{"_buckets": {"deposit": "7e015178-a144-4b34-9776-44ea7666a2ba"}, "_deposit": {"created_by": 6, "id": "2000632", "owner": "6", "owners": [6], "pid": {"revision_id": 0, "type": "depid", "value": "2000632"}, "status": "published"}, "_oai": {"id": "oai:nagasaki-u.repo.nii.ac.jp:02000632", "sets": ["9"]}, "author_link": [], "item_2_biblio_info_6": {"attribute_name": "書誌情報", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "2024-02", "bibliographicIssueDateType": "Issued"}, "bibliographicIssueNumber": "5", "bibliographicPageStart": "art. no. 1317", "bibliographicVolumeNumber": "13", "bibliographic_titles": [{"bibliographic_title": "Journal of Clinical Medicine", "bibliographic_titleLang": "en"}]}]}, "item_2_description_4": {"attribute_name": "抄録", "attribute_value_mlt": [{"subitem_description": "(1) Background: Delayed perforation after gastric endoscopic submucosal dissection (ESD) for early gastric cancer is a relatively uncommon and serious complication that sometimes requires emergency surgery. This study aimed to determine the clinicopathological features, risk factors, and appropriate management strategies for delayed perforation. (2) Methods: This study included 735 patients with 791 lesions who underwent ESD for early gastric cancer at a single institution between July 2009 and June 2019. We retrospectively compared the clinical features of patients with and without delayed perforations. (3) Results: The incidence of delayed perforations was 0.91%. The identified risk factors included a postoperative stomach condition and histopathological ulceration. A comparison between delayed and intraoperative perforations revealed a postoperative stomach condition as a characteristic risk factor for delayed perforation. Patients with delayed perforation who avoided emergency surgery tended to exhibit an earlier onset of symptoms such as abdominal pain and fever. No peritoneal seeding following delayed perforation was observed for any patient. (4) Conclusions: A postoperative stomach condition and histopathological ulceration were risk factors for delayed perforation. Delayed perforation is a significant complication that requires careful monitoring after gastric ESD for early gastric cancer, particularly in patients with postoperative gastric conditions.", "subitem_description_language": "en", "subitem_description_type": "Abstract"}]}, "item_2_description_63": {"attribute_name": "引用", "attribute_value_mlt": [{"subitem_description": "Journal of Clinical Medicine, 13(5), art. no. 1317; 2024", "subitem_description_language": "en", "subitem_description_type": "Other"}]}, "item_2_publisher_33": {"attribute_name": "出版者", "attribute_value_mlt": [{"subitem_publisher": "MDPI", "subitem_publisher_language": "en"}]}, "item_2_relation_12": {"attribute_name": "DOI", "attribute_value_mlt": [{"subitem_relation_type": "isIdenticalTo", "subitem_relation_type_id": {"subitem_relation_type_id_text": "10.3390/jcm13051317", "subitem_relation_type_select": "DOI"}}]}, "item_2_rights_13": {"attribute_name": "権利", "attribute_value_mlt": [{"subitem_rights": "© 2024 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).", "subitem_rights_language": "en"}]}, "item_2_source_id_7": {"attribute_name": "ISSN", "attribute_value_mlt": [{"subitem_source_identifier": "20770383", "subitem_source_identifier_type": "ISSN"}]}, "item_2_version_type_16": {"attribute_name": "著者版フラグ", "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": "Akashi, Taro", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Yamaguchi, Naoyuki", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Shiota, Junya", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Tabuchi, Maiko", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Kitayama, Moto", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Hashiguchi, Keiichi", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Matsushima, Kayoko", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Akazawa, Yuko", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Nakao, Kazuhiko", "creatorNameLang": "en"}]}]}, "item_files": {"attribute_name": "ファイル情報", "attribute_type": "file", "attribute_value_mlt": [{"accessrole": "open_access", "date": [{"dateType": "Available", "dateValue": "2024-03-25"}], "download_preview_message": "", "file_order": 0, "filename": "JCM13_1317.pdf", "filesize": [{"value": "357 KB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "mimetype": "application/pdf", "size": 357000.0, "url": {"url": "https://nagasaki-u.repo.nii.ac.jp/record/2000632/files/JCM13_1317.pdf"}, "version_id": "374c2b18-0a6a-4102-a1d3-43895145a6c2"}]}, "item_keyword": {"attribute_name": "キーワード", "attribute_value_mlt": [{"subitem_subject": "delayed perforation", "subitem_subject_language": "en", "subitem_subject_scheme": "Other"}, {"subitem_subject": "endoscopic submucosal dissection", "subitem_subject_language": "en", "subitem_subject_scheme": "Other"}, {"subitem_subject": "early gastric cancer", "subitem_subject_language": "en", "subitem_subject_scheme": "Other"}, {"subitem_subject": "postoperativestomach", "subitem_subject_language": "en", "subitem_subject_scheme": "Other"}, {"subitem_subject": "histopathological ulceration", "subitem_subject_language": "en", "subitem_subject_scheme": "Other"}]}, "item_language": {"attribute_name": "言語", "attribute_value_mlt": [{"subitem_language": "eng"}]}, "item_resource_type": {"attribute_name": "資源タイプ", "attribute_value_mlt": [{"resourcetype": "journal article", "resourceuri": "http://purl.org/coar/resource_type/c_6501"}]}, "item_title": "Characteristics and Risk Factors of Delayed Perforation in Endoscopic Submucosal Dissection for Early Gastric Cancer", "item_titles": {"attribute_name": "タイトル", "attribute_value_mlt": [{"subitem_title": "Characteristics and Risk Factors of Delayed Perforation in Endoscopic Submucosal Dissection for Early Gastric Cancer", "subitem_title_language": "en"}]}, "item_type_id": "2", "owner": "6", "path": ["9"], "permalink_uri": "http://hdl.handle.net/10069/0002000632", "pubdate": {"attribute_name": "PubDate", "attribute_value": "2024-03-25"}, "publish_date": "2024-03-25", "publish_status": "0", "recid": "2000632", "relation": {}, "relation_version_is_last": true, "title": ["Characteristics and Risk Factors of Delayed Perforation in Endoscopic Submucosal Dissection for Early Gastric Cancer"], "weko_shared_id": -1}
Characteristics and Risk Factors of Delayed Perforation in Endoscopic Submucosal Dissection for Early Gastric Cancer
http://hdl.handle.net/10069/0002000632
http://hdl.handle.net/10069/0002000632