{"@context":{"@vocab":"https://cir.nii.ac.jp/schema/1.0/","rdfs":"http://www.w3.org/2000/01/rdf-schema#","dc":"http://purl.org/dc/elements/1.1/","dcterms":"http://purl.org/dc/terms/","foaf":"http://xmlns.com/foaf/0.1/","prism":"http://prismstandard.org/namespaces/basic/2.0/","cinii":"http://ci.nii.ac.jp/ns/1.0/","datacite":"https://schema.datacite.org/meta/kernel-4/","ndl":"http://ndl.go.jp/dcndl/terms/","jpcoar":"https://github.com/JPCOAR/schema/blob/master/2.0/"},"@id":"https://cir.nii.ac.jp/crid/1390001205257522688.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.2512/jspm.7.545"}},{"identifier":{"@type":"URI","@value":"https://www.jstage.jst.go.jp/article/jspm/7/2/7_545/_pdf"}},{"identifier":{"@type":"NAID","@value":"130002084775"}},{"identifier":{"@type":"URI","@value":"https://search.jamas.or.jp/link/ui/2013205707"}}],"dc:title":[{"@language":"en","@value":"Mohs' paste successfully controlled intractable bleeding from local recurrence in rectal cancer"},{"@language":"ja","@value":"Mohs軟膏が著効した直腸がん術後遺残直腸断端再発出血の1例"}],"dc:language":"ja","description":[{"type":"abstract","notation":[{"@language":"en","@value":"A man in his seventies sustained continuous bleeding from local recurrence at the residual rectal stump after Hartmann's surgery for rectal cancer. This patient declined chemotherapy and radiation therapy and conventional local anti-hemorrhagic treatments had not been effective. To assess the risk of Mohs' paste application to the rectal recurrence area, we checked the anatomical structures surrounding the application site by a CT study. In addition, two reasons we evaluated this Mohs' paste treatment to the rectal recurrence would be very safe were as follows: 1. A small amount of Mohs' paste was needed for the small rectal bleeding site. 2. Mohs' paste would not be applied to the rectum used for stoma. To avoid applying Mohs' paste to the neighbouring normal structures, a gauze coated with Mohs' paste was inserted into the rectum and placed only on the local recurrence site. Petroleum jelly was applied to the surface of normal rectal mucosa to prevent fixation. Bleeding and malodorous effusion decreased significantly without side effects such as pain, bleeding, or ulceration. Thereafter, additional fixation was not necessary. When all the other antihemorrhagic modalities are not available, Mohs' paste could be used for bleeding or an effusion from non-superficial tumors after a thorough risk assessment on this treatment."},{"@language":"ja","@value":"進行直腸がん術後の遺残直腸断端再発出血に対して, Mohs軟膏が著効した症例を経験したので報告する. 直腸がん術後に骨盤内再発の遺残直腸断端露出部から出血を認めるようになり, 頻回にパッド交換が必要な状態であった. 対症療法は無効で, 抗がん剤や放射線による治療を拒否していたため, 局所治療としてMohs軟膏による止血を施行した. 処置前にはCTにより周囲組織との位置関係を評価し, 遺残直腸断端に露出した部分は小さく少量の使用で済む点や, 人工肛門のため直腸は使用しない点などから, Mohs軟膏使用の安全性は十分確保できると考えた. 処置時は, 軟膏をガーゼに塗り込むことにより正常部位への流出を予防した. 直腸内にはワセリンガーゼを充填し, 正常直腸粘膜への影響を最小限にするように工夫した. 処置後, 腫瘍部分は白色に固定され止血された. Mohs軟膏の使用工夫により, 深部の再発腫瘍に対しても出血や滲出液のコントロールに有効な場合がある."}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1410572171585650688","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000021360522"}],"foaf:name":[{"@language":"en","@value":"Yamada Hidehisa"},{"@language":"ja","@value":"山田 秀久"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Surgery, Kiyota Hospital"},{"@language":"ja","@value":"清田病院 外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410572171585650690","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000021360533"}],"foaf:name":[{"@language":"en","@value":"Nishisato Takuji"},{"@language":"ja","@value":"西里 卓次"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Palliative Care, ditto"},{"@language":"ja","@value":"同 緩和ケア科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410572171585650689","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000021360527"}],"foaf:name":[{"@language":"en","@value":"Yano Tomoyuki"},{"@language":"ja","@value":"矢野 智之"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Surgery, Kiyota Hospital"},{"@language":"ja","@value":"清田病院 外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410572171585650691","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000021360543"}],"foaf:name":[{"@language":"en","@value":"Hachinohe Maki"},{"@language":"ja","@value":"八戸 マキ"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Pharmacy, ditto"},{"@language":"ja","@value":"同 薬剤課"}]},{"@id":"https://cir.nii.ac.jp/crid/1410572171585650692","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000021360538"}],"foaf:name":[{"@language":"en","@value":"Nagamachi Yasuhiro"},{"@language":"ja","@value":"長町 康弘"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"同 内科"},{"@language":"en","@value":"Department of Internal Medicine, ditto"}]}],"publication":{"publicationIdentifier":[{"@type":"EISSN","@value":"18805302"}],"prism:publicationName":[{"@language":"en","@value":"Palliative Care Research"},{"@language":"en","@value":"Palliat Care Res"}],"dc:publisher":[{"@language":"en","@value":"Japanese Society for Palliative Medicine"},{"@language":"ja","@value":"日本緩和医療学会"}],"prism:publicationDate":"2012","prism:volume":"7","prism:number":"2","prism:startingPage":"545","prism:endingPage":"549"},"reviewed":"false","url":[{"@id":"https://www.jstage.jst.go.jp/article/jspm/7/2/7_545/_pdf"},{"@id":"https://search.jamas.or.jp/link/ui/2013205707"}],"availableAt":"2012","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=Mohs'%20paste","dc:title":"Mohs' paste"},{"@id":"https://cir.nii.ac.jp/all?q=rectal%20cancer","dc:title":"rectal cancer"},{"@id":"https://cir.nii.ac.jp/all?q=local%20recurrence","dc:title":"local recurrence"},{"@id":"https://cir.nii.ac.jp/all?q=Mohs%E8%BB%9F%E8%86%8F","dc:title":"Mohs軟膏"},{"@id":"https://cir.nii.ac.jp/all?q=%E7%9B%B4%E8%85%B8%E3%81%8C%E3%82%93","dc:title":"直腸がん"},{"@id":"https://cir.nii.ac.jp/all?q=%E5%B1%80%E6%89%80%E5%86%8D%E7%99%BA","dc:title":"局所再発"}],"relatedProduct":[{"@id":"https://cir.nii.ac.jp/crid/1360011144821013248","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Internal iliac artery embolization in the management of pelvic bleeding"}]},{"@id":"https://cir.nii.ac.jp/crid/1363670318988371328","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"CHEMOSURGERY"}]}],"dataSourceIdentifier":[{"@type":"JALC","@value":"oai:japanlinkcenter.org:1000889421"},{"@type":"CROSSREF","@value":"10.2512/jspm.7.545"},{"@type":"CIA","@value":"130002084775"}]}