• Journal of Chest Surgery
• /
• v.38 no.11 s.256
• /
• pp.791-794
• /
• 2005

After esophagectomy, the stomach is used most commonly for the method of reconstruction. However, the stomach may not be large enough to be reached the site of anastomosis when it is above the pharynx. We experienced a double primary cancer of the lower esophagus and the larynx. Total laryngectomy and total esophagectomy were done with cervical pharyngojejunogastrostomy for reconstruction. Free jejunal graft is interposed between the oropharyngeal stump and the stomach is pulled-up. We could restore the alimentary track without tension at the anastomotic site and obtain sufficient blood supply.

• Journal of the Korean Society of Visualization
• /
• v.7 no.2
• /
• pp.22-27
• /
• 2010

The delayed gastric emptying flows have been visualized in this study when a gastric graft replaced an esophagus after esophagectomy. To construct visualization models for gastric grafts, the path data of gastric graft were extracted from the CT images for real patients and then the experimental models were made from silicone tube by considering elasticity of real stomach. During experiments, 200 ml of water or glycerin was poured into the gastric graft model and the gastric emptying time for total volume of fluid to pass pylorus was measured from the successive images captured by a high speed CCD. The gastric emptying time was compared according to the change of diameter and path (front or rear path) of gastric graft, and pyloroplasty or not. In case that the pyloroplasty was not conducted, the smaller was the diameter of gastric graft, the shorter was the gastric emptying time. However, if the pyloroplasty was conducted, the larger diameter of gastric graft was better for the gastric emptying. Although the rear path gave rise to longer gastric emptying time than the front path, it did not matter, if the pyloroplasty was conducted.

• Proceedings of the KAIS Fall Conference
• /
• 2010.05b
• /
• pp.1021-1024
• /
• 2010

형상의학은 음양오행설과 수천 년 동안 내려온 임상적 통계에 뿌리를 두고 있는 고유의 전통의학이다. 비록, 과학적 원리는 명확하게 밝혀지지 않았지만 독자적인 체계에 따라 사람 형상을 분류하고 이에 따라 질환을 진단하는 체계를 구성하고 있다. 본 논문에서는 이와 같은 형상의학을 기반으로 코의 형태에 따른 위장질환과의 상관관계를 분석하였다. 이를 위해 얼굴 영상에서 코의 형태를 추출하고 코의 크고 작음, 휨 등에 따라 위장질환과의 관계를 분석하는 실험을 수행하였다. 이를 기반으로 코의 형태와 위장질환과의 객관화, 시각화, 정량화된 출력 지표를 설계하였으며 실험 결과에 대한 유의성을 입증하였다.

• Clinical and Experimental Pediatrics
• /
• v.49 no.2
• /
• pp.203-207
• /
• 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.

• Journal of the Korean Institute of Telematics and Electronics S
• /
• v.36S no.5
• /
• pp.70-77
• /
• 1999

본 논문에서는 Wavelet을 이용한 위장 영상의 질환 부위 특징을 추출하여 질환 부위 패턴을 인식할 수 있는 알고리즘을 제안하였다. 전처리 과정으로서 위장 영상이 형태정보는 입력 영상을 DWT(Discrete wavelet transform)에 의해 4레벨 DWT 계수 행렬을 구하고 계수 행렬의 특징에 따라 저주파 계수 행렬로부터 저주파 특징 파라미터 32개, 수평 고주파 계수 행렬로부터 수평 고주파 특징 파라미터 16개, 수직 고주파 계수 행렬로부터 수직 고주파 특징 파라미터 16개, 그리고, 대각 고주파 계수 행렬로부터 대각 고주파 특징 파라미터 32개 등 모두 96개의 특징 파라미터를 추출한 후 각각의 특징 파라미터를 최대 값+0.5로 최소 값을 -0.5로 정규화 하여 신경회로망의 입력 벡터로 사용하였다. 위장 영상 패턴 인식을 위한 신경회로망은 교사 학습을 요구하는 다층 구조의 오차 역전파(Error back propagation)알고리즘으로 하였고 구조적 특성을 이용하여 입력층, 중간층, 출력층의 계층 구조로 설계하였다. 설계된 신경회로망의 학습은 학습계수를 0.2로 모우멘텀을 0.6으로 설정하여 출력층 최대오차가 0.01보다 작을 때까지 수행하였으며 약 8000회 정도 학습한 결과 설정값 보다 작은 결과를 얻었고 질환의 종류나 위치, 크기에 관계없이 100%의 인식률을 얻었다.

• Journal of Chest Surgery
• /
• v.29 no.9
• /
• pp.1003-1009
• /
• 1996

Although esophagogastric (EG) anastomosis with a circular surgical stapler (EEA or ILS) is a safe find convenient proc dure with less anastomotic leakage, a concern for the anastomotic stricture still remains, especially in patients with small esophagus. We modified cervical EG anastomotic technique using straight thoracoscopic endostapler to prevent EG anastomotic stricture. Prospective clinical study was performed to determine the feasibility of our modification using Endo-GIA (US Surgical Corp., Worwalk), during the period from October, 1994 to July, 1995, in thirteen patients with carcinoma of the thoracic esophagus. A stomach tube was reanastomosed to the cervical esophagus utilizing a 30 mm Endo-GIA after esophagectomy and node dissection. There was one early mortality due to respiratory failure and pulmonary tuberculosis. Anastomotic leakage with resultant stricture was noticed in one patient, and it was re- lated to ischemic necrosis of the stomach tube. The overall incidence of stricture was 7.6 % (1113). During the 8 month follow-up period, the remaining 11 patients did not show any clinica evidence of stricture such as dysphagia. All patients were on a regular diet. We conclude that our new technique for cervical EG anastomosis with GIA-Endo stapler is a safe and convenient procedure in preventing anastomotic stricture.

• Journal of Veterinary Clinics
• /
• v.31 no.3
• /
• pp.220-222
• /
• 2014

A 14 year-old Shih-tzu was referred to the Veterinary Medical Teaching Hospital of Chungnam National University with a history of foreign body ingestion and vomiting. The vomitus contained ketoprofen plaster, which is used for orthopedic analgesia in humans. Supportive care and gastrointestinal (GI) protective agents were administered, including famotidine, misoprostol, sucralfate, omeprazole, and fluid therapy. However, the clinical signs worsened, and anemia, melena, leukocytosis, and azotemia developed. The patient was diagnosed with GI hemorrhage and underwent a whole blood transfusion followed by barium sulfate administration. After administering barium sulfate as a GI protectant, the clinical signs improved, and the patient was discharged.

• Korean Journal of Veterinary Research
• /
• v.30 no.3
• /
• pp.261-270
• /
• 1990

The gastrointestinal endocrine cells of the Korean native goat were studied immunohistochemically, and 5-HT-, somatostatin-, Gas/CCK-, glucagon-, chromogranin- and PP- immunoreactive cells were revealed. The characteristic findings of the regional distribution and relative frequency of these immunoreactive cells in the gastrointestinal tract of the Korean native goat were as follows. 5-HT-immunoreactive cells were more numerous in the small and large intestine than in the abdomen stomach. Somatostatin-immunoreactive cell were more numerous in the abdomen stomach than in the small and large intestine. Gas/CCK-immunoreactive cells were concentrated very numerously in the pyloric region with a few in the other regions. Moderate numbers of glucagon-immunoreactive cells were found in the small and large intestine, but a few of them were found in the abdomen stomach. Very numerous chromogranin-immunoreactive cells were detected throughout the gastrointestinal tract. PP-immunoreactive cells were observed moderate numbers in the large intestine with few in the ileum. No insulin-immunoreactive cell was found in the gastrointestinal tract.

• Journal of the Korean Institute of Intelligent Systems
• /
• v.22 no.1
• /
• pp.100-107
• /
• 2012

Recently the need for advanced security technologies are increasing as the occurrence of intelligent crime is growing fastly. Previous methods for face disguise detection are required for the improvement of accuracy in order to be put to practical use. In this paper, we propose a new disguise detection method using the template matching and Adaboost algorithm. The proposed system detects eyes based on multi-scale Gabor feature vector in the first stage, and uses template matching technique in oreder to increase the detection accuracy in the second stage. The template matching plays a role in determining whether or not the person of the captured image has sunglasses on. Adaboost algorithm is used to determine whether or not the person of the captured image wears a mask. Experimental results indicate that the proposed method is superior to the previous methods in the detection accuracy of disguise faces.

• The Korean Journal of Zoology
• /
• v.16 no.2
• /
• pp.119-126
• /
• 1973

This experiment was performed in order to study the morphological changes of the argentaffin and argyrophile cells in the gastrointestinal mucosae of Rana nigromaclata during development. The specimens from the stomach and the small intestine at different developmental stages were fixed in neutral 10% formalin, sectioned at a thickness of 3 microns, and impregnated by Masson's method for argentaffin cells and by Bodian's method for argyrophile cells. The results of observation were as follows: 1. In the stomach, the argentaffin cells appeared at XIII stage of metamorphosis and the argyrophile cells at X stage and they rapidly increased in number at XXV stage. 2. In the small intestine, the argentaffin cells appeared at XXV stage of metamorphosis and the argyrophile cells at XVII stage and they rapidly increased in number at XXV stage. 3. The argentaffin and argyrophile cells in the gastrointestinal mucosae, appeared prior to forming gastrointestinal mucosal fold following to development of muscle layer. 4. The rapid numeral increase of the argentaffin and argyrophile cells in the last stage of metamorphosis would be due to ecological changes and differentiations of gastrointestinal mucoae in amphilbia.