• Journal of Ginseng Research
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• 제37권1호
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• pp.37-44
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• 2013

Korean red ginseng is known to regulate the immune system and help the body struggle infection and disease. Cadmium is widely distributed in the environment due to its use in industry. Exposure to cadmium is problematic causing organ dysfunction. This study was conducted to evaluate the protective effect of Korean red ginseng extract (RGE) against cadmium-induced hepatotoxicity in rats. In experiments, animals were orally administrated with RGE (25, 50 mg/kg) for 7 d and then intravenously injected with cadmium ($CdCl_2$, 4 mg/kg) to induce acute hepatotoxicity. Cadmium caused the elevated levels of alanine aminotransferase, aspartate aminotransferase, and lactate dehydrogenase in serum. In contrast, pretreatment with RGE significantly reduced those serum indexes related with liver damage. In histopathological analysis, RGE decreased the centrilobular necrosis around central veins and the peripheral hemorrhage around portal triads. Moreover, RGE restored the deficit in hepatic glutathione level resulting from cadmium treatment. RGE also inhibited the increase in the expression of Bad, a representative apoptosis marker protein, induced by cadmium treatment. Collectively, these results demonstrate that RGE can reduce the cadmium-induced hepatic toxicity, partly via anti-oxidative and anti-apoptotic process.

• Journal of Chest Surgery
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• 제26권12호
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• pp.950-954
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• 1993

Two patients with chronic Budd-Chiari syndrome resulting from segmental obstruction of the inferior vena cava underwent operation. There were 1 man and 1 woman. The obstructed segment was directly visualized by a transthoracic, transdiaphragmatic, retroperitoneal approach. In these two cases, severe segmental obstruction of the inferior vena cava was observed just above the right hepatic vein. These patients underwent successful retrohepatic cavoatrial bypass with a polytetrafloroethylene [PTFE] graft [ 16mm plain and 16mm ringed graft ]. There were no operative mortality and postoperative complication. These patients have been followed up for 6months and 36months without evidence of re-obstruction. When there is a severe stricture of the IVC with hepatic veins draining freely into the obstructed segment of the IVC, a dorsal cavoatrial bypass with a PTFE graft, preferably ringed, is the method of choice.

• Korean Journal of Radiology
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• 제2권4호
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• pp.204-209
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• 2001

Objective: To determine the feasibility of transcaval transjugular intrahepatic portosystemic shunt (TIPS) in patients with occluded previous TIPS. Materials and Methods: Between February 1996 and December 2000 we performed five transcaval TIPS procedures in four patients with recurrent gastric cardiac variceal bleeding. All four had occluded TIPS, which was between the hepatic and portal vein. The interval between initial TIPS placement and revisional procedures with transcaval TIPS varied between three and 31 months; one patient underwent transcaval TIPS twice, with a 31-month interval. After revision of the occluded shunt failed, direct cavoportal puncture at the retrohepatic segment of the IVC was attempted. Results: Transcaval TIPS placement was technically successful in all cases. In three, tractography revealed slight leakage of contrast materials into hepatic subcapsular or subdiaphragmatic pericaval space. There was no evidence of propagation of extravasated contrast materials through the retroperitoneal space or spillage into the peritoneal space. After the tract was dilated by a bare stent, no patient experienced trans-stent bleeding and no serious procedure-related complications occurred. After successful shunt creation, variceal bleeding ceased in all patients. Conclusion: Transcaval TIPS placement is an effective and safe alternative treatment in patients with occluded previous TIPS and no hepatic veins suitable for new TIPS.

• 한국멀티미디어학회논문지
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• 제13권3호
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• pp.430-437
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• 2010

간이식 수술을 함에 있어서 간 내부의 혈관의 형태를 알고 시작하는 것이 수술의 성공률을 매우 높일 수 있다. 본 논문은 조영제를 투여한 정상 환자의 복부 MDCT를 이용하여 얻어진 영상을 다른 여러 장기부분은 제거하고 간 영상만을 추출한 후 간 내의 혈관들의 기본형태를 파악하여 몇몇 구조단위들을 만들고 Morphological filtering을 이용하여 주요 혈관인 좌, 우, 중간정맥을 찾아낸다. 중간정맥을 기준으로 간 실질을 절단하여 절단된 부분의 크기를 예측하고 수술전에 전체 상황을 파악하기 위한 연구이다. 간의 추출 방법은 명암값의 범위와 분포 샘플링 과정에 의한 명암값 분포비율을 가지고 배경과 근육층을 제거하였다. 간의 대략적인 위치 정보와 몸통의 위치정보를 이용하여 단위 매쉬영상과 일치되는 영상을 찾은 후 결과 영상을 조합하고 8방향 연결성을 이용하여 확장하고 화소간의 채우기 과정을 거쳐 최종적인 간영상을 추출하였다. 추출된 간 영상에서 간 영역의 특징적인 명암값과 다양한 구조단위를 가지고 Morpological Filtering을 수행 한 후 나타난 결과들을 조합하여 만들어진 영상에서 각 슬라이스 별로 크기순으로 큰 부분들을 남겨두어 굵은 혈관만을 추출하였다. 추출된 영상들을 3D로 구성 시 자연스럽게 보여지도록 인터폴레이션을 수행한 후 3D Reconstruction 을 수행하여 3D 형태의 간 혈관을 보고 중간 정맥을 파악하여 간 실질의 절단 위치를 예측하게 된다. 절단되어진 간 실질의 크기를 확인하고 계산에 의하여 수술 성공 가능성을 파악할 수 있다.

• Asian-Australasian Journal of Animal Sciences
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• 제18권9호
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• pp.1255-1261
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• 2005

The objective of this study was to evaluate the net flux response of nitrogen compounds (alpha-amino N, ammonia N, urea N, essential amino acids) across the portal-drained viscera (PDV), liver and total splanchnic tissues of mature wethers to increasing level of dietary fishmeal (FM) supplementation. Four wethers (average body weight, 64 kg) with chronic indwelling catheters into the portal, hepatic and mesenteric veins and the abdominal aorta were used in a 4${\times}$4 Latin square design. A basal diet consisting of 0.7 hay and 0.3 concentrate was fed twice daily with a fixed amount at 1.4 times maintenance energy (1.3 kg/day on a dry matter basis). The supplementation proportion of FM as treatment was 0, 0.03, 0.06 and 0.09 to the amount of the basal diet to contain 119, 137, 154 and 170 g crude protein per kg dietary dry matter, respectively. Blood flows through PDV and liver did not differ (p>0.05) among the treatments. Both net PDV release and hepatic uptake of alpha amino acid N increased linearly (p<0.05) in response to increased dietary FM, which resulted in similar total splanchnic release of alpha-amino N among the treatments. Similarly, increased dietary FM increased net PDV absorption and hepatic removal of ammonia N linearly (p<0.05). Hepatic synthesis and total splanchnic release of urea N increased linearly (p<0.01) with increased dietary FM, but PDV uptake of urea N did not respond to increased dietary FM. Linear regression equations between the increases in FM N intake and PDV net flux indicated that 0.34 and 0.30 of FM N was absorbed in the form of alpha-amino N and ammonia N, respectively. The results demonstrated that FM supplementation provides more alpha-amino N than ammonia N to the liver, but the alpha-amino acid N absorption is less than the expected metabolizable protein N from FM supplementation.

• 대한영상의학회지
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• 제83권6호
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• pp.1426-1431
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• 2022

간내 문맥정맥단락은 간문맥-대정맥 또는 간문맥-간정맥이 연결되어 있는 드문 혈관 질환이다. 간내 문맥정맥단락은 주로 무증상을 보이며, 다른 질환으로 영상 검사를 하였을 때 우연히 발견될 수 있다. 하지만 단락양이 많거나 증상이 있는 경우 단락 색전술을 고려하여야 한다. 저자들은 선천성 간내 문맥정맥단락 환자에서 갑자기 간성뇌증이 발생하여 이를 경간 코일 색전술로 치료한 증례를 보고하고자 한다.

• 대한영상의학회지
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• 제84권3호
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• pp.586-595
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• 2023

제대 정맥 카테터는 미숙아 혹은 위중한 만삭아에게 중심 정맥을 통한 총 비경구 영양 및 약물을 제공하기 위해 흔하게 사용된다. 하지만 제대 정맥 사용은 감염, 문맥 혈전증 및 간 조직 손상을 포함하는 합병증을 유발할 수 있다. 잘못 거치된 제대 정맥 카테터를 통하여 부주의하게 고장성 액체를 투여 시 액체 저류를 동반한 간실질 손상을 유발할 수 있으며, 영상검사에서 이러한 액체 저류는 종양성 병변으로 오인될 수 있다. 초음파와 엑스선 검사는 이러한 제대 정맥 카테터 관련 합병증을 감지하는 데 필수적인 역할을 한다. 이 논문에서는 신생아의 제대 정맥 카테터 관련 간 합병증의 영상 소견에 대해 기술할 것이다.

• Asian Pacific Journal of Cancer Prevention
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• 제15권6호
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• pp.2759-2764
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• 2014

Aim: This study aims to investigate the manifestation of CT, MRI and dynamic enhanced scans for primary hepatic neuroendocrine cell carcinoma. Methods: CT or MRI arterial and venous phase scan images of 19 cases of pathologically confirmed PHNEC were retrospectively analyzed. Results: 14 cases (73.68%) with single lesion, 5 cases (26.3%) with multiple lesions, with an average diameter of 13.2 cm. Some 12 cases (63.16%) showed inhomogeneous enhancement, seven cases (36.8%) showed homogeneous enhancement, 13 cases (68.4%) demonstrated significant enhancement in the arterial phase, 13 cases (68.4%) had significantly enhanced portal venous phase including 7 cases (36.8 %) with portal venous phase density or signal above the arterial phase and 5 cases (26.3%) with the portal vein density or signal below the arterial phase. Seven cases (36.8%) had continued strengthened separate shadows in the center of the lesion. Thrombosis were not seen in portal veins. Conclusion: CT and MRI images of liver cell neuroendocrine carcinoma have certain characteristics that can provide valuable information for diagnosis and differential diagnosis.

• Annals of Surgical Treatment and Research
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• 제95권6호
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• pp.333-339
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• 2018

Purpose: The purpose of this study was to describe the long-term effects of stenting in patients with hepatic venous outflow obstruction (HVOO), who underwent living donor liver transplantation (LDLT). Methods: Between January 2000 and December 2009, 622 adult patients underwent LDLT at our hospital, and of these patients, 21 (3.3%) were diagnosed with HVOO; among these patients, 17 underwent stenting. The patients were divided into early or late groups according to the time of their HVOO diagnoses (cutoff: 60 days after liver transplantation). Results: The median follow-up period was 54.2 months (range, 0.5-192.4 months). Stent insertion was successful in 8 of 10 patients in the early group and 6 of 7 in the late group. The 5-year primary patency rates were 46% and 20%, respectively. In both groups, patients with recurrent HVOO at the beginning showed kinking confirmed by venography. Patients who carried their stents for more than 3 years maintained long-term patency. There was no significant difference in spleen size between groups; however, when the groups were compared according to whether they maintained patency, spleens tended to be smaller in the patency-maintained group. Conclusion: Unlike stenosis, if kinking is confirmed on venography, stenting is not feasible in the long term for patients with LDLT.

• 한국어병학회지
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• 제24권3호
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• pp.225-236
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• 2011

본 연구에서는 조피볼락의 간의 육안적 색조에 따른 병리조직학적 소견 및 혈액학적 소견에 근거하여 건강상태를 확인하였다. 조피볼락 총 47개체 모두 외부 소견에서는 특기할 이상 소견이 없었으나, 간은 육안적으로 정상간 (42.55%), 황간 (25.53%), 갈변 위축간 (25.53%), 녹간 (4.26%) 및 지방간 (2.13%) 순으로 나타났다. 간의 육안적 소견에 따른 조피볼락의 간의 조직 소견 관찰시, 정상 간 개체는 HE 염색 시 간세포가 밝게 염색되며, 소엽구조가 불명확하게 관찰되었으나, 황간 개체는 황갈색의 과립이 간세포 및 MMC 내에 관찰되었으며, 간세포는 정상 간 개체에 비해 크기가 위축되어 세포질이 짙은 호산성으로 관찰되며, 세포질 내에 핵과 유사한 크기의 황갈색 초자적이 한 개 이상 관찰되었다. 한편, 녹간 개체는 정상 간 개체에 비해 간세포 크기가 위축으로 관찰되며, HE 염색 시 황갈색과 녹색의 초자적이 간세포 및 MMC 내에 관찰되었으며, 담즙색소 동정을 위한 Stein 염색에서 간세포질 내에서 담즙색소로 추정되는 녹색의 초자적이 관찰되었다. 갈변 위축 간 개체는 간세포의 용적이 줄어들어, 중심정맥 및 동양 모세혈관의 이완이 확인되었다. 그리고 갈변 위축 간이 육안적으로 갈색으로 관찰되나 광학현미경적 관찰결과 간세포질 내에 색소과립은 관찰되지 않았으며, 간세포의 경계가 명확하게 나타나지 않았다. 지방간 개체는 지방 소적의 축적으로 간세포에 다양한 크기의 둥근 지방 공포가 광범위하게 관찰되었으며, 지방소적으로 인해서 팽창된 간세포가 관찰되거나, 간세포핵의 변성이 관찰되었다. 본 연구 결과, 간의 육안적 관찰 및 조직학적 관찰 결과가 어체의 임상 질병으로 실질적인 발현을 진행하기 전에 중요한 건강 매개변수로 사용될 수 있을 것으로 판단되었다.