| Item type |
デフォルトアイテムタイプ（フル）(1) |
| 公開日 |
2010-07-02 |
| タイトル |
|
|
タイトル |
［原著］大腸憩室症手術症例の検討 |
|
言語 |
ja |
| タイトル |
|
|
タイトル |
A clinical study of surgical treatment for diverticular disease of the colon |
|
言語 |
en |
| 作成者 |
照屋, 剛
安田, 卓
深町, 俊之
宮里, 浩
久高, 学
山里,
将仁
大城, 健誠
山城, 和也
川野, 幸志
久高, 弘志
与儀, 実津夫
Teruya, Tsuyoshi
Yasuda, Takashi
Fukamachi, Toshiyuki
Miyazato, Hiroshi
Kudaka, Manabu
Yamazato, Masahito
Ooshiro, Kensei
Yamashiro, Kazuya
Kawano, Koji
Kudaka, Hiroshi
Yogi, Mitsuo
|
| アクセス権 |
|
|
アクセス権 |
open access |
|
アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
| 権利情報 |
|
|
言語 |
ja |
|
権利情報 |
琉球医学会 |
| 主題 |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
surgical treatment |
| 主題 |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
diverticular disease of the colon |
| 内容記述 |
|
|
内容記述タイプ |
Other |
|
内容記述 |
We have reviewed 30 patients (22 men and 8 women with a mean age of 54.5 years old) of colonic diverticular disease who had undergone surgical treatment in the last 22 years. The major clinical symptom was abdominal pain, 19 cases with local peritonitis and 9 with melena. Of the 30 cases, 18 patients had right colonic, 10 had left colonic, and 2 had bilateral colonic diverticula. Preoperative diagnoses were 6 cases of acute appendicitis, 3 recurrent diverticuhtis, 2 diverticular perforation, 8 intestinal bleeding, 1 colovesical fistula, 5 intestinal stenosis, and 5 cases of intra-abdominal abscess with a palpable mass. The surgical procedures performed were ileocecal resection in 9 cases, partial resection of the ascending colon in 1, right hemicolectomy in 9, sigmoidectomy in 7, and left hemicolectomy in 1 case. Primary anastomosis was performed in all the cases. Hartman n's procedure was used in two cases. Right-sided diverticular disease was associated with a high incidence of diverticuhtis and bleeding, while the left-sided type with stenosis. In the bilateral type, bleeding was observed. Postoperative complications were 2 cases of wound infection and 1 case each of intra-abdominal abscess, intestinal obstruction, and congestive heart failure. All cases were treated conservatively. So far recurrence of diverticular disease has not been observed in any of our cases. Complications of diverticular disease of the colon vary widely in this study, therefore an adequate diagnosis and surgery should be done in accordance with the patient s general condition. |
| 内容記述 |
|
|
内容記述タイプ |
Other |
|
内容記述 |
論文 |
| 出版者 |
|
|
出版者 |
琉球医学会 |
|
言語 |
ja |
| 出版者 |
|
|
出版者 |
Ryukyu Medical Association |
|
言語 |
en |
| 言語 |
|
|
言語 |
jpn |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| 出版タイプ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| 収録物識別子 |
|
|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
1346888X |
| 収録物識別子 |
|
|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
0289-1530 |
| 収録物識別子 |
|
|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AN10369445 |
| 収録物名 |
|
|
収録物名 |
琉球医学会誌 = Ryukyu Medical Journal |
|
言語 |
ja |
| 書誌情報 |
巻 23,
号 4,
p. 155-161,
発行日 2004
|
v23p155.pdf
