• Title/Summary/Keyword: 장문합

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Perianastomotic ulceration presenting with long-term iron deficiency anemia and growth failure: A case report and review of the literature (장기간의 철 결핍 빈혈 및 성장부전으로 발현된 장문합부위 궤양 1예)

  • Kang, Kyung Ji;Kim, Eun Ha;Jung, Eun Young;Park, Woo-Hyun;Kang, Yu-Na;Kim, Ae Suk;Hwang, Jin-Bok
    • Clinical and Experimental Pediatrics
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    • v.53 no.1
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    • pp.89-92
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    • 2010
  • Perianastomotic ulceration (PAU) rarely occurs after small bowel resection in infancy. Since the understanding of its pathogenesis is incomplete, an effective method of treatment has not yet been discovered. We report the first case in Korea of a 10-year-old girl with chronic iron deficiency anemia (IDA) and growth failure who was diagnosed with PAU at colonoscopy. Seven years were required to identify the cause of IDA. After surgical resection and revision of anastomosis, a close follow-up is being conducted due to the risk of recurrence. Here, we also review reports on 25 pediatric patients with PAU derived from a search of the English-language literature and describe the clinical features of PAU along with the results of treatment.

A Comparison of Three Suture Techniques on Adhesion in End-to-end Intestinal Anastomosis of Dogs (개에서 세가지 단단장문합 봉합법에 따른 유착비교)

  • Kim, Je-Sun;Jeong, Soon-Wuk;Kim, Joon-Young;Jeong, Man-Bok;Han, Hyun-Jung
    • Journal of Veterinary Clinics
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    • v.20 no.1
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    • pp.12-21
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    • 2003
  • In this study, we evaluated effects of three anastomotic techniques of small intestine on adhesions in the dog. Twenty six healthy mixed dogs were randomly assigned to three groups. Group I(n = 8) was sutured with a simple continuous suture, group II(n = 7) was sutured with a simple interrupted approximating suture and group III(n = 11) was sutured with a single layer continuous Connell suture. On completion of any intestinal anastomosis, a pedicle of greater omentum was wrapped around the suture line in all experimental dogs. One percent sodium carboxymeth-ylcellulose (5ml/kg) was administrated into the abdomen by feeding tube prior to closing the last part of peritoneum in all dogs. Postoperative adhesions were evaluated at 14th day after operation. The adhesions consisted primarily in two dogs in group I, three dogs in group II and group III. There were adhesions between intestinal serosal surfaces in eight dogs in all groups, but there were no intestinal serosa-visceral peritoneum adhesion and intestinal serosa-mesentery adhesion. Mean adhesion scores were less than score 2 in all groups. Between anastomotic site and omental graft, there were 13.13$\pm$4.97 mm (mean$\pm$S.D.) adhesion formation in group I and 17.29$\pm$4.68 mm in group II and 14.64$\pm$3.80mm in group III. A simple continuous suture resulted in the least adhesion formation and a simple interrupted approximating suture resulted in the greatest adhesion formation among the groups. However, there were no significant differences among three suture techniques in the severity of adhesions. Intestinal intussusception only encountered in one dog during the 14 days, the dog operated and survived. Daily monitoring of temperature, activity, appetite, defecation and micturition were done. All of those vital signs were within normal values and there were no obvious differences among the groups. In conclusion, even though there were no significant differences among three groups, a simple continous suture pattern is recommended to prevent adhesions when operating intestinal anastomosis in dogs.

Effects of Butorphanol on Behavior after Intestinal Anastomosis in Dogs (Butorphanol의 투여가 장문합술 후 개의 행동에 미치는 영향)

  • Koo Ja-min;Lee Hee-chun;Chang Hong-hee;Seong Yong-jeung;Lee Hyo-jong;Yeon Seong-chan
    • Journal of Veterinary Clinics
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    • v.22 no.1
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    • pp.6-15
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    • 2005
  • This study was performed to investigate non-invasive behavioral pain assessment of dogs after surgery, and the analgesic effects of butorphanol after intestinal anastomosis in dogs. In this study, five dogs in the Control Group were anesthetized, but did not undergo surgery. Five dogs in the Analgesic Group were undergone intestinal anastomosis and treated with butorphanol. Five dogs in the Non-analgesic Group were also undergone intestinal anastomosis without analgesic treatment. The dogs in the Analgesic Group received butorphanol (0.4 mg/kg, IM) before and immediately after operation, while dogs in Control and Non-analgesic Groups received isovolumetric doses of sterile saline. The behavior of dogs were videotaped for 400 mins after anesthesia, during which time a researcher interacted with the dog once per each 80 mins. At each interaction, the researcher recorded behavioral pain score, using University of Melbourne Pain Scale. Interactive and non-interactive behaviors were observed and quantitated by a single observer using focal continuous sampling method. Vocalizations were obtained during 400 mins after anesthesia, and duration of call, intensity, pitch, 1-4 Formant were analyzed. Surgery affected an increasing of pain score. During interactions with researcher, greeting behaviors were decreased after surgery. Differences between Analgesic group given analgesic or that given a placebo drug were readily understood using quantitative behavioral measurements and vocalization. Significant difference between Analgesic group given butorphanol or that the given placebo drug was apparent(p< 0.05).

육/해상 풍력실증연구단지조성 기획 연구

  • Jang, Mun-Seok
    • 한국신재생에너지학회:학술대회논문집
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    • 2005.11a
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    • pp.253-264
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    • 2005
  • 풍력발전시스템은 제품에 대한 실증이 반드시 현장에서 이루어져야 하는 특성을 가지고 있으며 향후 국내실정에 적합한 풍력발전시스템의 개발과 보급을 위해서도 실증연구는 선행조건으로 볼 수 있다. 따라서 국제 규격에 합당한 풍력발전 성능평가와 현장 실증연구를 수행할 수 있는 실증단지를 국내에 조성하는 것이 매우 시급한 실정으로, 기초적인 자원분석과 주변환경평가 등을 거치면서 기본적인 실증단지 후보지들을 비교하여 최종 후보지로 선정된 전북 새만금지역, 병곡 영해 평야지구, 제주 동부해안지역 월정지구, 서부 해안지역 월령지구에 대하여 부지의 IEC 규격 적합성 검토, 인프라구축에 대한 적정성 검토, 주변 발전단지 조성가능성 및 발전사업에 대한 연계성 검토, 육해상 실증단지 구축 동일지 역 가능성 검토, 교육과 홍보에 대한 접근성 및 공사에 대한 접근성 검토, 부지 확장 및 향후 실증단지 운영과 관련하여 지자체와의 연계성 검토를 하였다.

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일체형 원자로의 안전용기 냉각이 설계에 미치는 영향

  • 서재광;김주평;윤주현;이두정;장문희
    • Proceedings of the Korean Nuclear Society Conference
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    • 1996.11a
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    • pp.276-282
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    • 1996
  • 일체형원자로는 노심, 증기발생기, 가압기, 펌프 등 1차측 주기기들을 하나의 압력용기안에 모두 포함하고 있고, 또 1차측 냉각재가 원자로 안에서만 순환하므로 기존의 분리형원자로에 비해 구조특성상 대용량 원자로 냉각재 상실사고(LBLOCA)의 발생 가능성을 원천적으로 제거할 수 있다. 반면 원자로 냉각재의 보충 등을 위한 소형 배관의 파단 가능성은 역시 존재하므로 소용량 원자로 냉각재 상실 사고(SBLOCA)는 여전히 존재한다. 따라서 현재 한국원자력연구소에서 연구 개발중인 중소규모 전력생산 및 열 활용 목적의 일체형 원자로에는, 원자로 압력용기 외부에 별도의 압력용기(안전용기)를 설치하여 SBLOCA시 원자로 압력용기로부터 방출되는 냉각수를 안전 용기내에 보관하도록 함으로써 사고시 외부로의 방사성 물질 유출 가능성을 획기적으로 줄 일수 있는 설계 개념을 도입하고 있다. 본 논문에서는 안전용기의 설계시 효율적인 냉각방식에 대한 열유체 해석적 접근을 시도하였고, 예비개념설계된 일체형 열병합원자로의 설계상의 특징들 및 안전용기 설계시 앞으로의 연구방향 등도 간략히 소개하였다.

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Interrupted Single-layer Suture Technique in Esophageal Anastomosis Using Monofilament Polypropylene Suture (Monofilament Polypropylene사를 이용한 단속단층 식도문합술)

  • 성시찬;편승환
    • Journal of Chest Surgery
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    • v.31 no.7
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    • pp.711-717
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    • 1998
  • Background: Although various anastomotic techniques and suture materials have been used in esophageal anastomosis, anastomotic leakage and stenosis are still somewhat frequent and serious complications when compared to other intestinal anastomoses. We have used interrupted single-layer suture technique using monofilament polypropylene suture in various esophageal anastomoses, including repair of the esophageal atresia, since 1990. Methods and method: We retrospectively evaluated the efficacy of this technique on postoperative leakage and stenosis in several esophageal reconstructions. The esophageal reconstructions using this technique were performed in 90 patients at Dong-A University Hospital from April 1990 through December 1996. Results: Anastomotic leakage occurred in 5 patients(5.6%) with one operative death. Stenosis at the anastomotic site occurred in 15 patients(n=86, 17.4%), which was most common in esophagogastrostomy(22%) and least common in esophagocolostomy (5%). This result was comparable to other methods including the autosuture technique. Conclusions: We concluded that this suture technique in esophageal anastomosis can be used with reasonable results in various esophageal reconstructions including correction of the esophageal atresia.

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