{"@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/1390282679829310848.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.3919/jjsa.73.2519"}},{"identifier":{"@type":"NDL_BIB_ID","@value":"030740194"}},{"identifier":{"@type":"URI","@value":"http://id.ndl.go.jp/bib/030740194"}},{"identifier":{"@type":"URI","@value":"https://ndlsearch.ndl.go.jp/books/R000000004-I030740194"}},{"identifier":{"@type":"URI","@value":"https://www.jstage.jst.go.jp/article/jjsa/73/10/73_2519/_pdf"}},{"identifier":{"@type":"NAID","@value":"10031147710"}},{"identifier":{"@type":"URI","@value":"https://search.jamas.or.jp/link/ui/2013011339"}}],"dc:title":[{"@language":"en","@value":"A case of corrosive esophagitis with stricture formation performed mediastinoscope assisted transhiatal esophagectomy"},{"@language":"ja","@value":"縦隔鏡補助下非開胸食道抜去術を施行した腐食性食道狭窄の1例"},{"@value":"症例 縦隔鏡補助下非開胸食道抜去術を施行した腐食性食道狭窄の1例"},{"@language":"ja-Kana","@value":"ショウレイ ジュウカクキョウ ホジョ カ ヒカイキョウ ショクドウ バツキョジュツ オ シコウ シタ フショクセイ ショクドウ キョウサク ノ 1レイ"}],"dc:language":"ja","description":[{"type":"abstract","notation":[{"@language":"en","@value":"We have experienced mediastinoscope assisted transhiatal esophagectomy for a patient with corrosive esophagitis with stricture formation caused by ingestion of a strong solution of alkali. The case involved a 60-year-old woman who drank an alkaline lotion after unsuccessful hanging herself. The patient was admitted to the critical cure center in our hospital. Despite conservative therapy, prolonged difficulty in swallowing was noted. Upper gastrointestinal endoscopic as well as radiological studies disclosed stricture at the middle and lower thoracic esophagus. As endoscopic dilatation of the stricture was considered to be impossible, transhiatal esophagectomy and reconstruction with the gastric tube were performed. We had great difficulties in dissecting the esophagus due to serious adhesions around it, but the esophagus could safely be removed by using the mediastinoscope. After the operation, she still complained of difficulty in swallowing due to stricture of the remnant esophagus, but endoscopic dilatation resolved the problem. The patient was discharged from the hospital on the 24<SUP>th</SUP> postoperative day.<BR>Corrosive esophagitis caused by liquid alkaline caustics is prone to induce deep penetrating inflammation so that dissection of the esophagus is often difficult in non-open surgery. In these circumstances, the use of mediastinoscope may be very helpful."},{"@language":"ja","@value":"アルカリ誤飲による腐食性食道炎後に食道狭窄を生じ，縦隔鏡補助下に食道抜去術を施行した1例を経験した．症例は60歳女性．縊頸を試みたが未遂に終わり，その後アルカリ洗浄剤を内服した．当院救命救急センターに入院，保存加療を行ったが，遷延する嚥下困難を認めた．上部消化管内視鏡，造影検査にて，中下部食道の狭窄を認め，内視鏡的拡張は不可能と判断，非開胸食道抜去術・胃管再建を施行した．食道周囲の炎症が高度であり剥離に難渋したが，縦隔鏡補助下に行うことで安全に食道抜去することができた．術後残食道の狭窄による嚥下困難を認めたが，内視鏡的拡張術で改善，24PODで退院となった．<BR>アルカリによる腐食性食道炎は深部まで炎症が波及しやすく，非開胸では食道の剥離が難しいことがあるが，その際縦隔鏡は有用であると思われた．"}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1410853647405993349","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000017484011"}],"foaf:name":[{"@language":"en","@value":"YAGI Masayuki"},{"@language":"ja","@value":"八木 雅幸"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Surgery, Ohtanishinouchi Hospital"}]},{"@id":"https://cir.nii.ac.jp/crid/1410853647405993344","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000248215349"}],"foaf:name":[{"@language":"en","@value":"KUMAGAI Yoichi"},{"@language":"ja","@value":"熊谷 洋一"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Surgery, Ohtanishinouchi Hospital"}]},{"@id":"https://cir.nii.ac.jp/crid/1410853647405993347","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000248215350"}],"foaf:name":[{"@language":"en","@value":"FURUKAWA Soichi"},{"@language":"ja","@value":"古川 聡一"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Surgery, Ohtanishinouchi Hospital"}]},{"@id":"https://cir.nii.ac.jp/crid/1410853647405993346","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000248215351"}],"foaf:name":[{"@language":"en","@value":"TSUKAMOTO Kanako"},{"@language":"ja","@value":"塚本 可奈子"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Surgery, Ohtanishinouchi Hospital"}]},{"@id":"https://cir.nii.ac.jp/crid/1410853647405993345","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000006565161"}],"foaf:name":[{"@language":"en","@value":"ITO Hiromitsu"},{"@language":"ja","@value":"伊藤 浩光"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Surgery, Ohtanishinouchi Hospital"}]},{"@id":"https://cir.nii.ac.jp/crid/1410009222346473220","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000002922397"}],"foaf:name":[{"@language":"en","@value":"YAMAZAKI Shigeru"},{"@language":"ja","@value":"山崎 繁"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Surgery, Ohtanishinouchi Hospital"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"13452843"},{"@type":"EISSN","@value":"18825133"},{"@type":"NDL_BIB_ID","@value":"000000107238"},{"@type":"ISSN","@value":"13452843"},{"@type":"LISSN","@value":"13452843"},{"@type":"NCID","@value":"AA11189709"}],"prism:publicationName":[{"@language":"en","@value":"Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)"},{"@language":"ja","@value":"日本臨床外科学会雑誌"},{"@language":"en","@value":"Nihon Rinsho Geka Gakkai Zasshi (J Jpn Surg Assoc)"},{"@language":"en","@value":"J Jpn Surg Assoc"},{"@language":"en","@value":"J. Jpn. Surg. Assoc."},{"@language":"ja","@value":"日臨外会誌"},{"@language":"en","@value":"Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)"},{"@language":"ja","@value":"日本臨床外科学会雑誌"}],"dc:publisher":[{"@language":"en","@value":"Japan Surgical Association"},{"@language":"ja","@value":"日本臨床外科学会"}],"prism:publicationDate":"2012","prism:volume":"73","prism:number":"10","prism:startingPage":"2519","prism:endingPage":"2523"},"reviewed":"false","url":[{"@id":"http://id.ndl.go.jp/bib/030740194"},{"@id":"https://ndlsearch.ndl.go.jp/books/R000000004-I030740194"},{"@id":"https://www.jstage.jst.go.jp/article/jjsa/73/10/73_2519/_pdf"},{"@id":"https://search.jamas.or.jp/link/ui/2013011339"}],"availableAt":"2012","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=corrosive%20esophagitis","dc:title":"corrosive esophagitis"},{"@id":"https://cir.nii.ac.jp/all?q=esophageal%20stenosis","dc:title":"esophageal stenosis"},{"@id":"https://cir.nii.ac.jp/all?q=mediastinoscopic%20surgery","dc:title":"mediastinoscopic surgery"},{"@id":"https://cir.nii.ac.jp/all?q=%E8%85%90%E9%A3%9F%E6%80%A7%E9%A3%9F%E9%81%93%E7%82%8E","dc:title":"腐食性食道炎"},{"@id":"https://cir.nii.ac.jp/all?q=%E9%A3%9F%E9%81%93%E7%8B%AD%E7%AA%84","dc:title":"食道狭窄"},{"@id":"https://cir.nii.ac.jp/all?q=%E7%B8%A6%E9%9A%94%E9%8F%A1%E8%A3%9C%E5%8A%A9%E4%B8%8B%E6%89%8B%E8%A1%93","dc:title":"縦隔鏡補助下手術"}],"relatedProduct":[{"@id":"https://cir.nii.ac.jp/crid/1363388844664196352","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Extensive Abdominal Surgery After Caustic Ingestion"}]},{"@id":"https://cir.nii.ac.jp/crid/1390001204844373632","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@language":"en","@value":"A CASE OF ESOPHAGEAL STENOSIS AFTER COROSSIVE ESOPHAGITIS DUE TO SODIUM 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Reconstruction"},{"@language":"ja","@value":"腐食性食道炎および胃炎に対して胸腔鏡腹腔鏡下食道亜全摘術および胃全摘術を施行し二期的再建を行った1例"}]},{"@id":"https://cir.nii.ac.jp/crid/1520290884382032128","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@value":"食器用洗剤(水酸化カリウム溶液)の誤飲による腐食性食道炎の1例"},{"@language":"ja-Kana","@value":"ショッキヨウ センザイ スイサンカ カリウム ヨウエキ ノ ゴイン ニ ヨル フショクセイ ショクドウエン ノ 1レイ"}]},{"@id":"https://cir.nii.ac.jp/crid/1570572700325292928","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@language":"ja","@value":"アルカリ洗剤飲用による腐食性食道炎, 胃炎の瘢痕性狭窄に対し保存的に改善した1例"},{"@language":"en","@value":"A Patient With Corrosive Esophagitis/Gastritis Related to Drinking an Alkaline Detergent in whom Conservative Treatment for Cicatricial Stenosis Achieved 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