{"id":571,"date":"2024-12-10T09:28:53","date_gmt":"2024-12-10T00:28:53","guid":{"rendered":"https:\/\/www.intmed2.med.kyushu-u.ac.jp\/gut\/?page_id=571"},"modified":"2025-07-02T19:03:48","modified_gmt":"2025-07-02T10:03:48","slug":"clinical_22","status":"publish","type":"page","link":"https:\/\/www.intmed2.med.kyushu-u.ac.jp\/gut\/clinical_22\/","title":{"rendered":"_22_Gastric adenocarcinoma and proximal polyposis of the stomach (GAPPS)\u306b\u5bfe\u3059\u308b\u5b9f\u614b\u8abf\u67fb\u3000 \u306e\u5b9f\u65bd\u306b\u3064\u3044\u3066"},"content":{"rendered":"<div class=\"under_ttl\">\n<div class=\"inner\">\n<h2>\u5f53\u79d1\u306b\u304a\u3051\u308b\u81e8\u5e8a\u7814\u7a76\u304a\u3088\u3073\u6cbb\u7642 <span class=\"eiji\">CLINICAL CASE STUDY<\/span><\/h2>\n<\/div>\n<\/div>\n<div class=\"under_content\">\n<section class=\"under_block_09 cf pt80 sp_pt40 bdrbtm\">\n<h4 class=\"lead_txt sp_mb15\">Gastric adenocarcinoma and proximal polyposis of the stomach (GAPPS)\u306b\u5bfe\u3059\u308b\u5b9f\u614b\u8abf\u67fb\u306e\u5b9f\u65bd\u306b\u3064\u3044\u3066<\/h4>\n<section class=\"under_block_09 cf pt70 sp_pt40 bdrbtm\">\n<h4 class=\"fntsz18 mb10 sp_mb10\">\u7814\u7a76\u306e\u76ee\u7684\u304a\u3088\u3073\u65b9\u6cd5\u306b\u3064\u3044\u3066<\/h4>\n<p class=\"fntsz23 mb20 sp_mb20\">\u7814\u7a76\u306e\u6982\u8981\uff1a GAPPS\u30a2\u30f3\u30b1\u30fc\u30c8\u8abf\u67fb\u7968\u3092\u7528\u3044\u3066\u5168\u56fd\u306e\u533b\u7642\u6a5f\u95a2\u306b\u30a2\u30f3\u30b1\u30fc\u30c8\u8abf\u67fb\u3092\u884c\u3044\u3001 \u75ab\u5b66\u7684\u8996\u70b9\u3092\u542b\u3081\u672c\u90a6\u306b\u304a\u3051\u308b\u672c\u75be\u60a3\u306e\u5b9f\u614b\u8abf\u67fb\u3092\u884c\u3044\u307e\u3059\u3002 \u5bfe\u8c61\u8005\uff1a GAPPS\u3068\u8a3a\u65ad\u3055\u308c\u305f\u3001\u3042\u308b\u3044\u306f\u305d\u306e\u7591\u3044\u304c\u3042\u308b\u65b9\u304a\u3088\u3073\u305d\u306e\u8840\u7e01\u8005\u306e\u65b9\u3092\u5bfe\u8c61\u3068\u3057\u3001\u30ab\u30eb\u30c6\u60c5\u5831\u3092\u7528\u3044\u3066\u5f8c\u65b9\u8996\u7684\u306b\u89e3\u6790\u3057\u307e\u3059\u3002\u7814\u7a76\u5168\u4f53\u306e\u5b9f\u65bd\u671f\u9593\u306f\u502b\u7406\u59d4\u54e1\u4f1a\u3067\u306e\u627f\u8a8d\u3092\u53d7\u3051\u3066\u65bd\u8a2d\u9577\u306e\u8a31\u53ef\u3092\u5f97\u3066\u304b\u30892027\u5e743\u6708\u307e\u3067\u3067\u3059\u3002\u5f53\u9662\u306b\u304a\u3051\u308b\u4e88\u5b9a\u75c7\u4f8b\u6570\u306f12\u4f8b\u3067\u3059\u3002\u7814\u7a76\u5168\u4f53\u3067\u306f85\u4f8b\u3092\u4e88\u5b9a\u3057\u3066\u3044\u307e\u3059\u3002\u65b9 \u6cd5\uff1a GAPPS\u30a2\u30f3\u30b1\u30fc\u30c8\u8abf\u67fb\u7968\u3092\u7528\u3044\u3066\u5168\u56fd\u306e\u5927\u5b66\u75c5\u9662\u304a\u3088\u3073\u304c\u3093\u30bb\u30f3\u30bf\u30fc\u7b49\u306e\u533b\u7642\u6a5f\u95a2\u306b\u30a2\u30f3\u30b1\u30fc\u30c8\u8abf\u67fb\u3092\u884c\u3044\u307e\u3059\u3002 \u672c\u7814\u7a76\u306f\u3001\u5fb3\u5cf6\u5927\u5b66\u75c5\u9662\u751f\u547d\u79d1\u5b66\u30fb\u533b\u5b66\u7cfb\u7814\u7a76\u502b\u7406\u5be9\u67fb\u59d4\u54e1\u4f1a\u306e\u627f\u8a8d\u3092\u5f97\u3066\u5b9f\u65bd\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n<\/section>\n<section class=\"under_block_09 cf pt70 sp_pt40 bdrbtm\">\n<h4 class=\"fntsz18 mb10 sp_mb10\">\u7814\u7a76\u306b\u7528\u3044\u308b\u8a66\u6599\u30fb\u60c5\u5831\u306e\u9805\u76ee\u304a\u3088\u3073\u4fdd\u7ba1\u65b9\u6cd5\u306b\u3064\u3044\u3066<\/h4>\n<p class=\"fntsz23 mb20 sp_mb20\">\u4ee3\u8868\u6a5f\u95a2(\u5fb3\u5cf6\u5927\u5b66\u75c5\u9662)\u306e\u7814\u7a76\u8005\u304c\u3001\u5404\u5171\u540c\u7814\u7a76\u6a5f\u95a2\u306e\u62c5\u5f53\u8005(\u79d1\u9577)\u5b9b\u3066\u306e\u8cea\u554f\u7d19(\u30a2\u30f3\u30b1\u30fc\u30c8)\u3092\u4f5c\u6210\u3057\u3001\u5404\u7814\u7a76\u6a5f\u95a2\u3088\u308a\u60c5\u5831\u3092\u53ce\u96c6\u3057\u307e\u3059\u3002\u5404\u75c7\u4f8b\u306e\u60c5\u5831\u53ce\u96c6\u306f\u5404\u5171\u540c\u7814\u7a76\u6a5f\u95a2\u304c\u884c\u3044\u3001\u30a2\u30f3\u30b1\u30fc\u30c8\u306e\u9001\u4ed8\u3001\u56de\u53ce\u306a\u3069\u306f\u30c7\u30fc\u30bf\u30bb\u30f3\u30bf\u30fc(\u6709\u9650\u4f1a\u793e\u30e1\u30c7\u30a3\u30ab\u30eb\u30fb\u30ea\u30b5\u30fc\u30c1\u30fb\u30b5\u30dd\u30fc\u30c8)\u306b\u59d4\u8a17\u3057\u307e\u3059\u3002\u672c\u7814\u7a76\u306b\u7528\u3044\u308b\u8a3a\u7642\u60c5\u5831\u306f\u3001\u7814\u7a76\u4e0a\u5fc5\u8981\u306e\u306a\u3044\u60a3\u8005\u6c0f\u540d, \u60a3\u8005\uff29\uff24\u306a\u3069\u306f\u7528\u3044\u305a\u533f\u540d\u5316\u3057\u307e\u3059\u3002\u533f\u540d\u5316\u306b\u3042\u305f\u3063\u3066\u306f\u5bfe\u5fdc\u8868\u3092\u4f5c\u6210\u3057\u307e\u3059\u304c\u3001\u5bfe\u5fdc\u8868\u306f\u7814\u7a76\u8cac\u4efb\u8005\u306e\u9ad8\u5c71\u54f2\u6cbb\u304c\u9069\u5207\u306b\u7ba1\u7406\u3057\u307e\u3059\u3002<\/p>\n<\/section>\n<section class=\"under_block_09 cf pt70 sp_pt40 bdrbtm\">\n<h4 class=\"fntsz18 mb10 sp_mb10\">\u7814\u7a76\u306e\u65b9\u6cd5\u306b\u3064\u3044\u3066<\/h4>\n<p class=\"fntsz23 mb20 sp_mb20\">\u8a72\u5f53\u3059\u308b\u60a3\u8005\u3055\u3093\u3092\u5bfe\u8c61\u8005\u3068\u3057\u3066\u767b\u9332\u3057\u3001\u8a3a\u7642\u60c5\u5831\u3092\u30ab\u30eb\u30c6\u304b\u3089\u53d6\u5f97\u3057\u307e\u3059\u3002 <br \/>\u30ab\u30eb\u30c6\u304b\u3089\u53d6\u5f97\u3057\u305f\u4ee5\u4e0b\u306e\u8a3a\u7642\u60c5\u5831\u3092\u4e3b\u306b\u7528\u3044\u307e\u3059\u3002<br \/>\u6027\u5225\u3001\u5e74\u9f62\u3001\u8eab\u9577\u3001\u4f53\u91cd\u3001\u751f\u6d3b\u6b74\u3001\u6cbb\u7642\u6b74\u3001\u691c\u67fb\u6b74\u3001\u8179\u90e8\u75c7\u72b6\u3001\u8840\u6db2\u691c\u67fb\u7d50\u679c\u3001\u5185\u8996\u93e1\u691c\u67fb\u7d50\u679c\u7b49<\/p>\n<\/section>\n<section class=\"under_block_09 cf pt70 sp_pt40 bdrbtm\">\n<h4 class=\"fntsz18 mb10 sp_mb10\">\u672c\u9662\u4ee5\u5916\u306e\u7814\u7a76\u6a5f\u95a2\u7b49\u3078\u306e\u8a66\u6599\u30fb\u60c5\u5831\u306e\u63d0\u4f9b<\/h4>\n<p class=\"fntsz23 mb20 sp_mb20\">\u60c5\u5831\u306f\u4e0b\u8a18\u306e\u300c\u7814\u7a76\u306e\u5b9f\u65bd\u4f53\u5236\u300d\u306b\u8a18\u8f09\u306e\u3042\u308b\u5171\u540c\u7814\u7a76\u6a5f\u95a2\u53ca\u3073\u5f53\u9662\u3067\u53d6\u308a\u6271\u3044\u307e\u3059\u3002\u5229\u7528\u53ca\u3073\u63d0\u4f9b\u958b\u59cb\u65e5\u306f\u59d4\u54e1\u4f1a\u627f\u8a8d\u65e5\u304b\u3089\uff11\u304b\u6708\u5f8c\u306b\u306a\u308a\u307e\u3059\u3002\u5f53\u9662\u306b\u304a\u3044\u3066\u533f\u540d\u5316\u3055\u308c\u305f\u30c7\u30fc\u30bf\u3092\u30c7\u30fc\u30bf\u30bb\u30f3\u30bf\u30fc\u306b\u63d0\u4f9b\u3057\u307e\u3059\u3002\u533b\u7642\u60c5\u5831\u3092\uff12\u6b21\u5229\u7528\u3068\u3057\u3066\u5916\u90e8\u306e\u6a5f\u95a2\u306b\u63d0\u4f9b\u3059\u308b\u3053\u3068\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n<\/section>\n<section class=\"under_block_09 cf pt70 sp_pt40 bdrbtm\">\n<h4 class=\"fntsz18 mb10 sp_mb10\">\u7814\u7a76\u306e\u5b9f\u65bd\u4f53\u5236<\/h4>\n<p class=\"fntsz23 mb20 sp_mb20\">\u3010\u7814\u7a76\u4ee3\u8868\u6a5f\u95a2\u3011<br \/>\u5fb3\u5cf6\u5927\u5b66\u75c5\u9662 \u6d88\u5316\u5668\u5185\u79d1<br \/>\u7814\u7a76\u4ee3\u8868\u8005\uff1a\u9ad8\u5c71\u54f2\u6cbb<br \/>\u5fb3\u5cf6\u5927\u5b66\u75c5\u9662\u306b\u304a\u3051\u308b\u7814\u7a76\u5206\u62c5\u8005\uff1a\u6a2a\u5c71\u601c\u5b50\u3001\u5ca1\u672c\u8015\u4e00\u3001\u4e09\u4e95\u5eb7\u88d5\u3001\u5409\u672c\u8cb4\u5247<\/p>\n<section class=\"under_block_09 cf pt70 sp_pt40 pb40 sp_pb20 bdrbtm\">\n<h4 class=\"fntsz18 mb10 sp_mb10\">\u5171\u540c\u7814\u7a76\u6a5f\u95a2\u4e00\u89a7<\/h4>\n<table class=\"tbl_02\">\n<tbody>\n<tr>\n<th>\u5171\u540c\u7814\u7a76\u65bd\u8a2d<br \/>\uff0f\u3000\u7814\u7a76\u8cac\u4efb\u8005\u306e\u6240\u5c5e\u30fb\u6c0f\u540d<br \/>\u5f79\u5272\uff1a\u60c5\u5831\u306e\u53ce\u96c6\u30fb\u7ba1\u7406<\/th>\n<td>\u4eac\u90fd\u5e9c\u7acb\u533b\u79d1\u5927\u5b66 \u5206\u5b50\u6a19\u7684\u4e88\u9632\u533b\u5b66\u30fb\u6b66\u85e4 \u502b\u5f18<br \/>\u77f3\u5ddd\u6d88\u5316\u5668\u5185\u79d1\u30fb\u77f3\u5ddd \u79c0\u6a39<br \/>\u548c\u6b4c\u5c71\u770c\u7acb\u533b\u79d1\u5927\u5b66\u30fb\u5317\u8c37 \u7d14\u4e5f<br \/>\u5175\u5eab\u770c\u7acb\u304c\u3093\u30bb\u30f3\u30bf\u30fc\u30fb\u5c71\u672c \u4f73\u5ba3<br \/>\u674f\u6797\u5927\u5b66\u533b\u5b66\u90e8\u30fb\u5927\u91ce \u4e9c\u5e0c\u5b50<br \/>\u5927\u5206\u5927\u5b66\u533b\u5b66\u90e8\u30fb\u6751\u4e0a \u548c\u6210<br \/>\u85e4\u7530\u533b\u79d1\u5927\u5b66\u30fb\u8229\u5742 \u597d\u5e73<br \/>\u6771\u4eac\u6148\u6075\u4f1a\u533b\u79d1\u5927\u5b66\u30fb\u733f\u7530 \u96c5\u4e4b<br \/>\u9e7f\u5150\u5cf6\u5927\u5b66\u75c5\u9662\u30fb\u6709\u4e0a \u8cb4\u660e<br \/>\u4eac\u90fd\u5e9c\u7acb\u533b\u79d1\u5927\u5b66\u5927\u5b66\u9662\u533b\u5b66\u7814\u7a76\u79d1\u30fb\u5409\u7530 \u76f4\u4e45<br \/>\u95a2\u897f\u533b\u79d1\u5927\u5b66\u9644\u5c5e\u75c5\u9662\u30fb\u9ad8\u6a4b \u60a0<br \/>\u5e02\u7acb\u67cf\u539f\u75c5\u9662\u30fb\u5965\u5c71 \u6b63\u55e3<br \/>\u5cf6\u6839\u5927\u5b66\u533b\u5b66\u90e8\u9644\u5c5e\u75c5\u9662\u30fb\u67f4\u57a3 \u5e83\u592a\u90ce<br \/>\u795e\u5948\u5ddd\u770c\u7acb\u304c\u3093\u30bb\u30f3\u30bf\u30fc\u30fb\u4e95\u53e3 \u9756\u5f18<br \/>\u9806\u5929\u5802\u5927\u5b66\u533b\u5b66\u90e8\u30fb\u4e0a\u5c71 \u6d69\u4e5f<br \/>\u81ea\u6cbb\u533b\u79d1\u5927\u5b66\u30fb\u5742\u672c \u535a\u6b21<br \/>\u56fd\u7acb\u304c\u3093\u7814\u7a76\u30bb\u30f3\u30bf\u30fc\u4e2d\u592e\u75c5\u9662\u30fb\u5c71\u7530 \u771f\u5584<br \/>\u5927\u962a\u516c\u7acb\u5927\u5b66\u5927\u5b66\u9662\u533b\u5b66\u7814\u7a76\u79d1\u30fb\u6ca2\u7530 \u660e\u4e5f<br \/>\u718a\u672c\u5927\u5b66\u75c5\u9662\u30fb\u5177\u5d8b \u4eae\u4ecb<br \/>\u8328\u57ce\u770c\u7acb\u4e2d\u592e\u75c5\u9662\u30fb\u5929\u8c9d \u8ce2\u4e8c<br \/>\u5c71\u5f62\u5927\u5b66\u533b\u5b66\u90e8\u30fb\u963f\u90e8 \u9756\u5f66<br \/>\u5e83\u5cf6\u5927\u5b66\u75c5\u9662\u30fb\u535c\u90e8 \u7950\u53f8<br \/>\u304c\u3093\u7814\u6709\u660e\u75c5\u9662\u30fb\u5e73\u6fa4 \u4fca\u660e<br \/>\u4e5d\u5dde\u5927\u5b66\u75c5\u9662\u30fb\u9577\u672b \u667a\u5bdb<br \/>\u5175\u5eab\u533b\u79d1\u5927\u5b66\u30fb\u4e2d\u6751 \u9054\u90ce<br \/>\u7fa4\u99ac\u5927\u5b66\u533b\u5b66\u90e8\u9644\u5c5e\u75c5\u9662\u30fb\u7af9\u5185 \u6d0b\u53f8<br \/>\u57fc\u7389\u533b\u79d1\u5927\u5b66\u7dcf\u5408\u533b\u7642\u30bb\u30f3\u30bf\u30fc\u30fb\u9234\u6728 \u8208\u79c0<br \/>\u5ca1\u5c71\u5927\u5b66\u5927\u5b66\u9662\u533b\u6b6f\u85ac\u5b66\u7dcf\u5408\u7814\u7a76\u79d1\u30fb\u85e4\u539f \u4fca\u7fa9<br \/>\u59eb\u8def\u8d64\u5341\u5b57\u75c5\u9662\u30fb\u5800 \u4f38\u4e00\u90ce<br \/>\u6771\u6d77\u5927\u5b66\u516b\u738b\u5b50\u75c5\u9662\u30fb\u9234\u6728 \u5b5d\u826f<br \/>\u5ca1\u5c71\u5927\u5b66\u5b66\u8853\u7814\u7a76\u9662\u533b\u6b6f\u85ac\u5b66\u57df\u30fb\u5ddd\u91ce \u8aa0\u53f8<br \/>\u5fb3\u5cf6\u770c\u7acb\u4e2d\u592e\u75c5\u9662\u30fb\u4e2d\u672c \u6b21\u90ce<br \/>\u963f\u5357\u533b\u7642\u30bb\u30f3\u30bf\u30fc\u30fb\u6edd\u4e0b \u8aa0<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<section class=\"under_block_09 cf pt70 sp_pt40 mb150 sp_mb100\">\n<h4 class=\"fntsz18 mb10 sp_mb10\">\u696d\u52d9\u3092\u59d4\u8a17\u3059\u308b\u6a5f\u95a2(\u30c7\u30fc\u30bf\u30bb\u30f3\u30bf\u30fc)<\/h4>\n<p class=\"fntsz23 mb20 sp_mb20\">\u6709\u9650\u4f1a\u793e\u30e1\u30c7\u30a3\u30ab\u30eb\u30fb\u30ea\u30b5\u30fc\u30c1\u30fb\u30b5\u30dd\u30fc\u30c8 <br \/>\u3012541-0043\u3000\u5927\u962a\u5e02\u4e2d\u592e\u533a\u9ad8\u9e97\u6a4b3-1-14\u3000\u9ad8\u9e97\u6a4b\u5c71\u672c\u30d3\u30eb6F \u4ee3\u8868\u53d6\u7de0\u5f79\u3000\u67da\u6728\u5d0e \u7d18\u53f8<br \/>\u3053\u308c\u307e\u3067\u3001\u5f53\u9662\u3092\u542b\u3081\u3066\u591a\u6570\u306e\u81e8\u5e8a\u8a66\u9a13\u306b\u95a2\u308f\u308b\u533b\u7642\u60c5\u5831\u3092\u6271\u3063\u3066\u304a\u308a\u3001\u4fe1\u983c\u6027\u306e\u9ad8\u3044\u4f1a\u793e\u3067\u3059\u3002<\/p>\n<section class=\"under_block_09 cf pt70 sp_pt40 bdrbtm\">\n<h4 class=\"fntsz18 mb10 sp_mb10\">\u7814\u7a76\u7d50\u679c\u306e\u516c\u8868\u306b\u3064\u3044\u3066<\/h4>\n<p class=\"fntsz23 mb20 sp_mb20\">\u672c\u7814\u7a76\u306e\u7d50\u679c\u306f\u5b66\u4f1a\u3084\u96d1\u8a8c\u7b49\u3067\u516c\u8868\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u516c\u8868\u306b\u969b\u3057\u3066\u306f\u7279\u5b9a\u306e\u7814\u7a76\u5bfe\u8c61\u8005\u3092\u8b58\u5225\u3067\u304d\u306a\u3044\u3088\u3046\u306b\u63aa\u7f6e\u3092\u884c\u3063\u305f\u4e0a\u3067\u53d6\u308a\u6271\u3044\u307e\u3059\u3002<\/p>\n<\/section>\n<section class=\"under_block_09 cf pt70 sp_pt40 bdrbtm\">\n<h4 class=\"fntsz18 mb10 sp_mb10\">\u7814\u7a76\u8cc7\u91d1\u304a\u3088\u3073\u5229\u76ca\u76f8\u53cd\u7ba1\u7406\u306b\u3064\u3044\u3066<\/h4>\n<p class=\"fntsz23 mb20 sp_mb20\">\u672c\u7814\u7a76\u306e\u4e00\u90e8\u306f\u3001\u65e5\u672c\u533b\u7642\u7814\u7a76\u958b\u767a\u6a5f\u69cb(AMED)\u300c\u9769\u65b0\u7684\u304c\u3093\u533b\u7642\u5b9f\u7528\u5316\u7814\u7a76\u4e8b\u696d\u300d\u306e\u6b66\u85e4\u502b\u5f18\u73ed\u304b\u3089\u7814\u7a76\u8cbb\u306e\u652f\u63f4\u3092\u53d7\u3051\u3066\u3044\u307e\u3059\u3002 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class=\"under_block_09 cf pt70 sp_pt40 bdrbtm\">\n<h4 class=\"fntsz18 mb10 sp_mb10\">\u672c\u7814\u7a76\u3078\u306e\u53c2\u52a0\u3092\u62d2\u5426\u3059\u308b\u5834\u5408<\/h4>\n<p class=\"fntsz23 mb20 sp_mb20\">\u672c\u7814\u7a76\u306b\u95a2\u3059\u308b\u3054\u8cea\u554f\u7b49\u304c\u3042\u308a\u307e\u3057\u305f\u3089\u4e0b\u8a18\u306e\u9023\u7d61\u5148\u307e\u3067\u304a\u554f\u3044\u5408\u308f\u305b\u4e0b\u3055\u3044\u3002 \u3054\u5e0c\u671b\u304c\u3042\u308c\u3070\u3001\u4ed6\u306e\u7814\u7a76\u5bfe\u8c61\u8005\u306e\u500b\u4eba\u60c5\u5831\u53ca\u3073\u77e5\u7684\u8ca1\u7523\u306e\u4fdd\u8b77\u306b\u652f\u969c\u304c\u306a\u3044\u7bc4\u56f2\u5185\u3067\u3001\u7814\u7a76\u8a08\u753b\u66f8\u53ca\u3073\u95a2\u9023\u8cc7\u6599\u3092\u95b2\u89a7\u3059\u308b\u3053\u3068\u304c\u51fa\u6765\u307e\u3059\u306e\u3067\u304a\u7533\u51fa\u4e0b\u3055\u3044\u3002 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sp_mb20\">\u3000\u672c\u7814\u7a76\u306f\u3001\u5fb3\u5cf6\u5927\u5b66\u3092\u4ee3\u8868\u6a5f\u95a2\u3068\u3057\u3066\u5b9f\u65bd\u3059\u308b\u591a\u6a5f\u95a2\u5171\u540c\u7814\u7a76\u3067\u3042\u308a\u3001\u5fb3\u5cf6\u5927\u5b66\u75c5\u9662\u751f\u547d\u79d1\u5b66\u30fb\u533b\u5b66\u7cfb\u7814\u7a76\u502b\u7406\u5be9\u67fb\u59d4\u54e1\u4f1a\u3067\u4e00\u62ec\u5be9\u67fb\u3057\u3066\u3044\u307e\u3059\u3002\u5b9f\u65bd\u8cac\u4efb\u8005\u306f\u4e0b\u8a18\u306e\u901a\u308a\u3067\u3059\u3002\u4e0d\u660e\u306a\u70b9\u304c\u3042\u308a\u307e\u3057\u305f\u3089\u3001\u4e0b\u8a18\u306e\u7814\u7a76\u8cac\u4efb\u8005\u3042\u308b\u3044\u306f\u7814\u7a76\u62c5\u5f53\u8005\u306b\u304a\u5c0b\u306d\u304f\u3060\u3055\u3044\u3002 <br \/>\u3010\u7814\u7a76\u5168\u4f53\u306e\u8cac\u4efb\u8005\u3011<br \/>\u5fb3\u5cf6\u5927\u5b66\u75c5\u9662 \u6d88\u5316\u5668\u5185\u79d1 \u79d1\u9577 \u5fb3\u5cf6\u5927\u5b66\u5927\u5b66\u9662 \u533b\u6b6f\u85ac\u5b66\u7814\u7a76\u90e8 \u6d88\u5316\u5668\u5185\u79d1\u5b66 \u6559\u6388 \u9ad8\u5c71 \u54f2\u6cbb<br \/>\u3010\u7814\u7a76\u6a5f\u95a2\u3011<br \/>\u5fb3\u5cf6\u5927\u5b66\u75c5\u9662 \u6d88\u5316\u5668\u5185\u79d1<\/p>\n<p>\u3010\u5f53\u9662\u306e\u7814\u7a76\u8cac\u4efb\u8005\u3011<br \/>\u4e5d\u5dde\u5927\u5b66\u75c5\u9662\u6d88\u5316\u7ba1\u5185\u79d1\u30fb\u52a9\u6559\u30fb\u9577\u672b\u667a\u5bdb <br \/>\u3010\u5f53\u9662\u306e\u7814\u7a76\u62c5\u5f53\u8005\u3011<br \/>\u4e5d\u5dde\u5927\u5b66\u75c5\u9662\u56fd\u969b\u533b\u7642\u90e8\u30fb\u51c6\u6559\u6388\u30fb\u68ee\u5c71\u667a\u5f66<br \/>\u4e5d\u5dde\u5927\u5b66\u75c5\u9662\u6d88\u5316\u7ba1\u5185\u79d1\u30fb\u8b1b\u5e2b\u30fb\u6885\u91ce\u6df3\u55e3<br \/>\u4e5d\u5dde\u5927\u5b66\u75c5\u9662\u6d88\u5316\u7ba1\u5185\u79d1\u30fb\u4f75\u4efb\u8b1b\u5e2b\u30fb\u5ddd\u5d0e\u5553\u7950<br \/>\u4e5d\u5dde\u5927\u5b66\u75c5\u9662\u6d88\u5316\u7ba1\u5185\u79d1\u30fb\u52a9\u6559\u30fb\u677e\u91ce\u96c4\u4e00<br \/>\u4e5d\u5dde\u5927\u5b66\u75c5\u9662\u6d88\u5316\u7ba1\u5185\u79d1\u30fb\u52a9\u6559\u30fb\u9577\u672b\u667a\u5bdb<br \/>\u4e5d\u5dde\u5927\u5b66\u75c5\u9662\u6d88\u5316\u7ba1\u5185\u79d1\u30fb\u52a9\u6559\u30fb\u4e95\u539f\u52c7\u592a\u90ce<br \/>\u4e5d\u5dde\u5927\u5b66\u75c5\u9662\u6d88\u5316\u7ba1\u5185\u79d1\u30fb\u52a9\u6559\u30fb\u4eca\u6d25\u611b\u4ecb<\/p>\n<section class=\"under_block_09 cf pt70 sp_pt40 bdrbtm\">\n<p class=\"fntsz23 mb20 sp_mb20\">\u672c\u7814\u7a76\u306b\u95a2\u3059\u308b\u3054\u8cea\u554f\u3084\u76f8\u8ac7\u304c\u3042\u308b\u5834\u5408\u306f\u3001\u62c5\u5f53\u533b\u5e2b\u306b\u304a\u5c0b\u306d\u9802\u304f\u304b\u3001\u4e0b\u8a18\u62c5\u5f53\u8005\u307e\u3067\u3054\u9023\u7d61\u304f\u3060\u3055\u3044\u3002 <br \/>\u4e5d\u5dde\u5927\u5b66\u75c5\u9662 \u6d88\u5316\u7ba1\u5185\u79d1 \u9577\u672b \u667a\u5bdb <br \/>\u3012812-8582 \u798f\u5ca1\u5e02\u6771\u533a\u99ac\u51fa3-1-1 <br \/>TEL\uff1a092-642-5261<\/p>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>\u5f53\u79d1\u306b\u304a\u3051\u308b\u81e8\u5e8a\u7814\u7a76\u304a\u3088\u3073\u6cbb\u7642 CLINICAL CASE STUDY Gastric adenocarcinoma and proximal polyposis of the stomach (GAPPS)\u306b\u5bfe\u3059\u308b\u5b9f\u614b [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-571","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>_22_Gastric adenocarcinoma and proximal polyposis of the stomach (GAPPS)\u306b\u5bfe\u3059\u308b\u5b9f\u614b\u8abf\u67fb\u3000 \u306e\u5b9f\u65bd\u306b\u3064\u3044\u3066 - 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