{"id":496,"date":"2024-12-19T13:40:56","date_gmt":"2024-12-19T04:40:56","guid":{"rendered":"https:\/\/www7.kmu.ac.jp\/uppergisurg\/?page_id=496"},"modified":"2026-06-12T12:53:58","modified_gmt":"2026-06-12T03:53:58","slug":"%e8%82%a5%e6%ba%80%e3%83%bb%e7%b3%96%e5%b0%bf%e7%97%85","status":"publish","type":"page","link":"https:\/\/www7.kmu.ac.jp\/uppergisurg\/%e8%82%a5%e6%ba%80%e3%83%bb%e7%b3%96%e5%b0%bf%e7%97%85\/","title":{"rendered":"\u80a5\u6e80\u30fb\u7cd6\u5c3f\u75c5\u306b\u5bfe\u3059\u308b\u6e1b\u91cf\u30fb\u4ee3\u8b1d\u6539\u5584\u624b\u8853"},"content":{"rendered":"\n

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\u305d\u306e\u304a\u60a9\u307f\u3001\u79c1\u305f\u3061\u5c02\u9580\u30c1\u30fc\u30e0\u3068\u4e00\u7dd2\u306b\u89e3\u6c7a\u3057\u307e\u305b\u3093\u304b\uff1f<\/h3>\n\n\n\n

\u6700\u65b0\u306e\u6e1b\u91cf\u624b\u8853\u3067\u5065\u5eb7\u3092\u53d6\u308a\u623b\u3059\u304a\u624b\u4f1d\u3044\u304c\u3067\u304d\u307e\u3059\u3002\u307e\u305a\u306f\u3001\u4e00\u5ea6\u3054\u76f8\u8ac7\u304f\u3060\u3055\u3044<\/strong><\/h5>\n\n\n\n

\u6e1b\u91cf\u30fb\u4ee3\u8b1d\u6539\u5584\u624b\u8853\uff08\u3044\u308f\u3086\u308b\u80a5\u6e80\u624b\u8853\uff09\u306f\u3001\u98df\u4e8b\u7642\u6cd5\u3084\u904b\u52d5\u7642\u6cd5\u3067\u306f\u52b9\u679c\u304c\u5f97\u3089\u308c\u306b\u304f\u3044\u9ad8\u5ea6\u80a5\u6e80\u306e\u65b9\u306b\u5bfe\u3057\u3001\u5916\u79d1\u7684\u624b\u6cd5\u306b\u3088\u3063\u3066\u4f53\u91cd\u306e\u6e1b\u5c11\u3068\u4ee3\u8b1d\u306e\u6539\u5584\u3092\u56f3\u308b\u6cbb\u7642\u6cd5\u3067\u3059\u3002\u4ee3\u8868\u7684\u306a\u65b9\u6cd5\u3068\u3057\u3066\u3001\u80c3\u306e\u5bb9\u91cf\u3092\u5c0f\u3055\u304f\u3059\u308b\u3053\u3068\u3067\u98df\u4e8b\u6442\u53d6\u91cf\u3092\u5236\u9650\u3057\u3001\u540c\u6642\u306b\u98df\u6b32\u3092\u523a\u6fc0\u3059\u308b\u30db\u30eb\u30e2\u30f3\u306e\u5206\u6ccc\u3092\u6291\u3048\u308b\u30b9\u30ea\u30fc\u30d6\u72b6\u80c3\u5207\u9664\u8853\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n

\u3055\u3089\u306b\u3001\u5f53\u9662\u3067\u306f\u30b9\u30ea\u30fc\u30d6\u80c3\u3068\u5c0f\u8178\u3092\u76f4\u63a5\u3064\u306a\u3050\u3053\u3068\u3067\u3001\u98df\u7269\u3068\u6d88\u5316\u6db2\u304c\u6df7\u3056\u308b\u8ddd\u96e2\u3092\u77ed\u7e2e\u3057\u3001\u5438\u53ce\u3092\u8abf\u6574\u3059\u308b\u30b9\u30ea\u30fc\u30d6\u30d0\u30a4\u30d1\u30b9\u8853\u3082\u5b9f\u65bd\u3057\u3066\u3044\u307e\u3059\u3002\u30d0\u30a4\u30d1\u30b9\u8853\u3092\u52a0\u3048\u308b\u3053\u3068\u3067\u3001\u3088\u308a\u9ad8\u3044\u6e1b\u91cf\u52b9\u679c\u306b\u52a0\u3048\u3066\u30012\u578b\u7cd6\u5c3f\u75c5\u306a\u3069\u306e\u4ee3\u8b1d\u75be\u60a3\u306b\u5bfe\u3059\u308b\u6539\u5584\u52b9\u679c\u3082\u671f\u5f85\u3067\u304d\u307e\u3059\u3002<\/p>\n<\/div>\n\n\n\n

\n
\"\u95a2\u897f\u533b\u79d1\u5927\u5b66\u9644\u5c5e\u75c5\u9662\n\u4e0a\u90e8\u6d88\u5316\u7ba1\u5916\u79d1\n\u8a3a\u7642\u6559\u6388\n\u4e95\u4e0a\u3000\u5065\u592a\u90ce\"<\/figure>\n\n\n\n
\u95a2\u897f\u533b\u79d1\u5927\u5b66\u9644\u5c5e\u75c5\u9662\u3000\u4e0a\u90e8\u6d88\u5316\u7ba1\u5916\u79d1<\/h6>\n\n\n\n

\u8a3a\u7642\u6559\u6388\u3000\u4e95\u4e0a \u5065\u592a\u90ce<\/p>\n<\/div>\n<\/div>\n\n\n\n

<\/div>\n\n\n\n
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\"\"<\/figure>\n<\/div>\n\n\n\n
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\u30b9\u30ea\u30fc\u30d6\u72b6\u80c3\u5207\u9664\u8853<\/strong><\/h3>\n\n\n\n

\uff08Sleeve Gastrectomy\uff09<\/strong><\/h4>\n\n\n\n
\u80c3\u3092\u5c0f\u3055\u304f\u3057\u3066\u3001\u7121\u7406\u306a\u304f\u98df\u4e8b\u91cf\u3092\u6e1b\u3089\u3059\u624b\u8853\u3067\u3059<\/strong><\/h5>\n\n\n\n

\u30b9\u30ea\u30fc\u30d6\u72b6\u80c3\u5207\u9664\u8853\u306f\u3001\u73fe\u5728\u4e16\u754c\u3067\u6700\u3082\u591a\u304f\u884c\u308f\u308c\u3066\u3044\u308b\u6e1b\u91cf\u30fb\u4ee3\u8b1d\u6539\u5584\u624b\u8853\u3067\u3059\u3002<\/p>\n\n\n\n

\u80c3\u306e\u7d0480\uff05\u3092\u5207\u9664\u3057\u3001\u30d0\u30ca\u30ca\u306e\u3088\u3046\u306a\u7d30\u9577\u3044\u5f62\uff08\u30b9\u30ea\u30fc\u30d6\u72b6\uff09\u306b\u3059\u308b\u3053\u3068\u3067\u3001\u4e00\u5ea6\u306b\u98df\u3079\u3089\u308c\u308b\u91cf\u3092\u5927\u5e45\u306b\u6e1b\u3089\u3057\u307e\u3059\u3002<\/p>\n\n\n\n

\u307e\u305f\u3001\u98df\u6b32\u3092\u9ad8\u3081\u308b\u30db\u30eb\u30e2\u30f3\uff08\u30b0\u30ec\u30ea\u30f3\uff09\u304c\u591a\u304f\u5206\u6ccc\u3055\u308c\u308b\u80c3\u306e\u90e8\u5206\u3092\u5207\u9664\u3059\u308b\u305f\u3081\u3001\u300c\u304a\u8179\u304c\u7a7a\u304d\u306b\u304f\u304f\u306a\u308b\u300d\u3068\u3044\u3046\u52b9\u679c\u3082\u671f\u5f85\u3067\u304d\u307e\u3059\u3002<\/p>\n\n\n\n

\u5f53\u9662\u3067\u306f\u3001\u8179\u8154\u93e1\u3092\u7528\u3044\u305f\u4f4e\u4fb5\u8972\u624b\u8853\u3067\u884c\u3063\u3066\u304a\u308a\u3001\u50b7\u304c\u5c0f\u3055\u304f\u3001\u8eab\u4f53\u3078\u306e\u8ca0\u62c5\u3092\u6291\u3048\u306a\u304c\u3089\u6cbb\u7642\u3092\u53d7\u3051\u3066\u3044\u305f\u3060\u3051\u307e\u3059\u3002<\/p>\n\n\n\n

\u4f53\u91cd\u6e1b\u5c11\u3060\u3051\u3067\u306a\u304f\u3001\u9ad8\u8840\u5727\u3001\u8102\u8cea\u7570\u5e38\u75c7\u3001\u7761\u7720\u6642\u7121\u547c\u5438\u75c7\u5019\u7fa4\u306a\u3069\u3001\u80a5\u6e80\u306b\u95a2\u9023\u3059\u308b\u3055\u307e\u3056\u307e\u306a\u75c5\u6c17\u306e\u6539\u5584\u3082\u671f\u5f85\u3067\u304d\u307e\u3059\u3002<\/p>\n<\/div>\n<\/div>\n\n\n\n

<\/div>\n\n\n\n
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\"\"<\/figure>\n<\/div>\n\n\n\n
\n

Transit Bipartition<\/strong><\/h3>\n\n\n\n

\uff08\u30c8\u30e9\u30f3\u30b8\u30c3\u30c8\u30fb\u30d0\u30a4\u30d1\u30fc\u30c6\u30a3\u30b7\u30e7\u30f3\uff09<\/h4>\n\n\n\n

\u9ad8\u3044\u6e1b\u91cf\u52b9\u679c\u3068\u7cd6\u5c3f\u75c5\u6539\u5584\u52b9\u679c\u306b\u52a0\u3048\u3001\u80c6\u6c41\u9006\u6d41\u304c\u5c11\u306a\u304f\u3001\u8853\u5f8c\u3082\u5341\u4e8c\u6307\u8178\u306e\u691c\u67fb\u304c\u53ef\u80fd\u306a\u65b0\u3057\u3044\u6e1b\u91cf\u30fb\u4ee3\u8b1d\u6539\u5584\u624b\u8853\u3067\u3059<\/strong><\/h5>\n\n\n\n

Transit Bipartition\u306f\u3001\u30b9\u30ea\u30fc\u30d6\u72b6\u80c3\u5207\u9664\u8853\u306b\u5c0f\u8178\u306e\u30d0\u30a4\u30d1\u30b9\u3092\u7d44\u307f\u5408\u308f\u305b\u305f\u624b\u8853\u3067\u3059\u3002<\/p>\n\n\n\n

\u80c3\u3092\u5c0f\u3055\u304f\u3059\u308b\u3053\u3068\u3067\u98df\u4e8b\u91cf\u3092\u6e1b\u3089\u3059\u3060\u3051\u3067\u306a\u304f\u3001\u30b9\u30ea\u30fc\u30d6\u80c3\u3068\u5c0f\u8178\u3092\u65b0\u305f\u306b\u3064\u306a\u3050\u3053\u3068\u3067\u3001\u98df\u3079\u7269\u306e\u4e00\u90e8\u3092\u5c0f\u8178\u306e\u5965\u3078\u65e9\u304f\u901a\u904e\u3055\u305b\u307e\u3059\u3002\u3053\u308c\u306b\u3088\u308a\u3001\u7cd6\u5c3f\u75c5\u306e\u6539\u5584\u306b\u95a2\u308f\u308b\u8178\u7ba1\u30db\u30eb\u30e2\u30f3\u306e\u5206\u6ccc\u304c\u4fc3\u9032\u3055\u308c\u3001\u3088\u308a\u9ad8\u3044\u6e1b\u91cf\u52b9\u679c\u3068\u4ee3\u8b1d\u6539\u5584\u52b9\u679c\u304c\u671f\u5f85\u3067\u304d\u307e\u3059\u3002<\/p>\n\n\n\n

\u307e\u305f\u3001\u98df\u3079\u7269\u3068\u6d88\u5316\u6db2\u304c\u5341\u5206\u306b\u6df7\u3056\u308b\u5c0f\u8178\u306e\u9577\u3055\u304c\u77ed\u304f\u306a\u308b\u305f\u3081\u3001\u6804\u990a\u306e\u5438\u53ce\u304c\u9069\u5ea6\u306b\u6291\u3048\u3089\u308c\u3001\u3055\u3089\u306a\u308b\u4f53\u91cd\u6e1b\u5c11\u52b9\u679c\u306b\u3064\u306a\u304c\u308a\u307e\u3059\u3002<\/p>\n\n\n\n

\u3055\u3089\u306b\u3001\u6d77\u5916\u3067\u5e83\u304f\u884c\u308f\u308c\u3066\u3044\u308bLoop\u578b\u80c3\u30d0\u30a4\u30d1\u30b9\u8853\u3068\u306f\u7570\u306a\u308a\u3001\u80c6\u6c41\u3084\u5341\u4e8c\u6307\u8178\u6db2\u304c\u80c3\u3078\u9006\u6d41\u3057\u306b\u304f\u3044\u69cb\u9020\u3068\u306a\u3063\u3066\u3044\u308b\u3053\u3068\u3082\u7279\u5fb4\u3067\u3059\u3002<\/p>\n\n\n\n

\u52a0\u3048\u3066\u3001\u8853\u5f8c\u3082\u5185\u8996\u93e1\u3067\u80c3\u3084\u5341\u4e8c\u6307\u8178\u3092\u89b3\u5bdf\u3059\u308b\u3053\u3068\u304c\u53ef\u80fd\u3067\u3042\u308a\u3001\u5c06\u6765\u306e\u691c\u67fb\u3084\u6cbb\u7642\u306b\u3082\u5bfe\u5fdc\u3057\u3084\u3059\u3044\u8853\u5f0f\u3067\u3059\u3002<\/p>\n\n\n\n

\u5f53\u9662\u3067\u306f\u3001\u6e1b\u91cf\u52b9\u679c\u3060\u3051\u3067\u306a\u304f\u3001\u8853\u5f8c\u306e\u751f\u6d3b\u306e\u8cea\uff08QOL\uff09\u3084\u9577\u671f\u7684\u306a\u5b89\u5168\u6027\u3082\u91cd\u8996\u3057\u3001\u3053\u306e\u8853\u5f0f\u3092\u7a4d\u6975\u7684\u306b\u5c0e\u5165\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n<\/div>\n<\/div>\n\n\n\n

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\u8179\u8154\u93e1\u624b\u8853\u306b\u3064\u3044\u3066<\/strong><\/h3>\n\n\n\n
\u304a\u8179\u306b\u5c0f\u3055\u306a\u50b7\u3092\u3064\u3051\u3066\u884c\u3046\u3001\u8eab\u4f53\u306b\u3084\u3055\u3057\u3044\u624b\u8853\u3067\u3059<\/strong><\/h5>\n\n\n\n

\u5f53\u9662\u306e\u6e1b\u91cf\u30fb\u4ee3\u8b1d\u6539\u5584\u624b\u8853\u306f\u3001\u3059\u3079\u3066\u8179\u8154\u93e1\u3092\u7528\u3044\u3066\u884c\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n

\u8179\u8154\u93e1\u624b\u8853\u306f\u3001\u304a\u8179\u306b\u6570\u304b\u6240\u306e\u5c0f\u3055\u306a\u50b7\u3092\u3064\u3051\u3001\u30ab\u30e1\u30e9\u3068\u5c02\u7528\u306e\u5668\u5177\u3092\u633f\u5165\u3057\u3066\u884c\u3046\u624b\u8853\u3067\u3059\u3002<\/p>\n\n\n\n

\u5f93\u6765\u306e\u958b\u8179\u624b\u8853\u3068\u6bd4\u3079\u3066\u50b7\u304c\u5c0f\u3055\u3044\u305f\u3081\u3001\u8853\u5f8c\u306e\u75db\u307f\u304c\u5c11\u306a\u304f\u3001\u56de\u5fa9\u304c\u65e9\u3044\u3053\u3068\u304c\u7279\u5fb4\u3067\u3059\u3002\u307e\u305f\u3001\u6574\u5bb9\u9762\u306b\u3082\u512a\u308c\u3066\u304a\u308a\u3001\u65e5\u5e38\u751f\u6d3b\u3084\u793e\u4f1a\u5fa9\u5e30\u3078\u306e\u8ca0\u62c5\u3092\u8efd\u6e1b\u3067\u304d\u307e\u3059\u3002<\/p>\n\n\n\n

\u95a2\u897f\u533b\u79d1\u5927\u5b66\u3067\u306f\u3001\u80c3\u304c\u3093\u624b\u8853\u3084\u6e1b\u91cf\u30fb\u4ee3\u8b1d\u6539\u5584\u624b\u8853\u3092\u6570\u591a\u304f\u7d4c\u9a13\u3057\u305f\u5185\u8996\u93e1\u5916\u79d1\u6280\u8853\u8a8d\u5b9a\u533b\u304c\u57f7\u5200\u3057\u3001\u5b89\u5168\u6027\u3092\u6700\u512a\u5148\u306b\u6cbb\u7642\u3092\u884c\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n<\/div>\n\n\n\n

\n
\"\"<\/figure>\n<\/div>\n<\/div>\n\n\n\n
<\/div>\n\n\n\n

\u5f53\u9662\u3067\u624b\u8853\u3092\u53d7\u3051\u3089\u308c\u305f\u60a3\u8005\u3055\u3093\u306e\u4f53\u91cd\u7d4c\u904e<\/h3>\n\n\n\n

\uff08\u521d\u8a3a\u6642\u4f53\u91cd\u3092100\uff05\u3068\u3057\u3066\u8868\u793a\uff09<\/h4>\n\n\n\n
\"\"<\/figure>\n\n\n\n

\u5f53\u9662\u3067\u624b\u8853\u3092\u53d7\u3051\u3089\u308c\u305f\u60a3\u8005\u3055\u3093\u306e\u4f53\u91cd\u7d4c\u904e\u3067\u3059\u3002\u521d\u8a3a\u6642\u306e\u4f53\u91cd\u3092100\uff05\u3068\u3057\u3066\u8868\u793a\u3057\u3066\u3044\u307e\u3059\u3002\u5f53\u9662\u3067\u624b\u8853\u3092\u53d7\u3051\u3089\u308c\u305f\u60a3\u8005\u3055\u3093\u306e\u591a\u304f\u3067\u3001\u624b\u8853\u5f8c\u308210\uff5e45\uff05\u306e\u4f53\u91cd\u6e1b\u5c11\u304c\u9577\u671f\u9593\u7dad\u6301\u3055\u308c\u3066\u304a\u308a\u3001\u5143\u306e\u4f53\u91cd\u307e\u3067\u623b\u3063\u305f\u65b9\u306f\u3054\u304f\u308f\u305a\u304b\u3067\u3059\u3002<\/p>\n\n\n\n

\u5f53\u9662\u3067\u306f\u3053\u308c\u307e\u3067\u306b100\u4f8b\u4ee5\u4e0a\u306e\u6e1b\u91cf\u30fb\u4ee3\u8b1d\u6539\u5584\u624b\u8853\u3092\u5b9f\u65bd\u3057\u3066\u304a\u308a\u3001\u30d0\u30a4\u30d1\u30b9\u624b\u8853\u308210\u4f8b\u4ee5\u4e0a\u7d4c\u9a13\u3057\u3066\u3044\u307e\u3059\u3002\u3059\u3079\u3066\u306e\u624b\u8853\u3092\u8179\u8154\u93e1\u3067\u884c\u3063\u3066\u304a\u308a\u3001\u73fe\u5728\u307e\u3067\u624b\u8853\u95a2\u9023\u6b7b\u4ea1\u306f1\u4f8b\u3082\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n

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<\/div>\n\n\n\n

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\"\"<\/figure>\n\n\n\n

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<\/div>\n\n\n\n

<\/p>\n\n\n\n

\n
\n

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\n
\"\"<\/figure><\/div><\/div>\n<\/div>\n\n\n\n
<\/div>\n\n\n\n

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<\/div>\n\n\n\n

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