• Title/Summary/Keyword: 간문맥혈류

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Estimation of portal blood flow using pulsed doppler ultrasound in the anesthetized dog (도플러 초음파를 이용한 개에서 마취에 따른 간문맥 혈류량 변화의 측정)

  • Lee, Young-won
    • Korean Journal of Veterinary Research
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    • v.38 no.3
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    • pp.659-663
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    • 1998
  • Portal bood flow was measured with pulsed Doppler ultrasound in twenty anesthetized dogs. In anesthetized dogs with xylazine HCl, the average of portal blood flow velocity was reduced($11.68{\pm}1.55cm/sec$ vs. normal $16.67{\pm}1.77cm/sec$). Average portal blood flow was also decreased compared to normal($28.36{\pm}11.61ml/min/kg$ vs. normal $43.12{\pm}14.46 ml/min/kg$). And congestion index was increased($0.0368{\pm}0.0117cm{\cdot}sec$) vs. normal $0.0297{\pm}0.0062cm{\cdot}sec$). In anesthetized dogs with ketamine HCl, portal blood flow velocity was slightly increased ($22.62{\pm}2.53cm/sec$ vs. normal $16.67{\pm}1.77cm/sec$. Also mean portal blood flow was slightly increased($43.12{\pm}14.46ml/min/kg$ vs. normal $55.32{\pm}19.99ml/min/kg$). In anesthetized dogs with tiletamine and zolazepam, portal blood flow velocity and portal blood flow were unchanged.

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Diagnostic Imaging of Biliary Atresia (담도폐쇄증의 영상 진단)

  • Haesung Yoon;Hyun Ji Lim;Jisoo Kim;Mi-Jung Lee
    • Journal of the Korean Society of Radiology
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    • v.83 no.5
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    • pp.991-1002
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    • 2022
  • Biliary atresia is a rare but significant cause of neonatal cholestasis. An early and accurate diagnosis is important for proper management and prognosis. To diagnose biliary atresia, various imaging studies using ultrasonography, MRI, hepatobiliary scans, and cholangiography can be performed, although ultrasonography is more important for initial imaging studies. In this article, we review the findings of biliary atresia from various imaging modalities, including ultrasonography, MRI, hepatobiliary scans, and cholangiography. The known key imaging features include abnormal gallbladder size and shape, periportal thickening visible as a 'triangular cord' sign, invisible common bile duct, increased hepatic arterial flow, and combined anomalies. Aside from the imaging findings of biliary atresia, we also reviewed the diagnostic difficulty in the early neonatal period and the role of imaging in predicting hepatic fibrosis. We hope that this review will aid in the diagnosis of biliary atresia.

Biliary Atresia in Korea - A Survey by the Korean Association of Pediatric Surgeons - (담도폐색증 - 대한소아외과학회회원 대상 전국조사 -)

  • Choi, Kum-Ja;Kim, S.C.;Kim, S.K.;Kim, W.K.;Kim, I.K.;Kim, J.E.;Kim, J.C.;Kim, H.Y.;Kim, H.H.;Park, K.W.;Park, W.H.;Song, Y.T.;Oh, S.M.;Lee, D.S.;Lee, M.D.;Lee, S.K.;Lee, S.C.;Jhung, S.Y.;Jhung, S.E.;P.M., Jung;S.O., Choi;Choi, S.H.;Han, S.J.;Huh, Y.S.;Hong, C.;Hwbang, E.H.
    • Advances in pediatric surgery
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    • v.8 no.2
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    • pp.143-155
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    • 2002
  • A survey on biliary atresia was made among 26 members of the Korean Association of Pediatric Surgeons. The members were required to complete a questionnaire and a case registration form for each patient during the twentyone-year period of 1980-2000. Three hundred and eighty patients were registered from 18 institutions. The average number of patients per surgeon was one to two every year. The male to female ratio was 1:1.3. The age of patients on diagnosis with biliary atresia was on average $65.4{\pm} 36.2$ days old. The national distribution was 32.8% in Seoul, 25.3% in Gyoungki-Do, 21.6% in Gyoungsang-Do, 9.27% in Choongchung-Do, etc. in order. The most common clinical presentation was jaundice (98.4%) and change of stool color (86.2%) was second. Two hundred eighty (74.7%) of 375 patients were operated by 80 days of age. Three hundred thirty six (9 1.9%) of 366 patients were operated on by the original Kasai procedure, and 305 (84.3%) of 362 patients were observed by bile-drainage postoperatively. The overall postoperative complication rate was 18.5% and the overall postoperative mortality rate was 6.8%. The associated anomalies were observed in 72 cases (22.5%). One hundred ninty five (64.7%) of 302 patients have been alive in follow-up and 49 (25.1%) have survived over 5 years without problem after operation. Ascending cholangitis, varices and ascites affected survival significantly, and the important long-term prognostic factor was the occurrence of complications.

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