• Title/Summary/Keyword: Small-bowel

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Extraction of Intestinal Obstruction in X-Ray Images Using PCM (PCM 클러스터링을 이용한 X-Ray 영상에서 장폐색 추출)

  • Kim, Kwang Baek;Woo, Young Woon
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.24 no.12
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    • pp.1618-1624
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    • 2020
  • Intestinal obstruction diagnosis method based on X-ray can affect objective diagnosis because it includes subjective factors of the examiner. Therefore, in this paper, a detection method of Intestinal Obstruction from X-Ray image using Hough transform and PCM is proposed. The proposed method uses Hough transform to detect straight lines from the extracted ROI of the intestinal obstruction X-Ray image and bowel obstruction is extracted by using air fluid level's morphological characteristic detected by the straight lines. Then, ROI is quantized by applying PCM clustering algorithm to the extracted ROI. From the quantized ROI, cluster group that includes bowel obstruction's characteristic is selected and small bowel regions are extracted by using object search from the selected cluster group. The proposed method of using PCM is applied to 30 X-Ray images of intestinal obstruction patients and setting the initial cluster number of PCM to 4 showed excellent performance in detection and the TPR was 81.47%.

Adult intussusception caused by inverted Meckel's diverticulum treated with operation (수술적 치료를 시행한 함입된 메켈게실에 의한 성인 장중첩증)

  • Lee, Sung Yun;Jeong, Jae Yoon;Hong, Seung Hyun;Woo, Seung Min;Lee, Su Heui;You, Hyun Joo;Kim, Dong Won
    • Journal of Yeungnam Medical Science
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    • v.33 no.2
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    • pp.116-119
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    • 2016
  • Intussusception is a serious disease where part of the intestine slides into an adjacent part of the intestine. Adult intussusception is mainly due to benign or malignant neoplasm. Therefore, in most cases of adult intussusception, treatment by surgery would be preferable to conservative therapy. However, we report on a 28-year-old female patient who underwent intussusception operation delayed 3 months. Abdominal computed tomography 3 months ago showed a small bowel intussusception measuring 20 cm long. Three months later, the previously identified small bowel intussusception appeared without change. The patient underwent surgery, and ectopic gastric mucosa was observed in the biopsy. Therefore, Meckel's diverticulum was diagnosed.

Ileal Atresia Secondary to Intrauterine Segmental Volvulus (태아 소장 부분염전에 의한 회장 무공증)

  • Park, Woo-Hyun;Park, Sang-Man;Choi, Soon-Ok
    • Advances in pediatric surgery
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    • v.1 no.2
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    • pp.177-180
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    • 1995
  • A 2-day-old male (Premie, Large for gestational age(LGA), Intrauterine period(IUP) 33 weeks, birth weight 2,955 gram) was transferred with marked abdominal distention, bilious return via the orogastric tube, respiratory difficulty, and generalized edema (hydrops fetalis). He was born by cesarean section to a 36 year-old mother. Antenatal ultrasonogram at IUP 31 weeks demonstrated multiple dilated bowel loops suggestive of intestinal obstruction. There was no family history of cystic fibrosis. Simple abdominal films disclosed diffuse haziness and suspicious fine calcifications in the right lower quadrant. Barium enema demonstrated a microcolon. Sweat chloride test was not available in our institution. At laparotomy, there noted 1) a segmental volvulus of the small bowel with gangrenous change, associated with meconium peritonitis, 2) an atresia of the ileum at the base of the volvulus, and 3) the terminal ileum distal to the volvulus was narrow and impacted with rabbit pellets-like thick meconium. These findings appeared to be very similar to those of a complicated meconium ileus. In summary, the ileal atresia and meconium peritonitis seemed to be caused by antenatal segmental volvulus of the small intestine in a patient with probable meconeum ileus.

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The Changing pattern of the Plain Abdominal Radiogram by Progression of the Intussusception in Children (소아 장중첩증에서 증상 지속 시간에 따른 단순 복부 사진의 변화)

  • Jun, Hyung-Seok;Choi, Young-Cheol;Choi, Seung-Ho
    • Advances in pediatric surgery
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    • v.15 no.2
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    • pp.132-140
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    • 2009
  • The purpose of this study was to determine the success rate of air reduction as the primary treatment of intussusception and whether the success of air reduction could be predicted by plain x-ray. The authors reviewed the medical records of 54 consecutive patients diagnosed with intussusception from Jan 2005 to Dec 2007 at the Department of Surgery, Masan Samsung Hospital. The natures of symptoms and findings of plain abdominal radiography performed in the emergency department (ED) were reviewed. Air reduction failed more frequently (26.3 %) in patients who visited ED more than 24 hours after symptom onset (p=0.009). The mean duration of symptom for operated patients was longer than air reduction group (p=0.01). Also, 3/4 of patients having localized distension of small bowel in the left upper quadrant abdomen had unsuccessful air reduction (p=0.002). In conclusion, the time interval from symptom onset to arrival at ED and localized distension of small bowel in the left upper quadrant abdomen significantly increased the failure rate of air reduction.

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The Effect of Diet Containing Different Fiber Sources on the Serum Lipid Level and Bowel Function in Rats (식이섬유질원이 포함된 식이가 흰쥐의 혈청지질 수준과 장기능 변화에 미치는 영향)

  • 김연희
    • Journal of Nutrition and Health
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    • v.28 no.9
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    • pp.825-833
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    • 1995
  • This study was performed to investigate the influence of dietary fiber, which from whole food on the serum lipid level and bowel function in rats. The fiber sources of experimental diets were prepared by drying and milling of small water dropwort(WD), mugwort(MW), butterbur(BB) and apple(AP). Each fiber sources was mixed at the 15% level of the diet. The level of dietary fiber in WD, MW, BB diets was similar but that in AP diet was slightly low. Male rats of Sprague-Dawley strain were blocked into 5 groups ; WD, MW, BB, AP, FF(fiber free). The animals were fed ad libitum each of experimental diets for 37 days. Food intake of AP and FF groups were than other groups, FF group was lower than other grous in food efficiency ratio. MW group showed highest level in fecal weight and fecal water content and group has the longest transit time compare to other groups. Serum triglyceride level was not significantly different among groups. BB group showed the lowest level in the serum total cholesterol. WD and MW groups showed slightly higher level in the serum HDL cholesterol than other groups. Mucosa weight was not significantly different among groups. The activity of maltase in mucosa of small intestine was highest in FF groups. Absorption rates of calcium were not significantly different among groups. Absorption rate of magnesium was higher in FF group compare to others. And, absorption rates of phosphorus in MW and FF groups were slightly lower than other groups.

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A case of midgut volvulus due to mesenteric lymphangioma, not associated with malrotation in a 13-year-old boy (13세남아에서 발견된 창자 회전이상이 동반되지 않은 낭성 림프관종에 의한 창자꼬임 1례)

  • Lee, Jung Ho;Choi, Seok Ju;Kim, Tae Yoon;Kim, Young Tong;Cho, Hyun Deuk;Park, Joon Soo
    • Clinical and Experimental Pediatrics
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    • v.51 no.4
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    • pp.431-434
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    • 2008
  • A 13-year-old boy, complained of an intermittent suddenly aggravated severe abdominal pain and diarrhea, was diagnosed as a small bowel volvulus without an intestinal malrotation, due to mesenteric lymphangioma. He took abdominal ultrasonography, abdominal CT scanning, upper gastrointestinal study and got an operation. The small bowel volvulus with cystic lymphangioma was confirmed by gross and pathologic findings.

Effects of Electroacupuncture on Motility of the Castro-intestinal Tract of Dogs (전침자극이 개의 위장관운동에 미치는 영향)

  • Sung Jai-Ki;Nam Tchi-Chou
    • Journal of Veterinary Clinics
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    • v.5 no.1
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    • pp.9-21
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    • 1988
  • Gastro-intestinal mortility and transit time of barium sulfate after electroacupuncture were investigated in normal dogs and administration of xylatine in dogs. Electroacupuncture was performed with a current of 1.5 volt and 20 Hz at the acupoints of Tsu San Li(right(+) left(-) in dogs for 30 minutes. The results were as follows: 1. After electroacupuncture stimnlation in normal dogs, rates of stomach contractions was not changed, but amplitudes of stomach motility was markadly increased. The electroacupuncture stimulation tasted about 60 minutes after the end of electroacupuncture. 2. The stomach contractions was markedly increased, while the amplitudes of stomach motility was sligltly decreased by the administration of xylazine in dogs. 3. The rates of stomach contractions and amplitudes of motility were markedly increased after administration of xylazine in the electroacupuncture stimulated dogs. 4. Gastric emptying time o barium sulfate after electroacupuncture stimulation in dogs was highly significantly decreased compared with that of normal dogs(p < 0.01). 5. Small bowel transit time of barium sulfate after electroacupuncture stimulation in dogs was highly significantly decreased compared with that of normal dogs (p < 0.01). 6. Gastroduodenal transit time of barium sulfate after administration of xylazine following electroacupuncture stimulation dogs was blighty significantly decreased compared to that of dogs dosed with xylazine (p< 0.01). 7. Small bowel transit time of barium sulfate after administration of xylazine following electroacupuncture stimulation dogs markedly decreased compared to that of dogs dosed with xylazine (p < 0.05).

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Use of $1.0\%$(10g) methylcellulose in modified small bowel follow-through examination : comparison with $0.5\%$(5g) methylcellulose in transit time and image quality. (소장검사에 사용되는 메칠셀룰로스 $0.5\%$(5g)와 $1.0\%(10g)의 소장 주행시간(transit time)과 영상의 질(image quality)의 비교 분석)

  • Chae Ho-Seok;Kim Won-Keun;Na Seong-Eun;Kim Ji-Young;Lee Yong-Cheol;Heo Jung-Hwan;Sa Jung-Ho;Lee Su-Ho
    • Journal of The Korean Radiological Technologist Association
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    • v.27 no.2
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    • pp.252-259
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    • 2001
  • Ⅰ. Purpose : To evaluate the efficacy of modified small bowel follow-through exmination using an oral administration of $\1%$methylcellulose 400ml after taking a $30\%$ w/v barium suspension(120% w/v barium suspension 200ml + 1% meth

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