• Title/Summary/Keyword: Intestinal pseudoobstruction

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The Clinical Study on 1 Case of Patient with Interstinal Pseudoobstruction Secondary to Transverse Myelitis (장 가성 폐쇄 증상을 동반한 횡단성 척수염 환아 1예에 대한 고찰)

  • Han, Jae-Kyung;Kim, Yun-Hee
    • The Journal of Pediatrics of Korean Medicine
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    • v.16 no.1
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    • pp.203-216
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    • 2002
  • Objective : There were few reports on the treatment of 'Intestinal pseudoobstruction secondary to Transverse Myelitis'. This study about the Oriental medical treatment conducted on the 'Intestinal pseudoobstruction secondary to Transverse Myelitis' shows the possibility of healing 'Intestinal pseudoobstruction secondary to Transverse Myelitis'. Methods : The acupuncture and herbal medicine therapies were applied for improving the function of stomach & spleen and harmonizing energy & blood. Results : After treatments, the symptoms (abdominal pain, vomiting, constipation, oral intake unable) of 'Intestinal pseudoobstruction secondary to Transverse Myelitis' were improved. Conclusion : The more study about the Oriental medical treatment and conception on 'Intestinal pseudoobstruction secondary to Transverse Myelitis' is needed.

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A Case of Patient with Recurrent Vomiting and Abdominal pain due to Intestinal Pseudoobstruction (반복적 구토 및 복통으로 가성 장 폐쇄로 진단받은 환자 1례)

  • Cho, Hyung-Jun;Lee, Jin-Yong;Kim, Deog-Gon;Kim, Ki-Hoon
    • The Journal of Pediatrics of Korean Medicine
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    • v.18 no.1
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    • pp.93-104
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    • 2004
  • Objectives: Transverse myelitis is a rare neurological disorder that is part of a spectrum of neuroimmunologic diseases of the central nervous system. A patient was hospitalized with intestinal pseudoobstruction(poor oral feeding, vomiting, abdominal pain, constipation) secondary to Transverse myelitis. We treated her with Oriental medical approach and obtained satisfactory result. Methods: The Herbal medicine(Bihwa-eum), Acupuncture, Moxibustion therapy were applied for improving the deficiency of energy of the spleen and stomach, regulate the flow of vital energy. Results: After treatments, Patient's vomiting frequency is decreased and abdominal pain is improved and oral feeding is available. She gains in weight continuously. Conclusion: The authors thought that Bihwa-eum is effective to vomiting and abdominal pain due to intestinal pseudoobstruction. The more study is needed.

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Gastrointestinal Pseudoobstruction and Sensory Neuronopathy in Small Cell Lung Cancer (거짓 장막힘과 감각신경세포병증으로 발현된 소세포폐암 1예)

  • Lee, Hyun-Jeong;Choi, Young-Chul;Yun, Dong-Joo;Ko, Young-Chai;Jang, Sang-Hyun;Yoon, Soo-Jin;Oh, Gun-Sei;Lee, Soo-Joo
    • Annals of Clinical Neurophysiology
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    • v.13 no.2
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    • pp.106-110
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    • 2011
  • Subacute sensory neuronopathy and gastrointestinal pseudoobstruction are considered classical paraneoplastic neurological syndromes. We report a 56-year-old male who presented with typical symptoms of subacute sensory neuronopathy and autonomic neuropathy with gastrointestinal pseudoobstruction. The biopsy of the palpable supraclavicular lymph node revealed a small cell lung cancer. To our knowledge, intestinal pseudoobstruction and sensory neuronopathy in a small cell lung cancer have not been reported in Korea.

Differential Diagnosis of Hirschsprung's Disease (Hirschsprung's Disease의 감별 진단)

  • Yoo, Soo-Young
    • Advances in pediatric surgery
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    • v.8 no.1
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    • pp.54-61
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    • 2002
  • Hirschsprung's disease (HD) is usually diagnosed in the newborn period and early infancy. The common presentation of HD in newborns consists of a history of delayed passage of meconium within the first 48 hours of life. The differential diagnosis in newborns is one of the clinical challenges of this disorder. A number of medical conditions which cause functional obstruction of the intestines are easily excluded. Neonates with meconium ileus, meconium plug syndrome, distal ileal atresia and low imperforate anus often present in a manner similar to those with HD in the first few days of life. Abdominal radiographs may help to diagnose complete obstruction such as intestinal atresia. Microcolon on contrast enema can be shown in cases with total colonic aganglionosis, ileal atresia or meconium ileus. Suction rectal biopsy or frozen section biopsy at operation is essential for differential diagnosis in such cases. HD is also considered in any child who has a history of constipation regardless of age. Older children with functional constipation may have symptoms that resemble those of HD and contrast enema is usually diagnostic. However, children with other motility disorders generally referred to as chronic idiopathic intestinal pseudoobstruction present with very similar symptoms and radiographic findings. These disorders are classified according to their histologic characteristics.; visceral myopathy, visceral neuropathy, intestinal neuronal dysplasia (IND), hypoganglionosis, immature ganglia, internal sphincter achalasia. Therefore, the workup for motility disorders should include rectal biopsy not only to confirm the presence of ganglion cells but also evaluate the other pathologic conditions.

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