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Impact of Esophagojejunal Reconstruction without Division of the Mesentery for Total Laparoscopic Total Gastrectomy

  • Ko, Chang Seok;Jheong, Jin Ho;Lee, In-Seob;Kim, Beom Su;Kim, Min-Ju;Yoo, Moon-Won
    • Journal of Gastric Cancer
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    • v.21 no.1
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    • pp.63-73
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    • 2021
  • Purpose: This study aimed to compare the surgical outcomes of total laparoscopic total gastrectomy without mesentery division (LTG without MD) and conventional total laparoscopic total gastrectomy (CLTG), as well as evaluate the appropriate method for esophagojejunostomy (EJ) reconstruction after total laparoscopic total gastrectomy (TLTG). Materials and Methods: We retrospectively analyzed data from 301 consecutive patients who underwent TLTG for upper or middle third gastric cancer between January 2016 and May 2019. After propensity score matching, 95 patients who underwent LTG without MD and 95 who underwent CLTG were assessed. Data on clinical characteristics and surgical outcomes, including operation time, length of postoperative hospital stay, pathological findings, and postoperative complications were analyzed. Results: The LTG without MD group showed a shorter time to first flatus (3.26±0.80 vs. 3.62±0.81 days, P=0.003) and a shorter time to soft diet (2.80±2.09 vs. 3.52±2.20 days, P=0.002). The total EJ-related complications in the LTG without MD group were comparable to those in the CLTG group (9.47% vs. 3.16%, P=0.083). EJ-related leakage (6.32% vs. 3.16%, P=0.317) and EJ-related stricture (3.16% vs. 1.05%, P=0.317) rates were not significantly different between the LTG without MD and CLTG groups. No significant differences were found between the two groups in terms of other early surgical outcomes such as early complications, late complications, hospital stay, and readmission rate. Conclusions: LTG without MD is a safe surgical treatment for upper or middle third gastric cancer. LTG without MD may be an alternative procedure for EJ anastomosis during TLTG.

Effects of an Individualized Educational Program on Knowledge, Compliance and Physiologic Parameters in Non-Compliant Hemodialysis Patients (개별교육프로그램이 역할불이행 혈액투석환자의 투석관련 지식, 이행 및 생리적 지표에 미치는 효과)

  • Lee, Su Jin;Park, Hyang Sook;Han, Jin Hee;Kim, Hae Jin;Seo, Min Won;Choi, Eun Ah;Im, Eun Young;Choi, Mi Ran;Choi, Sun Suk;Park, Kwang Ok;Kim, Kyung Ok
    • Journal of Korean Clinical Nursing Research
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    • v.15 no.3
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    • pp.5-16
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    • 2009
  • Purpose: This study was done to provide effective nursing interventions using an individualized educational program designed to contribute to the knowledge, compliance and physiologic parameters (serum potassium, phosphorus and interdialytic weight gain) of non-compliant hemodialysis patients. Methods: There were 22 participants in the experimental group and 19 in the control group. Nurses with rapport with patients provided education to non-compliant hemodialysis patients for 20 minutes three times a week for six weeks. This education program consisted of individual consulting, telephones conversations regarding hemodialysis, and requests for patient support from patients' families and colleagues. Results: Hypothesis 1; "Knowledge about hemodialysis in the experimental group will be higher than the control. group" was not supported. Hypothesis 2; "Compliance will be higher in the experimental group than in the control group", and Hypothesis 3; "Physiologic parameters of experimental group will improve" were supported as serum potassium and interdialytic weight gain decreased, but results were not consistent for phosphorous. Conclusion: This program for non-compliant patients increased compliance and improved physiologic parameters. Therefore, this educational program should be effective as a nursing intervention.

Lung Disease Caused by Mycobacterium malmoense in an Immunocompetent Patient

  • Jeon, Min Kyung;Yoon, Jung A;Kim, Junhwan;Yi, Sangyoung;Sung, Heungsup;Shim, Tae Sun;Jo, Kyung-Wook
    • Tuberculosis and Respiratory Diseases
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    • v.78 no.3
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    • pp.293-296
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    • 2015
  • Mycobacterium malmoense is a very rare cause of lung disease in South Korea. We reported the first case of lung disease caused by M. malmoense in an immunocompetent patient. The patient was successfully treated with a 14-month course of antibiotics.

Usefuless of Multi-functional Gastroduodenal Coil Catheter with Gastric Phantom (팬텀을 이용한 다기능 위$\cdot$십이지전관 코일 카테타의 유용성 평가)

  • Lim Jin-Oh;Kim Tae-Hyung;Jung Yang-Hwa;Choi Won-Chan;Lee Kwang-Jong;Song In-Wook;Lee hyeong-Jin
    • Journal of The Korean Radiological Technologist Association
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    • v.29 no.1
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    • pp.61-66
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    • 2003
  • Purpose : To evaluate was the newly designed gastroduodenal coil catheter: in-vitro test. Material and Method : the coil catheter that we made in our laboratory was 150 cm. The coil that is made of stainless steel wire was composed 1.3m inner diameter and

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Complex Hemangioma of the Breast: Case Report, with Imaging Findings

  • Lee, Joo Yeon;Cha, Joo Hee;Kim, Hak Hee;Shin, Hee Jung;Chae, Eun Young;Choi, Woo Jung;Song, Min Jeong
    • Investigative Magnetic Resonance Imaging
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    • v.19 no.2
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    • pp.131-135
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    • 2015
  • Vascular tumors in the breast are rare, and most can be classified as being either angiosarcomas or hemangiomas. Hemangiomas are benign vascular tumors that are usually identified incidentally. Here, we are reporting on a case of a complex hemangioma of the breast, and describing the mammography, ultrasonography, and magnetic resonance imaging findings for this patient.

Adrenomyeloneuropathy with cerebral involvement due to a novel frameshift variant in ABCD1 gene

  • Kim, Hye Weon;Kim, Hyunjin;Jeong, Dongyoung;Chung, Kyuyoon;Lee, Eun-Jae;Lim, Young-Min;Kim, Kwang-Kuk
    • Annals of Clinical Neurophysiology
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    • v.23 no.1
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    • pp.61-64
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    • 2021
  • Adrenoleukodystrophy (ALD) is the most common peroxisomal disorder caused by mutations in the gene, ABCD1, causing abnormal accumulation of very-long-chain fatty acids in the nervous system and adrenal glands. There are various clinical manifestations of ALD. Here we report a 47-year-old male with adrenomyeloneuropathy with cerebral involvement who exhibited progressive gait disturbance and cognitive impairment. A novel frameshift variant (c.95del [p.Val32Alafs*36]) in exon 1 of ABCD1 was identified. This report provides additional information regarding the various clinical characteristics of ALD.