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{'今回われわれは,食道裂孔ヘルニアに対するニッセン噴門形成術後に発症した,左巨大腎のう胞を伴う胃軸捻転症に対し,腎のう胞開窓術,胃固定術を行い良好な結果を得たので報告する.症例は72歳,女性.': [0], '2年前に噴門形成術を受け良好に経過していたが,食後に腹痛を訴え,腹部が著明に膨満したため当科紹介受診となった.': [1], '胃は腹部CTスキャンでは著明に拡張し,幽門が左側に位置し,長軸方向に180度回転し左巨大腎のう胞を合併していた.内視鏡下に胃内減圧を施行したが再発したため,腹腔鏡下に左腎のう胞開窓術および胃固定術を施行し,術後経過は良好であった.': [2], '胃固定が不良である高齢者の食道裂孔ヘルニアに対する噴門形成術では,胃軸捻転症の発症を考慮し,胃底部横隔膜固定のみならず胃前壁腹壁への固定が必要であると考えられた.': [3]}, 'cited_by_api_url': 'https://api.openalex.org/works?filter=cites:W2331151957', 'counts_by_year': [{'year': 2020, 'cited_by_count': 1}], 'updated_date': '2024-09-26T23:33:41.508677', 'created_date': '2016-06-24'}