{"@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/1390282680397399296.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.11423/jsph1995.3.3_251"}},{"identifier":{"@type":"NAID","@value":"130001929677"}}],"dc:title":[{"@language":"en","@value":"Endoscopic and clinical evaluation on solitary and scattered varices"},{"@language":"ja","@value":"孤立性静脈瘤と散在性静脈瘤の内視鏡的および臨床的検討"}],"dc:language":"ja","description":[{"type":"abstract","notation":[{"@language":"en","@value":"Pathogenesis and clinical significance of solitary varix (SoV) or scattered varices (ScV) of the upper or middle esophagus, not contiguous to any varix of the lower esophagus, have not yet been fully clarified. We recently carried out endoscopic assessment of these varices. Routine endoscopic examinations of the upper gastrointestinal tract were carried out among 6660 individuals. Out of these individuals, 54 patients were found to have SoV or ScV (85 lesions in total). They often found to be 25-34 cm from incisors, and on the posterior wall. When accompanying lesions were checked by endoscopy, chronic gastritis was the most frequent. The ages of patients with Dome-shaped varix were significantly higher than those with “Quonset hut”-shaped varix, and than those who was carried out the routine endoscopic examinations. Underlying disease, which cause ordinary esophageal varices, were seen in only 13 patients (24.1%). It seems unlikely that the factors for ordinary esophageal varices are responsible for the onset of SoV or ScV. Dome-shaped varix seems to be attributable to dilatation of submucosal vessels due to local fragility by aging."},{"@language":"ja","@value":"食道上中部に存在する孤立性静脈瘤 (SoV) および散在性静脈瘤 (ScV) の成因や臨床的意義について十分な検討はなされていない.今回われわれは, 上部消化管内視鏡検査を施行した6660例中, SoVおよびScVを認めた54例85病変について検討した.SoVは36例36病変, ScVは18例49病変, ドーム型は36例53病変, カマボコ型は19例32病変, 青色調は32例54病変, 白色調は25例31病変認めた.病変は25～34cmの後壁に最も多く, 内視鏡的併存病変では慢性胃炎が最も多く, 上部消化管内視鏡全例との比較では通常の食道静脈瘤が有意に少なかった.ドーム型はカマボコ型および上部内視鏡検査全例に比して有意に高齢者に多く認められた.基礎疾患では, 通常の食道静脈瘤を来す疾患は24.1%と少なかった.SoVやScVの原因としては, 通常の食道静脈瘤と同じ成因は少なく, ドーム型は加齢による粘膜下静脈の局所的な脆弱性が原因と考えられた."}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1410290697072927363","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000020347440"}],"foaf:name":[{"@language":"en","@value":"Fukuda Tamotsu"},{"@language":"ja","@value":"福田 保"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Second Department of Internal Medicine, School of Medicine, University of Tokushima"},{"@language":"ja","@value":"徳島大学医学部第二内科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410290697072927360","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000020347443"}],"foaf:name":[{"@language":"en","@value":"Okamura Seisuke"},{"@language":"ja","@value":"岡村 誠介"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Second Department of Internal Medicine, School of Medicine, University of Tokushima"},{"@language":"ja","@value":"徳島大学医学部第二内科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410290697072927364","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000020347445"}],"foaf:name":[{"@language":"en","@value":"Okahisa Toshiya"},{"@language":"ja","@value":"岡久 稔也"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Second Department of Internal Medicine, School of Medicine, University of Tokushima"},{"@language":"ja","@value":"徳島大学医学部第二内科"}]},{"@id":"https://cir.nii.ac.jp/crid/1030285133422907137","@type":"Researcher","personIdentifier":[{"@type":"KAKEN_RESEARCHERS","@value":"50281168"},{"@type":"NRID","@value":"1000050281168"},{"@type":"NRID","@value":"9000020347450"},{"@type":"NRID","@value":"9000256338734"},{"@type":"NRID","@value":"9000331887076"}],"foaf:name":[{"@language":"en","@value":"Shibata Hiroshi"},{"@language":"ja","@value":"柴田 啓志"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"徳島大学医学部第二内科"},{"@language":"en","@value":"Second Department of Internal Medicine, School of Medicine, University of Tokushima"}]},{"@id":"https://cir.nii.ac.jp/crid/1030285133329513345","@type":"Researcher","personIdentifier":[{"@type":"KAKEN_RESEARCHERS","@value":"70093838"},{"@type":"NRID","@value":"1000070093838"},{"@type":"NRID","@value":"9000002909783"},{"@type":"NRID","@value":"9000003872791"},{"@type":"NRID","@value":"9000257772769"},{"@type":"NRID","@value":"9000256338740"},{"@type":"NRID","@value":"9000020992079"},{"@type":"NRID","@value":"9000256342938"},{"@type":"NRID","@value":"9000256322504"},{"@type":"NRID","@value":"9000254053138"},{"@type":"NRID","@value":"9000021557048"},{"@type":"NRID","@value":"9000256615205"},{"@type":"NRID","@value":"9000018071314"},{"@type":"NRID","@value":"9000256321734"},{"@type":"NRID","@value":"9000258559006"},{"@type":"NRID","@value":"9000008809821"},{"@type":"NRID","@value":"9000255797313"}],"foaf:name":[{"@language":"en","@value":"Ito Susumu"},{"@language":"ja","@value":"伊東 進"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Second Department of Internal Medicine, School of Medicine, University of Tokushima"},{"@language":"ja","@value":"徳島大学医学部第二内科"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"13416375"},{"@type":"EISSN","@value":"21871213"}],"prism:publicationName":[{"@language":"en","@value":"Japanese Journal of Portal Hypertension and Esophageal Varices"},{"@value":"日本門脈圧亢進症食道静脈瘤学会雑誌"},{"@language":"en","@value":"Japanese Journal of Portal Hypertension and Esophageal Varices"},{"@value":"日本門脈圧亢進症食道静脈瘤学会雑誌"}],"dc:publisher":[{"@language":"en","@value":"The Japan Society for Portal Hypertension"},{"@language":"ja","@value":"日本門脈圧亢進症学会"}],"prism:publicationDate":"1997","prism:volume":"3","prism:number":"3","prism:startingPage":"251","prism:endingPage":"256"},"availableAt":"1997","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=solitary%20varix","dc:title":"solitary varix"},{"@id":"https://cir.nii.ac.jp/all?q=scattered%20varices","dc:title":"scattered varices"},{"@id":"https://cir.nii.ac.jp/all?q=dome-shaped%20varix","dc:title":"dome-shaped varix"},{"@id":"https://cir.nii.ac.jp/all?q=%E2%80%9CQuonset%20hut%E2%80%9D-shaped%20varix","dc:title":"“Quonset hut”-shaped varix"}],"dataSourceIdentifier":[{"@type":"JALC","@value":"oai:japanlinkcenter.org:1000920830"},{"@type":"CIA","@value":"130001929677"}]}