                                        {"id":13674,"date":"2025-11-26T10:02:23","date_gmt":"2025-11-26T01:02:23","guid":{"rendered":"https:\/\/pathology.hs.med.kyoto-u.ac.jp\/?p=13674"},"modified":"2026-04-18T09:46:12","modified_gmt":"2026-04-18T00:46:12","slug":"%e9%a3%9f%e9%81%93%e4%b8%8b%e9%83%a8%e6%8b%ac%e7%b4%84%e7%ad%8b%ef%bc%88lower-esophageal-sphincter-les%ef%bc%89%e3%81%ae%e5%88%9d%e6%9c%9f%e7%99%ba%e9%81%94%e9%81%8e%e7%a8%8b%e3%81%ab%e3%81%a4","status":"publish","type":"post","link":"http:\/\/pathology.hs.med.kyoto-u.ac.jp\/?p=13674","title":{"rendered":"\u30d2\u30c8\u80ce\u5150\u306e\u4e0b\u90e8\u98df\u9053\u62ec\u7d04\u90e8\u306f\u3001\u3044\u3064\u3069\u306e\u3088\u3046\u306b\u5f62\u3065\u304f\u3089\u308c\u308b\u306e\u304b-\u4e0b\u90e8\u98df\u9053\u62ec\u7d04\u90e8\u306e\u521d\u671f\u5f62\u614b\u5909\u5316\u306e\u691c\u8a0e-"},"content":{"rendered":"\n<p>\u91d1\u6a4b\u52a9\u6559\u304c\u3001\u30d2\u30c8\u80ce\u5150\u306e<strong>\u4e0b\u90e8\u98df\u9053\u62ec\u7d04\u90e8\uff08lower esophageal sphincter: LES\uff09\u304c\u3001\u767a\u751f\u306e\u521d\u671f\u306b\u3069\u306e\u3088\u3046\u306a\u5f62\u614b\u5909\u5316\u3092\u793a\u3059\u306e\u304b\u3092\u30017\u30c6\u30b9\u30e9MRI\u306b\u3088\u308b\u4e09\u6b21\u5143\u89e3\u6790\u3092\u7528\u3044\u3066\u8abf\u3079\u307e\u3057\u305f\u3002<br>\u305d\u306e\u7d50\u679c\u3001\u80ce\u5150\u306e\u6210\u9577\u306b\u4f34\u3063\u3066\u98df\u9053\u4e0b\u90e8\u306e\u58c1\u304c\u76f8\u5bfe\u7684\u306b\u539a\u304f\u306a\u308a\u3001\u7279\u306b\u4e00\u5b9a\u306e\u6642\u671f\u4ee5\u964d\u306b\u306fLES\u9818\u57df\u304c\u5468\u56f2\u3068\u306f\u7570\u306a\u308b\u7279\u5fb4\u3092\u793a\u3059\u3053\u3068\u304c\u5206\u304b\u308a\u307e\u3057\u305f\u3002<br>\u3053\u306e\u3053\u3068\u304b\u3089\u3001LES\u3067\u306f\u6a5f\u80fd\u304c\u306f\u3063\u304d\u308a\u73fe\u308c\u308b\u3088\u308a\u524d\u306b\u3001\u307e\u305a\u5f62\u614b\u7684\u306a\u6210\u719f\u304c\u9032\u3080<\/strong>\u53ef\u80fd\u6027\u304c\u793a\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p>\u672c\u7814\u7a76\u6210\u679c\u306f\u30012025\u5e7411\u670825\u65e5\u306b\u516c\u958b\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">\u7814\u7a76\u306e\u80cc\u666f<\/h2>\n\n\n\n<p>\u4e0b\u90e8\u98df\u9053\u62ec\u7d04\u90e8\uff08LES\uff09\u306f\u3001\u98df\u9053\u3068\u80c3\u306e\u5883\u754c\u4ed8\u8fd1\u306b\u3042\u308b\u751f\u7406\u5b66\u7684\u306a\u62ec\u7d04\u90e8\u3067\u3001\u80c3\u5185\u5bb9\u7269\u306e\u9006\u6d41\u3092\u9632\u3050\u3046\u3048\u3067\u91cd\u8981\u306a\u5f79\u5272\u3092\u62c5\u3063\u3066\u3044\u307e\u3059\u3002<br>\u305f\u3060\u3057\u3001LES\u306f\u660e\u77ad\u306a\u8f2a\u72b6\u306e\u69cb\u9020\u7269\u3068\u3057\u3066\u898b\u3048\u308b\u308f\u3051\u3067\u306f\u306a\u304f\u3001<strong>\u6a2a\u9694\u819c\u811a\u3068\u91cd\u306a\u308a\u5408\u3046\u6a5f\u80fd\u7684\u306a\u9818\u57df<\/strong>\u3067\u3082\u3042\u308b\u305f\u3081\u3001\u89e3\u5256\u5b66\u7684\u306b\u305d\u306e\u5b9f\u614b\u3092\u3068\u3089\u3048\u308b\u3053\u3068\u306f\u7c21\u5358\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p>\u7279\u306b\u80ce\u5150\u671f\u306eLES\u306b\u3064\u3044\u3066\u306f\u3001\u3053\u308c\u307e\u3067\u8a73\u7d30\u306a\u5f62\u614b\u5b66\u7684\u77e5\u898b\u304c\u9650\u3089\u308c\u3066\u3044\u307e\u3057\u305f\u3002<br>\u305d\u3053\u3067\u672c\u7814\u7a76\u3067\u306f\u3001\u30d2\u30c8\u80ce\u5150\u6a19\u672c\u306eMRI\u30c7\u30fc\u30bf\u3092\u7528\u3044\u3066\u3001<strong>\u98df\u9053\u4e0b\u90e8\u306e\u58c1\u539a\u3084\u5185\u8154\u5f84\u304c\u767a\u751f\u306b\u4f34\u3063\u3066\u3069\u3046\u5909\u5316\u3059\u308b\u306e\u304b<\/strong>\u3092\u7acb\u4f53\u7684\u306b\u8a55\u4fa1\u3057\u3001LES\u306e\u5f62\u6210\u904e\u7a0b\u3092\u8a73\u3057\u304f\u691c\u8a0e\u3057\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">\u7814\u7a76\u306e\u65b9\u6cd5<\/h2>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"alignright size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"610\" height=\"440\" src=\"https:\/\/pathology.hs.med.kyoto-u.ac.jp\/wp-content\/uploads\/2025\/11\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2026-04-15-15.55.19-610x440.png\" alt=\"\" class=\"wp-image-14443\" style=\"width:300px\" srcset=\"http:\/\/pathology.hs.med.kyoto-u.ac.jp\/wp-content\/uploads\/2025\/11\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2026-04-15-15.55.19-610x440.png 610w, http:\/\/pathology.hs.med.kyoto-u.ac.jp\/wp-content\/uploads\/2025\/11\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2026-04-15-15.55.19-400x288.png 400w, http:\/\/pathology.hs.med.kyoto-u.ac.jp\/wp-content\/uploads\/2025\/11\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2026-04-15-15.55.19-115x83.png 115w, http:\/\/pathology.hs.med.kyoto-u.ac.jp\/wp-content\/uploads\/2025\/11\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2026-04-15-15.55.19.png 738w\" sizes=\"auto, (max-width: 610px) 100vw, 610px\" \/><\/figure>\n<\/div>\n\n\n<p>\u672c\u7814\u7a76\u3067\u306f\u3001<strong>Shimane University\u306b\u4fdd\u5b58\u3055\u308c\u3066\u3044\u308b\u30d2\u30c8\u80ce\u5150\u6a19\u672c24\u4f8b<\/strong>\u3092\u5bfe\u8c61\u3068\u3057\u3001<strong>CRL 34\u301c103 mm<\/strong>\u3001\u304a\u3088\u305d<strong>\u53d7\u7cbe\u5f8c9\u301c13\u9031<\/strong>\u306e\u6642\u671f\u3092\u89e3\u6790\u3057\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p>\u5404\u6a19\u672c\u306b\u3064\u3044\u3066\u3001<strong>7\u30c6\u30b9\u30e9MRI<\/strong>\u3067T1\u5f37\u8abf\u753b\u50cf\u3092\u53d6\u5f97\u3057\u3001\u98df\u9053\u3092\u4e09\u6b21\u5143\u7684\u306b\u518d\u69cb\u7bc9\u3057\u307e\u3057\u305f\u3002<br>\u8a55\u4fa1\u3057\u305f\u306e\u306f\u6b21\u306e3\u304b\u6240\u3067\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>ES1<\/strong>\uff1a\u6c17\u7ba1\u5206\u5c90\u90e8\uff08carina\uff09\u306e\u9ad8\u3055<\/li>\n\n\n\n<li><strong>ES2<\/strong>\uff1aLES\u9818\u57df\u306e\u3084\u3084\u982d\u5074<\/li>\n\n\n\n<li><strong>ES3<\/strong>\uff1a\u98df\u9053\u88c2\u5b54\u90e8\u3067\u3001\u6210\u4eba\u306eLES\u306b\u76f8\u5f53\u3059\u308b\u4f4d\u7f6e<\/li>\n<\/ul>\n\n\n\n<p>\u3053\u308c\u3089\u306e\u90e8\u4f4d\u306b\u3064\u3044\u3066\u3001<strong>\u98df\u9053\u5168\u4f53\u306e\u76f4\u5f84<\/strong>\u3068<strong>\u5185\u8154\u306e\u76f4\u5f84<\/strong>\u3092\u6e2c\u5b9a\u3057\u3001\u3055\u3089\u306b<strong>\u5185\u8154\u5f84\u304c\u98df\u9053\u5f84\u306b\u5360\u3081\u308b\u5272\u5408<\/strong>\u3092\u6bd4\u8f03\u3057\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">\u4e3b\u306a\u7d50\u679c<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">1. \u98df\u9053\u5168\u4f53\u306f\u6210\u9577\u306b\u4f34\u3063\u3066\u592a\u304f\u306a\u308a\u307e\u3059\u304c\u3001LES\u9818\u57df\u3067\u306f\u5185\u8154\u304c\u76f8\u5bfe\u7684\u306b\u72ed\u304f\u306a\u308a\u307e\u3057\u305f<\/h3>\n\n\n\n<p>\u89e3\u6790\u306e\u7d50\u679c\u3001ES1\u301cES3\u306e\u3044\u305a\u308c\u306e\u90e8\u4f4d\u3067\u3082\u3001<strong>\u98df\u9053\u306e\u5916\u5f84\u306f\u80ce\u5150\u306e\u6210\u9577\u3068\u3068\u3082\u306b\u307b\u307c\u76f4\u7dda\u7684\u306b\u5897\u52a0<\/strong>\u3057\u307e\u3057\u305f\u3002<br>\u4e00\u65b9\u3067\u3001\u5185\u8154\u5f84\u306e\u5909\u5316\u306f\u90e8\u4f4d\u306b\u3088\u3063\u3066\u7570\u306a\u3063\u3066\u3044\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p>\u7279\u306b<strong>ES3\uff08LES\u76f8\u5f53\u90e8\u4f4d\uff09\u3067\u306f\u3001\u6210\u9577\u306b\u4f34\u3063\u3066\u98df\u9053\u58c1\u306b\u5bfe\u3059\u308b\u5185\u8154\u306e\u5272\u5408\u304c\u5c0f\u3055\u304f\u306a\u308b<\/strong>\u50be\u5411\u304c\u307f\u3089\u308c\u3001\u5468\u56f2\u3088\u308a\u3082\u76f8\u5bfe\u7684\u306b\u58c1\u304c\u539a\u3044\u69cb\u9020\u306b\u306a\u3063\u3066\u3044\u304f\u3053\u3068\u304c\u793a\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">2. CRL 70 mm\u524d\u5f8c\u3092\u5883\u306b\u3001\u4e0b\u90e8\u98df\u9053\u306e\u5f62\u614b\u306b\u5909\u5316\u304c\u307f\u3089\u308c\u307e\u3057\u305f<\/h3>\n\n\n\n<p>\u672c\u7814\u7a76\u3067\u7279\u306b\u91cd\u8981\u3060\u3063\u305f\u306e\u306f\u3001<strong>CRL 70 mm\u524d\u5f8c<\/strong>\u3092\u5883\u306b\u3001\u4e0b\u90e8\u98df\u9053\u306e\u5f62\u614b\u5909\u5316\u306e\u30d1\u30bf\u30fc\u30f3\u304c\u5909\u308f\u308b\u3053\u3068\u3067\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>CRL 34\u301c70 mm<\/strong>\u3067\u306f\u3001ES1\u301cES3\u306e\u3044\u305a\u308c\u306e\u90e8\u4f4d\u3067\u3082\u3001\u5185\u8154\u5f84\u306e\u5272\u5408\u304c<strong>\u7d040.7\u304b\u30890.4\u3078\u4f4e\u4e0b<\/strong><\/li>\n\n\n\n<li>\u3064\u307e\u308a\u3001\u3053\u306e\u6642\u671f\u306b\u306f<strong>\u98df\u9053\u5168\u4f53\u3067\u76f8\u5bfe\u7684\u306b\u58c1\u304c\u539a\u304f\u306a\u308b<\/strong><\/li>\n\n\n\n<li>\u4e00\u65b9\u3001<strong>CRL 70 mm\u4ee5\u4e0a<\/strong>\u306b\u306a\u308b\u3068\u3001<strong>ES1\u30fbES2\u3067\u306f\u5185\u8154\u304c\u76f8\u5bfe\u7684\u306b\u5e83\u304c\u308b\u50be\u5411<\/strong><\/li>\n\n\n\n<li>\u3057\u304b\u3057\u3001<strong>ES3\uff08LES\u9818\u57df\uff09\u3067\u306f\u305d\u306e\u62e1\u5927\u304c\u307f\u3089\u308c\u305a\u3001\u72ed\u3044\u72b6\u614b\u304c\u4fdd\u305f\u308c\u308b<\/strong><\/li>\n<\/ul>\n\n\n\n<p>\u3068\u3044\u3046\u7279\u5fb4\u304c\u78ba\u8a8d\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p>\u3053\u308c\u306f\u3001\u80ce\u5150\u306e\u4e00\u5b9a\u306e\u767a\u80b2\u6bb5\u968e\u3092\u904e\u304e\u308b\u3068\u3001<strong>LES\u9818\u57df\u3060\u3051\u304c\u5468\u56f2\u3068\u7570\u306a\u308b\u5f62\u614b\u7684\u7279\u5fb4\u3092\u793a\u3057\u59cb\u3081\u308b<\/strong>\u3053\u3068\u3092\u610f\u5473\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">3. LES\u9818\u57df\u3067\u306f\u3001\u58c1\u306e\u4e2d\u9593\u5c64\u306e\u80a5\u539a\u304c\u76ee\u7acb\u3063\u3066\u304d\u307e\u3057\u305f<\/h3>\n\n\n\n<p>MRI\u65ad\u9762\u50cf\u3067\u306f\u3001\u98df\u9053\u58c1\u306e\u3046\u3061\u3001**\u7c98\u819c\u5c64\u306b\u631f\u307e\u308c\u305f\u4e2d\u9593\u5c64\uff08\u4e3b\u306b\u7c98\u819c\u4e0b\u5c64\u306b\u76f8\u5f53\uff09**\u304c\u3001\u6210\u9577\u3068\u3068\u3082\u306b\u7279\u306bES3\u3067\u539a\u304f\u306a\u308b\u69d8\u5b50\u304c\u89b3\u5bdf\u3055\u308c\u307e\u3057\u305f\u3002<br>CRL\u306e\u5c0f\u3055\u3044\u6bb5\u968e\u3067\u306fES1\u301cES3\u306b\u5927\u304d\u306a\u9055\u3044\u306f\u3042\u308a\u307e\u305b\u3093\u3067\u3057\u305f\u304c\u3001\u6210\u9577\u304c\u9032\u3080\u3068\u3001<strong>ES3\u3067\u58c1\u80a5\u539a\u304c\u3088\u308a\u9855\u8457<\/strong>\u306b\u306a\u308a\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p>\u3053\u306e\u6240\u898b\u306f\u3001LES\u306e\u5f62\u614b\u7684\u5206\u5316\u304c\u3001\u98df\u9053\u5168\u4f53\u306e\u5747\u4e00\u306a\u6210\u9577\u3068\u306f\u7570\u306a\u308b\u304b\u305f\u3061\u3067\u9032\u3080\u3053\u3068\u3092\u793a\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">\u3053\u306e\u7814\u7a76\u306e\u610f\u7fa9<\/h2>\n\n\n\n<p>\u672c\u7814\u7a76\u306f\u3001\u30d2\u30c8\u80ce\u5150\u306e\u4e0b\u90e8\u98df\u9053\u62ec\u7d04\u90e8\u306b\u3064\u3044\u3066\u3001<strong>\u4e09\u6b21\u5143MRI\u3092\u7528\u3044\u3066\u521d\u671f\u5f62\u614b\u5909\u5316\u3092\u6349\u3048\u305f\u7814\u7a76<\/strong>\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u4eca\u56de\u306e\u7d50\u679c\u304b\u3089\u3001<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>LES\u76f8\u5f53\u90e8\u4f4d\u3067\u306f\u3001\u6210\u9577\u306b\u4f34\u3063\u3066<strong>\u5185\u8154\u304c\u76f8\u5bfe\u7684\u306b\u72ed\u304f\u306a\u308b<\/strong><\/li>\n\n\n\n<li><strong>CRL 70 mm\u524d\u5f8c<\/strong>\u3092\u5883\u306b\u3001\u5468\u56f2\u306e\u98df\u9053\u3068\u306f\u7570\u306a\u308b\u5f62\u614b\u5909\u5316\u304c\u73fe\u308c\u308b<\/li>\n\n\n\n<li>LES\u3067\u306f\u3001<strong>\u6a5f\u80fd\u7684\u6210\u719f\u306b\u5148\u7acb\u3063\u3066\u5f62\u614b\u7684\u6210\u719f\u304c\u9032\u884c\u3059\u308b<\/strong>\u53ef\u80fd\u6027\u304c\u3042\u308b<\/li>\n<\/ul>\n\n\n\n<p>\u3053\u3068\u304c\u793a\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p>\u3053\u308c\u307e\u3067\u3001\u4e2d\u671f\u80ce\u5150\u671f\u306b\u306fLES\u304c\u4e0a\u90e8\u98df\u9053\u62ec\u7d04\u90e8\u3068\u540c\u671f\u3057\u3066\u53ce\u7e2e\u30fb\u5f1b\u7de9\u3059\u308b\u3053\u3068\u304c\u8d85\u97f3\u6ce2\u3067\u89b3\u5bdf\u3055\u308c\u3066\u3044\u307e\u3059\u304c\u3001\u672c\u7814\u7a76\u306f\u3001\u305d\u306e\u3088\u3046\u306a<strong>\u6a5f\u80fd\u304c\u78ba\u8a8d\u3055\u308c\u308b\u3088\u308a\u524d\u306b\u3001\u3059\u3067\u306b\u5f62\u614b\u7684\u306a\u6e96\u5099\u304c\u59cb\u307e\u3063\u3066\u3044\u308b<\/strong>\u3053\u3068\u3092\u793a\u5506\u3059\u308b\u3082\u306e\u3067\u3059\u3002<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">\u4eca\u5f8c\u306e\u5c55\u671b<\/h2>\n\n\n\n<p>\u4eca\u56de\u306e\u7814\u7a76\u3067\u306f\u3001\u7279\u306b<strong>CRL 70 mm\u4ee5\u4e0a\u306e\u6a19\u672c\u6570\u304c\u9650\u3089\u308c\u3066\u3044\u305f<\/strong>\u305f\u3081\u3001\u4eca\u5f8c\u3055\u3089\u306b\u591a\u304f\u306e\u6a19\u672c\u3092\u7528\u3044\u305f\u691c\u8a0e\u304c\u5fc5\u8981\u3067\u3059\u3002<br>\u307e\u305f\u3001\u58c1\u306e\u80a5\u539a\u304c\u7b4b\u5c64\u3001\u7c98\u819c\u4e0b\u5c64\u3001\u795e\u7d4c\u652f\u914d\u3001\u6a2a\u9694\u819c\u3068\u306e\u95a2\u4fc2\u306e\u306a\u304b\u3067\u3069\u306e\u3088\u3046\u306b\u6210\u719f\u3057\u3066\u3044\u304f\u306e\u304b\u3092\u660e\u3089\u304b\u306b\u3059\u308b\u3053\u3068\u3067\u3001LES\u5f62\u6210\u306e\u7406\u89e3\u306f\u3055\u3089\u306b\u6df1\u307e\u308b\u3068\u8003\u3048\u3089\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u308f\u308c\u308f\u308c\u306e\u7814\u7a76\u5ba4\u3067\u306f\u4eca\u5f8c\u3082\u3001MRI\u3092\u7528\u3044\u305f\u7acb\u4f53\u5f62\u614b\u89e3\u6790\u3092\u901a\u3058\u3066\u3001\u30d2\u30c8\u6d88\u5316\u7ba1\u306e\u767a\u751f\u3068\u6a5f\u80fd\u6210\u719f\u306e\u95a2\u4fc2\u3092\u660e\u3089\u304b\u306b\u3057\u3066\u3044\u304d\u307e\u3059\u3002<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">\u8ad6\u6587\u60c5\u5831<\/h2>\n\n\n\n<p><strong>\u8ad6\u6587\u30bf\u30a4\u30c8\u30eb<\/strong><br><em>Morphological Changes in the Lower Esophageal Sphincter During Early Human Fetal Development<\/em><\/p>\n\n\n\n<p><strong>\u8457\u8005<\/strong><br>Toru Kanahashi, Jun Matsubayashi, Hirohiko Imai, Hiroki Otani, Tetsuya Takakuwa<\/p>\n\n\n\n<p><strong>\u516c\u958b\u65e5<\/strong><br>2025\u5e7411\u670825\u65e5<\/p>\n\n\n\n<p><strong>DOI<\/strong><br><a class=\"\" href=\"https:\/\/doi.org\/10.1111\/cga.70032\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/doi.org\/10.1111\/cga.70032<\/a><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">\u3072\u3068\u3053\u3068<\/h2>\n\n\n\n<p>\u98df\u9053\u3068\u80c3\u306e\u5883\u76ee\u306b\u3042\u308bLES\u306f\u3001\u9006\u6d41\u3092\u9632\u3050\u5927\u5207\u306a\u4ed5\u7d44\u307f\u3067\u3059\u304c\u3001\u305d\u306e\u767a\u751f\u904e\u7a0b\u306f\u3053\u308c\u307e\u3067\u3042\u307e\u308a\u3088\u304f\u5206\u304b\u3063\u3066\u3044\u307e\u305b\u3093\u3067\u3057\u305f\u3002<br>\u4eca\u56de\u306e\u7814\u7a76\u3067\u306f\u3001\u80ce\u5150\u671f\u306e\u6bd4\u8f03\u7684\u65e9\u3044\u6bb5\u968e\u304b\u3089\u3001LES\u9818\u57df\u304c\u5468\u56f2\u3068\u306f\u7570\u306a\u308b\u5f62\u614b\u3092\u793a\u3057\u59cb\u3081\u308b\u3053\u3068\u304c\u898b\u3048\u3066\u304d\u307e\u3057\u305f\u3002<br>\u6a5f\u80fd\u304c\u73fe\u308c\u308b\u524d\u306b\u3069\u306e\u3088\u3046\u306a\u300c\u5f62\u306e\u6e96\u5099\u300d\u304c\u9032\u3093\u3067\u3044\u308b\u306e\u304b\u3092\u77e5\u308b\u3053\u3068\u306f\u3001\u30d2\u30c8\u306e\u6d88\u5316\u7ba1\u767a\u751f\u3092\u7406\u89e3\u3059\u308b\u3046\u3048\u3067\u91cd\u8981\u306a\u624b\u304c\u304b\u308a\u306b\u306a\u308b\u3068\u8003\u3048\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u91d1\u6a4b\u52a9\u6559\u304c\u3001\u30d2\u30c8\u80ce\u5150\u306e\u4e0b\u90e8\u98df\u9053\u62ec\u7d04\u90e8\uff08lower esophageal sphincter: LES\uff09\u304c\u3001\u767a\u751f\u306e\u521d\u671f\u306b\u3069\u306e\u3088\u3046\u306a\u5f62\u614b\u5909\u5316\u3092\u793a\u3059\u306e\u304b\u3092\u30017\u30c6\u30b9\u30e9MRI\u306b\u3088\u308b\u4e09\u6b21\u5143\u89e3\u6790\u3092\u7528\u3044\u3066\u8abf\u3079\u307e\u3057\u305f\u3002\u305d\u306e\u7d50\u679c\u3001\u80ce\u5150\u306e\u6210\u9577 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":13676,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[20],"tags":[],"class_list":["post-13674","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-20"],"_links":{"self":[{"href":"http:\/\/pathology.hs.med.kyoto-u.ac.jp\/index.php?rest_route=\/wp\/v2\/posts\/13674","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/pathology.hs.med.kyoto-u.ac.jp\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/pathology.hs.med.kyoto-u.ac.jp\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/pathology.hs.med.kyoto-u.ac.jp\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/pathology.hs.med.kyoto-u.ac.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=13674"}],"version-history":[{"count":13,"href":"http:\/\/pathology.hs.med.kyoto-u.ac.jp\/index.php?rest_route=\/wp\/v2\/posts\/13674\/revisions"}],"predecessor-version":[{"id":14471,"href":"http:\/\/pathology.hs.med.kyoto-u.ac.jp\/index.php?rest_route=\/wp\/v2\/posts\/13674\/revisions\/14471"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/pathology.hs.med.kyoto-u.ac.jp\/index.php?rest_route=\/wp\/v2\/media\/13676"}],"wp:attachment":[{"href":"http:\/\/pathology.hs.med.kyoto-u.ac.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=13674"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/pathology.hs.med.kyoto-u.ac.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=13674"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/pathology.hs.med.kyoto-u.ac.jp\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=13674"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}