| ○種別 (必須): | □ | 学術論文 (審査論文)
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| ○言語 (必須): | □ | 英語
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| ○著者 (必須): | 1. | 井上 聖也 ([徳島大学.病院.先端医科医療開発研究プロジェクト]/[徳島大学.病院.診療科.外科.食道・乳腺甲状腺外科])
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| ○学籍番号 (推奨): | □ | ****
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| 2. | 吉田 卓弘
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| 3. | 西野 豪志
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| 4. | 後藤 正和 ([徳島大学.大学院医歯薬学研究部.医学域.先端医学教育研究プロジェクト]/[徳島大学.大学院医歯薬学研究部.医学域.医科学部門.外科系.胸部・内分泌・腫瘍外科学])
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| 5. | (英) Nishioka Kouhei (日) 西岡 康平 (読)
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| 6. | (英) Fujimoto Keisuke (日) 藤本 啓介 (読)
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| 7. | 青山 万理子 ([徳島大学.大学院医歯薬学研究部.医学域.先端医学教育研究プロジェクト]/[徳島大学.大学院医歯薬学研究部.医学域.医科学部門.外科系.胸部・内分泌・腫瘍外科学])
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| 8. | 松本 大資
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| ○学籍番号 (推奨): | □ | ****
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| 9. | 滝沢 宏光 ([徳島大学.大学院医歯薬学研究部.医学域.医科学部門.外科系.胸部・内分泌・腫瘍外科学]/[徳島大学.病院.診療科.外科.呼吸器外科])
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| 10. | 丹黒 章
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| ○題名 (必須): | □ | (英) Safe central venous catheters for esophageal cancer treatment (日)
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| ○要約 (任意): | □ | (英) Introduction : Central venous catheter (CVC) use is essential for treating esophageal cancer. Peripherally inserted central catheters (PICC) are commonly used recently for improved patient comfort and safety. We compared centrally inserted central catheters (CICC) and PICC insertions and examined their safety. Methods : We retrospectively investigated complications at the catheter insertion and post-insertion for 199 patients' esophageal cancer treatment (CICC : 45, PICC : 154) from 2013 to 2018. In addition, we summarized the results of catheter tip culture. Results : No serious complications occurred at the catheter insertion in either group. The rate of complications at catheter insertion was 5.8% for PICC and 6.7% for CICC patients. Post-insertion complications were observed in 6.5% and 11.1% of patients with PICC and CICC, respectively, and this difference was not significant. The incidence of catheter-related blood stream infection (CRBSI) was significantly lower in PICC than CICC patients (0.3 vs. 1.8 / 1,000 catheter-days ; p = 0.029). Catheter-related thrombosis was observed in PICC : 0.5 and CICC : 0.6, and occlusion due to blood flow reversal was observed in PICC : 0.5 and CICC : 0.6. Conclusion : PICCs are safer and more effective than CICCs for the treatment of esophageal cancer, and reduce the incidence of CRBSI. We hope to standardize the insertion procedures, conventionalize techniques, and establish training systems. J. Med. Invest. 67 : 298-303, August, 2020. (日)
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| ○キーワード (推奨): |
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| ○誌名 (必須): | □ | The Journal of Medical Investigation : JMI ([徳島大学.医学部])
(pISSN: 1343-1420, eISSN: 1349-6867)
| ○ISSN (任意): | □ | 1349-6867
ISSN: 1343-1420
(pISSN: 1343-1420, eISSN: 1349-6867) Title: The journal of medical investigation : JMITitle(ISO): J Med InvestSupplier: 徳島大学Publisher: University of Tokushima (NLM Catalog)
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(医中誌Web)
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| ○巻 (必須): | □ | 67
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| ○号 (必須): | □ | 3,4
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| ○頁 (必須): | □ | 298 303
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| ○都市 (任意): |
| ○年月日 (必須): | □ | 西暦 2020年 0月 初日 (令和 2年 0月 初日)
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| ○URL (任意): |
| ○DOI (任意): | □ | 10.2152/jmi.67.298 (→Scopusで検索)
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| ○PMID (任意): | □ | 33148905 (→Scopusで検索)
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| ○Scopus (任意): | □ | 2-s2.0-85095590219
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| ○備考 (任意): | 1. | (英) Article.ELocationID: 10.2152/jmi.67.298 (日)
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| 2. | (英) Article.PublicationTypeList.PublicationType: Journal Article (日)
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| 3. | (英) KeywordList.Keyword: catheter-related bloodstream infection (CRBSI) (日)
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| 4. | (英) KeywordList.Keyword: catheter-related thrombosis (日)
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| 5. | (英) KeywordList.Keyword: centrally inserted central catheter (CICC) (日)
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| 6. | (英) KeywordList.Keyword: esophageal cancer (日)
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| 7. | (英) KeywordList.Keyword: peripherally inserted central venous catheter (PICC) (日)
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