• Title/Summary/Keyword: Gallbladder

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Simultaneous Surgery on Jejunum perforation with Pelvic Ring Fracture: A Case Report

  • Chung, HoeJeong;Bae, Keum-Seok;Kim, Seong-yup;Kim, Doosup
    • Journal of Trauma and Injury
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    • v.29 no.2
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    • pp.56-59
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    • 2016
  • Patients with pelvic bone fractures with gastrointestinal perforations are reported in 4.4% of the cases and in very rare cases jejunum (0.15) is involved. However, intestinal perforations are often undiagnosed on the first examination before peritonitis is evident. We are presenting a report where a patient with anteroposterior compression injury, who was expected to undergo an internal fixation procedure, did not show any jejunum perforations on abdominal CT or other physical exams but was found on abdominal CT 1 week after right before surgery, therefore excision and anastomosis surgery, pelvic open reduction and internal fixation was simultaneously done with favorable results. In our case, we present a 61 year old male patient with liver trauma, adhesion at the abdominal cavity, with a past history of gallbladder excision, but without abdominal pain, fever, or infection symptoms. Therefore, this was a case that was difficult to initially diagnose the patient with jejunum perforation and peritonitis. The diagnosis was further supported during laparotomy when peritonitis around the area of intestinal perforation was observed. Generally, it is understood that pelvic bone fracture surgery is not immediately done on patients with peritonitis. However, this kind of patient who had peritonitis with intestinal adhesion and other complications could undergo surgery immediately as infection or other related symptoms did not coexist and the patient was rather stable, and as a result the treatment was successful.

CT-guided Celiac Plexus Block Using Anterior Approach (전산화 단층촬영 유도하 복강신경총 차단이 암성통증관리에 미치는 영향)

  • Lee, Jung-Koo;Rhee, Joo-Yeung;Chung, Jung-Kil;Rhee, Chang-Su
    • The Korean Journal of Pain
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    • v.12 no.1
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    • pp.87-94
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    • 1999
  • Backgroud: We have performed the CT-guided celiac plexus block (CPB) using anterior approach to evaluate the safety and efficacy of the procedure and to determine the role of CT. Methods: CPB were done in 10 patients (5 men and 5 women: mean age, 58.1 years) with intractable upper abdominal pain due to terminal malignancy of the stomach (n=3), pancreas (n=4), gallbladder (n=2), and liver (n=1). To permit an anterior approach, patients lay supine on the CT scan table during the procedure. One 21-guage Chiba needle was placed just anterior to the diaphragmatic crus between the celiac and superior mesenteric arteries and 10~12 ml of dehydrated alcohol was injected. Degree of pain relief following the procedure was assessed and pain was graded on a numeric rating scale (NRS) from 0 to 10. Results: The results suggest a direct relation between the degree of celiac invasion and the response to the CPB. With CT guidance, it is possible for us to direct the needle into more accurate region, allowing alcohol to be deposited in specific ganglion area. Conclusions: CT-guided CPB using an anterior approach was an easy and effective way of reducing intractable upper abdominal pain due to terminal malignancies. CT-guidance allowed precise needle placement and safe procedure. Careful classification of cases is important to predict the degree of pain relief using the grading system based on the degree of involvement of the celiac plexus.

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A study of literature on acupuncture & moxibustion techniques to treat 10 kinds of lumbago described by Huh Jun in DongUiBoGam(東醫寶鑑) (동의보감(東醫寶鑑) 요통분류(腰痛分類)에 따른 십종요통(十種腰痛)의 침구치료(針灸治療)에 대(對)한 문헌연구(文獻硏究))

  • Shin, Jong-Keun;Kim, Kyung-Sik;Sohn, In-Chul
    • Korean Journal of Acupuncture
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    • v.21 no.3
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    • pp.175-202
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    • 2004
  • The Object of this study is as follows. we classify lumbago into ten kinds as mentioned in DongUiBoGam(東醫寶鑑), and are going to present each acupunture & moxibustion treatment. For the purpose of looking for each treatment, we referred to a large number of literature for lumbago treatment from ancient to modern. As a result of survey the references, we found out that lumbago due to kidney deficiency(腎虛腰痛) and lumbago due to cold-damp(寒濕腰痛) are more mentioned in many references than any other kinds, and that ten kinds of lumbago have each treatment. above all, In treatment of lumbago due to kidney deficiency(腎虛腰痛) bladder meridian, governor vessel meridian, kidney meridian and general points such as BL23, KI3, BL40, GV4, BL52 are used much in turn. also in treatment of lumbago due to cold-damp(寒濕腰痛) bladder meridian, governor vessel meridian, gallbladder meridian and general points such as BL23, BL40, GV3, GV4, SP9, GB30, Ah-Shi' points(阿是穴), BL25 are used much in turn. We conclude that ten kinds of lumbago have each different acupunture & moxibustion points and treatments, so if we follow each treatment we might obtain more higher rate of the treatment of lumbago.

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The Representation of Cancer Risk by Korean Health Journalism: Comparing the Crude Rates of 10 Cancers to the Amount of Cancer News in the Three Major Newspapers(1990-2010) (10대암 조발생률과 신문 보도량의 비교: 3대 일간지 보도(1990년~2010년)를 중심으로)

  • Ju, Youngkee;Jeong, Da-Eun;You, Myoungsoon
    • Korean Journal of Health Education and Promotion
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    • v.30 no.5
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    • pp.201-210
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    • 2013
  • Objectives: The public relies on the news media to understand health risks. To examine the surveillance function of Korean health journalism, this study compared the rank-order of the 10 most frequently diagnosed cancers with that of the 10 cancers most frequently covered by three major Korean newspapers. Methods: News stories published between 1999 and 2010 by the Chosun-Ilbo, Joong-Ang-Ilbo, and Dong-A-Ilbo were examined. Data on cancer incidence were collected using the epidemiological data published by a governmental public health institution. To compare the level of the crude rates and the amount of news coverage, rank-order correlation tests and regression analyses were employed. Results: A reduction in the rank-ordered correlation coefficient was observed despite an increase in the overall number of cancer news stories released. The significance of the correlation disappeared after 2006. The big difference of the rank order between the crude rate and the amount of news coverage was observed in the cancer of breast, uteri, thyroid, and gallbladder/biliary. Finally, the three newspapers did not follow the amount change in stomach, lung, liver, and uterine cervix cancer. The four cancers' rank orders of crude rate were lowering, signifying a reduction of the comparative dangerousness of the four cancers. Conclusions: The news media's customization of news content and the negative bias in journalism are suggested as possible influences on the news media's inaccurate representation of cancer risk.

The literatural study on the oriental cognizance and acupuncture-moxibustion therapy of osteoporosis (골다공증(骨多孔症)의 한의학적(韓醫學的) 인식(認識)과 침구치료(鍼灸治療)의 문헌연구(文獻硏究))

  • Kim, Dong-Soo;Kim, Young-Il
    • Journal of Haehwa Medicine
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    • v.18 no.1
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    • pp.9-18
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    • 2009
  • Objectives and Methods: The treatments of osteoporosis in occidental medicine are need complementations for reason of low-continuation and adverse-drug-reaction. So we would have literature centered consideration both oriental medical cognition and acupuncture-moxibustion therapy in osteoporosis. Results: 1. Deficiency of bone marrow caused by heat in the kidney and deficiency of kidney Gi, is causative of osteoporosis in pathology in oriental medicine. 2. Bone flaccidity and bone impediment are similar with osteoporosis. Withered bone comes under pathogenesis of bone flaccidity. And heavy debilitating disease of the bone is exacerbation of bone impediment. 3. In acupuncture-moxibustion therapy of osteoporosis, Bladder Meridian of Foot Taeyang, Kidney Meridian of Foot Soeum, Gallbladder Meridian of Foot Soyang, Lung Meridian of Hand Taeeum, Large Intestine Meridian of Hand Yangmyeong, Spleen Meridian of Foot Taeeum, Conception Channel, Stomach Meridian of Foot Yangmyeong, and Heart Meridian of Hand Soeum are used much in the order named. 4. In acupuncture-moxibustion therapy of osteoporosis, Hyeonjong(GB39, 7times), Daejeo(BL11, 3times), Sanggwan(GB3, 2times), Sinsu(BL23, 2times), Gyeoksu(BL17, 2times), Honmun(BL47, 2times), Buryu(KI7, 2times), Taebaek(SP3, 2times), Sanggu(SP5, 2times), Sangnyeom(LI9, 2times) are used much in the order named. Conclusions: In treatment of osteoporosis, we could make full use of acupuncture-moxibustion therapy. And we need active and persistent study about osteoporosis.

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Clinical Study on a Case of Axonotmesis of Common Peroneal Mononeuropathy by using 3 times EMG Studies (근전도로 3회 추적관찰한 총비골신경마비 축색단열증에 대한 한방치험 1례)

  • Cho, Seong-Gyu;Chung, Byung-Shik;Yun, Hyung-Seok;Lee, Joo-Hyung;Lee, Sang-Hoon;Seo, Dong-Min;Lee, Jae-Dong
    • Journal of Pharmacopuncture
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    • v.4 no.2
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    • pp.105-112
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    • 2001
  • In Oriental Medicine, mononeuropathy belongs to or . Common peroneal neuropathy(CPN) is the most frequently encountered mononeuropathy in the lower extremity. It is usually caused by direct surgery injury, compression, leg crossing, trauma, traction etc, occasionally by nerve tumor. A 47-year-old healthy man was complained of the sudden development of left foot drop and sensory manifestation owing to suspected compression and habitual leg-crossing. Acupuncture along with bee-venom acupuncture, moxibustion was performed mainly at Stomach and Gallbladder Meridian specially ST36, ST37, ST40, GB34 and GB39. Nerve conduction study and electromyography was also performed three times. Symtoms was relieved fast, and full recovery took about 110 days. Acupuncture and bee-venom acupuncture are considered to be beneficial to CPN. More clinical trials and studies are needed.

Reliability and Validity Analysis of the Instrument of Oriental Medical Evaluation for Hwa-Byung (화병 한의 평가도구의 신뢰도, 타당도 평가)

  • Lee, Hun-Soo;Choi, Woo-Chang;Yu, Yun-Seon;Kang, Wee-Chang;Jung, In-Chul
    • Journal of Oriental Neuropsychiatry
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    • v.25 no.4
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    • pp.351-358
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    • 2014
  • Objectives: This study was performed to evaluate the reliability and validity of the instrument of oriental medical evaluation for Hwa-byung. Methods: 97 participants diagnosed with Hwa-byung divided into 5 pattern identifications by the instrument on pattern identifications for Hwa-byung were tested by the instrument of oriental medical evaluation for Hwa-byung twice a week. Results: The intraclass correlation coefficient of the test-retest analysis of oriental medical evaluation for Hwa-byung had over moderate agreement. The intraclass correlation coefficient of test-retest analysis of evaluation index of symptoms had moderate agreement for the total symptoms, and fair agreement for the physical and mental symptoms. The validity analysis of the instrument represented a positive correlation in the pattern identification of stagnation of liver Gi, malfunction of gallbladder due to phlegm stagnation, and disharmony between heart and kidneys. Conclusions: The results showed that the reliability analysis of the instrument of oriental medical evaluation for Hwa-byung showed over moderate agreement, and validity analysis represented a positive correlation except for the pattern identification of flare-up of liver fire and deficiency of both Gi and blood.

Study on the Characteristics of Acupoints that Treat Disorders of the Head and Face in the Zhenjiuzishengjing (『침구자생경(針灸資生經)』에 기재된 두면부(頭面部) 병증 치료경혈의 특성에 대한 고찰)

  • KEUM, Yujeong;LEE, Bonghyo;YEO, Inkeum;EOM, Dongmyung;SONG, Jichung
    • Journal of Korean Medical classics
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    • v.34 no.3
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    • pp.73-83
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    • 2021
  • Objectives : To organize the acupoints used to treat disorders of the head and face in the Zhenjiuzishengjing, and examine their characteristics in application. Methods : 1. The head and face area was divided into 8 parts according to the textbook of meridians and acupoints. Channels belonging to each part were marked. 2. Disorders as mentioned in the Zhenjiuzishengjing were categorized into 8 groups, accordingly. 3. Acupoints used to treat each disorder were organized according to the channels each belonged to. 4. The points were divided according to their proximity, and their application frequency was organized. 5. Based on the organized contents, the characteristics of using proximal and distal points, together with the interrelationship between the channel belonging to the afflicted area and the points locations were examined. Results : In treating disorders in the head and face area, various distal points along with proximal points were suggested in the Zhenjiuzishengjing. In some cases, points belonging to a channel that was irrelevant to the afflicted area were used widely; for proximal points, the Governor/Conception/Triple Energizer/Gallbladder channels were used. For distal points, channels that were related to the Five Zhang were used. Conclusions : Based on the contents of the Zhenjiuzishengjing, the following could be concluded: 1. When treating disorders of the head and face caused by heat, distal points were mostly used. 2. In cases where points which are not part of channels that pass the head or face were used, Zhang disfunction was likely behind such points selection.

Review on the Point Location and Locating Method of GB18 (승령(GB18) 혈위와 취혈 방법에 대한 고찰)

  • Koo, Sungtae
    • Korean Journal of Acupuncture
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    • v.35 no.4
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    • pp.203-209
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    • 2018
  • Objectives : The GB18 belongs to one of the 92 controversial points in the development of WHO standard of acupuncture point location. The number of Chon measurement of GB18 is described differently in the A-B Classic of Acupuncture and Moxibustion (ChimGuGakEulKyung; AB Classic) and the Complete Compendium of Acupuncture and Moxibustion(ChimGuDaeSeong; Complete Compendium). The aim of the study is to review the point location of GB18 and compare the relation of the location of BL7. In addition, I would like to propose new locating method of GB18. Methods : In order to review I examined the expressions of the location of GB18 and the mapping location on the acupuncture chart in the landmark classic acupuncture literatures. Results : In the most literatures, the location of GB18 was described by the distance from the GB17. The distance was 1.5 chon with one exception of 1 chon. The intervals from GB15 to GB18 was 1 chon or 1.5 chon. Although the distance from the anterior hairline is the same as 4 chon, mapping points of GB18 and BL7 on the acupuncture chart were different. Conclusions : Consequently, in the AB Classic, meaning of the location is the actual distance of scalp surface. In the Complete Compendium, however, meaning of the location is the hypothetical distance in the imaginary scalp surface. Therefore, it is safe to find the GB18 on the same level with GV20 on the connecting line of bilateral auricular apexes. The relation of GB18 and BL7 should be reconsidered.

A Clinical Study of the Pediatric Patients Who Visited Oriental Medical Hospital for Growth Treatment (성장 치료를 목적으로 한방병원에 내원한 환아에 대한 임상적 고찰)

  • Choi, Sun Hee;Park, Eun Jung
    • The Journal of Pediatrics of Korean Medicine
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    • v.32 no.4
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    • pp.51-62
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    • 2018
  • Objectives The purpose of this study is to analyze the characteristic of pediatric patients who visited oriental medical hospital for growth treatment. Methods The study was conducted with 130 pediatric patients who visited ${\bigcirc}{\bigcirc}$ Korean medicine hospital from January 2016 to August 2017. The patient's data was classified by sex, age, pattern identification and diseases. The classified data was analyzed to find the correlations and characteristics among variables. Results There were 50.8% of boys and 49.2% of girls. 6.2% of the total patients were in 'early childhood', 50.8% were in 'late childhood' and 43.1% were in 'puberty' stage. In terms of pattern identification, 44.6% of the total patients were 'Spleen-lung Qi Deficiency', 53.8% were 'Lung-kidney Yin Deficiency' and 1.5% were 'Weakness of Heart and gallbladder'. 44.3% of the patients had various diseases including rhinitis (77.6% of 120.7%). Height percentile of the children with using the Growth chart of 2017 was lower than using the Growth chart of 2007. Predicted height based on the child's bone-age were higher than the predicted height based on the parental height, although both of the precited factors were correlated to the current child's height. Conclusions This study showed the characteristic of the pediatric patients who visited oriental medical hospital for growth treatment. It helps to determine prognosis and treatment, and to explain treatment measures.