{"created":"2023-06-20T16:42:56.226412+00:00","id":13678,"links":{},"metadata":{"_buckets":{"deposit":"c6dc3e19-ac64-4821-8b67-79b61113725a"},"_deposit":{"created_by":3,"id":"13678","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"13678"},"status":"published"},"_oai":{"id":"oai:kindai.repo.nii.ac.jp:00013678","sets":["14:923:2275:2276","21:3039:3827:3834"]},"author_link":["25057","25061","25058","25060","25059"],"item_2_alternative_title_3":{"attribute_name":"その他（別言語等）のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"〈Feature: The Frontier of Psychosomatic Medicine--Kinki University Hospital, Faculty of Medicine〉Achalasia masquerading as eating disorders or functional dyspepsia: a case report."}]},"item_2_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2014-11-01","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"61","bibliographicPageStart":"57","bibliographicVolumeNumber":"7","bibliographic_titles":[{"bibliographic_title":"近畿大学臨床心理センター紀要"},{"bibliographic_title":"Bulletin of center for clinical psychology Kinki University","bibliographic_titleLang":"en"}]}]},"item_2_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"[要約] 念頭におけば比較的容易に診断に至るが, 食思不振, 嘔吐や体重減少といった非特異的症状と有病率の低さから, 診断に至るまでに食道アカラシアは数年を要する場合もある. 今回, 反復する嘔吐と食思不振から摂食障害(ED)などを疑われて紹介され, 精査の結果, 食道アカラシアの診断に至った症例を報告する. 症例は21歳男性. 1年前より飲水時に胸のつかえ感が出現し, 近医で上部消化管内視鏡検査を施行されたが器質的疾患は指摘されず, プロトンポンプ阻害剤を投与されたが症状は軽快しなかった. さらに, 頻回な嘔吐と食思不振から14kgの体重減少に至り, 摂食障害, 機能性ディスペプシア(FD)などを疑われて, 当科を紹介受診となった. 初診時の問診や身体診察からED, FDは否定的で, 入院後の食道嚥下造影検査, 食道内圧検査により食道アカラシアと診断した. 患者は経口内視鏡的筋層切開術を希望し, 他院外科に転院した. 術後, 嘔吐は消失し良好な臨床経過をえた.","subitem_description_type":"Abstract"}]},"item_2_description_41":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"application/pdf","subitem_description_type":"Other"}]},"item_2_publisher_14":{"attribute_name":"出版者 名前","attribute_value_mlt":[{"subitem_publisher":"近畿大学臨床心理センター"}]},"item_2_source_id_22":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"21868921","subitem_source_identifier_type":"ISSN"}]},"item_2_text_7":{"attribute_name":"著者(英)","attribute_value_mlt":[{"subitem_text_language":"en","subitem_text_value":"MURATA, Masahiko"},{"subitem_text_language":"en","subitem_text_value":"OKUMI, Hirokuni"},{"subitem_text_language":"en","subitem_text_value":"TAKAHASHI, Fumihiko"},{"subitem_text_language":"en","subitem_text_value":"OHTAKE, Yoichi"},{"subitem_text_language":"en","subitem_text_value":"KOYAMA, Atsuko"}]},"item_2_text_8":{"attribute_name":"著者 所属","attribute_value_mlt":[{"subitem_text_value":"近畿大学医学部内科学腫瘍内科部門心療内科分野"},{"subitem_text_value":"近畿大学医学部内科学腫瘍内科部門心療内科分野"},{"subitem_text_value":"近畿大学医学部内科学腫瘍内科部門心療内科分野"},{"subitem_text_value":"近畿大学医学部内科学腫瘍内科部門心療内科分野"},{"subitem_text_value":"近畿大学医学部内科学腫瘍内科部門心療内科分野"}]},"item_2_text_9":{"attribute_name":"著者所属(翻訳)","attribute_value_mlt":[{"subitem_text_value":"Kinki University"},{"subitem_text_value":"Kinki University"},{"subitem_text_value":"Kinki University"},{"subitem_text_value":"Kinki University"},{"subitem_text_value":"Kinki University"}]},"item_2_version_type_12":{"attribute_name":"版","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":"村田,  昌彦"},{"creatorName":"ムラタ, マサヒコ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"奥見,  裕邦"},{"creatorName":"オクミ, ヒロクニ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"髙橋,  史彦"},{"creatorName":"タカハシ, フミヒコ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"大武,  陽一"},{"creatorName":"オオタケ, ヨウイチ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"小山,  敦子"},{"creatorName":"コヤマ, アツコ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2016-02-19"}],"displaytype":"detail","filename":"AA1248107X-20141130-0057.pdf","filesize":[{"value":"304.1 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食道アカラシアの一例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"<特集: 心身症治療最前線--近畿大学医学部心療内科>摂食障害や機能性消化管障害との鑑別を要した, 食道アカラシアの一例"}]},"item_type_id":"2","owner":"3","path":["2276","3834"],"pubdate":{"attribute_name":"公開日","attribute_value":"2015-02-28"},"publish_date":"2015-02-28","publish_status":"0","recid":"13678","relation_version_is_last":true,"title":["<特集: 心身症治療最前線--近畿大学医学部心療内科>摂食障害や機能性消化管障害との鑑別を要した, 食道アカラシアの一例"],"weko_creator_id":"3","weko_shared_id":-1},"updated":"2023-06-20T23:11:26.215040+00:00"}