{"_buckets": {"deposit": "d0e9ff61-234c-417a-b5f5-b7f38fd830b8"}, "_deposit": {"created_by": 24, "id": "15628", "owners": [24], "pid": {"revision_id": 0, "type": "depid", "value": "15628"}, "status": "published"}, "_oai": {"id": "oai:ir.kagoshima-u.ac.jp:00015628", "sets": ["5994", "59"]}, "author_link": ["138207", "138228", "138208", "138224", "138222", "138211", "138231", "138218", "138229", "138215", "138205", "138214", "138206", "138226", "138219", "138227", "138209", "138213", "138217", "138225", "138216", "138220", "138230", "138210", "138221", "138223", "138212"], "item_7_alternative_title_19": {"attribute_name": "タイトルよみ", "attribute_value_mlt": [{"subitem_alternative_title": "Aガタ イエン ニ アクセイ ヒンケツ ソウキ イガン オ ガッペイシタ 1レイ"}]}, "item_7_biblio_info_5": {"attribute_name": "収録雑誌名", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "2020", "bibliographicIssueDateType": "Issued"}, "bibliographicPageEnd": "21", "bibliographicPageStart": "17", "bibliographicVolumeNumber": "72", "bibliographic_titles": [{"bibliographic_title": "鹿児島大学医学雑誌"}, {"bibliographic_title": "Medical journal of Kagoshima University", "bibliographic_titleLang": "en"}]}]}, "item_7_date_6": {"attribute_name": "作成日", "attribute_value_mlt": [{"subitem_date_issued_datetime": "2020-09"}]}, "item_7_description_4": {"attribute_name": "要約(Abstract)", "attribute_value_mlt": [{"subitem_description": "An 86-year-old man presented to our hospital with a 1-week history of undifferentiated dizziness. He was hospitalized for intensive evaluation as hematological tests showed severe anemia (Hb5.3g/dL), along with giant erythroblastic anemia.\nBased on the results of hematological analysis and esophagogastroduodenoscopy findings, we diagnosed the patient with pernicious anemia caused by type A gastritis. His pernicious anemia was treated by intramuscular injections of vitamin B12, which improved the anemia.\nEsophagogastroduodenoscopy also showed a 25-mm sized polypoid lesion in the upper-posterior wall of the stomach. Therefore, he underwent further evaluation with esophagogastroduodenoscopy, endoscopic ultrasonography, contrast-enhanced CT, and biopsy. Based on the results, we diagnosed the patient with early gastric well-differentiated tubular adenocarcinoma for which a curative endoscopic submucosal dissection (ESD) was performed.Furthermore, another 10-mm sized elevated-type lesion with no continuity was observed, which was also a well-differentiated tubular adenocarcinoma.\nAs the number of patients with Helicobacter pylori infection is decreasing, physicians need to be aware of type A gastritis.", "subitem_description_type": "Other"}, {"subitem_description": "症例は86歳男性. 1週間前よりふらつきが出現するようになったため当院を受診した. 血液検査でHb5.3g/dLと重度の貧血を認めたため精査目的に入院となった. 巨赤芽球性貧血であり,　血液検査, 内視鏡所見からA型胃炎に伴う悪性貧血と診断した. ビタミンB12を筋肉内投与することで貧血は改善した.また胃体上部後壁に25mm大の0 -Ⅰ病変を認め, 生検で高分化管状腺癌の診断であった. 内視鏡検査, 超音波内視鏡検査, 造影CT検査を施行し, 早期胃癌と診断した. 内視鏡的粘膜下層剥離術を施行し, 最終病理診断では深達度は粘膜にとどまり内視鏡的根治度Aであった. またその近傍に連続性を持たない10mm大の0-Ⅱa病変を認め, 同病変も高分化管状腺癌であった.\n日常診療の際には，貧血の原因として A 型胃炎を念頭に置く必要があり，悪性貧血，胃癌の合併に注意を要する. H. pylori感染とそれに伴う疾患が減少する中で, 今後A型胃炎の特徴について熟知する必要があると考える.", "subitem_description_type": "Other"}]}, "item_7_full_name_2": {"attribute_name": "著者よみ", "attribute_value_mlt": [{"nameIdentifiers": [{"nameIdentifier": "138214", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "コヨシ, ナオヒロ"}]}, {"nameIdentifiers": [{"nameIdentifier": "138215", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "マエダ, ヒデヒト"}]}, {"nameIdentifiers": [{"nameIdentifier": "138216", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "フクザコ, サトシ"}]}, {"nameIdentifiers": [{"nameIdentifier": "138217", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "イシダ, トシヒサ"}]}, {"nameIdentifiers": [{"nameIdentifier": "138218", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "イカリ, ヨウスケ"}]}, {"nameIdentifiers": [{"nameIdentifier": "138219", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "ササキ, フミサト"}]}, {"nameIdentifiers": [{"nameIdentifier": "138220", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "フジタ, ヒロシ"}]}, {"nameIdentifiers": [{"nameIdentifier": "138221", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "コモハラ, ヨシヒロ"}]}, {"nameIdentifiers": [{"nameIdentifier": "138222", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "イド, アキオ"}]}]}, "item_7_full_name_3": {"attribute_name": "別言語の著者", "attribute_value_mlt": [{"nameIdentifiers": [{"nameIdentifier": "138223", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "KOYOSHI, Naohiro"}]}, {"nameIdentifiers": [{"nameIdentifier": "138224", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "MAEDA, Hidehito"}]}, {"nameIdentifiers": [{"nameIdentifier": "138225", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "FUKUZAKO, Satoshi"}]}, {"nameIdentifiers": [{"nameIdentifier": "138226", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "ISHIDA, Toshihisa"}]}, {"nameIdentifiers": [{"nameIdentifier": "138227", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "IKARI, Yosuke"}]}, {"nameIdentifiers": [{"nameIdentifier": "138228", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "SASAKI, Fumisato"}]}, {"nameIdentifiers": [{"nameIdentifier": "138229", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "FUJITA, Hiroshi"}]}, {"nameIdentifiers": [{"nameIdentifier": "138230", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "KOMOHARA, Yoshihiro"}]}, {"nameIdentifiers": [{"nameIdentifier": "138231", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "IDO, Akio"}]}]}, "item_7_publisher_23": {"attribute_name": "公開者・出版者", "attribute_value_mlt": [{"subitem_publisher": "鹿児島大学"}]}, "item_7_subject_15": {"attribute_name": "NDC", "attribute_value_mlt": [{"subitem_subject": "490", "subitem_subject_scheme": "NDC"}]}, "item_7_text_24": {"attribute_name": "公開者よみ", "attribute_value_mlt": [{"subitem_text_value": "カゴシマ ダイガク"}]}, "item_7_text_25": {"attribute_name": "公開者別名", "attribute_value_mlt": [{"subitem_text_value": "Kagoshima University"}]}, "item_7_version_type_14": {"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": "小吉, 尚裕"}], "nameIdentifiers": [{"nameIdentifier": "138205", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "前田, 英仁"}], "nameIdentifiers": [{"nameIdentifier": "138206", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "福迫, 哲史"}], "nameIdentifiers": [{"nameIdentifier": "138207", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "石田, 紀久"}], "nameIdentifiers": [{"nameIdentifier": "138208", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "猪狩, 洋介"}], "nameIdentifiers": [{"nameIdentifier": "138209", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "佐々木, 文郷"}], "nameIdentifiers": [{"nameIdentifier": "138210", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "藤田, 浩"}], "nameIdentifiers": [{"nameIdentifier": "138211", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "菰原, 義弘"}], "nameIdentifiers": [{"nameIdentifier": "138212", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "井戸, 章雄"}], "nameIdentifiers": [{"nameIdentifier": "138213", "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": "2020-12-21"}], "displaytype": "detail", "download_preview_message": "", "file_order": 0, "filename": "AN00040104_72_p17-21.pdf", "filesize": [{"value": "471.6 kB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "licensetype": "license_free", "mimetype": "application/pdf", "size": 471600.0, "url": {"label": "AN00040104_72_p17-21", "url": "https://ir.kagoshima-u.ac.jp/record/15628/files/AN00040104_72_p17-21.pdf"}, "version_id": "5471e2da-e042-4f18-93ee-10bda93fda69"}]}, "item_keyword": {"attribute_name": "キーワード", "attribute_value_mlt": [{"subitem_subject": "A型胃炎", "subitem_subject_scheme": "Other"}, {"subitem_subject": "悪性貧血", "subitem_subject_scheme": "Other"}, {"subitem_subject": "早期胃癌", "subitem_subject_scheme": "Other"}, {"subitem_subject": "内視鏡的粘膜下層剥離術", "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": "A型胃炎に悪性貧血, 早期胃癌を合併した1例", "item_titles": {"attribute_name": "タイトル", "attribute_value_mlt": [{"subitem_title": "A型胃炎に悪性貧血, 早期胃癌を合併した1例"}, {"subitem_title": "A case of type A gastritis complicated by pernicious anemia and early gastric cancer", "subitem_title_language": "en"}]}, "item_type_id": "7", "owner": "24", "path": ["59", "5994"], "permalink_uri": "http://hdl.handle.net/10232/00031516", "pubdate": {"attribute_name": "公開日", "attribute_value": "2020-12-21"}, "publish_date": "2020-12-21", "publish_status": "0", "recid": "15628", "relation": {}, "relation_version_is_last": true, "title": ["A型胃炎に悪性貧血, 早期胃癌を合併した1例"], "weko_shared_id": -1}