• Title/Summary/Keyword: endoscopy

Search Result 1,062, Processing Time 0.028 seconds

Treatments of esophageal foreign body treated using Rigid esophagoscopy (강직형식도경술을 이용하여 치료한 이물에 대한 임상적 고찰)

  • Chung, Phil-Sang;Jung, Seung-Wan;Kim, Yun-Hwan
    • Korean Journal of Bronchoesophagology
    • /
    • v.5 no.2
    • /
    • pp.159-163
    • /
    • 1999
  • OBJECTIVE : To study the management (diagnostic and therapeutic) of esophageal foreign bodies with rigid esophagoscopy. MATERIAL AND METHODS : All 100 patients admitted to the Dankook University Hospital for ingestion of foreign bodies between May 1994 and July 1999. The outcome for each patient was determined by examining hospital records of demographic information, identification of the foreign body and the removal procedure used. RESULTS : Rigid esophagoscopy was performed for suspected foreign bodies in 100 cases an impacted. The most frequent location was the upper third of the esophagus (68%). The most common type of foreign body was fish bones in adult(61%) and coins in children(70%). In 12 patients. flexible endoscopy had failed previously to remove the foreign body and 4 cases were migrated esophageal metal stent in esophageal stenosis. CONCLUSIONS : The rigid esophagoscopy is appropriate techniques for managing esophageal foreign bodies.

  • PDF

A Neurofibroma arising from nasal septum (비중격에 발생한 신경섬유종의 내시경적 비내 수술 치험 1예)

  • Hong, Ji-Won;Lee, Jun-Ho;Park, Dong-Jin;Kim, Myung-Gu
    • Korean Journal of Bronchoesophagology
    • /
    • v.14 no.1
    • /
    • pp.46-49
    • /
    • 2008
  • Neurofibroma is a neurogenic tumor arising from schwann cells or peripheral tissues of nerve sheaths. Neurofibroma rarely occurs as a solitary lesion but mostly occurs as part of neurofibromatosis and reports of neurofibromas developed in the nasal cavity or paranasal sinus are very rare. We report on a case of neurofibroma of the nasal cavity treated by endoscopic surgery. Preoperative computed tomography(CT), and punch biopsy suggested that the tumor was benign neurogenic tumor cofined to right nasal cavity. The tumor was removed with endoscopic surgery completely, and confirmed as neurofibroma by histological and immunohistochemical examination. We discuss the clinical and pathological characters of neurofibroma arising in the nasal septum.

  • PDF

Development of Pneumoperitoneum after Endoscopic Retrieval of Gastric Foreign Body in a Dog (개에서 위내 이물의 내시경적 제거 후 발생한 기복증 증례)

  • Kim, Dong-In;Lee, Youngjae;Kang, Byeong-Teck;Kim, Gonhyung;Chang, Dongwoo;Na, Ki-Jeong;Yang, Mhan-Pyo;Kang, Ji-Houn
    • Journal of Veterinary Clinics
    • /
    • v.31 no.4
    • /
    • pp.333-336
    • /
    • 2014
  • An 1-year-old, intact female Yorkshire Terrier weighing 1.83 kg was referred for vomiting and anorexia. Survey abdominal radiographs revealed marked gastric distention. Ultrasonography showed a hyperechoic material with acoustic shadowing near the pylorus. A foreign body and ulceration were identified during gastroscopic examination. After endoscopic retrieval of gastric foreign body, unexpectedly abdominal distention was developed. Abdominal radiographs revealed pneumoperitoneum, but no leakage of contrast media was observed in gastrointestinal contrast study. Three days after hospitalization with supportive care, no abnormal findings were detected, and then the dog was discharged. This case describes the development of peumoperitoneum during endoscopic retrieval of gastric foreign body.

Recurrent Bronchoesophageal Fistula after Endoscopic Treatment (내시경적 치료 후 재발한 기관지식도루)

  • Kim, Ji-Hoon;Chung, Won-Sang;Kang, Jeong-Ho;Kim, Young-Hak;Kim, Hyuck;Jeon, Seok-Chol
    • Journal of Chest Surgery
    • /
    • v.43 no.4
    • /
    • pp.462-465
    • /
    • 2010
  • Acquired bronchoesophageal fistula rare. Conservative treatment such as endoscopy is widely used. The recurrence rate after endoscopic treatment, however, is not well known. We report here on a case of a 54-year-old female who presented with recurrent bronchoesophageal fistula after endoscopic treatment that filled the fistula tract with $Histoacryl^{(R)}$.

Esophageal Endoscopic Vacuum Therapy with Enteral Feeding Using a Sengstaken-Blakemore Tube

  • Lee, So Young;Kim, Kun Woo;Lee, Jae-Ik;Park, Dong-Kyun;Park, Kook-Yang;Park, Chul-Hyun;Son, Kuk-Hui
    • Journal of Chest Surgery
    • /
    • v.51 no.1
    • /
    • pp.76-80
    • /
    • 2018
  • Early diagnosis followed by primary repair is the best treatment for spontaneous esophageal perforation. However, the appropriate management of esophageal leakage after surgical repair is still controversial. Recently, the successful adaptation of vacuum-assisted closure therapy, which is well established for the treatment of chronic surface wounds, has been demonstrated for esophageal perforation or leakage. Conservative treatment methods require long-term fasting with total parenteral nutrition or enteral feeding through invasive procedures, such as percutaneous endoscopic gastrostomy or a feeding jejunostomy. We report 2 cases of esophageal leakage after primary repair treated by endoscopic vacuum therapy with continuous enteral feeding using a Sengstaken-Blakemore tube.

Spontaneously Healed Thyroid Cartilage Fracture with Displacement: Report of a Case (전위를 동반한 갑상연골 골절의 자연 치유 치험 1례)

  • Ryu, Hyun-Ho;Lee, Byung-Kook;Jeung, Kyung-Woon
    • Journal of Trauma and Injury
    • /
    • v.23 no.1
    • /
    • pp.53-55
    • /
    • 2010
  • A thyroid cartilage fracture is a rare entity and can be overlooked easily. Such cases are difficult to diagnose, and assessment and treatment guidelines are difficult to determine. CT of the neck region may be useful when acute airway intervention is not required or when more information regarding the neck's anatomy is required for management decisions. We describe a case of a thyroid cartilage fracture with displacement. In the emergency department (ED), neck CT and fiberoptic nasopharyngoscopy were used to assess the status of the patient's (a male) vocal chords immediately. He remained unable to phonate continuously. After an immediate assessment, we decided to use steroid and conservative therapy. The patient had a good recovery and was without symptoms one month after injury. There is no question that early surgical repair of neck injuries affords the best results for airway and voice patency in most cases however, we suspect that surgical repair is not needed in all cases. Early recognition and an accurate therapy plan for a thyroid fracture with displacement are essential. Therefore, the emergency physician's immediate and careful decision based on endoscopy and neck CT is important for the patient's long-term recovery.

A Study of the Effect of Medical Service Quality on Patient Satisfaction with a Focus on the Telemedicine Service of Colonoscopies

  • Lee, Jeong Sun;Lee, Min Jung
    • Journal of the Korea Society of Computer and Information
    • /
    • v.21 no.3
    • /
    • pp.47-56
    • /
    • 2016
  • Recently many small and mid-sized hospitals are closing down or experiencing financial difficulties. As a result, in order to provide exceptional service that would increase their competitiveness, they implemented telemedicine service for the prescription of medicine necessary before a colonoscopy. This study is an analysis of how telemedicine service affects patient satisfaction. Through the focus group interview (FGI) of medical service providers, regarding telemedicine service and face-to-face service, it was appraised that telemedicine service was more effective than face-to-face service. Afterward, a second survey aimed at endoscopy patients was conducted in order to find out the value of telemedicine service. First, through the analysis of the three main factors of telemedicine service, conclusions were drawn(safety/reliability, convenience/rapidity, and economics). A follow-up analysis showed that convenience/rapidity had the greatest effect on telemedicine service satisfaction. Next the factors of the quality of medical service were analyzed and 3 main factors were deduced (the superiority of the external and internal environments/appropriateness, superiority of the medical team, telemedicine service). A follow-up analysis found that telemedicine service had the greatest effect on patient satisfaction. This study found that providing exceptional medical service that utilizes telemedicine service would improve patient satisfaction. Therefore, we would be able to form a strategic plan that would strengthen the competitiveness of small and mid-sized hospitals.

Concurrent Robot-Assisted Distal Gastrectomy and Partial Nephrectomy for Synchronous Early Gastric Cancer and Renal Cell Carcinoma: An Initial Experience

  • Kim, Jieun;Kim, Su Mi;Seo, Jeong Eun;Choi, Min Gew;Lee, Jun Ho;Sohn, Tae Sung;Kim, Sung;Bae, Jae Moon;Seo, Seong Il
    • Journal of Gastric Cancer
    • /
    • v.14 no.3
    • /
    • pp.211-214
    • /
    • 2014
  • We report our experience of a concurrent robot assisted distal gastrectomy and partial nephrectomy for synchronous early gastric cancer and renal cell carcinoma. A 55-year-old female patient was diagnosed with early gastric cancer on screening endoscopy. Abdominal computed tomography showed an incidental right renal cell carcinoma. Robot assisted distal gastrectomy was performed, followed by partial nephrectomy. The final pathological examination showed signet ring cell carcinoma within the lamina propria and renal cell carcinoma with negative resection margins. The patient showed no evidence of recurrence at 6-months. A robot-assisted combined operation could be a treatment option for early stages of synchronous malignancies.

An Efficient Navigation of Volume Dataset Using z-Buffer (z-버퍼를 이용한 효율적인 볼륨 데이터 항행기법)

  • Kim, Hwa-Jin;Shin, Byeong-Seok
    • Journal of the Korea Computer Graphics Society
    • /
    • v.8 no.1
    • /
    • pp.29-35
    • /
    • 2002
  • In virtual endoscopy, it is important to produce high quality perspective images in real-time. However, it is more significant to devise a navigation method that can make a virtual camera move through in human cavities such as colon and bronchus without collision and let the user control the camera intuitively. We propose an efficient navigation method, which generates 2D depth map during rendering the current frame, then determines position and direction of camera using the depth information. It offers collision-free navigation and allows us to control the camera as we want. Also it does not require preprocessing step and additional data structures.

  • PDF

Early-diagnosed silent sinus syndrome and cone-beam computed tomography in a pediatric patient: a case report

  • Leidens, Natali;Franco, Ademir;Santos, Marco C.J.;Makeeva, Irina M.;Fernandes, Angela
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
    • /
    • v.46 no.2
    • /
    • pp.155-159
    • /
    • 2020
  • Chronic maxillary atelectasis (CMA) is a progressive alteration in the volume of the maxillary sinuses that may result in facial asymmetry. CMA in asymptomatic patients is known as silent sinus syndrome (SSS) and is a rare entity, especially in pediatric patients. This study reports a case of SSS in a pediatric patient who received an early diagnosis through cone-beam computed tomography (CBCT). An asymptomatic 12-year-old female patient in orthodontic treatment presented with opacification of the left maxillary sinus on a panoramic radiograph. Clinically, the patient had discrete hypoglobus and enophthalmos. CBCT and nasal video-endoscopy revealed ostiomeatal obstruction with bone deformity, leading to diagnosis of SSS. Endonasal endoscopic maxillary sinusotomy was performed. Two years later, the patient remained asymptomatic, and a second CBCT exam confirmed a stable condition. This case highlights the role of optimal radiographic interpretation for early diagnosis of maxillofacial alterations in pediatric patients.