{"created":"2024-04-11T01:59:51.995564+00:00","id":2000374,"links":{},"metadata":{"_buckets":{"deposit":"154cbb94-eaea-4676-bc59-47799761a172"},"_deposit":{"created_by":11,"id":"2000374","owner":"11","owners":[11],"pid":{"revision_id":0,"type":"depid","value":"2000374"},"status":"published"},"_oai":{"id":"oai:kagawa-u.repo.nii.ac.jp:02000374","sets":["13:40"]},"author_link":["4211"],"control_number":"2000374","item_10006_date_granted_11":{"attribute_name":"学位授与年月日","attribute_value_mlt":[{"subitem_dategranted":"2024-03-24"}]},"item_10006_degree_grantor_9":{"attribute_name":"学位授与機関","attribute_value_mlt":[{"subitem_degreegrantor":[{"subitem_degreegrantor_language":"ja","subitem_degreegrantor_name":"香川大学"},{"subitem_degreegrantor_language":"en","subitem_degreegrantor_name":"Kagawa University"}],"subitem_degreegrantor_identifier":[{"subitem_degreegrantor_identifier_name":"16201","subitem_degreegrantor_identifier_scheme":"kakenhi"}]}]},"item_10006_degree_name_8":{"attribute_name":"学位名","attribute_value_mlt":[{"subitem_degreename":"博士（医学）","subitem_degreename_language":"ja"}]},"item_10006_description_7":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"Duodenal endoscopic submucosal dissection (ESD) is associated with high incidences of intraoperative complications and delayed adverse events (AEs). Delayed AEs can be reduced by closing the post-ESD defects. We developed a new method of closure after duodenal ESD, combining endoscopic ligation with O-ring closure (E-LOC) with an over-the-scope clip (OTSC) (Band OTSC; B-OTSC). Here, we conducted a single-center, retrospective, observational study to investigate the efficacy and safety of the B-OTSC method for preventing delayed AEs in patients undergoing duodenal ESD. The study included nine patients with superficial nonpapillary duodenal epithelial tumors who underwent ESD and were closed with B-OTSC from February 2021 to February 2023. There were no delayed AEs (0%), the mean (± standard deviation) closure time was 53 ± 21.6 min, the complete closure rate was 100%, and the mean hospital stay was 7.8 ± 1.8 days. The sustained closure rates at postoperative days 3 and 7 were 88.9% and 88.9%, respectively. The historical analysis indicated a significant difference in cost between B-OTSC and conventional OTSC (p < 0.01). In conclusion, B-OTSC was a safe, secure, and cost-effective method of closure after duodenal ESD, even in patients with post-ESD defects of more than half the circumference.","subitem_description_language":"en","subitem_description_type":"Abstract"}]},"item_10006_dissertation_number_12":{"attribute_name":"学位授与番号","attribute_value_mlt":[{"subitem_dissertationnumber":"甲第853号"}]},"item_10006_relation_15":{"attribute_name":"関連サイト","attribute_value_mlt":[{"subitem_relation_type":"isVersionOf","subitem_relation_type_id":{"subitem_relation_type_id_text":"https://doi.org/10.3390/jcm12134238","subitem_relation_type_select":"DOI"}},{"subitem_relation_type":"hasVersion","subitem_relation_type_id":{"subitem_relation_type_id_text":"http://www.ncbi.nlm.nih.gov/pmc/articles/pmc10342600/","subitem_relation_type_select":"URI"}}]},"item_10006_relation_22":{"attribute_name":"PubMed番号","attribute_value_mlt":[{"subitem_relation_type_id":{"subitem_relation_type_id_text":"37445273","subitem_relation_type_select":"PMID"}}]},"item_10006_rights_13":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"© 2023 by the authors. Licensee MDPI, Basel, Switzerland.","subitem_rights_language":"en"},{"subitem_rights":"This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license.","subitem_rights_language":"en"}]},"item_10006_version_type_18":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_fa2ee174bc00049f","subitem_version_type":"P"}]},"item_access_right":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"open access","subitem_access_right_uri":"http://purl.org/coar/access_right/c_abf2"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"中谷, 夏帆","creatorNameLang":"ja"},{"creatorName":"ナカタニ, カホ","creatorNameLang":"ja-Kana"},{"creatorName":"Nakatani, Kaho","creatorNameLang":"en"}],"familyNames":[{},{},{}],"givenNames":[{},{},{}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_access","date":[{"dateType":"Available","dateValue":"2024-04-11"}],"filename":"Med_A853.pdf","filesize":[{"value":"4.7 MB"}],"format":"application/pdf","licensetype":"license_0","mimetype":"application/pdf","url":{"label":"本文","objectType":"fulltext","url":"https://kagawa-u.repo.nii.ac.jp/record/2000374/files/Med_A853.pdf"},"version_id":"2f67ab77-5ba7-4569-95ba-3bc03ba22669"},{"accessrole":"open_access","date":[{"dateType":"Available","dateValue":"2024-04-11"}],"filename":"Med_A853_abstract.pdf","filesize":[{"value":"826 KB"}],"format":"application/pdf","mimetype":"application/pdf","url":{"label":"内容の要旨","objectType":"abstract","url":"https://kagawa-u.repo.nii.ac.jp/record/2000374/files/Med_A853_abstract.pdf"},"version_id":"dfc6e56a-ffb3-4042-89da-a8ab3fbb2d87"},{"accessrole":"open_access","date":[{"dateType":"Available","dateValue":"2024-04-11"}],"filename":"Med_A853_result.pdf","filesize":[{"value":"80 KB"}],"format":"application/pdf","mimetype":"application/pdf","url":{"label":"審査の結果の要旨","objectType":"other","url":"https://kagawa-u.repo.nii.ac.jp/record/2000374/files/Med_A853_result.pdf"},"version_id":"46521dee-9861-43b7-a59d-11957ff6b61e"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"duodenal endoscopic submucosal dissection","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"over-the-scope clip","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"endoscopic ligation with O-ring closure","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":"doctoral thesis","resourceuri":"http://purl.org/coar/resource_type/c_db06"}]},"item_title":"Effective and secure closure after duodenal endoscopic submucosal dissection : Combination of endoscopic ligation with O-ring closure and over-the-scope clip","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Effective and secure closure after duodenal endoscopic submucosal dissection : Combination of endoscopic ligation with O-ring closure and over-the-scope clip","subitem_title_language":"en"}]},"item_type_id":"10006","owner":"11","path":["40"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2024-04-11"},"publish_date":"2024-04-11","publish_status":"0","recid":"2000374","relation_version_is_last":true,"title":["Effective and secure closure after duodenal endoscopic submucosal dissection : Combination of endoscopic ligation with O-ring closure and over-the-scope clip"],"weko_creator_id":"11","weko_shared_id":-1},"updated":"2024-04-11T02:21:35.765387+00:00"}