{"id":9193,"date":"2026-10-14T20:55:33","date_gmt":"2026-10-14T11:55:33","guid":{"rendered":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/?p=9193"},"modified":"2026-10-14T21:02:24","modified_gmt":"2026-10-14T12:02:24","slug":"post-9193","status":"publish","type":"post","link":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-9193\/","title":{"rendered":"4\u5e74\u9593\u7d9a\u304f\u3080\u305b\u8fbc\u307f\u306e\u539f\u56e0\u306f\u8840\u7ba1\u3060\u3063\u305f\u3002\u53f3\u9396\u9aa8\u4e0b\u52d5\u8108\u8d77\u59cb\u7570\u5e38\uff08ARSA\uff09\u306b\u3088\u308b\u30eb\u30be\u30ea\u30a2\u56a5\u4e0b\u969c\u5bb3\uff08Dysphagia Lusoria\uff09\u2015 \u5185\u8996\u93e1\u30fb\u80f8\u90e8CT\u3067\u660e\u3089\u304b\u306b\u306a\u3063\u305f\u98df\u9053\u5727\u8feb\u3068\u4fdd\u5b58\u7684\u56a5\u4e0b\u7ba1\u7406\u3010NEJM 2026\u3011"},"content":{"rendered":"\n<h2 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class=\"wp-block-paragraph\">\u3057\u304b\u3057\u3001\u6bd4\u8f03\u7684\u307e\u308c\u306a\u539f\u56e0\u3068\u3057\u3066\u3001<strong>\u751f\u307e\u308c\u3064\u304d\u901a\u5e38\u3068\u7570\u306a\u308b\u7d4c\u8def\u3092\u8d70\u308b\u8840\u7ba1\u304c\u3001\u98df\u9053\u3092\u5916\u5074\u304b\u3089\u5727\u8feb\u3057\u3066\u3044\u308b\u5834\u5408<\/strong>\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u305d\u306e\u4ee3\u8868\u304c\u3001\u53f3\u9396\u9aa8\u4e0b\u52d5\u8108\u8d77\u59cb\u7570\u5e38\uff08Aberrant Right Subclavian Artery\uff1aARSA\uff09\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u901a\u5e38\u3001\u53f3\u9396\u9aa8\u4e0b\u52d5\u8108\u306f\u8155\u982d\u52d5\u8108\u304b\u3089\u5206\u5c90\u3057\u307e\u3059\u3002\u4e00\u65b9\u3001ARSA\u3067\u306f\u3001\u53f3\u9396\u9aa8\u4e0b\u52d5\u8108\u304c\u5927\u52d5\u8108\u5f13\u306e\u901a\u5e38\u3068\u306f\u7570\u306a\u308b\u4f4d\u7f6e\u304b\u3089\u5206\u5c90\u3057\u3001\u591a\u304f\u306e\u5834\u5408\u3001\u98df\u9053\u306e\u5f8c\u65b9\u3092\u901a\u3063\u3066\u53f3\u4e0a\u80a2\u3078\u5411\u304b\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u306e\u8840\u7ba1\u304c\u98df\u9053\u3092\u5727\u8feb\u3057\u3001\u56a5\u4e0b\u969c\u5bb3\u3092\u5f15\u304d\u8d77\u3053\u3059\u75c5\u614b\u3092\u3001\u300c\u30eb\u30be\u30ea\u30a2\u56a5\u4e0b\u969c\u5bb3\uff08Dysphagia Lusoria\uff09\u300d\u3068\u547c\u3073\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">2026\u5e746\u6708\u306e\u300eThe New England Journal of 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class=\"wp-block-heading\">4\uff0e\u80f8\u90e8CT\uff1a\u53f3\u9396\u9aa8\u4e0b\u52d5\u8108\u306e\u7570\u5e38\u8d70\u884c\u304c\u660e\u3089\u304b\u306b<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u7d9a\u3044\u3066\u80f8\u90e8CT\u691c\u67fb\u304c\u884c\u308f\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">CT\u3067\u306f\u3001\u53f3\u9396\u9aa8\u4e0b\u52d5\u8108\u304c\u901a\u5e38\u306e\u8155\u982d\u52d5\u8108\u304b\u3089\u5206\u5c90\u3059\u308b\u306e\u3067\u306f\u306a\u304f\u3001<strong>\u5927\u52d5\u8108\u5f13\u304b\u3089\u7b2c4\u679d\u3068\u3057\u3066\u8d77\u59cb\u3057\u3001\u98df\u9053\u5f8c\u65b9\u3092\u901a\u904e\u3057\u3066\u53f3\u5074\u3078\u8d70\u884c\u3059\u308b<\/strong>\u3053\u3068\u304c\u78ba\u8a8d\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u306e\u6240\u898b\u304b\u3089\u3001\u53f3\u9396\u9aa8\u4e0b\u52d5\u8108\u8d77\u59cb\u7570\u5e38\uff08ARSA\uff09\u304c\u540c\u5b9a\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u539f\u8457\u306e\u753b\u50cf\u3067\u306f\u3001\u7570\u5e38\u8d70\u884c\u3059\u308b\u53f3\u9396\u9aa8\u4e0b\u52d5\u8108\u3001\u5927\u52d5\u8108\u5f13\u304b\u3089\u306e\u5206\u5c90\u4f4d\u7f6e\u3001\u304a\u3088\u3073\u98df\u9053\u306e\u4f4d\u7f6e\u95a2\u4fc2\u304c\u793a\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"490\" height=\"340\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/10\/image-62.png\" alt=\"\" class=\"wp-image-9196\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/10\/image-62.png 490w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/10\/image-62-400x278.png 400w\" sizes=\"auto, (max-width: 490px) 100vw, 490px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">\u5185\u8996\u93e1\u3067\u78ba\u8a8d\u3055\u308c\u305f\u62cd\u52d5\u6027\u306e\u98df\u9053\u5727\u8feb\u3068\u3001CT\u3067\u660e\u3089\u304b\u306b\u306a\u3063\u305f\u8840\u7ba1\u8d70\u884c\u7570\u5e38\u3092\u7d44\u307f\u5408\u308f\u305b\u308b\u3053\u3068\u3067\u3001\u30eb\u30be\u30ea\u30a2\u56a5\u4e0b\u969c\u5bb3\u3068\u8a3a\u65ad\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u53f3\u9396\u9aa8\u4e0b\u52d5\u8108\u8d77\u59cb\u7570\u5e38\uff08ARSA\uff09\u3068\u306f\uff1f<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u901a\u5e38\u3001\u53f3\u9396\u9aa8\u4e0b\u52d5\u8108\u306f\u3001\u5927\u52d5\u8108\u5f13\u304b\u3089\u5206\u5c90\u3059\u308b\u8155\u982d\u52d5\u8108\u3092\u7d4c\u7531\u3057\u3066\u53f3\u4e0a\u80a2\u3078\u8840\u6db2\u3092\u4f9b\u7d66\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u4e00\u65b9\u3001ARSA\u3067\u306f\u80ce\u751f\u671f\u306e\u5927\u52d5\u8108\u5f13\u5f62\u6210\u904e\u7a0b\u306b\u304a\u3051\u308b\u8840\u7ba1\u306e\u767a\u9054\u30fb\u9000\u7e2e\u306e\u9055\u3044\u306b\u3088\u3063\u3066\u3001\u53f3\u9396\u9aa8\u4e0b\u52d5\u8108\u306e\u8d77\u59cb\u90e8\u3068\u8d70\u884c\u304c\u5909\u5316\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">ARSA\u306f\u5927\u52d5\u8108\u5f13\u5206\u679d\u306e\u5148\u5929\u7570\u5e38\u3068\u3057\u3066\u6bd4\u8f03\u7684\u983b\u5ea6\u304c\u9ad8\u304f\u3001\u5831\u544a\u306b\u3088\u3063\u3066\u5dee\u306f\u3042\u308a\u307e\u3059\u304c\u3001\u4e00\u822c\u96c6\u56e3\u306e\u7d040.5\uff5e2\uff05\u306b\u8a8d\u3081\u3089\u308c\u308b\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u591a\u304f\u306f\u7121\u75c7\u72b6\u3067\u3001\u753b\u50cf\u691c\u67fb\u306e\u969b\u306b\u5076\u7136\u767a\u898b\u3055\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3057\u304b\u3057\u3001\u4e00\u90e8\u306e\u60a3\u8005\u3067\u306f\u98df\u9053\u3078\u306e\u5916\u5727\u8feb\u306b\u3088\u3063\u3066\u56a5\u4e0b\u969c\u5bb3\u304c\u751f\u3058\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u306a\u305c\u4e2d\u5e74\u671f\u4ee5\u964d\u306b\u75c7\u72b6\u304c\u73fe\u308c\u308b\u306e\u304b\uff1f<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">ARSA\u306f\u5148\u5929\u6027\u306e\u89e3\u5256\u5b66\u7684\u7570\u5e38\u3067\u3059\u304c\u3001\u5fc5\u305a\u3057\u3082\u5c0f\u5150\u671f\u304b\u3089\u75c7\u72b6\u3092\u8a8d\u3081\u308b\u308f\u3051\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u52a0\u9f62\u306b\u4f34\u3046\u8840\u7ba1\u58c1\u306e\u786c\u5316\u3084\u5927\u52d5\u8108\u306e\u5f62\u614b\u5909\u5316\u306a\u3069\u306b\u3088\u3063\u3066\u3001\u98df\u9053\u3078\u306e\u5727\u8feb\u304c\u81e8\u5e8a\u7684\u306b\u554f\u984c\u3068\u306a\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">NEJM\u306e\u539f\u8457\u3067\u3082\u3001\u4e2d\u5e74\u671f\u306b\u306a\u3063\u3066\u8840\u7ba1\u304c\u786c\u304f\u306a\u308b\u3053\u3068\u3067\u75c7\u72b6\u304c\u73fe\u308c\u308b\u5834\u5408\u304c\u3042\u308b\u3068\u8aac\u660e\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u305f\u3060\u3057\u3001\u3053\u308c\u306f\u4e00\u822c\u7684\u306a\u75c5\u614b\u6a5f\u5e8f\u3067\u3042\u308a\u3001\u672c\u75c7\u4f8b\u306b\u304a\u3044\u3066\u8840\u7ba1\u786c\u5316\u306e\u7a0b\u5ea6\u3084\u305d\u306e\u7d4c\u6642\u7684\u5909\u5316\u304c\u76f4\u63a5\u8a55\u4fa1\u3055\u308c\u305f\u308f\u3051\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3064\u307e\u308a\u3001<strong>\u751f\u307e\u308c\u3064\u304d\u5b58\u5728\u3057\u3066\u3044\u305f\u8840\u7ba1\u306e\u8d70\u884c\u7570\u5e38\u304c\u3001\u4e2d\u5e74\u671f\u306b\u306a\u3063\u3066\u521d\u3081\u3066\u75c7\u72b6\u306e\u539f\u56e0\u3068\u3057\u3066\u660e\u3089\u304b\u306b\u306a\u308b\u3053\u3068\u304c\u3042\u308b<\/strong>\u306e\u3067\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">5\uff0e\u56a5\u4e0b\u969c\u5bb3\u306e\u9451\u5225\u8a3a\u65ad\uff1a\u53e3\u8154\u54bd\u982d\u6027\u3068\u98df\u9053\u6027\u3092\u5206\u3051\u3066\u8003\u3048\u308b<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u56a5\u4e0b\u969c\u5bb3\u306e\u8a3a\u7642\u3067\u306f\u3001\u75c7\u72b6\u306e\u767a\u751f\u3059\u308b\u6bb5\u968e\u3092\u8a55\u4fa1\u3059\u308b\u3053\u3068\u304c\u91cd\u8981\u3067\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u2460 \u53e3\u8154\u54bd\u982d\u6027\u56a5\u4e0b\u969c\u5bb3\uff08Oropharyngeal dysphagia\uff09<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u98df\u7269\u3092\u53e3\u304b\u3089\u54bd\u982d\u3078\u9001\u308a\u3001\u98df\u9053\u3078\u79fb\u52d5\u3055\u305b\u308b\u904e\u7a0b\u306b\u969c\u5bb3\u304c\u751f\u3058\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u4e3b\u306a\u539f\u56e0\u3068\u3057\u3066\u3001\u8133\u8840\u7ba1\u969c\u5bb3\u3001\u30d1\u30fc\u30ad\u30f3\u30bd\u30f3\u75c5\u3001\u795e\u7d4c\u7b4b\u75be\u60a3\u3001\u8133\u6027\u9ebb\u75fa\u3001\u52a0\u9f62\u306b\u4f34\u3046\u6a5f\u80fd\u4f4e\u4e0b\u306a\u3069\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u98df\u4e8b\u958b\u59cb\u76f4\u5f8c\u306e\u3080\u305b\u8fbc\u307f\u3001\u54b3\u8fbc\u307f\u3001\u98f2\u307f\u8fbc\u307f\u52d5\u4f5c\u306e\u56f0\u96e3\u3055\u306a\u3069\u304c\u624b\u304c\u304b\u308a\u3068\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u2461 \u98df\u9053\u6027\u56a5\u4e0b\u969c\u5bb3\uff08Esophageal dysphagia\uff09<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u98df\u7269\u304c\u98df\u9053\u3092\u901a\u904e\u3059\u308b\u904e\u7a0b\u306b\u969c\u5bb3\u304c\u751f\u3058\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u4e3b\u306a\u539f\u56e0\u306b\u306f\u3001\u98df\u9053\u72ed\u7a84\u3001\u98df\u9053\u764c\u3001\u597d\u9178\u7403\u6027\u98df\u9053\u708e\u3001\u98df\u9053\u904b\u52d5\u969c\u5bb3\u3001\u30a2\u30ab\u30e9\u30b7\u30a2\u3001\u98df\u9053\u5916\u304b\u3089\u306e\u5727\u8feb\u306a\u3069\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">ARSA\u306b\u3088\u308b\u30eb\u30be\u30ea\u30a2\u56a5\u4e0b\u969c\u5bb3\u306f\u3001\u3053\u306e\u98df\u9053\u6027\u56a5\u4e0b\u969c\u5bb3\u306e\u539f\u56e0\u306e\u4e00\u3064\u3067\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u2462 \u8907\u6570\u306e\u539f\u56e0\u304c\u4f75\u5b58\u3059\u308b\u56a5\u4e0b\u969c\u5bb3<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u672c\u75c7\u4f8b\u3067\u306f\u3001\u8133\u6027\u9ebb\u75fa\u306b\u4f34\u3046\u53e3\u8154\u54bd\u982d\u6027\u56a5\u4e0b\u969c\u5bb3\u304c\u3059\u3067\u306b\u6307\u6458\u3055\u308c\u3066\u3044\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u305d\u306e\u305f\u3081\u3001\u9577\u671f\u9593\u7d9a\u304f\u75c7\u72b6\u306b\u3064\u3044\u3066\u3082\u795e\u7d4c\u5b66\u7684\u306a\u554f\u984c\u304c\u4e3b\u56e0\u3068\u8003\u3048\u3089\u308c\u3066\u3044\u305f\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3057\u304b\u3057\u3001\u5185\u8996\u93e1\u3068CT\u306b\u3088\u3063\u3066\u98df\u9053\u5916\u5727\u8feb\u3068\u3044\u3046\u5225\u306e\u75c5\u614b\u304c\u660e\u3089\u304b\u306b\u306a\u308a\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p 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class=\"wp-block-paragraph\">\u533b\u79d1\uff1a04-7196-7531<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u6b6f\u79d1\uff1a04-7191-7081<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u67cf\u4e94\u5473\u6b6f\u79d1\u5185\u79d1\u30ea\u30a6\u30de\u30c1\u30af\u30ea\u30cb\u30c3\u30af<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3012277-0902 \u5343\u8449\u770c\u67cf\u5e02\u5927\u4e95764-1<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u5927\u4e95\u4ea4\u5dee\u70b9\u8fd1\u304f\u30fb\u99d0\u8eca\u5834\u5b8c\u5099<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u30d0\u30b9\uff1aJR\u5e38\u78d0\u7dda\u30fb\u6771\u6b66\u30a2\u30fc\u30d0\u30f3\u30d1\u30fc\u30af\u30e9\u30a4\u30f3\u67cf\u99c5\u6771\u53e3\u3001\u6771\u6b66\u30d0\u30b91\u756a\u4e57\u5834\u3088\u308a\u300c\u5927\u4e95\u300d\u4e0b\u8eca\u3001\u5f92\u6b69\u7d041\u5206<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u8eca\uff1a\u67cf\u99c5\u3088\u308a\u7d0415\u5206<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u25a0 \u53c2\u8003\u6587\u732e<\/h2>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p class=\"wp-block-paragraph\">Dubey I, Wadhwa N. Dysphagia Lusoria. <em>N Engl J Med.<\/em> 2026;394(21).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Published online May 30, 2026.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">DOI: <a href=\"https:\/\/doi.org\/10.1056\/NEJMicm2600585\">10.1056\/NEJMicm2600585<\/a><\/p>\n<\/blockquote>\n\n\n\n<h2 class=\"wp-block-heading\">\u25a0 \u3042\u308f\u305b\u3066\u8aad\u307f\u305f\u3044\u95a2\u9023\u8a18\u4e8b<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">\u2460 \u300c\u3080\u305b\u300d\u306f\u4f53\u304b\u3089\u306eSOS\uff1f\u8aa4\u56a5\u3092\u9632\u304e\u4e00\u751f\u304a\u3044\u3057\u304f\u98df\u3079\u308b\u305f\u3081\u306e\u7fd2\u6163\u3068\u5bfe\u7b56<\/h3>\n\n\n\n<figure class=\"wp-block-embed is-type-wp-embed\"><div class=\"wp-block-embed__wrapper\">\n<blockquote class=\"wp-embedded-content\" data-secret=\"Uk0MjwMawh\"><a 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