
|
内容記述 |
令和元年度 |
| 学位授与年月日 |
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学位授与年月日 |
2020-03-24 |
| 学位授与番号 |
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学位授与番号 |
論博第738号 |
| 書誌情報 |
Journal of gastroenterology and hepatology
en : Journal of gastroenterology and hepatology
巻 35,
号 8,
p. 1387-1396,
発行日 2020-08
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| DOI |
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10.1111/jgh.15019 |
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https://doi.org/10.1111/jgh.15019 |
論文要旨（要約） (208.6 kB)
