• Title/Summary/Keyword: Perforation Rate

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Surgical Treatment of Esophageal Disease (식도 질환의 외과적 치료)

  • 우석정
    • Journal of Chest Surgery
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    • v.26 no.8
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    • pp.627-632
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    • 1993
  • A clinical study was performed on 64 cases of the esophageal diseases experienced at the Department of Thoracic & Cardiovascular Surgery of Kyungpook University Hospital from Jan. 1988 through Dec. 1992. The results were as follows: The most common esophageal disease was cancer which occurred in 37.5% of the total. In esophageal cancer patients, 24 cases were operated on and cancer resection was feasible in 19 cases with 2 cases of hospital death. The overall 1 year survival rate was 41.6% and the most favorable follow up result was revealed in stage I group. Esophageal stricture occurred in 22 cases and its causes were alkali and acid. The most common stricture site was mid-esphagus. Colon interposition was performed on 15 cases. Achalasia occured in 8 cases and was treated with modified Heller`s myotomy. Esophageal perforation occurred in 6 cases and its operative mortality rate was 16.6%. Two patients with congenital bronchoesophageal fistula were treated with surgical division. The first case, which occurred in an adult, is of Braimbridge,s typeII classification. The second one which occured in an child with sequestration, is of Braimbridge,s type IV classification. Diverticulectomy was performed in 1 case of esophageal diverticulum. Enucleation of tumor was performed in 1 case of esophageal leiomyoma.

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Comparative Analysis of the Seriousness of the Adverse Events and Risk of Targeted Therapy for Metastatic Renal Cell Carcinoma Among Medical Professionals (전이성신세포암 표적치료제의 부작용 심각도 및 위해에 대한 전문가그룹별 비교분석)

  • Park, Mi-Hae;Rhee, Jin-Nie;Lee, Eui-Kyung
    • Korean Journal of Clinical Pharmacy
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    • v.21 no.2
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    • pp.100-105
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    • 2011
  • The perception of the 20 adverse events of targeted therapy for metastatic renal cell carcinoma was compared among medical professionals. Thirty-seven oncologists, 167 nurses and 79 pharmacists participated in the survey, and the response rate was 61.9%, 98.2%, 84.9%, respectively. Results showed that the most serious adverse event was GI perforation (8.83 points, 10 being the most serious), whereas the least serious was anemia (5.32 points). There were significant differences among oncologists, nurses and pharmacists especially for the moderately-serious adverse event such as wound-healing complication and lymphopenia. Adverse Events Composite Score (AECS) for each targeted therapy was calculated by multiplying adverse event incidence rate and seriousness score. Sunitinib had the highest score at 6.86 point and bevacizumab had the lowest at 2.1. Among professional groups oncologists showed the lowest AECS, whereas nurses had the highest. The gap on the perception of the adverse events among medical professionals needs to be reduced to get better outcomes of medical therapies for cancer patients.

RECURRENT CEMENTOBLASTOMA IN LEFT MANDIBLE : A CASE REPORT (좌측 하악 구치부에 발생한 재발성 백악모세포종의 치험례)

  • Jung, Jun-Ho;Kim, Yeo-Gab;Lee, Baek-Soo;Kwon, Yong-Dae;Choi, Byung-Jun;Kim, Young-Ran
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.31 no.4
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    • pp.349-352
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    • 2009
  • Cementoblastoma is a benign ectomesenchymal odontogenic neoplasm that forms a mass of cementum or cementum-like tissue continuous with the tooth root. Cementoblastoma represents 1% to 6.2% of all odontogenic tumors, and occurs more than 75% arise in the mandible, with most cases arising in the molar and premolar regions. About 75% arises before the age of 30. Radiographically, it appears as a radiopaque mass with a thin radiolucent rim attached to the roots of a tooth. The recurrence rate is 37% in the current study and cortical expansion and perforation of the cortex are common findings in lesions that subsequently recurred. It is apparent that recurrence rate depends largely on the completeness of removal than any other factor. Here we present a 20 year old, female case of an unusual multiple recurrent cementoblastoma around a previous lesion which had been surgically excised 2 years ago.

Pathological Studies on the Esopha-gastric Ulcers in Swine (돼지 위궤양 발생에 관한 병리학적 조사)

  • 조병왕;오재효;하종호;최원식;김성원
    • Korean Journal of Veterinary Service
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    • v.13 no.2
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    • pp.111-129
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    • 1990
  • Based on the gross lesion, a survey of ulcer prevalence was carried out on pigs (3,161 heads) at a slaughterhouse in seoul from April to December in 1989. The pigs stomachs were observed anatomically and classified, according to the presence or absence of foreign bodies. Ulcer prevalence is usually classified according to size of pig farm, ages, and supplied month. The results in the studies were as follows, 1. Fundus followed the highest rate with 28.2%, esophagus with 24.5% each of cardiac and pyloric part with 7.8% and 4.1% in cases of gastric mucosa pathological studies examed total 3,161. In the acute ulcer prevalence, fundus follwed with 5.4%, esophagus with 2.6%, each of cardiac and pyloric part with 0.8% and 0.3%. When prevalent frequencies of fundus are compared with cardiac and pyloric part, they have meaning.(P <0.05). 2. In the survey pig of total 3,161, pathological changes of epithelium tissue foliowed 44.0%, erosion(11.5%), chronic ulcer(14.8%), acute ulcer(1.6%), scar formation (1.7%) and perforation (0.9%). 3. In general monthly prevalence rates of gastric lesion are higher in spring and fall than in summer. 4. In the size of pig farms, ulcer showed higher rate at professional farms than raising on the side. 5. When there are more fluid condition in stomach and they are old, the ulcer appeared for more. 6. Foreign bodies in stomach were sand, hairballs, and intestinal worms were detected (1%).

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Six-year Experience of Endovascular Embolization for Intracranial Aneurysms

  • Jung, Yeun-Ho;Park, Seong-Hyun;Kim, Yong-Sun;Hamm, In-Suk
    • Journal of Korean Neurosurgical Society
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    • v.38 no.3
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    • pp.190-195
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    • 2005
  • Objective : This study is performed to evaluate the procedural complications, aneurysm occlusion rate, and mid-term outcome of endovascular treatments in intracranial aneurysms. Methods : We retrospectively investigated 135 patients with 161 cerebral aneurysms who were treated by endovascular means at our institute from March 1999 to December 2004. We statistically analyzed overall outcome, occlusion rate, and occurrence of complications according to the location, size, rupture history, and neck size of aneurysms. Results : Forty-nine patients [36.3%] had experienced acute intracranial or extracranial complications related to the procedure. Among these, there were 13cases of perforation of the aneurysm, 9 of local vasospasm, 8 of thromboembolism, 4 of coil migration, 3 of occlusion of parent vessels due to coil protrusion, and 1 of seizure. Extracranial complications occurred in 14cases including alopecia [9cases], femoral artery thrombosis [2cases], acute renal failure [2cases], and hypovolemic shock [1case]. One hundred twenty-six aneurysms [78.3%] had complete occlusion of the aneurysm and 35 [21.7%] incomplete occlusion at 6months angiographic follow-up. Postembolization clinical follow-up ranged from 1 to 60months [mean, 14.2months]. Seven of the 161 aneurysms underwent additional embolization and 2 incomplete embolized aneurysms required subsequent surgery. Conclusion : The procedural complications and incomplete occlusion rates are substantial. Therefore, endovascular treatment needs close and continued neurosurgical and neuroradiological concerns for the therapy of intracranial aneurysms.

Endoscopic Submucosal Dissection Versus Endoscopic Mucosal Resection for the Treatment of Early Esophageal Carcinoma: a Meta-analysis

  • Wang, Jing;Ge, Jian;Zhang, Xiao-Hua;Liu, Ji-Yong;Yang, Chong-Mei;Zhao, Shu-Lei
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.4
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    • pp.1803-1806
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    • 2014
  • Endoscopic submucosal dissection (ESD) was originally developed for en bloc resection of large, flat gastrointestinal lesions. Compared with endoscopic mucosal resection (EMR), ESD is considered to be more time consuming and have more complications for treatment of early esophageal carcinoma, such as bleeding, stenosis and perforation. The objective of this study was to compare the efficacy and safety of ESD and EMR for such lesions. We searched databases, such as PubMed, EMBASE, Cochrane Library and Science Citation Index updated to 2013 for related trials. In the meta-analysis, the main outcome measurements were the en bloc resection rate, the histologically resection rate and the local recurrence rate. We also compared the operation time and the incidences of procedure-related complications. Five trials were identified, and a total of 710 patients and 795 lesions were included. The en bloc and histologically complete resection rates were higher in the ESD group compared with the EMR group (odds ratio (OR) 27.3; 95% CI, 11.5-64.8; OR 18.4; 95% CI, 8.82-38.59). The local recurrence rate was lower in the ESD group (OR 0.13, 95 % CI 0.04-0.43). The meta-analysis also showed ESD was more time consuming, but did not increase the complication rate (P=0.76). The results implied that compared with EMR, ESD showed better en bloc and histologically resection rates, and lower local recurrence, without increasing the incidence of procedure-related complications in the treatment of early esophageal carcinoma.

The effect of different bag materials on grape quality and endeavor of maturation period determination (서로 다른 봉지재료가 포도 품질 및 숙기판단 노력에 미치는 영향)

  • 남상영;강한철;김태수
    • Korean Journal of Plant Resources
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    • v.13 no.2
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    • pp.111-117
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    • 2000
  • In an attempt to select grape bag, which elevates grape quality and make easy maturation period determination, the following research was carried out at Chungbuk Institute of Agricultural Technology, Grape Experiment Station. Light transmittance rate of bag reached to 11-65% with non-woven fabric and non-dripped vinyl bags. Non-dripped vinyl perforation and white painting bag resulted in 50 and 75%, respectively. Berry weights in non-woven fabric and non-dripped vinyl bag were high than that in paper bag. Non-dripped vinyl perforation 50%, white painting bag brought into fruit cracking, shattering, and rotten fruit, making the investigation difficult. Maturation period preceded about 1-4 day with non-woven fabric and non-dripped vinyl compared with that in paper bag. Soluble solids content with non-woven fabric and non-dripped vinyl bags was high and acidity showed a reverse result. Coloring extent was developed rapidly with non-woven fabric and non-dripped vinyl than paper bag. During initial state of coloring, coloring was rapid with Maekban-Stone mixed non-woven fabric and non-dripped vinyl + non-woven fabric bag. This was rapid with non-woven fabric bag as long appropriate maturation period. Abnormal berry rate was 5.4-7.0% with paper and non-woven fabric bags but brought about as much as 16.6-100% with non-dripped vinyl and it's mixed bags. Appearance quality was the best with index 9.0 for non-woven fabric bag. Maekban-Stone mixed non-woven fabric but non-dripped vinyl performance 50% white painting bag was the least, showing index 1.0. The time consumed for maturation determination was reduced to 74-93% with non-woven fabric and non-dripped vinyl bag compared with 17.4h/10a with paper bag.

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Clinical evaluation of sinus bone graft in patients with mucous retention cyst

  • Kim, Seong-Beom;Yun, Pil-Young;Kim, Young-Kyun
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.38
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    • pp.35.1-35.5
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    • 2016
  • Background: Mucous retention cyst refers to a cyst made by expansion due to the blockage of the salivary gland near the maxillary sinus, and it is surrounded by epithelial cells. Most of them are small; therefore, they cannot be found well and are frequently with antral polyp. The aim of this study was to evaluate the clinical prognosis of sinus bone graft in patients with mucous retention cyst. Methods: This study was performed retrospectively on 23 patients who had sinus bone graft. Group 1 was 8 patients (10 sinuses) who had a mucous retention cyst, and group 2 was 15 patients (17 sinuses) who had no pathologic history about the maxillary sinus. For these patients, sinus bone graft was performed using the lateral approach technique. The total 51 implants were placed 6.22 weeks on the average after sinus bone graft. Sinus membrane perforation during operation, postoperative complications, marginal bone loss after restorative function, implant success rate, and survival rate were analyzed. Results: There was no complication in group 1, and there were three complications in group 2. In group 2, two cases of implants failed. The types of postoperative complications consisted of two minor infections and one wound dehiscence. Two implants of total 51 implants were removed, and the survival rate of implants was 96.08 % (group 1 100 %, group 2 93.5 %). The total success rate of implants was 92.2 % (group 1 95 %, group 2 90.3 %). Conclusions: The clinical prognosis was not affected by the presence of mucous retention cyst.

Studies on Wood Quality and Growth of Alnus glutinosa in Korea - Anatomical Properties - (글루티노사오리나무의 생장과 재질 - 해부학적 성질 -)

  • Kim, Min-Ji;Kim, Byung-Ro
    • Journal of the Korean Wood Science and Technology
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    • v.44 no.3
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    • pp.295-301
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    • 2016
  • In this study, relationship between seed origin and growth rate of Alnus glutinosa from different seed collection (Yugoslovia, ltaly, United Kingdom, Bulgaria) was investigated with focused on anatomical properties as wood fiber length, vessel element length and diameter. Alnus glutinosa showed diffuse-porous wood with scalariform perforation in alternate pitting. Ray height was 9~11 in tangential section and ray number were 16~26 in cross section. There were no differences on latewood focused on wood fiber length, length and diameter of vessel element, but difference on earlywood. Other than Yugoslavian seed, there was better growth rate with shorter wood fiber and vessel element length on latewood. However, seed from Yugoslovain showed better growth rate with longer wood fiber and vessel element length than other 3 seed orgins.

Clinical Outcomes of Endoscopic Submucosal Dissection for Early Gastric Cancer in Patients with Comorbidities

  • Natsagdorj, Enerelt;Kim, Sang Gyun;Choi, Jinju;Kang, Seungkyung;Kim, Bokyung;Lee, Eunwoo;Chung, Hyunsoo;Cho, Soo-Jeong
    • Journal of Gastric Cancer
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    • v.21 no.3
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    • pp.258-267
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    • 2021
  • Purpose: As the rate of endoscopic resection for early gastric cancer (EGC) has increased in patients with comorbid diseases, it is necessary to elucidate the efficacy of endoscopic submucosal dissection (ESD) for EGC in patients with comorbidities. This study aimed to analyze the clinical outcomes of ESD for EGC in patients with comorbidities. Materials and Methods: A total of 969 patients with 1,015 lesions who underwent ESD for EGC at Seoul National University Hospital between 2010 and 2014 were analyzed. The short- and long-term clinical outcomes were evaluated according to the comorbidity status. Results: Comorbidities were observed in 558 patients (57.6%). The comorbidity group had a higher proportion of patients using antithrombotic agents (29.5% vs. 0.9%; P<0.0001). Although procedure-related complications (bleeding and perforation) were not significantly different between the two groups, the length of hospital stay was significantly longer (1.8 vs. 1.4 days, P=0.023), while survival was significantly shorter in the comorbidity group (5-year overall survival rate: 90.5% vs. 97.2%, P<0.0001; 5-year disease-specific survival rate: 97.9% vs. 100%, P=0.018; 5-year disease-free survival rate: 83.4% vs. 89.2%, P=0.007). Conclusions: Gastric ESD can be performed in patients with comorbidities without increasing the risk of complications.