{"created":"2023-07-25T08:14:33.734602+00:00","id":15628,"links":{},"metadata":{"_buckets":{"deposit":"d0e9ff61-234c-417a-b5f5-b7f38fd830b8"},"_deposit":{"created_by":18,"id":"15628","owners":[18],"pid":{"revision_id":0,"type":"depid","value":"15628"},"status":"published"},"_oai":{"id":"oai:ir.kagoshima-u.ac.jp:00015628","sets":["228:230:5994","57:58:59"]},"author_link":["138205","138206","138207","138208","138209","138210","138211","138212","138213"],"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_titleLang":"ja"},{"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","subitem_date_issued_type":"Issued"}]},"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_language":"en","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_language":"ja","subitem_description_type":"Other"}]},"item_7_publisher_23":{"attribute_name":"公開者・出版者","attribute_value_mlt":[{"subitem_publisher":"鹿児島大学","subitem_publisher_language":"ja"},{"subitem_publisher":"Kagoshima University","subitem_publisher_language":"en"}]},"item_7_source_id_7":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"03685063","subitem_source_identifier_type":"PISSN"}]},"item_7_source_id_9":{"attribute_name":"NII書誌ID","attribute_value_mlt":[{"subitem_source_identifier":"AN00040104","subitem_source_identifier_type":"NCID"}]},"item_7_subject_15":{"attribute_name":"NDC","attribute_value_mlt":[{"subitem_subject":"490","subitem_subject_scheme":"NDC"}]},"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","creatorNameLang":"ja"},{"creatorName":"KOYOSHI, Naohiro","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"前田, 英仁","creatorNameLang":"ja"},{"creatorName":"MAEDA, Hidehito","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"福迫, 哲史","creatorNameLang":"ja"},{"creatorName":"FUKUZAKO, Satoshi","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"石田, 紀久","creatorNameLang":"ja"},{"creatorName":"ISHIDA, Toshihisa","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"猪狩, 洋介","creatorNameLang":"ja"},{"creatorName":"IKARI, Yosuke","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"佐々木, 文郷","creatorNameLang":"ja"},{"creatorName":"SASAKI, Fumisato","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"藤田, 浩","creatorNameLang":"ja"},{"creatorName":"FUJITA, Hiroshi","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"菰原, 義弘","creatorNameLang":"ja"},{"creatorName":"KOMOHARA, Yoshihiro","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"井戸, 章雄","creatorNameLang":"ja"},{"creatorName":"IDO, Akio","creatorNameLang":"en"}],"nameIdentifiers":[{}]}]},"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","filename":"AN00040104_72_p17-21.pdf","filesize":[{"value":"471.6 kB"}],"format":"application/pdf","mimetype":"application/pdf","url":{"label":"AN00040104_72_p17-21","objectType":"fulltext","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_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"悪性貧血","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"早期胃癌","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"内視鏡的粘膜下層剥離術","subitem_subject_language":"ja","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_language":"ja"},{"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":"18","path":["59","5994"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2020-12-21"},"publish_date":"2020-12-21","publish_status":"0","recid":"15628","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_creator_id":"18","weko_shared_id":-1},"updated":"2024-05-27T05:39:43.712055+00:00"}