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Comprehensive Prospective Analysis of the Factors Contributing to Aspiration Pneumonia Following Endoscopic Submucosal Dissection in Patients with Early Gastric Neoplasms
http://hdl.handle.net/10069/40387
http://hdl.handle.net/10069/40387a0654c80-4960-4ef3-a0f4-c46679350be2
名前 / ファイル | ライセンス | アクション |
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ActMedOkym74_407.pdf (2.3 MB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2020-11-13 | |||||
タイトル | ||||||
タイトル | Comprehensive Prospective Analysis of the Factors Contributing to Aspiration Pneumonia Following Endoscopic Submucosal Dissection in Patients with Early Gastric Neoplasms | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | endoscopy | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | oral bacteria | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | pneumonia | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | respiratory diseasese | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | sedation | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
著者 |
Togo, masaaki
× Togo, masaaki× Akazawa, Yuko× Akashi, Taro× Yamashita, Rika× Yoshitomi, Izumi× Ohba, Kazuo× Hashimoto, Satsuki× Iwashita, Hiroko× Kurogi, Tadafumi× Osada, Yukiko× Wada, Noriko× Imamura, Yoshifumi× Hashiguchi, Keiichi× Yamaguchi, Naoyuki× Kondo, Hisayoshi× Nakao, Kazuhiko |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | ndoscopic submucosal dissection (ESD) has become the first-line treatment for early gastric neoplasms; however, a subset of patients treated by this method develop aspiration pneumonia. We conducted a comprehensive prospective analysis of the factors contributing to post-ESD aspiration pneumonia in early gastric neoplasms in this study, with special focus on whether pre-treatment oral care can prevent aspiration pneumonia. Sixty-one patients who underwent ESD for gastric neoplasms were randomly assigned to the oral care or control groups. ESD was performed under deep sedation. Of 60 patients whose data were available for analysis, 5 (8.3%) experienced pneumonia confirmed either by chest radiography or computed tomography. Although no difference in the rate of pneumonia was found between the control and oral care groups, the post-oral care bacteria count was significantly higher in the saliva of patients who developed pneumonia compared to those without pneumonia. In addition, the presence of vascular brain diseases and the dose of meperidine were also significantly associated with the occurrence of pneumonia. These results suggest that the number of oral bacteria as well as pre-existing vascular brain diseases and high-dose narcotics can affect the incidence of post-ESD pneumonia. |
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書誌情報 |
Acta medica Okayama 巻 74, 号 5, p. 407-413, 発行日 2020-10 |
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出版者 | ||||||
出版者 | 岡山大学医学部 | |||||
出版者別言語 | ||||||
Okayama University Medical School | ||||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 0386300X | |||||
権利 | ||||||
権利情報 | c 2020 by Okayama University Medical School | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
引用 | ||||||
内容記述タイプ | Other | |||||
内容記述 | Acta medica Okayama, 74(5), pp.407-413; 2020 |