• Title/Summary/Keyword: 분문부

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Operative Treatment of Gastric Carcinoid Tumor Presenting as Multiple Polyps: A Case Report (다발성 용종의 형태로 발현된 위유암종(Gastric Carcinoid Tumor)의 수술적 치료 1예)

  • Ahn, Sang-Hyun;Kim, Jong-Won;Lee, In-Kyu;Lee, Hyuk-Joon;Kim, Woo-Ho;Lee, Kuhn-Uk;Yang, Han-Kwang
    • Journal of Gastric Cancer
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    • v.7 no.2
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    • pp.102-106
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    • 2007
  • Gastric carcinoid tumor is a neoplasm that arises from enterochromaffine-like (ECL) cells in the gastric fundus. It is a rare disease that comprises less than 2% of all gastric neoplasms; however its incidence has been recently increasing. We experienced one case of gastric carcinoid tumor that was revealed to be multiple polypoid lesions. A 29-year-old female patient visited a hospital three years ago due to syncope. The blood hemoglobin was measured as 6.0 g/dl. Gastroscopy revealed multiple polypoid lesions with bleeding; therefore endoscopic clipping was performed. The polyps were diagnosed as carcinoid tumor via endoscopic biopsy. She was transferred to our hospital because of persistent iron deficiency anemia that was caused by bleeding at the gastric polyps. Gastroscopy revealed more than twenty various-sized polypoid lesions from the mid-body to the antrum. The blood hemoglobin level was 9.0g/dl. Total gastrectomy was performed under the diagnosis of gastric carcinoid tumor with bleeding. All of the gastric polyps were diagnosed as carcinoid tumors, and any metastasis to the regional lymph nodes was not found. Eighteen months after operation, the blood hemoglobin was increased to 12.8g/dl with no evidence of recurrence. Surgical resection should be considered for treating gastric carcinoid tumor with continuous bleeding.

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Treatment of Stomach Cancer Involving Esophagogastric Junction (식도-위 경계부위를 침범한 위암의 치료)

  • 이종목;백희종;박종호;임수빈;조재일
    • Journal of Chest Surgery
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    • v.34 no.12
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    • pp.930-936
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    • 2001
  • Background: The origin site of carcinoma invading esophagogastric junction is variable. It may arise from squamous cell carcinoma of low esophagus, adenocarcinoma arising from Barrett's esophagus, adenocarcinoma of gastric cardia, or extension from proximal stomach cancer. In Korea, the majority of adenocarcinoma invading esophago-gastric junction seems to arise from proximal gastric carcinoma. Material and Method: We reviewed the data of surgically-resected gastric adenocarcinoma involving esophagogastric junction in KCCH between 1988 and 1999. Result: There were 212 cases. Male to female ratio was 156 to 56. Age distribution was between 22 and 78. Variable surgical approaches including median laparotomy, laparotomy with left or right thoracotomy, left thoracotomy, and thoracoabdominal approach were used. Postoperative pathologic stages were : Stage IA-7, IB-11, Ⅱ-25, ⅢA-73, ⅢB-34, and Ⅳ-57. Curative resection was performed in 199 patients, and total gastrectomy was performed in 200 patients. There were 77.4%(164 cases) with esophageal involvement, 74.1%(157 cases) with tumor involvement in the abdominal LN, and 8%(17 cases) with mediastinal LN metastasis. Operative mortality was 3.3%, and over-all 5 year survival rate was 35%. Conclusion: There are various surgical approaches and many things to consider for surgical resection, thoracic and abdominal approach may need for obtain proper resection margin and adequate lymph node dissection in stomach cancer invading esophagogastric junction.

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Pleuronichthys sp. Fossils (Pleuronectidae) from the Duho Formation, Pohang Uhyeon-dong in Korea (포항시 우현동 두호층에서 산출된 Pleuronichthys sp. 화석)

  • Ko, Ju-Yeong;Nam, Kye-Soo
    • Journal of the Korean earth science society
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    • v.37 no.3
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    • pp.133-142
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    • 2016
  • Two specimens of the Cenozoic fish fossils were discovered from the Miocene Duho Formation of Uhyeon-dong, Pohang, Korea. These fossils are identified as Pleuronichthys sp. based on the following- firstly, front dorsal fin rays elongated to the upper part of neurocranium, Secondly, right sided orbit of neurocranium, Thirdly, presence of urohyal like fish-hook, Fourthly, curved sciatic part of the urohyal, Fifthly, presence of postcleithrum, Sixthly, over 27 centrum, Seventhly, elongated first pterygiophore of the anal fin rays, Eightly, c-shaped inner side of urohyal, Ninthly, small or few cardiac apophysis, and Tenthly, presence of many spots on body. These fossils of Pleuronichthys represent the first record in East-Asia. Two specimens are anatomically different in the extent of the asymmetry and the flatness of skull. This represents the unique ontogeny stage of the Pleuronectidae, because they accompany the above anatomical difference when they transform from pelagic lifestyle to benthic lifestyle.

The comparison between Pleuronichthys cornutus and Pleuronichthys japonicus for the activation of fishery marine tourism (수산관광 활성화를 위한 도다리와 흘림도다리의 비교)

  • Shin, Lim-Soo
    • Journal of Digital Convergence
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    • v.19 no.8
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    • pp.43-48
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    • 2021
  • There are prior studies that describe in detail the classification and shape of 26 species of Korean flounder, but it is difficult to make them out and they are used interchangeably or misused. It is intended to present the taxonomic standards of Pleuronichthys cornutus and Pleuronichthys japonicus and use them as tourism education materials using aquatic resources. Morphological comparison was made through counting and measurement. The two fish species were generally flattened in an oval shape with a low body height and a wide body width, and the anal fin developed and sized similar to the dorsal fin, and the caudal fin was widely spread out. Among the hyoid bones, in three parts of the coccyx, the main part, the ischial part, and the cardinal process, there were differences in the degree of curvature, the open angle, and the shape of the ischial part and the lateral process, which corresponded to the representative classification characteristics. In addition, it will be expected that it will serve as a basis as a fishery and marine education material for marine tourism that classifies and categorizes the characteristics as a genus of flounder and categorizes the characteristics, and reduces misuse of scientific names and names in the future.

Ontogeny of the Digestive Organ during Early Life Stages of the Black Sea Bream, Acanthopagrus schlegeli(Teleostei: Sparidae) (감성돔(Acanthopagrus schiegeli)의 초기생활사 동안 소화기관 발달)

  • LEE Jung Sick;KIM Heung-Yun;BYUN Soon Gyu;KIM Jin Do;GO Chang Soon;CHIN Pyung
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.33 no.2
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    • pp.129-136
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    • 2000
  • Differentiation and development of the digestive organ of the black sea bream, AcanHepagus schlegeli were studied by means of histological methods. The hatched lawn if TL(total length) $2.0 mm (n=10)$ had a yolk sac of $1,000{\times}590 {\mu}m$ and simple straight digestive tract, which was composed of cuboidal epithelium. In the pre-larval stage of TL $3.5 mm$, digestive tract could be distinguished into esophagus, stomach and intestine, and the exocrine glands were appeared in the pancreas. In this stage mucosal folds, eosinophilic granule cells and brush border were observed in the posterior intestine. Yolky materials were completely absorbed and the brush border was recognized in the free surface of anterior intestine in TL $3.7 mm$. In the stomach mucosal folds began to appear from TL $4.0 mm$. In this time the zymogen granules were recognized in the cytoplasm of pancreatic exocrine cells. In the post-larval stage ranged from $4.5 to 5.0 mm$ in TL, hepatic cords started to develop, and the mucous secretory cells of PAS positivewere observed at esophagus and intestine. In the post-larval stage ranged from $6.3 to 7.0 mm$ in TL, histological layer of esophagus and intestine could be distinguished into serous membrane, muscular layer, submucosal layer and mucosal layer. From over TL $9.0 mm$, stomach could be distinguished into cardiac, fundic and pyloric portion, and the gastric gland began to appear at mucosal fold of fundic stomach. In the juvenile stage ranged from $10.0 to 11.0 mm$ in TL, histological structures of esophagus and intestine were similar to those of adult. From over TL $15.0 mm$, histological structures of stomach were similar to those of adult. Structural and functional digestive organ of black sea bream was present from the juvenile stage ranged from $15.0 to 17.0 mm$ in TL.

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Clinical Analysis of the Belsey Mark IV Operation in Hiatal Hernia with Gastroesophageal Reflux and Achalasia (위 식도 역류를 가진 열공 헤르니아 환자와 식도 무이완증 환자에서 시행한 Belsey Mark IV 수술의 임상적 고찰)

  • 최영호;조원민;류세민;황재준;손영상;김학제;김광택
    • Journal of Chest Surgery
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    • v.35 no.3
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    • pp.217-222
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    • 2002
  • Background: The incidence of gastroesophageal reflux disease(GERD) is increasing recently, but medical management for GERD has many limitations. Therefore, variable surgical treatments have been introduced. Material and Method: A retrospective study was done in 10 patients who underwent the Belsey Mark IV operation at Korea university Guro hospital between 1996 and 2001. Preoperative diagnoses were hiatal hernia with gasroesophageal reflux in 8 patients and achalasia in 2 patients. Result: Mean age of the patients was 54.3$\pm$19.0 years. Belsey Mark IV operation was performed on patients where preoperative medical failed and mean hospital days were 13.1$\pm$2.6 days. We routinely practiced follow-up endoscopy on postoperative 3rd, 6th, 9th, and 12th months. After remission for reflux and esophagitis, they were transferred to internal medicine department. Six patients of hiatal hernia with reflux (one patient who lost follow-up and the other patient who didn't practice the follow-up endoscopy due to short postoperative follow-up period were excluded) had lowered endoscopic gradings and two patients of achalasia did not complained of reflux symptoms, postoperatively. We experienced 10% operation failure rate. Conclusion: We experienced satisfactory operation results with Belsey Mark IV in hiatal hernia with GERD and achalasia patients.

A Case of Giant Gastric Schwannoma Accompanied with Bleeding (출혈을 동반한 거대 위 신경초종 1예)

  • Kim, Je-Yeon;An, Ji-Yeong;Choi, Min-Gew;Noh, Jae-Hyung;Sohn, Tae-Sung;Kim, Sung
    • Journal of Gastric Cancer
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    • v.6 no.1
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    • pp.47-51
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    • 2006
  • The origin of a submucosal tumor is difficult to determine by endoscopic biopsy. One type of submucosal tumor, which originates in Schwann cell, a schwannoma represents 0.2% of all gastric tumors. We experienced the case of a 57-year-old female patient with a gastric schwannoma presenting with melena and anemia. Computed tomography and upper gastrointestinal endoscopy showed a protruded huge mass from 3 cm below the cardia to angle. Seven endoscopic biopsies indicated only necrotic debri and granulation tissue, chronic gastritis. Because we suspected an advanced gastric cancer, or lymphoma with bleeding, It was performed an operation for an exact diagnosis and a treatment for bleeding. A-post-operative histopathological, immunohistochemical examination led to the final diagnosis of a gastric schwannoma.

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MORPHOLOGY OF UROHYAL BONES OF PLEURONECTIDAE FISHES IN KOREAN WATERS (한국산 가자미과 어류의 미설골의 형태에 관하여)

  • KIM Yong Uk
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.5 no.4
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    • pp.121-127
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    • 1972
  • The present paper deals with the results of the comparative morphology on the urohyal bones on the right-eye flounders, pleuronectidae fishes in Korean waters. The results obtained are as follows : 1. The position of the tip of sciatic part is quite different depending on the genera and species of the fishes. The sciatic part of the genera, Platichthys and Cleisthenes, is very short extending to the middle portion of the main part. In the fishes of Eopsetta and Tanakius, it is also very short extending to the anterior 1/3 of the distance from the tip of main part. The fishes of Verasper and Dexistes have a short sciatic part which extends toward the posterior 1/4 of the distance from the tip of main part. The fishes Of Limanda, Clidoderma, Glyptecephalus and Microstomus have a long sciatic part which extends as long as the main part. However, those of Kareius and Pleuronichthys have a very long sciatic part extending twice long as the main part. The tip of sciatic part of the fishes belonging to Eopsetta, Verasper, Limanda, Platichthys, Tanakius and Glyptocephalus is a truncate form. It is pointed upward in the fishes of Kareius, Pleuronichthys, Clidoderma and Microstomus, but pointed forward in Cleisthenes and Dexistes. 2. The size and form of the cardiac apophysis vary with the developmental grades of the urohyal bone. The fishes of Eopsetta, Verasper, Platichthys, Tanakius, Kareius and Dexistes possess relatively large apophyses and those of Pleuronichthys and Clidoderma have small apophyses. Intermediate size of the apophysis is found in the fishes of Limanda, Microstomus and Cleisthenes. A long and barlike apophysis is found in Glyptocephalus. Three kinds of the cardiac. apophysis are found in the fishes examined, i. e., lateral wing in Eopsette, Verasper, Limanda, Platichthys, Tanakius, Glyptocephalus, Kareius, Pleuronichthys and Clidoderma, pointed forward in Microstomus and Cleisthenes, and truncate with a well-developed inner ridge type in Dexistes. 3. The angle of the main part and sciatic part varies from 30 to 60 degrees in the fishes studied except for the fishes of Pleuronichthys, Clidoderma and Microstomus which show a semi-elliptical form.

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Usefulness of Gastric Emptying Time Test for Dog byUsing Radiopaque Marker KOLOMARK (비투과 표지자 KOLOMARK를 이용한 개의 위배출시간검사에 대한 유용성)

  • Cho, Young-Kwon;Kim, Seon-Chil
    • Journal of the Korean Society of Radiology
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    • v.6 no.4
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    • pp.267-273
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    • 2012
  • Abnormal gastric emptying time of dog by alien substance, neoplasm, pyloric antrum hyperplasia, stomach surgery, electrolyte imbalance, stomach-dilated torsion is clinically important as a digestive disease. Therefore study aims to provide basic data on the clinical usefulness of gastric emptying time test which uses radiopaque Kolomark developed in Korea rather than using the existing BIPS for the dog. 9 beagles were used for this experiment and their average weight was about 10.3kg with 2.5 year-old average age. For the test, fast for 12 hours was made without chemical sedation, and just before the test, 1 capsule of Kolomark was fed with 25% of daily feed amount, and we took photographs at ventrodorsal and right lateral position after 2, 4, 8 and 12 hours. As for interested reading area, we observed entire stomach from cardia to stomach pyloric part, and as for analysis method, we counted Kolomarks remained in the stomach per time and judged only P value below 0.05 to be meaningful by using Friedman Test. After feeding Kolomark through oral cavity, it took average 7.55 hours for the Kolomark to have escaped from the stomach to small intestine. In this study of gastrointestinal tract passing time after feeding matured dog, we used Kolomark and expect that it could be a basic data for normal gastrokinetic time.

The Structure of Digestive Tract and Histological Features of the Larvae in Sevenband Grouper, Epinephelus septemfasciatus (능성어 (Epinephelus septemfasciatus) 자어의 소화기관 구조 및 조직학적 특징)

  • Park, Jong Youn;Kim, Na Ri;Park, Jae Min;Myeong, Jeong In;Cho, Jae Kwon
    • Korean Journal of Ichthyology
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    • v.28 no.1
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    • pp.9-18
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    • 2016
  • Histological and morphological development of the digestive tract of sevenband grouper were observed from after hatching to 60 days. Fishes were fed with rotifer (Brachionus rotundiformis) and chlorella (Chlorella ellipsoidea) after hatching from 2 to 20 days rotifer and brine shrimp (Artemia salina) in after 20 days rotifer, brine shrimp and semi-dry artificial diet in after 23 days. Histological and morphological development of ten larvae was observed by paraffin embedding method after fixing in 10% neutral buffered formalin. Sevenband grouper RLG showed characteristics of carnivorous fish by average 0.87. Larvae after hatching can't open the mouth and anus digestive tract was observed in a straight line following yolk sac. Larvae was observed feeding activity by opening the mouth and anus. Metamorphosis started 8 days after hatching. Esophagus divided four layer, and goblet cell was observed in esophagus, mid intestine and rectum. Larvae started cannibalism and it was caused by difference of growth. The inside of stomach was differentiated to cardiac orifice, body of stomach, pyloric stomach, and pyloric caeca. Goblet cell was observed all intestine. Gastric gland differentiated after hatching 28 days in stomach. Secretion of gastric juice was found at stomach and mucosal fold pyloric caeca. Even thought the inside of stomach expended and the number of gastric gland increased consistently and goblet cell in intestine and mucosa became longer, histochemical changes follow couldn't be found during transforming juveniles 38 days after hatching.