• Title/Summary/Keyword: Atresia

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Congenital Anal Atresia in a Korean Native Calf (한우송아지에서 선천적 항문 무형성증의 외과적 교정례)

  • Lee, Sang-Mook;Kim, Juug-Eun;Jang, Kwang-Ho
    • Journal of Veterinary Clinics
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    • v.23 no.3
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    • pp.380-382
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    • 2006
  • A 6-day-old male Korean native calf was referred to Veterinary Teaching Hospital, College of Veterinary Medicine Kyungpook National University because of dyschezia with atresia me. Clinical signs included anorexia, dyschezia, abdominal distention and depression. In radiographic examination, the intestinal loops are filled with gas and there is a fistula connecting the large intestine to the urethra. Colostomy was performed immediately and atresia am was healed on 28 day after colostomy without Buy other complication.

Single Stage Anatomic Repair of Aortic Atresia with Normal Left Ventricle (정상 좌심실을 가진 대동맥 판막 폐쇄증에서의 일차성 완전교정술)

  • Kim, Uk-Seong;Kim, Yong-Jin
    • Journal of Chest Surgery
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    • v.26 no.9
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    • pp.701-704
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    • 1993
  • Four to seven percent of infants born with aortic atresia have a normal-sized left ventricle in association with a ventricular septal defect and a normal mitral valve. In contrast to the more common group of infants with aortic atresia whose left ventricle is hypoplastic, this important subgroup has potential for complete operative correction involving both the right and left ventricle. Our approach was to perform complete repair at one stage. The patient who underwent single-stage repair was discharged from the hospital in good condition. Achieving a physiologically normal circulation simplifies the postoperative management of this condition.

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Congenital esophageal atresia and tracheoesophageal fistula: report of 4 cases (선천성 식도 폐쇄 및 기관식도루 4례 보고)

  • 채성수
    • Journal of Chest Surgery
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    • v.16 no.1
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    • pp.127-130
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    • 1983
  • Esophageal atresia and Tracheoesophageal fistula may occur as separate entities but usually occur in combination. First described by Durston in 1970, esophageal atresia was not successfully treated until 1939 when the first two survivors of staged correction were described by Ladd and Leven. In 1941, Haight and Towsley performed the first successful primary repair. Authors report four cases of esophageal atresia of which two cases were treated surgically in success with Haight`s method. The type of four cases were all the same as upper blind pouch and lower tracheoesphageal fistula. Two of them were associated with verterbral defect, imperforate anus and/or rib fusion. Two cases died within seven days due to parent`s refusal for operative therapy, others were treated surgically with Haight`s method. Operative patients tolerated all the operative procedure and recovered uneventfully, permitted feeding on 7th postoperative day. On follow up study, one patient revealed intermittent regurgitation and corrected with bougienation another with good health without complication.

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Surgical Repair of Esophageal Atresia with Tracheoesophageal Fistula - Report of Three Cases - (선천성 식도 폐쇄및 기관식도루 수술치험 3례)

  • 허강배
    • Journal of Chest Surgery
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    • v.25 no.9
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    • pp.891-899
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    • 1992
  • Esophageal atresia with tracheoesophageal fistula may occur as separate, but usually occur in combination. First described by Thomas Gibson in 1696, esophageal atresia was not successfully treated until 1939 when the first two survivors of staged correction were described by Ladd and Leven. In 1941, Haight and Towsley performed the first successful one-stage primary repair. We report three cases of esophageal atresia with tracheoesophageal fistula of which were treated with one-stage surgical repair method. The operation was performed tra-nspleurally through right 4th intercostal space. The fistula in the trachea was closed with interrupted 5-O prolene sutures and esophagoesophageal anastomosis was performed with 3-O prolene single layer sutures in all cases. All patients tolerated the operative procedures and recovered uneventfully. On follow-up study, anastomotic stricture was developed in one patients, so esophageal dilatation was performed for it with the Griintzig balloon catheter and the result was satisfactory. The other patients were well-being without any complication.

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Radiographic Diagnosis for Determination of Operation Site in Calves with Congenital Atresia Ani (송아지 항문폐쇄증의 수술 부위 결정을 위한 방사선 진단)

  • 김남수;최인혁
    • Journal of Veterinary Clinics
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    • v.16 no.2
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    • pp.486-491
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    • 1999
  • One day to one week-old 3 female Korean native calves were referred to the Veterinary Teaching Hospital, Chonbuk National University, with atresia ani. The authors performed radiographic and ultrasonographic diagnosis with physical examination, general hematology and blood chemical examination as investigation. The atresia ani were type I, II, III in each 3 calves. In abdominal radiography and ultrasonography, there were ventral displacement of descending colon(gas and feces filled) and typical enlargement of the blind end of colon in all cases. Operation site was determined by radiographic and ultrasonographic findings in these cases. Surgical treatment, two cases were translocation of the colon to the body wall exiting as a colostomy and one case was corrected by making a circumcision through the skin covering the site of the anus.

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Congenital Esophgo-bronchial Fistula without Esophageal Atresia in the Adult -A Case Report- (성인의 선천성 식도 기관지루 -수술치험 1례 보고-)

  • Kim, Byeong-Rin;O, Tae-Yun;Jang, Un-Ha
    • Journal of Chest Surgery
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    • v.28 no.4
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    • pp.431-436
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    • 1995
  • Congenital esophago-bronchial fistula without atresia is very rare and usually demonstrate more insidious clinical effects, and patients may reach adult life before the diagnosis. We had been experienced a typical case of esophago-bronchial fistula without atresia and document the case. A 42-year-old women was admitted to our hospital due to frequent choking symptom and attacks of pneumonia, and patient status was in chronic pulmonary infection status such as most probably bronchiectatic state of right middle & lower lobe including significant destructive changes. We had confirmed esophago-bronchial fistula without atresia with esophagoscopy, esophagogram, and chest CT, and performed esophago-bronchial fistulectomy and right middle & lower lobectomy. Its belongs to type II of Braimbridge`s classification for congenital esophago-bronchial fistula. Postoperation course was smooth and uneventful.

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Ileal Atresia Complicated by Meconium Peritonitis (태변성 복막염을 동반한 회장무공증)

  • Moon, Seok-II;Song, Young-Tack
    • Advances in pediatric surgery
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    • v.2 no.2
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    • pp.115-118
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    • 1996
  • Meconium peritonitis is a primarily aseptic, chemical peritonitis caused by the spill of meconium into the abdominal cavity through an intestinal perforation during the intrauterine or perinatal period. The perforation is known to be related to intrauterine vascular compromise. Recently, the authors experienced 4 cases of ileal atresia complicated by meconium peritonitis. The male to female sex ratio was 1 : 3, and age at operation was 1 day(2 cases), 3 days(2 cases). Three cases had generalized peritonitis, and one the cystic type of meconium peritonitis. The types of ileal atresia were IIIa(2 cases), IIIb(1 case), and II(1 case). The proximal blind ileal end was perforated in 3 cases, and distal end perforation was in 1 case of cystic type. Postoperative recovery was excellent in all cases.

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Hemorrhagic Diathesis as the Presenting Symptom of Neonatal Cholestasis

  • Faverey, Liesbeth Claire;Vandenplas, Yvan
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.17 no.3
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    • pp.191-195
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    • 2014
  • A 4-week-old infant presented with a coagulation disorder resulting from a vitamin K deficiency. The vitamin K deficiency was caused by neonatal cholestasis due to biliary atresia. Jaundice, hepatomegaly and pale stools are the predominant presenting symptoms of biliary atresia, none of which were recognized in our patient before admission. However, the patient presented with bleeding caused by vitamin K deficiency. She was fully breastfed and had received adequate doses of vitamin K at birth and from the age of 1 week. In case of a hemorrhagic diathesis due to neonatal cholestasis, timely identification of treatable underlying disorders, in particular biliary atresia, is important because an early surgical intervention results in a better prognosis. Meticulous history taking and a thorough physical exam can be decisive for an early diagnosis and subsequent intervention.

Surgical Treatment of Pulmonary Atresia with Intact Ventricular Septum without Extracorporeal Circulation - Report of One Case - (심실중격결손이 없는 폐동맥페쇄증 환아에서 체외순환 없이 시행한 고식적 수술치험 1례)

  • Park, Cheol-Hyeon;Lee, Sin-Yeong;Kim, Chang-Ho
    • Journal of Chest Surgery
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    • v.24 no.7
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    • pp.719-724
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    • 1991
  • A case of pulmonary atresia with intact ventricular septum was presented in a 10-month-old cyanotic female patient, which was congenitally rare. Infant with pulmonary atresia and intact ventricular septum usually require urgent surgical intervention. Angiogram showed the pulmonary atresia at the level of the pulmonary valve, the hypoplasia of tricuspid valve and atrial septal defect without patent ductus arteriosus. We performed the pericardial patch graft on the right ventricular outflow tract and pulmonary artery after ventriculotomy using pacemaker wire as electrical saw and main pulmonary arteriotomy and then modified Waterston shunt from the ascending aorta to patch on the right ventricular outflow tract without extracorporeal circulation. Patient was postoperatively good condition.

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Long Gap Esophageal Atresia Successfully Treated by Esophageal Lengthening Using External Traction Sutures (간격이 긴 식도 무공증에서 외부 견인술을 이용한 조기 문합 1예)

  • Lee, Doo-Sun;NamGung, Hwan;Yoon, Jung-Suk
    • Advances in pediatric surgery
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    • v.11 no.2
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    • pp.165-170
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    • 2005
  • The repair of esophageal atresia with a long gap continues to pose difficulties for the surgeon. There is a general agreement that the child's own esophagus is the best, however, primary repair is not always possible. Foker JE et al. (1997) developed a technique of esophageal lengthening using external traction sutures. We successfully treated one patient with a 4.5cm gap esophageal atresia (4 vertebral spaces) using the external traction suture technique.

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