{"@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/1390282679778938752.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.11164/jjsps.15.3_499"}},{"identifier":{"@type":"NDL_BIB_ID","@value":"2085383"}},{"identifier":{"@type":"URI","@value":"http://id.ndl.go.jp/bib/2085383"}},{"identifier":{"@type":"URI","@value":"https://ndlsearch.ndl.go.jp/books/R000000004-I2085383"}},{"identifier":{"@type":"NAID","@value":"110002095024"}},{"identifier":{"@type":"URI","@value":"https://search.jamas.or.jp/link/ui/1980040049"}}],"dc:title":[{"@language":"ja","@value":"先天性食道閉鎖症術後気管食道瘻再開通の検討"},{"@language":"en","@value":"Recurrent Tracheosophageal Fistula"},{"@language":"ja-Kana","@value":"センテンセイ ショクドウ ヘイサショウ ジュツゴ キカン ショクドウ ロウ サ"}],"dc:language":"ja","description":[{"type":"abstract","notation":[{"@language":"en","@value":"Recurrent TEF is not rare as a postoperative complication of esophageal atresia with TEF. According to the literature, the incidence of the complication is between 5 and 20 percent. In our 36 cases of esophageal atresia with TEF, we reported 4 cases with recurrent TEF (11.1%), of which 3 cases survived thoracotomy with re-ligation of recurrent TEF, but one case died of pneumonia and was found recurrent TEF at autopsy. From our experience, it was concluded as follows; 1)Early diagnosis is the most important for obtaining good prognosis. As it is difficult to find recurrent TEF on repeated esophagography or the various methods described in the literature, we thought that thoracotomy could be indicated to any patients who had a history of small leakage and frequent episodes of bronchitis and/or pneumonia, even if the recurrent TEF was not diagnosed on these investigations. 2) Operation must be tried soon after improvement of lung findings and general conditions because the mortality is high with conservative therapy."},{"@language":"ja","@value":"1)気管食道瘻の再開通は瘻の大きさにより症状は異なる.2)根治術後に慢性気管支炎や頻発する肺炎のみられる場合は, 気管食道瘻の再開通を念頭において食道造影を繰り返す.3)非手術例では80%以上の死亡率を示すため積極的に手術を行う.(手術例でも約50%の死亡率を示す).4)診断がつき次第, 胃瘻造設, transpyloric tubeないし, 空腸瘻による経管栄養を行う.5)全身状態, 肺合併症の改善が得られ次第, 早期に手術を行う.6)瘻切断閉鎖部の間に, 胸膜, 筋膜, 肺などを介在させる.7)術後の食道造影でleakageがあり, 肺炎や気管支炎を繰り返し, leakageと異なる瘻が発見されるものは, たとえ気管との交通が食道造影で証明されなくとも試験開胸を考える必要がある."}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1410282679778938756","@type":"Researcher","foaf:name":[{"@language":"ja","@value":"新実 紀二"},{"@language":"en","@value":"Niinomi N."}],"jpcoar:affiliationName":[{"@language":"en","@value":"First Department of Surgery, University of Nagoya School of Medicine"},{"@language":"ja","@value":"名古屋大学第一外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410282679778938757","@type":"Researcher","foaf:name":[{"@language":"ja","@value":"伊藤 喬広"},{"@language":"en","@value":"Ito T."}],"jpcoar:affiliationName":[{"@language":"en","@value":"First Department of Surgery, University of Nagoya School of Medicine"},{"@language":"ja","@value":"名古屋大学第一外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410282679778938627","@type":"Researcher","foaf:name":[{"@language":"ja","@value":"杉藤 徹志"},{"@language":"en","@value":"Sugito T."}],"jpcoar:affiliationName":[{"@language":"en","@value":"First Department of Surgery, University of Nagoya School of Medicine"},{"@language":"ja","@value":"名古屋大学第一外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410001204802620420","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000406032140"}],"foaf:name":[{"@language":"ja","@value":"長屋 昌宏"},{"@language":"en","@value":"Nagaya M."}],"jpcoar:affiliationName":[{"@language":"en","@value":"First Department of Surgery, University of Nagoya School of Medicine"},{"@language":"ja","@value":"名古屋大学第一外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410282679778938628","@type":"Researcher","foaf:name":[{"@language":"ja","@value":"山田 昂"},{"@language":"en","@value":"Yamada N."}],"jpcoar:affiliationName":[{"@language":"en","@value":"First Department of Surgery, University of Nagoya School of Medicine"},{"@language":"ja","@value":"名古屋大学第一外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1030003658314746240","@type":"Researcher","personIdentifier":[{"@type":"KAKEN_RESEARCHERS","@value":"80142173"},{"@type":"NRID","@value":"1000080142173"},{"@type":"NRID","@value":"9000003452047"},{"@type":"NRID","@value":"9000345219566"},{"@type":"NRID","@value":"9000021983119"},{"@type":"NRID","@value":"9000021644118"},{"@type":"NRID","@value":"9000022108465"},{"@type":"NRID","@value":"9000383077843"},{"@type":"NRID","@value":"9000003461272"},{"@type":"NRID","@value":"9000021525725"},{"@type":"NRID","@value":"9000022050531"},{"@type":"NRID","@value":"9000021525894"},{"@type":"NRID","@value":"9000021602984"},{"@type":"NRID","@value":"9000002276885"},{"@type":"NRID","@value":"9000004177918"},{"@type":"NRID","@value":"9000022044041"},{"@type":"NRID","@value":"9000253359812"},{"@type":"NRID","@value":"9000021536428"},{"@type":"NRID","@value":"9000255736357"},{"@type":"NRID","@value":"9000021983251"},{"@type":"NRID","@value":"9000021583534"},{"@type":"NRID","@value":"9000022195850"},{"@type":"NRID","@value":"9000004207672"},{"@type":"NRID","@value":"9000383077452"},{"@type":"NRID","@value":"9000022050518"},{"@type":"NRID","@value":"9000021564317"},{"@type":"NRID","@value":"9000345219583"},{"@type":"NRID","@value":"9000022023093"},{"@type":"NRID","@value":"9000003492151"},{"@type":"NRID","@value":"9000021931252"},{"@type":"NRID","@value":"9000021562416"},{"@type":"NRID","@value":"9000021982067"},{"@type":"NRID","@value":"9000021525473"},{"@type":"NRID","@value":"9000022198172"},{"@type":"NRID","@value":"9000021631384"},{"@type":"RESEARCHMAP","@value":"https://researchmap.jp/1496"}],"foaf:name":[{"@language":"ja","@value":"石黒 士雄"},{"@language":"en","@value":"Ishiguro Y."}],"jpcoar:affiliationName":[{"@language":"en","@value":"First Department of Surgery, University of Nagoya School of Medicine"},{"@language":"ja","@value":"名古屋大学第一外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410282679778938753","@type":"Researcher","foaf:name":[{"@language":"ja","@value":"古川 博通"},{"@language":"en","@value":"Furukawa F."}],"jpcoar:affiliationName":[{"@language":"en","@value":"First Department of Surgery, University of Nagoya School of Medicine"},{"@language":"ja","@value":"名古屋大学第一外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410282679778938755","@type":"Researcher","foaf:name":[{"@language":"ja","@value":"奥川 恭一朗"},{"@language":"en","@value":"Okugawa D."}],"jpcoar:affiliationName":[{"@language":"en","@value":"First Department of Surgery, University of Nagoya School of Medicine"},{"@language":"ja","@value":"名古屋大学第一外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410282679778938754","@type":"Researcher","foaf:name":[{"@language":"ja","@value":"鈴木 裕"},{"@language":"en","@value":"Suzuki F."}],"jpcoar:affiliationName":[{"@language":"en","@value":"First Department of Surgery, University of Nagoya School of Medicine"},{"@language":"ja","@value":"名古屋大学第一外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410282679778938629","@type":"Researcher","foaf:name":[{"@language":"ja","@value":"津田 峰行"},{"@language":"en","@value":"Tsuda M."}],"jpcoar:affiliationName":[{"@language":"en","@value":"First Department of Surgery, University of Nagoya School of Medicine"},{"@language":"ja","@value":"名古屋大学第一外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410282679778938624","@type":"Researcher","foaf:name":[{"@language":"ja","@value":"下地 英機"},{"@language":"en","@value":"Shimozi F."}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Surgery, Tosei National Hospital"},{"@language":"ja","@value":"国立東静病院外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410282679778938625","@type":"Researcher","foaf:name":[{"@language":"ja","@value":"飯田 幹穂"},{"@language":"en","@value":"Iida M."}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Surgery, Tosei National Hospital"},{"@language":"ja","@value":"国立東静病院外科"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"0288609X"},{"@type":"LISSN","@value":"0288609X"},{"@type":"EISSN","@value":"21874247"},{"@type":"NDL_BIB_ID","@value":"000000018554"},{"@type":"ISSN","@value":"0288609X"},{"@type":"NCID","@value":"AN00192281"}],"prism:publicationName":[{"@language":"en","@value":"Journal of the Japanese Society of Pediatric Surgeons"},{"@value":"日本小児外科学会雑誌"},{"@language":"en","@value":"J. Jpn. Soc. Pediatr. Surg."},{"@value":"日小外会誌"}],"dc:publisher":[{"@language":"en","@value":"The Japanese Society of Pediatric Surgeons"},{"@language":"ja","@value":"特定非営利活動法人 日本小児外科学会"}],"prism:publicationDate":"1979","prism:volume":"15","prism:number":"3","prism:startingPage":"499","prism:endingPage":"506"},"url":[{"@id":"http://id.ndl.go.jp/bib/2085383"},{"@id":"https://ndlsearch.ndl.go.jp/books/R000000004-I2085383"},{"@id":"https://search.jamas.or.jp/link/ui/1980040049"}],"availableAt":"1979","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=Recurrent%20tracheoesophageal%20fistula","dc:title":"Recurrent tracheoesophageal fistula"}],"relatedProduct":[{"@id":"https://cir.nii.ac.jp/crid/1390001204820243456","@type":"Article","relationType":["isCitedBy"],"jpcoar:relatedTitle":[{"@language":"ja","@value":"先天性食道閉鎖症術後気管食道瘻の再開通に対し頚部アプローチで閉鎖術を施行した1例"},{"@language":"en","@value":"Cervical Approach for the Division of Recurrent Tracheoesophageal Fistula : A Case Report"}]}],"dataSourceIdentifier":[{"@type":"JALC","@value":"oai:japanlinkcenter.org:2001648471"},{"@type":"NDL_SEARCH","@value":"oai:ndlsearch.ndl.go.jp:R000000004-I2085383"},{"@type":"CIA","@value":"110002095024"}]}