• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제3권1호
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• pp.116-121
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• 2000

저자들은 내원 3주 전부터 점차 악화되는 구토와 우상복부 동통을 주소로 내원한 11세 여아에서 복부 방사선 검사상 췌장 두부의 종괴를 발견하여 치료로서 단순 종괴 제거술을 시행하였고 조직 검사상 고형 및 유두상 상피성 종양으로 진단된 환아 1례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

• Asian Pacific Journal of Cancer Prevention
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• 제16권17호
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• pp.7541-7546
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• 2015

Aim: To report the histologic findings on Whipple resection specimens and thus determine the extent and spread of carcinomas of ampullary region and head of pancreas in our population. Setting: Section of Histopathology, Department of Pathology, Aga Khan University Hospital (AKUH), Karachi, Pakistan. Materials and Methods: A case series of 311 consecutive Whipple resection specimens received between January 1,2003 and December 31, 2014. Specimens processed for histologic sections and representative sections submitted and histologically examined as per established and standard protocols. All relevant tumor parameters including histologic type, histologic grade, pathologic T and N stage and tumor size were assessed. Epidemiologic data were also recorded. All findings were analysed using SPSS 19.0 software. Results: Ampullary (periampullary) carcinomas were much more common than carcinomas of the head of the pancreas, especially in males, with an average age of 53 years. Mean tumor size was 2.5 cms, over 54% were well differentiated. A large majority were pT2 or pT3 and N0. Carcinomas of pancreatic head were also more common in males, mean age was 55 years, mean tumor size was 3.5cms, and over 65% were moderately differentiated. The majority were T2 or T3 and pN1. Prognostically, significant statistical correlation was seen with tumor grade and pathologic T and N stage (p values statistically significant). However, tumor size was not statistically significant. Conclusions: Ampullary carcinomas are more common compared to pancreatic carcinomas. Majority of ampullary carcinomas were well differentiated while majority of pancreatic carcinomas were moderately differentiated. Large majority of both types of cases were pT2 or T3. Histologic tumor grade and pathologic T and N stage are significantly related to prognosis in Pakistani patients with ampullary and pancreatic cancers.

• Journal of Trauma and Injury
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• 제29권2호
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• pp.51-55
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• 2016

Isolated injury to the pancreas after abdominal trauma is uncommon, and a delay in diagnosis and treatment can increase the morbidity and mortality. Therapeutic decisions with respect to pancreatic trauma are usually made based on the site of injury and the status of the pancreatic ductal system. In this report, we describe the surgical management of pancreatic head transection as an isolated injury following blunt abdominal trauma. A 55-year-old man presented with epigastric pain that radiated to the back. Abdominal computed tomography revealed a hematoma in the pancreatic head and upstream dilatation of the main pancreatic duct. Endoscopic retrograde cholangiopancreatography showed complete disruption of and contrast leakage from the main pancreatic duct in the pancreatic head region with a nonenhanced upstream duct. Emergency pancreaticoduodenectomy was successfully performed, and the patient was discharged on postoperative day 9 without any complications.

• Journal of Digestive Cancer Research
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• 제1권1호
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• pp.43-47
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• 2013

췌장암에 대한 근치적 절제술 후에 잔여 췌장에서 발생한 췌장암에 대한 보고는 거의 없는 상태이며, 특히 잔여췌장에 발생한 췌장암에 대하여 반복 췌장절제를 시행한 보고는 더욱 드물다. 저자들은 췌장미부에 발생한 췌장암에 대하여 근치적 절제술을 시행 후 35개월에 잔여 췌장에서 발생한 췌장암으로 췌장십이지장 절제술을 시행한 경우와 췌장두부에 발생한 췌장암에 대하여 췌장십이지장 절제술을 시행 후 20개월 만에 잔여 췌장에 췌장암이 발생하여 췌장미부절제술을 시행한 경우를 경험하였기에 고찰과 함께 보고하는 바이다.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제3권2호
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• pp.217-221
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• 2000

저자들은 복부종괴가 촉진되고 간헐적 복부 동통을 주소로 내원한 14세 여아에서 복부 컴퓨터 단층 촬영과 조직검사로 고형 및 유두상 종양으로 진단하고 종괴절제술 및 Roux-en-Y 췌장공장문합술(pancreaticojejunostomy)로 치료한 환아 1례를 경험하였기에 보고하는 바이다.

• 대한약침학회지
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• 제11권1호
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• pp.13-19
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• 2008

목적 : 피부의 경혈(CV12)로부터 췌장으로 액체가 흘러가는 경로가 있음을 보임. 방법 : 생쥐의 중완혈에 푸른색 염료(Alcian blue) 1% 용액을 주입하고, 2시간이 경과한 후 개복하여 내장장기의 표면들을 실체 현미경으로 관찰한다. 결과 : 췌장 위에 있으며, 췌장의 머리부분과 꼬리부분, 췌장과 위장, 췌장과 비장을 연결해주는 망막상의 지방줄(omental fat band)에 Alcian blue가 도달, 착색되었다. 결론 : 중완혈로부터 췌장을 경과하여 망막상의 지방줄에 이르는 액체 순환경로가 있다.

• Advances in pediatric surgery
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• 제9권1호
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• pp.52-56
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• 2003

A 10 year old boy was admitted with blunt abdominal trauma by bike handle injury. The patient was operated upon for a generalized peritonitis due to pancreaticoduodenal injury. On opening the peritoneal cavity. complete transection of distal end of common bile duct and. partial separation between pancreas head and second portion of duodenum were found. Ligation of the transected end of the common bile duct. T-tube choledochostomy, and external drainage were performed. A pseudocyst was found around the head portion of the pancreas on the 7th postoperative day with CT. An internal fistula had developed between the pseudocyst and ligated common bile duct. The pseudocyst was subsided after percutaneous drainage. In the case of the undetermined pancreatic injury, percutaneous external drainage can be effective in treating the traumatic pancreatic pseudocyst in a pediatric patient.

• Investigative Magnetic Resonance Imaging
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• 제25권1호
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• pp.47-52
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• 2021

Paraganglioma is a rare tumor of paraganglia, derived from neural crest cells in sympathetic or parasympathetic ganglions. It can be widely distributed from the skull base to the bottom of the pelvis. The pancreas, however, is a rare location of this neoplasm, and only a limited number of cases have been reported in the English literature, especially with gadoxetic-acid-enhanced magnetic resonance imaging (MRI) and diffusion-weighted images (DWI). We herein report a case of pathologically proven paraganglioma in the pancreas head with a literature review on endoscopic ultrasonography (EUS), computed tomography (CT), gadoxetic-acid-enhanced MRI, and DWI sequence.

• 한국식생활문화학회지
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• 제9권5호
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• pp.499-507
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• 1995

The purpose of this study was to survey the various kinds of cooked beef products focusing on Sukyuk (boiled beef) and Pyunyuk (boiled beef slice) recorded on the historical literatures written from 1670 to 1945. Sukyuk and Pyunyuk were recorded 45 times in the references and could be classified into 11 groups based on major ingredients such as fresh meat, tough meat, rotten meat, tail, head, lung, cup of breast, testicles, pancreas, spleen and tung. Twenty two cooking methods were described on the records. Sukyuk and Pyunyuk based on fresh meat were described the most frequently. Pyunyuk based on head was described late in 18th centuries, but its recipe could not be found in any records and that of internal organs and tung were presented late in 18th centuries and early in 19th centuries, respectively. The major ingredients of Sukyuk and Pyunyuk were lean meat, tail, head, lung, cup of breast, testicles, pancreas, spleen and tongue Mulberry seed, fragment of roof tile and other sub-ingredients were used for softening or deodorizing the off flavor of the products.

• Advances in pediatric surgery
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• 제4권1호
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• pp.55-60
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• 1998

Six children with solid and papillary epithelial neoplasm of the pancreas were studied retrospectively. There were 2 boys and 4 girls. The mean age at operation was 11 years(range; 8-13years). Three patients had incidental abdominal mass, in two patients the mass was non-tender, in one patient the mass was tender. The minimum size of tumor was $6.5{\times}6.0$ cm and the maximum was $10.5{\times}8.0$ cm. Five tumors were located in the head of the pancreas, and the other one in the tail. Local invasion or metastasis was not noticed. Tumors were removed completely by performing the following operations: 3 pylorous preserving pancreaticoduodenectomy, 2 Whipple's operation and 1 distal pancreatectomy. There was no mortality. The histologic findings were characteristic. There were no recurrences during a follow-up of 0.5 to 12 years (mean; 5.0 years).