• 제목/요약/키워드: gastric foreign body

검색결과 22건 처리시간 0.022초

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

  • 김동인;이영재;강병택;김근형;장동우;나기정;양만표;강지훈
    • 한국임상수의학회지
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    • 제31권4호
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    • pp.333-336
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    • 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.

내시경을 이용한 유문폐색을 유발한 개의 이물제거 (Endoscopic Retrieval of a Large and Circular Foreign Body Lodged in Gastric Pylorus in a Dog)

  • 이승곤;최란;문형선;현창백
    • 한국임상수의학회지
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    • 제24권2호
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    • pp.229-232
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    • 2007
  • 7년령의 수컷 시츄 잡종개가 심한 복통, 지속적인 구토와 식욕부진 등의 증상으로 내원하였다. 실험실 검사상 빈혈과 저단백혈증이외 특별한 소견은 관찰되지 않았다. 복부 방사선 상에서 심한 위확장소견과 유문부를 막고 있는 대형의 원형 이물질이 관찰되었다. 내시경, 이물제거용 포셉과 낙시줄를 이용하여 이물을 위장관으로 부터 제거하였다. 환자는 이물 제거 후 빠르게 회복하였다.

Gastric Pseudotumoral Lesion Caused by a Fish Bone Mimicking a Gastric Submucosal Tumor

  • Kim, Se Won;Kim, Sang Woon;Song, Sun Kyo
    • Journal of Gastric Cancer
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    • 제14권3호
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    • pp.204-206
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    • 2014
  • Gastric complications following unintentional foreign body ingestion are extremely rare. Here, we report the case of a 59-year-old healthy woman who presented with nonspecific abdominal pain and an apparent gastric submucosal tumor that was incidentally detected by gastrofiberscopy. The patient underwent laparoscopic surgery, which revealed an intact gastric wall with no tumor invasion, deformity, or evidence of a gastric submucosal lesion. However, an impacted fish bone was found.

위장관으로 흡인된 치과기구의 처치 (Management of Gastrointestinal Foreign Body Ingested during Dental Procedure)

  • 방난심;이강희;김영진;정복영
    • 대한치과마취과학회지
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    • 제13권2호
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    • pp.45-49
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    • 2013
  • Foreign body indigestion during dental procedures is uncommon but sometimes associated with severe and life threatening morbidity. The dentist should decide whether multidisciplinary intervention is necessary and how urgently it has to be done. The active removal of foreign bodies depends on the size, shape, type and duration of impaction, along with the location in the gastrointestinal tract. In this report, we presented how to manage gastric foreign body related swallowing during dental procedure and investigated the predictive risk factors, precaution, and prompt management in foreign body ingestion.

팔찌자석 3개를 삼킨 후 동반된 위궤양 1례 (Gastric Ulcer Due to Three Magnets Ingestion in a 37-month-old Girl)

  • 김미정;곽애정;최광해
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제5권1호
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    • pp.68-72
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    • 2002
  • 비록 크기가 크지 않고, 가장자리가 뾰족하거나 날카롭지 않지만, 1개 이상의 자석을 삼킨 경우나 혹은 자석과 금속류를 함께 삼킨 경우에는 장의궤양, 천공, 누공 등의 합병증을 일으킬 수 있으므로 신속한 제거가 필요할 것으로 생각되며, 저자들은 3개의 팔찌자석을 삼킨 후 동반된 위궤양 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

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위 내 이물로 오인한 석회화 섬유 종양 1예 (Calcifying Fibrous Tumor Mimicking a Foreign Body of the Stomach: A Case Report)

  • 정지은;이경훈;성현정;조창호
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제12권1호
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    • pp.57-63
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    • 2009
  • 평소 복부 팽만을 보인 2세 남아가 내원 3일 전부터 간헐적인 구토를 동반하여 시행한 복부 방사선 사진에서 좌상복부에서 석회화 소견을 관찰하여 상부 위장관내시경과 복부 전산화 단층 사진을 시행하였다. 술 후 병리 검사에서 상당히 빈도가 드문 석회화 섬유 종양을 발견하였기에 보고하는 바이다.

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담즙 역류가 동반된 위 운동성 장애의 기능성 소화불량증에 대한 한방치료 경험 2례 (Two Cases of Korean Traditional Treatment of Functional Dyspepsia of Gastric Dysmotility Complicated by Bile Juice Reflux)

  • 윤상협
    • 대한한방내과학회지
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    • 제41권6호
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    • pp.1162-1171
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    • 2020
  • Objectives: The aim of this study was to determine the therapeutic effects of a traditional Korean treatment on the symptom improvement and loss of bile juice in cases of functional dyspepsia of gastric dysmotility complicated by bile juice reflux. Methods: Dyspeptic symptoms, gastric motility (electrogastrography and bowel sound analysis), and gastric mucosa (gastroendoscopy) were evaluated. The treatment consisted of Banwhasashim-tang (extract) used as a herbal drug. Both ST36 electrical stimulation and simple immersion stimulation of CV11, 12, and 13 in the abdomen were also applied. Results: Dyspeptic symptoms, including a foreign body sensation in the throat, indigestion, and upper abdominal pain, were all relieved by the treatment and gastric myoelectrical activity and gastric pyloric function were improved. Bile juice disappeared from the gastric mucosa. Conclusion: The traditional Korean treatment was effective at relieving dyspeptic symptoms and bile juice reflux by improving the pyloric sphincter function.

Helicobacter pylori 감염과 비타민 C: 과거, 현재, 미래 (Helicobacter pylori Infection and Vitamin C: Past, Present and Future Perspectives)

  • 윤희상;이광호
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제11권sup1호
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    • pp.83-92
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    • 2008
  • Helicobacter pylori is the causative agent of chronic gastritis and has a role in the pathogenesis of peptic ulcer diseases, and gastric cancer. There have been reports suggesting a close link between these gastroduodenal disorders and a state of vitamin C deficiency. In this paper, the past, present and future perspectives on H. pylori infection and vitamin C will be discussed under the following view points. Since the ecological niche of H. pylori is the mucus layer and intercellular junctions of the gastric epithelium, the various kinds of host inflammatory cells motivated by the local and systemic immune responses cannot eliminate the microorganisms. When the invading foreign body is not removed, despite full activation of defense mechanisms, adverse consequences of the immune responses develop on the host gastric mucosa. The reasons for the body vitamin C depletion could be explained as follows; 1) the increased vitamin C consumption by increased oxygen free radical production through the prolonged hypersensitivity reactions in the gastric mucosa, 2) the increased vitamin C oxidation by the nitrite which is formed from nitrate reduction by the intragastric bacteria proliferated in the hypochlorhydric gastric cavity, 3) the strong ${\gamma}$-glutamyltranspeptidase activity of H. pylori which depletes the glutathiones in gastric mucosa. Depletion of glutathiones in the stomach favors irreversible oxidative destruction of ascorbic acid. Both persistent inflammatory burdens in the stomach by H. pylori and resultant vitamin C depletions synergistically and uninhibitedly might aggravate the hypothetical sequence of gastric carcinogenesis: atrophic gastritis${\rightarrow}$intestinal metaplasia${\rightarrow}$dysplasia${\rightarrow}$gastric adenocarcinoma. High intake of vitamin C could reverse the hypothetical sequence of the gastric carcinogenesis via direct and indirect effects on H. pylori and host-parasite relationships.

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Surgical Removal of the Lung Lobe Metal Foreign Body in a Dog

  • Hwang, Yawon;Kang, Jihoun;Chang, Dongwoo;Kim, Gonhyung
    • 한국임상수의학회지
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    • 제34권2호
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    • pp.108-111
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    • 2017
  • A 4-year-old, weighing 7.6 kg, castrated male, Pug presented with ingestion of gastric cavity foreign body. Physical examination revealed panting, retching and hyper-salivation. Blood chemistry and complete blood cell count were normal, but hypophosphatemia was observed. An abdominal radiograph revealed the foreign body (FB), round shape and 2 cm length, at the pyloric region of stomach. A thoracic radiograph revealed an incidental metal FB, 3.5 cm length, at the cranial portion of the diaphragm. An upper gastrointestinal endoscopy was performed to remove the FB in the stomach and then a peach-pit was removed. However the metal FB was not found in the esophagus therefore a lateral thoracotomy was performed. A right lateral thoracotomy through the $7^{th}$ intercostal space was accomplished to expose the right caudal lung lobe. After open the thoracic cavity, foreign body was not observed by gross evaluation and caudal lung lobe was attached to the diaphragm. The FB was identified inside the lung lobe and surrounded by granulation tissue. The metal FB (sewing needle) was removed with blunt dissection and incised lung lobe was sutured using absorbable suture material PDS 4-0 with interrupted suture. A thoracotomy tube was inserted into the thoracic cavity during surgery. Patient's respiration became stable after surgery. A chest tube was removed 3 days after surgery. No complications were noted and the dog was discharged 4 days after surgery. In small animal, foreign body ingestion is a common reason for emergency. After ingestion of the FB, perforation through the esophagus and migration to inside the lung lobe is not common in small animals. In this case, thoracic metal FB was identified incidentally and removal of a thoracic FB with thoracotomy was performed successfully.