• 제목/요약/키워드: 유문등

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A Study of Gastrointestinal Parasympathetic Nerve Activity and Pyloric Valve Function, and Clinical Characteristerics in Patients with Functional Dyspepsia - Analysis of Bowel Sound (기능성 소화불량증 환자의 위장관 부교감 신경, 위 유문부의 기능 및 임상양상에 대한 조사 (한방병원 내원 환자를 중심으로))

  • Hong, In-A;Yoon, Sang-Hyuh
    • The Journal of Internal Korean Medicine
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    • v.29 no.3
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    • pp.666-674
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    • 2008
  • Objectives : The aim of this study was to evaluate gastrointestinal parasympathetic nerve activation and pyloric valve function in patients with functional dyspepsia through analysis of bowel sounds and to investigate clinical characteristics associated with the parameters of bowel sounds. Method : We surveyed clinical characteristics of patients by using a questionnaire about functional dyspepsia. Bowel sounds were recorded for 15 minutes during fasting state and for 40 minutes during postprandial state. We then classified the patients into 3 groups by abnormal states of bowel sounds, specifically by the percentage of B.S. and dominenet frequency, and studied clinical characteristics in each group. Results : Among the 182 subjects, patients who had low activity of parasympathetic nerve were 25.8% and showed a tendency of female-dominant, family history and more frequent abdominal pain. Those who had pyloric valve disturbance were 24.1% and showed no tendency by sex distribution, family history and complained of indigestion sensation. Patients who had both disorders were 10.9%, and their clinical characteristics were non-specific. Conclusion : Analysis of bowel sounds may be useful in evaluating pathophysiological factors of functional dyspepsia.

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Hypertrophic Pyloric Stenosis Occurring in Fasting State with Gastrostomy After Surgery for Esophageal Atresia with Tracheoesophageal Fistula (선천성 식도 폐쇄 환자에서 출생 후 위루관 삽입술과 계속적인 금식상태에서 근본수술 후 발생한 비후성 유문 협착증 - 1예 보고 -)

  • Jung, Eun-Young;Choi, Soon-Ok;Park, Woo-Hyun
    • Advances in pediatric surgery
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    • v.17 no.1
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    • pp.88-92
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    • 2011
  • The onset of hypertrophic pyloric stenosis in the postoperative course of esophageal atresia with tracheoesophageal fistula is rarely reported. The diagnosis could be delayed due to its mimicking symptoms of other postoperative complications including gastroesophageal reflux or anastomotic stricture. We present an infant who had surgery for esophageal atresia with tracheoesophageal fistula. He had never fed since birth. The infant presented with an increased amount of orogastric tube drainage and consistently distended gastric air on simple abdominal X-ray. Abdominal ultrasonography showed hypertrophic thick pyloric muscle. The diagnosis of pyloric stenosis was confirmed d is rarely reported. The diagnosis could be delayed due to its mimicking symptoms of other postoperative complications including gastroesophageal reflux or anastomotic stricture. We present an infant who had surgery for esophageal atresia with tracheoesophageal fistula. He had never fed. The infant presented with uring surgery, After pyloromyotomy, the patient's condition improved.

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Surgical Treatment of Sliding Hiatal Hernia by Incisional Gastropexy at Fundus and Pylorus in a Chihuahua Dog (치와와견에서 위저부 및 유문부의 절개성 위고정술을 통한 축성열공허니아의 수술적 치료)

  • Jang Ha-young;Yoon Hun-young;Kim Jun-young;Han Hyun-jung;Jeong Soon-wuk
    • Journal of Veterinary Clinics
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    • v.22 no.1
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    • pp.76-78
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    • 2005
  • A 1 year 2 months old, male Chihuahua dog weighing 0.92 kg was presented with a history of intermittent vomiting after eating since two weeks ago. Based on the history, clinical signs, physical examination, and contrast radiographs, the diagnosis of sliding hiatal hernia was made. Diaphragmatic plication, esophagopexy and left-sided gastropexy concurrently required for surgical correction but in this case, diaphragmatic plication and esophagopexy could not be applied because of the patient's special condition. Instead, left-sided gastropexy was performed with additional pyloropexy. To treat reflux esophagitis, cimetidine and sucralfate were administrated and patient was fed in an upright position. Two days after the surgery, the patient showed normal activity and after then there was not found recurrence or complication.

Visualization of Delayed Gastric Emptying Flows After Esophageal Reconstruction Using a Gastric Graft (위장 이식편을 이용한 식도 재건술에서 위장 배출 지연 현상의 가시화)

  • Jeon, Hye-Jin;Park, Hee-Jin;Sung, Jae-Yong;Lee, Jae-Ik
    • Journal of the Korean Society of Visualization
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    • v.7 no.2
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    • pp.22-27
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    • 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.

오리나무 수피엑스의 위염 및 위궤양에 대한 효과

  • 우병희;송여옥;노혜림;한혜경;정춘식;정기화;이은방
    • Proceedings of the Korean Society of Applied Pharmacology
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    • 1995.04a
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    • pp.115-115
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    • 1995
  • 저자 등은 일련의 식물엑스에 대하여 항위염 및 항궤양효능에 관한 검색을 실시하여 오리나무수피의 MeOH엑스가 현저한 효과가 있음을 예지 하였으므로 그에 대하여 보다 구체적인 실험을 실시하였다. 즉 MeOH엑스를 Hexane, CMCl$_3$, BuOH로 계통적으로 추출하여 상기의 분획 및 잔사인 물분획을 제조하여 이에 대한 실험을 실시하였다. 소화성궤양이 공격인자와 방어인자의 불균형에 의해 형성됨을 Shay가 주장함으로써 공격인자의 억제를 알아보기 위한 Mizui 등의 방법인 HClㆍEtOH 유발 위손상 실험과 Guth 등의 Aspirin 위손상 실험 방법에 따라서 위 손상정표를 관찰하였다. Shay의 방법에 따라서 위궤양 모텔은 유문을 결찰하고 검체를 십이지장내에 투여하고 처치를 완료하고 12시간 후에 궤양정도와 또한 4시간의 유문결찰에 의한 위액분 비량, pH 및 산분비량에 미치는 영향을 관찰하였다. 또 염산과 pepsin 등에 의한 점막 손상에 대한 방어인자의 증강요인인 위 mucous membrane의 mucus분비를 알아보기 위한 absoluteㆍ에탄올 위손상에 대한 예방효과 시험을 시행하였다. 이 실험의 결과, 오리나무 MeOH엑스의 항위염 및 항위궤양효과는 BuOH 분획에서 강력한 작용이 있었으며 이 분획은 aspirin 유발 위손상 및 shay 궤양에 효과를 나타내었고 또한 mucin량의 증가를 보여주었다. 그러나 이 분획은 위액, pH 및 산분비량에 영향을 나타내지 아니하였다.

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A Study on Decreasing Behavior of Strength & Elastic Parameters due to Water Infiltration in Rock Cores (II) (침투류에 의한 암석시료의 함수 저감거동 연구 (II))

  • Cho, Hong-Je;Jeong, Il-Soo;Moon, Jong-Kyu
    • Journal of the Korean Geotechnical Society
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    • v.28 no.11
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    • pp.87-99
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    • 2012
  • Targeting 9 types of rocks, which have high frequency of excavation, the researcher has analyzed decreasing behaviors of elastic modulus due to water content. The elastic modulus decreasing behaviors have been classified into 5 steps by uniaxial compressive strength. The results indicate that all of 5 sedimentary rocks and andesite show single decreasing behavior and granite, rhyolite, and gneiss demonstrate another decreasing behavior. Moreover, sensitivity of water content in granite, rhyolite, gneiss is almost twice as fast as that of the other rocks and their residual value of elastic modulus is very low.

Intravenous Atropine Sulfate Therapy for Infantile Hypertrophic Pyloric Stenosis (영아 비후성 유문 협착증의 atropine sulfate 정맥요법)

  • Bang, Seun-Ho;Kang, Yoon-Jung;Joe, Byoung-Sun;Lee, Tae-Seok
    • Advances in pediatric surgery
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    • v.8 no.1
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    • pp.33-38
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    • 2002
  • The purpose of this study is to evaluate the applicability of intravenous atropine sulfate therapy in infantile hypertrophic pyloric stenosis (IHPS). From 1998 to 2000 among 35 cases of IHPS, pyloromytomy was performed in 13 (Group A), and intravenous atropine was given as a primary therapy in 22 cases (Group B). In group A, all cases were cured completely. In group B, 13 (59 %) out of 22 cases were successfully treated with atropine, but 9 were failed therapy, and required operation. The recovery period to normal feeding and the hospital stay of the successful atropine group were longer than those of pyloromyotomy, 8.6 days vs. 2.9 days and 13.2 days vs. 4.1 days, respectively. In conclusion, intravenous atropine therapy did not replace pyloromyotomy, but it might be an alternative for the selected patients with contraindications for operation.

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Comparative Nerve Distribution of the Pylorus in Infantile Hypertrophic Pyloric Stenosis (영아 비후성 유문협착증에서 유문부의 신경분포의 비교)

  • Kim, Gang-Do;Joo, Dae-Hyun;Yoo, Yong-Oon;Park, Sung-Hwan;Park, Ki-Ho;Park, Jae-Bok
    • Advances in pediatric surgery
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    • v.8 no.1
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    • pp.23-27
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    • 2002
  • Infantile hypertrophic pyloric stenosis (IHPS) a common childhood disorders characterized by nonbilious projectile vomiting, an olive shaped mass in the right upper quadrant of the abdomen and visible gastric peristaltic wave in the upper abdomen. Its etiology and pathogenesis are not clear but abnormal nerve distribution of the pylorus has been $postulated^{2-6}$. We performed immunocytochemical staning to the pyloric muscle from 10 IHPS and 3 controls patients, utilizing specific monoclonal antibody to NCAM(neural cell adhesion molecule). In IHPS patients, the number of NCAM protein immunoreactive nerve fibers were less than that in normal subjects. Auerbach myenteric plexuse was well developed and interbundle nerve plexuse was present but nerve fibers supplying individual muscle cells in smooth muscle bundles were poorly developed. These results indicate reduction of innervation in smooth muscles in IHPS patients that possibly contributes to the pathogenesis of IHPS.

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Immunohistochemical study of the endocrine cells of the gastrointestinal mucosa of the African clawed toad, Xenopus laevis (아프리카 발톱두꺼비의 소화관내분비세포에 관한 면역조직화학적 연구)

  • Lee, Hyeung-sik;Lee, Jae-hyun
    • Korean Journal of Veterinary Research
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    • v.37 no.1
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    • pp.9-13
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    • 1997
  • The gastrointestinal endocrine cells of the African clawed toad, Xenopus laevis have been investigated immunohistochemically using the avidin-biotin method. Seven antisera were tested and three endocrine cell types immunoreacted with antisera to neurotensin, GRP and substance P. A moderate number of neurotensin-immunoreactive cells were weakly reacted in the small intestine. GRP-immunoreactive cells were mainly situated among the upper portion in the fundic glands, and the basal portion in the pyloric glands. These cells were oval and round in shape. On the other hand, in the intestine they were thin spindly cells with the epithelium. Substance P-immunoreactive cells were observed in among intestinal epithelium. However, no secretin-, motilin-, M-Enk- and PYY-immunoreactive cells were found in the GIT of the African clawed toads.

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Occurrence and Mineralogical Properties of Clay Minerals in the Gosari Pottery Stones Mine in Taebek, Kangweon-do (강원도 태백시 고사리도석광산에 산출하는 점토광물의 산상 및 특성)

  • 황진연;정윤영
    • Journal of the Mineralogical Society of Korea
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    • v.7 no.2
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    • pp.97-110
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    • 1994
  • 고사리광산의 도석에는 다량의 석영과 함께 녹니석/스멕타이트 혼합층광물, 운도/스멕타이트 혼합층광물, 카오리나이트와 같은 점토광물이 산출한다. 이들 점토광물에 대해 주로 X-선회전분석과 화학분석 등을 이용하여 광물학적 특성을 검토하였다. 이 광산의 도석은 녹니석/스멕타이트 혼합층광물을 다량 함유하는 것이 특징으로 나타났다. 이 녹니석/스멕타이트 혼합층광물은 Li을 함유하는 돈바싸이트로 된 녹니석층과 바이델라이트에 가까운 스apr타이트층으로 구성된 혼합층구조를 이룬다. 이 곳에 산출하는 운모/스멕타이트 혼합층광물은 모두 약 15% 이하의 팽윤층을 포함하는 것으로 되어 있다.이 광산의 도석은 백악기의 유문암 및 유문암질 응회암이 열수변질작용을 받아 형성된 것으로 나타났다. 점토광물조합의 분포상태에 의해 대략적인 변질분대가 나누어진다. 중심부인 강변질대에서는 다량의 녹니석/스텍타이트 혼합층광물이 나타나며 카오리나이트가 수받되기도 한다. 그 외곽지역의 약변질대에서는 점토광물로서 운모/스멕타이트 혼합층광물이 주로 나타난다. 카오리나이트는 주로 열극이나 그 주위에 국부적으로 산출되는 경향이 있다. 이와 같은 변질광물의 산출상태로 볼 때 변질작용의 진행에 따라 운모/스멕타이트 혼합층광물이 먼저 형성된 후 이것의 일부가 녹니석/스맥타이트 혼합층광물 및 카오리나이트로 변화된 것으로 생각된다. 도 카오리나이트는 열수의 공급이 많은 열극부에서 녹니석/스멕타이트 혼합층 광물과 거의 동시기에 침전된 것으로 생각된다. 이 광산에서 산출하는 일부 운모/스멕타이트 혼합층광물은 후기의 변질작용에 의해 형성된 것도 포함된다.

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