icon fsr

文献詳細

雑誌文献

臨床外科75巻3号

2020年03月発行

文献概要

特集 一般・消化器外科医のための できる! 漢方 周術期を漢方でサポートする

上部消化管手術—腹腔鏡下幽門側胃切除術後管理への六君子湯の導入効果

著者: 武者宏昭1 井本博文1 山村明寛1 青木豪1 田中直樹1 内藤剛1 亀井尚1 海野倫明1

所属機関: 1東北大学消化器外科学

ページ範囲:P.292 - P.298

文献購入ページに移動
【ポイント】
◆六君子湯(りっくんしとう)のグレリンを介した食欲増進作用や,胃内容排出改善効果等による胃切除症候群の諸症状の改善がみられる.
◆腹腔鏡下幽門側胃切除術後の六君子湯内服により,退院時の食事摂取量が増加している.
◆六君子湯の服薬による有害事象は認めず,服薬コンプライアンスも良好である.

参考文献

1)Liedman B, Andersson H, Bosaeus I, et al:Changes in body composition after gastrectomy:results of a controlled, prospective clinical trial. World J Surg 21:416-420, 1997
2)González-Madroño A, de Villar NG, González P, et al:CONUT:a tool for controlling nutritional status. First validation in a hospital population. Nutr Hosp 20:38-45, 2005
3)工藤克昌,柴田 近,武者宏昭,他:胃癌手術症例に対するcontrolling nutritional status法による術前栄養評価と術後合併症の評価.日消外会誌47:305-312,2014
4)Kuroda D, Sawayama H, Kurashige J, et al:Controlling Nutritional Status(CONUT)score is a prognostic marker for gastric cancer patients after curative resection. Gastric Cancer 21:204-212, 2018
5)Suzuki H, Inadomi JM, Hibi T:Japanese herbal medicine in functional gastrointestinal disorders. Neurogastroenterol Motil 21:688-696, 2009
6)Tatsuta M, Iishi H:Effect of treatment with liu-jun-zi-tang(TJ-43)on gastric emptying and gastrointestinal symptoms in dyspeptic patients. Aliment Pharmacol Ther 7:459-462, 1993
7)Kusunoki H, Haruma K, Hata J, et al:Efficacy of Rikkunshito, a traditional Japanese medicine(Kampo), in treating functional dyspepsia. Intern Med 49:2195-2202, 2010
8)Fradin A, Rothhut B, Poincelot-Canton B, et al:Inhibition of eicosanoid and PAF formation by dexamethasone in rat inflammatory polymorphonuclear neutrophils may implicate lipocortin 's'. Biochim Biophys Acta 963:248-257, 1988
9)Miwa H, Koseki J, Oshima T, et al:Rikkunshito, a traditional Japanese medicine, may relieve abdominal symptoms in rats with experimental esophagitis by improving the barrier function of epithelial cells in esophageal mucosa. J Gastroenterol 45:478-487, 2010
10)Kawahara H, Kubota A, Hasegawa T, et al:Effects of rikkunshito on the clinical symptoms and esophageal acid exposure in children with symptomatic gastroesophageal reflux. Pediatr Surg Int:23:1001-1005, 2007
11)Odaka T, Yamato S, Yokosuka O:Esophageal motility and rikkunshito treatment for proton pump inhibitor-refractory nonerosive reflux disease:a prospective, uncontrolled, open-label pilot study trial. Curr Ther Res Clin Exp 84:37-41, 2017
12)Takiguchi S, Hiura Y, Takahashi T, et al:Effect of rikkunshito, a Japanese herbal medicine, on gastrointestinal symptoms and ghrelin levels in gastric cancer patients after gastrectomy. Gastric Cancer 16:167-174, 2013
13)Sadakane C, Muto S, Nakagawa K, et al:10-Gingerol, a component of rikkunshito, improves cisplatin-induced anorexia by inhibiting acylated ghrelin degradation. Biochem Biophys Res Commun 412:506-511, 2011
14)Nahata M, Mizuhara Y, Sadakane C, et al:Influence of food on the gastric motor effect of the Kampo medicine rikkunshito in rat. Psychoneuroendocrinology 38:2051-2064, 2013
15)工藤克昌,武者宏昭,田中直樹,他:幽門側胃切除術後クリニカルパスへの六君子湯の導入の効果.日静脈経腸栄会誌32:951-954,2017
16)Long CL, Schaffel N, Geiger JW, et al:Metabolic response to injury and illness:estimation of energy and protein needs from indirect calorimetry and nitrogen balance. JPEN J Parenter Enteral Nutr 3:452-456, 1979
17)Glass RE, Fern EB, Garlick PJ:Whole-body protein turnover before and after resection of colorectal tumours. Clin Sci(Lond)64:101-108, 1983

掲載誌情報

出版社:株式会社医学書院

電子版ISSN:1882-1278

印刷版ISSN:0386-9857

雑誌購入ページに移動
icon up
あなたは医療従事者ですか?