• Title/Summary/Keyword: 장간막

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장간막 동맥에서의 ATP 고갈에 의한 혈관 이완 검색

  • 홍기환
    • Proceedings of the Korean Society of Applied Pharmacology
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    • 1994.04a
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    • pp.184-184
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    • 1994
  • 개와 흰쥐의 장간막동맥 절편의 긴장도와 $^{86}$Rb$^{+}$ 유출에 대한 cromakalim의 효과를 관찰하고 이를 ATP를 고갈시킨 조직에서 얻어지는 결과와 비교하였다. Cromakalim은 개와 흰쥐의 장간막 동맥을 이완시켰으며, 이러한 이완은 glibenclamide에 의하여 상경적으로 억제되었다. Glibenclamide는 phenylephriue에 의한 개와 흰쥐의 장간막 동맥 수축을 증가시킨다든지 혹은 cromakalim에 의한 억제성 반응을 역전시켰다. 개와 흰쥐 장간막 등맥의 $^{55}$Rb$^{+}$ 유출 실험에서 tromakalim (10 $\mu$M) 투여시 ATP를 고갈시킨 흰쥐의 장간막 동맥에서 현저히 증가하였다. HPLC를 이용하여 adenine nucleotide를 분석하였다. Adenine nucleotide의 HPLC 분석시에 혈관의 내피세포를 제거하였고 0.2 M ammonium phosphate (pH 5.5)를 용출용매로 이용하여 분석하였다.

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Recanalization of Portal Vein Graft Occlusion via a Percutaneous Transmesenteric Approach: A Case Report (간문맥 이식편 폐색증에서 경피적 장간막 경유 접근 방법을 통한 혈관 내 재개통 시술: 증례 보고)

  • Min-Hyuk Yu;Dong-Ho Hyun;Shin-Seok Yang
    • Journal of the Korean Society of Radiology
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    • v.85 no.1
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    • pp.230-234
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    • 2024
  • Interventional recanalization is an effective treatment option for postoperative portal vein occlusion. A transhepatic or transsplenic approach is preferred, whereas a percutaneous transmesenteric route enables antegrade cannulation. Here, we present a case of successful percutaneous transmesenteric recanalization in a patient with a postoperative portal vein graft occlusion.

Release of a Stable Endothelium-derived Relaxing Factor by A23187 from the Rabbit Aortic Endothelium (토끼 대동맥 내피에서 A23187에 의하여 유리되는 혈관이완물질의 특성에 관한 연구)

  • Kim, Chi-Dae;Rhim, Byung-Yong;Hong, Sung-Chul;Hong, Ki-Whan
    • The Korean Journal of Pharmacology
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    • v.27 no.2
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    • pp.125-133
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    • 1991
  • In the isolated rabbit mesenteric artery denuded of endothelium, we characterized the identity of the A23187-induced endothelium-dependent relaxing factor (EDRF) released from the endothelium of rabbit aorta, which is distinct from that of acetylcholine-induced relaxing factor. In the normal physiological salt solution (PSS), the dose-response curves to A23187 and acetylcholine were overlapped together. Their effects were also inhibited by methylene blue. Upon application of hypoxanthine and xanthine oxidase into the bath, the phenylephrine-induced precontraction was transiently increased followed by the sustained relaxation. During the burst of hypoxanthine-xanthine oxidase reaction, the $Ca^{++}$ ionophore, A23187 but not acetylcholine was able to cause an immediate relaxation. However, A23187-induced relaxation was not manifested when precontracted by 50 mM $K^+-PSS$. Nevertheless, in the presence of superoxide dismutase, A23187 could produce an immediate relaxation without accompanying the transient contraction as acetylcholine did during the hypoxanthine-xanthine oxidase reaction. On the other hand, acetylcholine-induced relaxation was more sensitively inhibited by phorbol 12-myristate 13-acetate (PMA) than A23187-induced relaxation. Endothelium-independent relaxation to sodium nitroprusside was not affected by PMA. Based on these results it is suggested that both A23187 and acetylcholine cause the methylene blue-inhibitable endothelium-dependent relaxation, and in addition, A23187 may release a stable EDRF which is resistant to superoxide anion and PMA.

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Murine lymphokines production in lymphoid organs during the various stages of lactation (비유기간에 따라 murine 림프조직에서 생산되는 lymphokine의 양상에 관한 연구)

  • Ryu, Si-yun;Daynes, Raymond A.
    • Korean Journal of Veterinary Research
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    • v.34 no.1
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    • pp.19-24
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    • 1994
  • 비유중기, 건유초기 및 임신말기의 C3H/HeN 마우스의 비장, 장간막림프절, 말초림프절(액와, 상완 및 샅림프절)유래 림프구에서 생산되는 lymphokine의 양을 비교하였다. 비장에서의 IL-2 생산양은 임신말기와 비유중기에 낮았지만, IL-4, IL-6와 $IFN_{\gamma}$의 생산양은 임신말기와 건유초기에 높았다. 말초림프절에서의 IL-4, IL-6 및 $IFN_{\gamma}$ 생산양은 임신말기와 건유초기에 높았지만, IL-2의 생산양은 임신말기, 비유중기 및 건유초기에 각각 감소하였다. 장간막림프절에서의 IL-4 생산양은 임신말기와 비유중기에 각각 증가하였으나, IL-2의 생산양은 임신말기에 감소하였다. 이와같이 전반적으로 건유초기와 임신말기에 IL-2의 생산양은 낮지만, IL-4, IL-6와 $IFN_{\gamma}$의 생산양이 높은 결과는 이 시기에 유방염의 발생비율이 높은 것과 연관성이 있는 것으로 추정된다.

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A Case of Superior Mesenteric Venous Thrombosis after Endoscopic Sclerotherapy (식도정맥류 출혈에 내시경적 경화요법 후 합병된 상 장간막 정맥 혈전증 1예)

  • Kim, Won-Duck;Choi, Kwang-Hae;Hah, Jeong-Ok
    • Journal of Yeungnam Medical Science
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    • v.18 no.2
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    • pp.297-301
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    • 2001
  • The efficacy of injection sclerotherapy for treatment of acute esophageal variceal bleeding is well established. But several complications of endoscopic sclerotherapy have been reported. One of the complications is mesenteric venous thrombosis which develops when vasopressin is used for the sclerotherapy. We report a case of superior mesenteric venous thrombosis which developed after endoscopic sclerotherapy for control of esophageal variceal bleeding.

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Diagnostic Values of Abdominal Ultrasonography in Patients with Fever and Abdominal Symptoms (발열과 복부 증상을 주소로 하는 환아에서 복부 초음파 검사의 진단적 의의에 관한 연구)

  • Lee, Mi-Kyung;Im, Chang-Sung;Ahn, Sun-Mi;Kim, Chang-Hi;Lee, Dong-Jin;Kwan, Joong-Hyuck;Park, Yong-Hoon
    • Journal of Yeungnam Medical Science
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    • v.12 no.2
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    • pp.191-202
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    • 1995
  • Purpose: Acute febrile illness in children frequently accompanies with abdominal symptoms such as vomiting, diarrhea, and abdominal pain, even if its etiology is not occured from the gastrointestinal tract. If the etiology of fever was unknown and the fever was accompanied with abdominal symptoms, we should be concerned about whether the etiology of fever was originated from the gastrointestinal tract or interpretated from the abnormality in the gastrointestinal tract. This study was performed to evaluate the diagnostic value of abdominal ultrasonography in patients with fever and abdominal symptoms. Methods: We reviewed retrospectively the medical records of abdominal ultrasonographic (US) findings of 60 cases of acute febrile illness with abdominal symptoms at department of Pediatrics, Ulsan Dongang General Hospital during the period from January 1994 to June 1995. Results: The abnormal abdominal US findings obtained were as follows. 1) The abnormal US findings were seen in 56 cases (93.3%). 2) The most common abnormal US finding was the enlarged mesenteric lymph nodes in 52 cases (86.7%) 3) The enlarged mesenteric lymph nodes with or without intra-abdominal fluid were seen in 30 cases (50.0%) of a wide variety of illnesses, so their diagnostic values were absent. 4) The enlarged mesenteric lymph nodes and splenomegaly with or without ileocecitis were seen in 7 cases. Among them, 4 cases (6.7%) were confirmed as typhoid fever. 5) The US findings in 6 cases of typhoid fever were the enlarged mesenteric lymph nodes in all cases (100%), splenomegaly in 4 cases (66.7%), ileocecitis in 1 case (16.7%), enlarged mesenteric lymph nodes and splenomegaly in 4 cases (66.7%), enlarged mesenteric lymph nodes, splenomegaly and ileocecitis in 1 cases (16.7%). 6) The enlarged mesenteric lymph nodes and the abnormalities around the appendix were seen in 7 cases (11.7%), which were confirmed as appendicitis all. 7) The thickening of wall in urinary bladder was seen in 2 cases (3.3%) of acute cystitis and acute hemorrhagic cystitis. 8) The subtle thickening of wall in colon was seen in 1 cases (1.7%) of shigellosis. Conclusions: The enlarged mesenteric lymph nodes, splenomegaly and ileocolitis on the abdominal ultrasonography in patients with fever and abdominal symptoms aree suggestive findings of typhoid fever. The enlarged mesenteric lymph nodes and the abnormalities around the appendix on abdominal ultrasonography make the rapid diagnosis of acute appendicitis and its complications, when physical examination is difficult in small children and diagnosis of their illnesses is obscure in patients with fever and abdominal pain.

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Nonocclusive Mesenteric Ischemia That Developed during Redo-double Valve Replacement Surgery, and This Was Caused by Acute Aortic Dissection (이중판막 재치환술 시 발생한 급성 대동맥 박리증으로 인한 비폐쇄성 장간막 허혈)

  • Lee, Sak;Song, Suk-Won;Cho, Sang-Ho;Song, Seung-Jun;Kim, Kwan-Wook;Chang, Byung-Chul
    • Journal of Chest Surgery
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    • v.42 no.2
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    • pp.248-251
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    • 2009
  • Nonocclusive mesenteric ischemia (NOMI) is a rare complication that occurs in about 0.05% of patients after openheart surgery, and NOMI refers to the mesenteric ischemia that's caused by splanchnic vasospasm without occlusion of the great intestinal vessels. In the presently reported case, NOMI developed to maintain the blood flow to the heart and brain after several minutes of a hypotensive status and the latter was caused by acute aortic dissection that complicated an aortic cannulation procedure. Unfortunately, the patient died even though the problems were diagnosed early and proper treatment was administered. Early diagnosis of NOMI by angiography and the selective infusion of vasodilators are thought to be the only way to improve survival for patients with clinically suspected NOMI.

A Case of Chylous Mesenteric Cyst in a Neonate (신생아에서 발견된 유미성 장간막 낭종 1례)

  • Lim, Hyun Taek;Lee, Jung Hwa;Lee, So Hee;Kim, Jeong Eun;Hong, Seong Jin;Choi, Young Chil;Kim, Sang Yun
    • Clinical and Experimental Pediatrics
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    • v.48 no.5
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    • pp.569-571
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    • 2005
  • Mesenteric cysts are one of the least common intraabdominal lesions, which are very rare in neonates. Among mesenteric cysts, a chylous cyst is the rarest one of all. This entity can be found anywhere in the gastrointestinal tract from the duodenum to the rectum. Mesenteric cysts may be asymptomatic and found on routine examinations, or can present with symptoms such as abdominal pain, palpable mass, abdominal distension and intestinal obstruction. We report a rare case of chylous mesenteric cyst in a neonate, who presented with symptoms of the intestinal obstruction along with the review of the literature.

Superior Mesenteric Venous Thrombophlebitis with Terminal Ileal Diverticulitis: A Case Report (말단 회장의 게실염에 동반된 혈전정맥염: 증례 보고)

  • Yang Il Park;Young Han Kim;Byung Hee Lee
    • Journal of the Korean Society of Radiology
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    • v.81 no.6
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    • pp.1492-1496
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    • 2020
  • Mesenteric venous thrombophlebitis secondary to inflammatory processes such as diverticulitis and appendicitis is a rare disease; however, it can nonetheless cause bowel ischemia and infarctions. Radiologic diagnosis is vital for mesenteric venous thrombophlebitis complicated with diverticulitis due to its non-specific clinical presentation and very low incidence. We report a case of a 61-year-old woman with superior mesenteric vein thrombosis and ileocecal diverticulitis on CT, which was resolved after treatment with a combination of antibiotic therapy and right hemicolectomy.

A Rare Case of Large Hemolymphangioma in the Small Bowel Mesentery: A Case Report (소장 장간막 기원의 드문 거대 혈액림프관종: 증례 보고)

  • Hyun-Jae Lim;Kyung-Sook Shin;Jeong-Eun Lee;Sun-Kyoung You;Kyung-Hee Kim
    • Journal of the Korean Society of Radiology
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    • v.84 no.2
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    • pp.504-511
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    • 2023
  • Hemolymphangioma or hemangiolymphangioma is a rare venolymphatic vascular malformation composed of proliferations or networks of vascular spaces including the lymphatics, capillaries, veins, or arteries. The small bowel is a rare location for hemolymphangioma, and the small bowel mesentery is an even rarer site. Herein, we report a surgically confirmed large complex hemolymphangioma in the small bowel mesentery in a 55-year-old male.