{"created":"2023-05-15T08:16:13.539205+00:00","id":50,"links":{},"metadata":{"_buckets":{"deposit":"c8562638-b028-49f5-8ea2-f9f0797e16cd"},"_deposit":{"created_by":6,"id":"50","owners":[6],"pid":{"revision_id":0,"type":"depid","value":"50"},"status":"published"},"_oai":{"id":"oai:kmu.repo.nii.ac.jp:00000050","sets":["2:13:15:17"]},"author_link":["218","220","222","214","216","223","221","219","212","224","217","213","215"],"item_10006_alternative_title_1":{"attribute_name":"別タイトル","attribute_value_mlt":[{"subitem_alternative_title":"（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"}]},"item_10006_biblio_info_23":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2020-08","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"8","bibliographicPageEnd":"1396","bibliographicPageStart":"1387","bibliographicVolumeNumber":"35","bibliographic_titles":[{"bibliographic_title":"Journal of gastroenterology and hepatology"},{"bibliographic_title":"Journal of gastroenterology and hepatology","bibliographic_titleLang":"en"}]}]},"item_10006_date_granted_11":{"attribute_name":"学位授与年月日","attribute_value_mlt":[{"subitem_dategranted":"2020-03-24"}]},"item_10006_degree_grantor_9":{"attribute_name":"学位授与機関","attribute_value_mlt":[{"subitem_degreegrantor":[{"subitem_degreegrantor_name":"関西医科大学"}]}]},"item_10006_degree_name_8":{"attribute_name":"学位名","attribute_value_mlt":[{"subitem_degreename":"博士（医学）"}]},"item_10006_description_10":{"attribute_name":"学位授与年度","attribute_value_mlt":[{"subitem_description":"令和元年度","subitem_description_type":"Other"}]},"item_10006_description_7":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"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.","subitem_description_type":"Abstract"},{"subitem_description":"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.","subitem_description_type":"Abstract"},{"subitem_description":"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).","subitem_description_type":"Abstract"},{"subitem_description":"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.","subitem_description_type":"Abstract"}]},"item_10006_dissertation_number_12":{"attribute_name":"学位授与番号","attribute_value_mlt":[{"subitem_dissertationnumber":"論博第738号"}]},"item_10006_link_22":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_link_text":"10.1111/jgh.15019","subitem_link_url":"https://doi.org/10.1111/jgh.15019"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"徳原, 満雄"},{"creatorName":"トクハラ, ミツオ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"212","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Tokuhara, Mitsuo","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"213","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Shimatani, Masaaki","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"214","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Mitsuyama, Toshiyuki","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"215","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Masuda, Masataka","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"216","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Ito, Takashi","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"217","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Miyamoto, Sachi","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"218","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Fukata, Norimasa","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"219","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Miyoshi, Hideaki","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"220","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Ikeura, Tsukasa","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"221","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Takaoka, Makoto","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"222","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Kouda, Katsuyasu","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"223","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Okazaki, Kazuichi","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"224","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2020-08-14"}],"displaytype":"simple","filename":"乙738 論文要旨（要約）.pdf","filesize":[{"value":"208.6 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double balloon endoscope in patients with altered gastrointestinal anatomy: a single-center retrospective study of 1,576 procedures.","subitem_title_language":"en"}]},"item_type_id":"10006","owner":"6","path":["17"],"pubdate":{"attribute_name":"公開日","attribute_value":"2020-08-14"},"publish_date":"2020-08-14","publish_status":"0","recid":"50","relation_version_is_last":true,"title":["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."],"weko_creator_id":"6","weko_shared_id":-1},"updated":"2023-05-15T08:20:26.706054+00:00"}