• Title/Summary/Keyword: 위장의

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The Role of Endoscopy for Tumorous Conditions of the Upper Gastrointestinal Tract in Children (내시경으로 진단된 소아 상부 위장관의 종양성 질환에 대한 고찰)

  • Kim, Hye Young;Park, Jae Hong
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.8 no.1
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    • pp.31-40
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    • 2005
  • Purpose: This study aimed to provide, as a basic material, the experiences of endoscopy in diagnosis and treatment of tumorous conditions in the upper gastrointestinal tract in children. Methods: The objects were 26 patients diagnosed as having tumorous conditions in the upper gastrointestinal tract among 1,283 patients who underwent upper gastrointestinal endoscopic examination at the Department of Pediatrics, Pusan National University Hospital, from January 1994 to July 2004 retrospectively. The characteristics of patients, the chief complaints for endoscopic examination, the sorts of tumors diagnosed, the endoscopic findings of tumors, and the treatment of tumors were analysed. Results: 1) Eleven male and fifteen female were included, whose mean age was $6.93{\pm}4.02years$. 2) The chief complaints for endoscopic examination were abdominal pain (80.7%), vomiting or nausea (30.8%), and gastrointestinal beeding (30.7%) in order. 3) Six cases of ectopic pancreas, five cases of sentinel polyp, three cases of papilloma and vallecular cyst, two cases of Brunner's gland hyperplasia and gastric submucosal tumor, one case of gastrointestinal stromal tumor, duodenal intramural hematoma, T cell lymphoma, lipoma, and Peutz-Jeghers syndrome were diagnosed by endoscopy with or without biopsy. 4) The location of tumors was in the pharynx (19.2%), esophagus (7.7%), gastro-esophageal junction (23.0%), stomach (30.7%) and duodeneum (26.9%). 5) The size of tumors was less than 10 mm in 53.8%, 10~20 mm in 26.9%, more than 20 mm 19.2%. 6) Treatments for tumors included resection by laser, surgical resection, endoscopic polypectomy with a forcep or snare, and observation 7) There was no significant complication. Conclusion: Various and not a few tumors were found in the upper gastrointestinal tract. The endoscopy was accurate, effective, and safe means for diagnosis and treatment of those lesions in children.

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Gastrointestinal Stromal Tumor (GIST) of the Stomach: Clinicopathologic Analysis and Outcome (위에 발생한 위장관 간질성 종양의 임상병리학적 특성과 치료성적)

  • Ryu Je-Seock;Lee Sung-Ryul;Choi Sae-Byeol;Park Sung-Soo;Lee Ju-Han;Kim Seung-Joo;Kim Chong-Suk;Chae Yang-Seok;Mok Young-Jae
    • Journal of Gastric Cancer
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    • v.5 no.1
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    • pp.40-46
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    • 2005
  • Purpose: Gastrointestinal stromal tumors (GISTs) are mesenchymal neoplasms of the gastrointestinal tract. GISTs are positive for the expression of c-Kit protein at immunohistochemistry, and their clinical presentations vary. This retrospective study was performed to evaluate the clincopathologic characteristics of GISTs and to define the prognostic factors. Materials and Methods: 40 patients who underwent a complete resection of a GIST during the period $1996\~2003$ at the Department of Surgery, Korea University College of Medicine, were studied. We divided them into low- and high-risk. groups by using tumor size and mitotic count: 23 cases were low risk, and 17 were high risk. Clinicopathologic features, immunohistochemical findings, and prognoses were compared between the low- and the high-risk groups. Results: The mean age of the 40 patients was $61.3\pm11.1$years, and the male-to-female ratio was 1:1.1. There was no significant difference in age and sex between the groups. A comparative analysis revealed tumor size, mitotic count, clinical symptoms, preoperative pathologic diagnosis, ulceration, and necrosis to be variables that had statistically significant differences between the high- and the low-risk groups. In the univariate analysis, tumor size, mitotic count, ulceration, necrosis, and abnormal endoscopic ultrasound findings were associated with disease-free survival, but in the multivariate analysis, mitotic activity was the only independent factor associated with disease-free survival. 8 patients had recurrences during the follow-up period, and four of them were treated with STI-571 (imatinib mesylate, $Gleevec^{(R)}$). The treated patients have survived until now; however, two of non-treated patients died from disease progression. Conclusion: Based on this study, tumor size, ulceration, and necrosis are significant factors affecting survival, and mitotic activity may be a useful prognostic marker. STI-571 may be used in an adjuvant setting because the drug has shown anticancer activity in patients with recurrence or metastasis.

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The Study on Clinical Conditions and Skin Dose of Upper-Gastrointestinal X-ray Fluoroscopy (위장 X선 투시검사에 따른 실태 및 선량에 관한 연구)

  • Kim, Sung-Chul;Ahn, Sung-Min;Jang, Sang-Sup
    • Journal of radiological science and technology
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    • v.30 no.1
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    • pp.7-12
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    • 2007
  • This study examined present conditions of upper-gastrointestinal X-ray fluoroscopy and patient skin dose. The authors elected 21 equipments to check the X-ray equipment and exposure factor of fluoroscopy & spot exposure in university hospitals, hospitals, and clinics where perform upper-gastrointestinal X-ray fluoroscopy more than five times every day in Incheon areas. The amount of patient's skin dose during upper-gastrointestinal X-ray fluoroscopy was measured by ionization chamber.

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Physical examination patients Satisfaction on the Medical Services of the UGI series (위장조영검사에 대한 검진수검자의 의료서비스 만족도에 관한 연구)

  • Kim, Gyoo-Hyung;Lim, Cheong-Hwan
    • Proceedings of the Korea Contents Association Conference
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    • 2014.11a
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    • pp.231-232
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    • 2014
  • 건강검진을 위해 병원을 내원한 수검자 중 위장조영검사를 선택한 환자를 대상으로 서비스 만족도 개선을 위해 이 연구를 시행하였다. 수검자를 대상으로 설문조사를 시행하였으며, 2014년 5월부터 2개월 동안 검진센터를 방문한 수검자 147명을 교육 전, 2014년 7월부터 2개월 동안 내원한 수검자 164명을 교육 후 대상자로 하였다. 교육 전 대상자에게 불안감, 설명필요, 설명방식, 조영검사만족도 등을 조사하여 이를 바탕으로 동영상을 제작하였으며, 교육 후 대상자에게 제공하여 불안감 변화, 동영상 설명 만족도, 도움정도, 재시청의향 등을 조사하였다. 교육 전 측정한 불안감은 2.62, 설명필요성 2.52, 설명방식은 대상자의 78.2%가 설명안 내동영상을 선택하였으며, 조영검사만족도는 1.55로 낮게 조사되었다. 교육 후 측정한 불안감의 변화는 2.55, 동영상설명만족은 2.80, 도움정도 2.79, 재시청 의향은 2.80으로 높게 측정되었다. 교육 전과 교육 후의 집단간 교차분석에서 불안감, 시청의향, 도움정도, 동영상만족도 등에서 유의하게 측정되었다(p<0.05). 위장조영검사에 대한 동영상 교육과 사전 정보제공이 환자의 불안감을 감소시켰고, 검사만족도는 증가시켰다.

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Reduction Effect of Carcinogen-induced Mouse Epidermal and Forestomach Carcinogenesis by the Extract of Onion Wastes (비상품 양파추출물의 Mouse 피부암 및 위장안 억제효과)

  • 이찬중;김희대;정은호;서전규;박철우;하영래
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.29 no.3
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    • pp.525-530
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    • 2000
  • 상품가치가 없는 비상품구로부터 추출한 OWE를 mouse의 피부암 및 위장암 저해 효과에 관한 실험을 한 결과 피부암의 경우 control구에서는 6주부터 종양이 발생하여 23주에는 mouse 당 2.9개의 종양이 발생하였으나 20mg OWE 처리구에서는 8주부터 종양이 발생하여 23주에는 mouse 당 1.3개의 종양이 발생하여 control에 비해 55.2%의 종양 억제효과가 있었다. 20mg quercetin 처리에서는 6주부터 종양이 발생하기 시작하여 23주에는 mouse 당 1.2개의 종양이 발생하였다. 처리별 암 발생율은 20mg OWE 처리에서 85.7%, 20mg quercetin 처리에서는 76.2%의 발생율을 보여 control의 95.2%에 비해 낮은 암발생율을 보였다. 위장암의 경우 control에서는 mouse 당 9.2개의 종양이 발생하였고, 50mg OWE 및 25mg OWE 처리에서는 각 6.1, 6.3개의 종양이 발생하여 control에 비해 각각 33.7%, 31.5%의 종양억제효과가 있었다. 그리고 25mg quercetin 처리에서는 mouse 당 5.3개의 종양이 발생하였다. 처리별 암발생율은 50mg OWE 및 25 mg OWE 처리에서 각 88.2%, 94.1%, 25mg quercetin 처리에서 83.3%의 발생율을 보여 control 100%에 비해 낮은 암발생율을 보였다.

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An histological and immunohistochemical study of endocrine cells in the gastrointestinal tract of the Amur lizard (Takydromus amurensis) (아무르장지뱀의 위장관 내분비세포에 관한 조직화학적 및 면역조직화학적 연구)

  • Lee, Hyeung-sik;Lee, Mal-soon;Lee, Jae-hyun
    • Korean Journal of Veterinary Research
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    • v.35 no.1
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    • pp.67-73
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    • 1995
  • The distribution and the frequency of endocrine cells in the GIT of the Amur lizard(Takydromus amurensis) were investigated using silver techniques and immunohistochemical method. Only argyrophil cells stained by the Grimelius technique were found numerous in the pyloric glands and moderate in the duodenum. Two types of immunoreactive endocrine cells were identified by immunohistochemical method. Bovine CG-immunoreactive cells were demonstrated the entire GIT. BPP-immunoreactive cells were restricted in the duodenum and the ileum. The results showed that: the number of argyrophil cells was lower than the number of cells stained with bovine CG antiserum. Therefore, bovine CG-immunostaining and the Grimelius silver technique did not correspond with various endocrine cells in the Amur lizard.

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Spleen Daoyin Method (脾腸導引法) for Functional Dyspepsia Patients: A Case Report (비장도인법(脾腸導引法)을 적용한 복부 팽만감 주소의 기능성소화불량 증례보고)

  • Jeong, Hae-in;Ha, Na-yeon;Kim, Jin-sung
    • The Journal of Internal Korean Medicine
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    • v.42 no.6
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    • pp.1331-1340
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    • 2021
  • A 42-year-old patient with functional dyspepsia had suffered from early satiation and postprandial fullness for 1 year despite Western medicine treatment. We treated her with the Spleen Daoyin method, along with acupuncture, moxibustion, and herbal medicine and scored her symptoms using a 4-point Functional Dyspepsia-related Quality of Life (4p-FD-QoL) questionnaire, the Gastrointestinal Symptom Rating Scale (GSRS), and a visual analogue scale (VAS). A 7-day Spleen Daoyin treatment decreased her 4p-FD-QoL score from 61 to 51, with a marked decrease in the emotional part (18 to 10). Her GSRS score did not change, but her bloating score decreased from 3 to 1. Her VAS score decreased from 6.6 to 4.3 for upper abdomen discomfort, but lower abdomen discomfort was unchanged. The patient showed high compliance and satisfaction with exercise therapy and reported no adverse events. Spleen Dayoin may be a useful therapy for functional dyspepsia, especially when accompanied by psychological problems.

Enhancing Object Recognition in the Defense Sector: A Research Study on Partially Obscured Objects (국방 분야에서 일부 노출된 물체 인식 향상에 대한 연구)

  • Yeong-hoon Kim;Hyun Kwon
    • Convergence Security Journal
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    • v.24 no.1
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    • pp.77-82
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    • 2024
  • Recent research has seen significant improvements in various object detection and classification models overall. However, the study of object detection and classification in situations where objects are partially obscured remains an intriguing research topic. Particularly in the military domain, unmanned combat systems are often used to detect and classify objects, which are typically partially concealed or camouflaged in military scenarios. In this study, a method is proposed to enhance the classification performance of partially obscured objects. This method involves adding occlusions to specific parts of object images, considering the surrounding environment, and has been shown to improve the classification performance for concealed and obscured objects. Experimental results demonstrate that the proposed method leads to enhanced object classification compared to conventional methods for concealed and obscured objects.

The Improvement Effect of MMSC (DL-Methionine Methylsulfonium Chloride) in Functional Dyspepsia Animal Models (동물모델을 이용한 MMSC(DL-Methionine Methylsulfonium Chloride)의 기능성소화불량증 개선효과)

  • Kim, Jae Min;Cha, Myoung Hee;Lee, Don Haeng;Lee, Woon Kyu
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.42 no.12
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    • pp.2076-2081
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    • 2013
  • The objective of this study is to investigate the gastric emptying and gastrointestinal transit improvement effect of DL-methionine methylsulfonium chloride (MMSC) in functional dyspepsia animal models. Cisplatin causes nausea, vomiting, and inhibition of gastric emptying. Rats were divided into four groups: G1 (normal group), G2 (gastric emptying induced by cisplatin), G3 (gastric emptying induced by cisplatin with itopride 30 mg/kg pretreatment), and G4 (gastric emptying induced by cisplatin with MMSC 4 mg/kg pretreatment). Immediately after an oral administration of a liquid meal (phenol red), delayed gastric emptying was induced by cisplatin (10 mg/kg (i.p.)). After 20 min in the cisplatin administration, the animals were sacrificed. In rats treated with cisplatin, the gastric emptying rate was significantly reduced. On the other hand, MMSC reversed the reduction of gastric emptying induced by cisplatin. And also, MMSC caused to travel FITC-dextran more significantly longer distance than the control, which is based on the values of the mean geometric center in the atropine driven delayed gastrointestinal transit animal models. Furthermore, MMSC drastically increased the gastrointestinal transit in rats, considerably increased the values of the mean geometric center (MGC), compared to the control, which was comparable to that of mosapride. These results suggest that MMSC could be an effective component for the treatment of functional dyspepsia.

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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