書誌事項
- タイトル別名
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- Multidisciplinary Treatment for Hyperbilirubinemia after Extended Hepatectomy in a Patient with Multiple Metastatic Liver Cancer.
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We found that multidisciplinary treatment was effective in hyperbilirubinemia after extended hepatectomy. In a 58-year-old man undergoing sigmoidectomy for sigmoid colon cancer, a metastatic liver tumor was found in all segments but S1 and S5 of the liver. Staged hepatectomy was conducted to remove all segments but these two. The patient's fever rose and hyperbilirubinemia appeared postoperatively, and then he suffered liver failure. Methicillin-resistant Staphylococcus epidermidis and Enterococcus faecalis were detected from a blood culture. A liver biopsy disclosed sinusoidal fibrosis. The remnant liver volume increased to 96% of the preoperative volume 43 days after the second hepatectomy. Even after the infection was successfully controlled, the hyperbilirubinemia still continued. After the treatment with hyperbaric oxygenation (HBO) and the administration of ursodeoxycholic acid (UDCA), steroids, and phenobarbital, the total bilirubin level decreased. Hypoxia of hepatocytes may have been improved by the HBO, and the cholagogic function also improved by the steroids and UDCA.
収録刊行物
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- 日本消化器外科学会雑誌
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日本消化器外科学会雑誌 36 (2), 112-117, 2003
一般社団法人 日本消化器外科学会
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詳細情報 詳細情報について
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- CRID
- 1390282679892419584
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- NII論文ID
- 130004343900
- 110001294773
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- NII書誌ID
- AN00192066
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- ISSN
- 13489372
- 03869768
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- Crossref
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可