• Title/Summary/Keyword: 위장관 조영

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Clinical Study of UGI Finding on Patients with Health Screening (생명보험 종합검진중 상부위장관 조영술 결과에 대한 임상적 고찰)

  • Ra, Sea-Chull;Park, Min-Sun
    • The Journal of the Korean life insurance medical association
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    • v.17
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    • pp.63-67
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    • 1998
  • 연구배경 : 상부위장관 조영술결과 유소견을 보인 환자와 그들이 호소하는 증상, 그들의 사회적 환경, 생활특성이 어떠한 관련이 있는가 알아보고자 하였다. 연구대상 : 1995년 1월부터 1997년 12월까지 제일생명(주) 부속의원 종합검진센타에 내원한 8,982명을 대상으로 상부위장관조영술을 시행하고 이와함께 상부위장관 증상에 대한 설문조사를 시행하여 그 결과를 분석하였다. 결과 : 상부위장관 조영검사자 총 8,982명중 유소견자는 598명(6.66%)이며, 그중 남자 420명(70.24%), 여자 178명(29.76%)으로 나타났다. 유소견중에는 십이지장 궤양이 제일 많았으며 그 중 남자 $30{\sim}40$세에서 제일 많이 발견되었다. 증상발현율은 진단결과와 다른 큰 차이가 없었으며 각 증상중에 진단결과와 유의한 관련을 갖는 것은 없었다. 결론 : 상부위장관 증상은 기질적 원인보다 성별, 연령이나 생활환경의 영향을 더 받는 것으로 보여 진단에 있어 호소하는 증상을 고려하기보다 위장관조영술과 더불어 상기요인에 대한 고려가 필요하다.

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Congenital Midgut Malrotation : Radiological Findings (선천성 중장 회전 이상의 방사선학적 소견)

  • An, Jae-Hong;Hwang, Mi-Soo;Park, Bok-Hwan;Koh, Jung-Kon
    • Journal of Yeungnam Medical Science
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    • v.14 no.2
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    • pp.393-398
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    • 1997
  • An accurate early diagnosis of congenital midgut malrotation is essential to prevention of catastrophic effects of volvulus. To evaluate the usefulness of radiologic examinations in diagnosing intestinal malrotation, we retrospectively analyzed radiologic findings and operation records of 17 intestinal malrotation patients, who were radiologically diagnosed. The age range of the patients studied were from 1day to 12years. The presenting symptoms were vomiting, vomiting with abdominal pain, abdominal distention, diarrhea and failure to thrive. The viewpoints of this analysis were the location of duodeno-jejunal flexure on barium meal and cecal location on barium enema. Sixteen of 17 patients, who were radiologically diagnosed, were surgically proven, but one patient with annular pancreas was false positive. In the case of 3 surgically proved patients, malrotation was suspected on barium meal prior to the barium enema, but final diagnosis was determined on barium enema examination. We concluded that a barium enema should be performed on all children with suspected malrotation where the initial upper gastro-intestinal study was normal or suspicious on account of the small incidence of false positive and false negative barium meals.

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Recent Advances in Abdominal MR Imaging

  • 김명진
    • Proceedings of the KSMRM Conference
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    • 2001.11a
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    • pp.25-34
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    • 2001
  • 복부의 자기공명영상(Magnetic resonance imaging; MRI)은 주로 간 질환의 검사에서 다른 영상검사로 해결되지 않은 궁금점을 풀기 위한 보조적인 검사로 주로 사용하였으나, 최근 들어서는 병변의 발견 및 감별진단에 직접적인 검사로도 자주 이용하고 있으며, 담췌관 질환이나 위장관 검사 등에도 적용범위가 넓어지고 있다. 이는 그간의 하드웨어 및 소프트웨어상의 발달로 인해, 위장관 연동운동이나 호흡에 따른 인공물을 억제하면서도 해부학적인 세부구조는 자세하게 나타낼 수 있는 우수한 영상을 얻을 수 있음으로써 가능하게 되었다. 고속영상은 영상의 질을 우수하게 할 뿐 아니라, 검사시간을 단축시켜서 더 많은 환자를 검사할 수 있게 하고, 한자가 검사에 더 잘 적응할 수 있게 하여준다. 단발(single-shot)기법의 고속 T2강조영상은 담췌관이나 위장관등 그간 MRI를 적용하기 어려웠던 부위에 대한 검사가 가능하게 하였으며, 고속의 3차원 T1강조 펄스대열(pulse sequence)은 단면에 따른 오기록(misregistration)이나 운동인공물이 적으면서도, 향상된 다평면적인 영상구성을 얻을 수 있게 하였다. [l]. 본 강좌에서는 최근 수년간 복부 MRI의 응용을 증가할 수 있게 한 영상장치 및 펄스대열의 발전과 최근 국내에 시판이 허용되어 사용이 증가되고 있는 새로운 간자기공명조영제에 관해서 살펴보고자 한다.

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Radiographic Evaluation of Small Intestinal Diameter in Small Breed Dogs (소형견에서 소장 직경의 방사선학적 평가)

  • Choi, Ho-Jung;Kim, Soo-Chan;Lee, Young-Won
    • Journal of Veterinary Clinics
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    • v.29 no.4
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    • pp.301-305
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    • 2012
  • The purpose of the present study was to prove our empirical tendency of relatively high small intestinal diameter (SI) to fifth lumbar vertebral height (L5) ratio, which has been used in dogs. In this study, the ratio of SI/L5 was determined in small breed dogs weighing less than 5 kg. In addition, the effect of large volume of contrast media on the intestinal dilation was determined by performing upper gastrointestinal contrast study. Abdominal radiography and upper gastrointestinal series were performed in twelve healthy dogs weighing less than 5 kg. Small intestinal diameter (SI), fifth lumbar vertebral height (L5), and twelfth rib diameter were measured on abdominal radiographs. The range of values of SI/L5 is from 1.03 to 2.26 in plain radiography, and from 1.55 to 2.5 in contrast studies. Contrast agent significantly increased small intestinal diameter, and could be considered as mildly dilated intestinal model. Therefore, a value of 2.1 for SI/L5 is recommended as the upper limit of the normal range suggesting nonobstructive intestinal dilation.

Radiographic Evaluation of Small Intestinal Diameter in Small Breed Dogs (소형견에서 소장 직경의 방사선학적 평가)

  • Choi, Ho-Jung;Kim, Soo-Chan;Lee, Young-Won
    • Journal of Veterinary Clinics
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    • v.29 no.5
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    • pp.391-394
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    • 2012
  • The purpose of the present study was to prove our empirical tendency of relatively high small intestinal diameter (SI) to fifth lumbar vertebral height (L5) ratio, which has been used in dogs. In this study, the ratio of SI/L5 was determined in small breed dogs weighing less than 5 kg. In addition, the effect of large volume of contrast media on the intestinal dilation was determined by performing upper gastrointestinal contrast study. Abdominal radiography and upper gastrointestinal series were performed in twelve healthy dogs weighing less than 5 kg. Small intestinal diameter (SI), fifth lumbar vertebral height (L5), and twelveth rib diameter were measured on abdominal radiographs. The range of values of SI/L5 is from 1.03 to 2.26 in plain radiography, and from 1.55 to 2.5 in contrast studies. Contrast agent significantly increased small intestinal diameter, and could be considered as mildly dilated intestinal model. Therefore, a value of 2.1 for SI/L5 is recommended as the upper limit of the normal range suggesting nonobstructive intestinal dilation.

Gastric neurofibroma in von Recklinghausen disease : a cause of upper gastrointestinal bleeding (Von Recklinghausen disease병 환아에서 상부위장관 출혈로 발현한 위의 신경섬유종 1례)

  • Kwon, Bo Sang;Shim, Jeong Ok;Seo, Jeong Kee;Yang, Hye Ran;Ko, Jae Sung;Jung, Seong Eun;Kim, Woo Sun;Kang, Gyeong Hoon
    • Clinical and Experimental Pediatrics
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    • v.49 no.2
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    • pp.203-207
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    • 2006
  • Neurofibromatosis type 1 (von Recklinghausen disease, NF1) involves the central and peripheral nervous systems as well as the skin, bone, endocrine, gastrointestinal and vascular systems. The gastrointestinal neurofibroma associated with NF1 has been infrequently reported. We report our experience with a 15-year-old boy who had a gastric plexiform neurofibroma with upper gastrointestinal bleeding and underwent a tumorectomy because of massive upper gastrointestinal bleeding. We conclude that gastrointestinal bleeding and anemia in the setting of NF1 mandates complete endoscopic examination of the digestive tract to rule out neurofibromas. Surgical resection is the standard treatment.

Carcinoma of the Colon and Rectum : Sonographic Findings and usefulness (Cases Review) (결직장암의 초음파검사 소견 및 유용성(증례 중심으로))

  • Jung, Hong-Ryang;Kim, Myeong-Soo;Sim, Hyun-Sun
    • Journal of radiological science and technology
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    • v.26 no.2
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    • pp.43-47
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    • 2003
  • Colorectal cancer produce focal mass or segmental thickening which can be detected with sonography. The purpose of this study was to describe sonographic findings of colorectal cancer. we reviewed sonograms of 51 patients with colorectal cancer in whom sonography was performed before colon study. In 51 patients who had more common coloretal cancer 27cases(53%) had 40 to 50 years of age(60%). Sonographic findings included segmental thickening 42cases, or irregular mass 9 cases. With careful examination, these findings can be detectable, and therefore bowel should be carefully examination in patients with sign and symptoms suggesting carcinoma of the colon and rectum.

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