• Title/Summary/Keyword: Vascular Condition

Search Result 234, Processing Time 0.042 seconds

Epidemic Trends of Upper Gastrointestinal Tract Abnormalities: Hospital-based study on Endoscopic Data Evaluation

  • Mohiuddin, Mohammed Khaliq;Chowdavaram, Suman;Bogadi, Varun;Prabhakar, Boddu;Rao, Kondadasula Pandu Ranga;Devi, Suneetha;Mohan, Vasavi
    • Asian Pacific Journal of Cancer Prevention
    • /
    • v.16 no.14
    • /
    • pp.5741-5747
    • /
    • 2015
  • Purpose: To understand the epidemiology of different upper gastrointestinal (UGI) tract related abnormalities through endoscopic data analysis. Materials and Methods: A retrospective study of three years from January 2009 to December 2011 was conducted with data from endoscopic surveillance of upper GI tract problems, collected from the Gastroenterology Unit, Osmania General Hospital, Hyderabad. MS excel and Medcalc software (comparison of proportions) were used for data analysis. Results: A total of 10,029 (6,468 in males and 3,561 in females) endoscopies were performed during this three-year period. The male to female ratio was 1.8:1. Overall, ~30% of endoscopies evaluated showed patients with acid peptic disorders, 13.6% with vascular-related abnormalities, 10.6% showed structural abnormalities, followed by 6.3% with malignancies. Burden of malignancies was mostly observed in the older age group (60-69 years). Esophageal cancer cases decreased (p=0.0001) whereas stomach cancers increased over this period (p=0.0345). We also observed an increased incidence of acid peptic disease (APD) (p=0.0036) and gastroesophageal reflux disease (GERD) (p=0.0002) cases during this period. Conclusions: Endoscopic diagnosis is useful for early detection of UGI anomalies and helpful for physicians to manage and treat varied kinds of UGI disorders. Analysis of data revealed changing trends in the incidence of various pathologies of the UGI tract. Functional dyspepsia and GERD definitely reduce the quality of life of the individual. The role of our diverse dietary habits and lifestyle associated with these problems have not yet been established, though there have been reports on the effect of coffee, spicy food, wheat-based diet, screening of UGI pathologies along with collection of complete personal and medical history details, can h elp in correlating the patients' condition with various aspects of lifestyle and diet.

A Case of Carotid Artery Pseudoaneurysm Misdiagnosed as Aggravation of Non-tuberculous Mycobacterial Lymphadenitis (비정형 결핵성 림프절염의 악화로 오인된 경동맥 가성동맥류 1예)

  • Noh, Woong Jae;Lee, Hyoung Shin;Kim, Sung won;Lee, Kang Dae
    • Korean Journal of Head & Neck Oncology
    • /
    • v.33 no.1
    • /
    • pp.73-77
    • /
    • 2017
  • An 81 year-old male patient presented with rapid enlargement of left lateral neck mass, diagnosed two months earlier as cervical nontuberculous mycobacterial lymphadenitis. Abscess formation and impending rupture related to aggravation of nontuberculous mycobacterial lymphadenitis was highly suspected. Unexpectedly, blood flow was detected by Doppler ultrasonography, which indicated possible vascular mass. Computed tomography demonstrated a $6.0cm{\times}4.0cm$ sized enhancing mass consistent with pseudoaneurysm of internal carotid artery. The patient underwent pseudoaneurysmectomy. Surgical drainage without adequate evaluation might have led to potentially life-threatening condition. We describe this rare case with importance of imaging screening in a neck mass.

A Case of Dieulafoy's Disease in a Child (소아의 Dieulafoy병 치험 1례)

  • Lee, Eui-Sung;Oh, Chang-Hee;Kim, Je-Woo;Chung, Ki-Sup;Han, Suk-Joo
    • Pediatric Gastroenterology, Hepatology & Nutrition
    • /
    • v.2 no.1
    • /
    • pp.80-84
    • /
    • 1999
  • Dieulafoy's disease, a vascular anomaly mainly in the upper stomach, is a rare but potentially life-threatening cause of upper gastrointestinal bleeding. Pathogenesis is still controversial, but the most accepted theory is that a persistent caliber vessel in the submucosa is exposed by a small mucosal erosion leading to massive bleeding. The bleeding site is usually within 6 cm of the esophagogastric junction in the cardia or fundus of the stomach. The treatment of choice is therapeutic endoscopy or surgery. The age of patients reported is mainly between 50 and 70 years, and patients of pediatric age are extremely rare. We are reporting a 5-year-old male patient who had Dieulafoy's disease which was diagnosed by emergency upper gastrointestinal endoscopy. Endoscopic finding was a nodular lesion with an adherent clot on the lessor curvature of the stomach 2 cm below the esophagogastric junction. Epinephrine and $Beriplast^{(R)}$ was injected in the lesion. On the second day after endoscopic sclerotherapy, the patient had recurred massive hematemesis and accompanying shock. So we performed gastrotomy and ligation. After the operation, he showed an improved general condition and was discharged at the 12th hospital day.

  • PDF

Hereditary Retinal Degeneration in a Siamese Cat (샴 고양이에서의 유전성 망막 변성 1례)

  • Park, Sang-Wan;Kang, Seon-Mi;Lee, Eui-Ri;Kim, Soo-Hyun;Noh, Hyun-Woo;Kwak, Ji-Yoon;Seo, Kangmoon
    • Journal of Veterinary Clinics
    • /
    • v.32 no.2
    • /
    • pp.209-211
    • /
    • 2015
  • A 5-year-old Siamese cat was presented at the Veterinary Medical Teaching Hospital in Seoul National University with visual impairment. The cat was blind and its pupillary light reflexes were sluggish OU. While there were no remarkable findings in the anterior segment, generalized tapetal hyperreflectivity and retinal vascular attenuation were observed in the posterior segment of both eyes. Any historical significance and clinical symptoms suggestive of infection or inflammation were absent. All of the above findings strongly indicated a diagnosis of hereditary retinal degeneration in the cat. This clinical case report demonstrates the possibility of the presence of feline hereditary retinal degeneration in Korea. Awareness of the condition should be raised to prevent the spread of hereditary retinopathy in the Korean cat population.

Photosynthetic, Morphological and Growing Characteristics by Shading Materials in Panax ginseng C. A. Meyer (차광재 종류가 묘삼의 광합성, 형태 및 생육에 미치는 영향)

  • Cho, Jin-Woong;Park, Hong-Woo;Kim, Min-Jung;Kim, Hyun-Ho;Choi, Jae-Eul
    • KOREAN JOURNAL OF CROP SCIENCE
    • /
    • v.53 no.3
    • /
    • pp.256-260
    • /
    • 2008
  • This study was conducted to response the photosynthetic rate and anatomical characters in one year ginseng plant against the light transmission ratio (10%, 20% and 30% in natural light) under shading materials by polyethylene (PE) net. The chlorophyll content and the photosynthesis of ginseng according to the light transmissivity showed decreasing trend as the light transmission ratio increased. At the higher light transmission ratio condition, leaves showed the chlorosis due to the physiological disorder, stems formed hypodermis, and phloem development inside the vascular tissue shrunk remarkably. Also, roots showed the epidermis destruction and less cambium development at the higher light intensity. The root weight also decreased as the light transmission ratio increased.

Thoracic Outlet Syndrome(TOS) (흉곽출구증후군)

  • Kang, Jeom-Deok;Park, Youn-Ki
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
    • /
    • v.9 no.2
    • /
    • pp.5-11
    • /
    • 2003
  • Thoracic outlet syndrome is actually a collection of syndromes brought about by abnormal compression of the neurovascular bundle by bony, ligamentous or muscular obstacles between the cervical spine and the lower border of the axilla. First of all a syndrome is defined as a group of signs and symptoms that collectively characterize or indicate a particular disease or abnormal condition. The neurovascular bundle which can suffer compression consists of the brachial plexus plus the C8 and T1 nerve roots and the subclavian artery and vein. The brachial plexus is the network of motor and sensory nerves which innervate the arm, the hand, and the region of the shoulder girdle. The vascular component of the bundle, the subclavian artery and vein transport blood to and from the arm. the hand. the shoulder girdle and the regions of the neck and head. The bony, ligamentous, and muscular obstacles all define the cervicoaxillary canal or the thoracic outlet and its course from the base of the neck to the axilla or arm pit. Look at the scheme of this region and it all becomes more easily understood. Compression occurs when the size and shape of the thoracic outlet is altered. The outlet can be altered by exercise, trauma, pregnancy, a congenital anomaly, an exostosis, postural weakness or changes. Thoracic outlet syndrome has been described as occurring in a diverse population. It is most often the result of poor or strenuous posture but can also result from trauma or constant muscle tension in the shoulder girdle. The first step to beginning any treatment begins with a trip to the doctor. Make a list of all of the symptoms which seem to be present even if the sensations are vague. Make a note of what activities and positions produce or alleviate the symptoms and the time of day when symptoms are worst. Also, note when the symptoms first appeared. This list is important and should also include any questions one may have.

  • PDF

A Case of Ischemic Colitis Presenting as Bloody Diarrhea after Glycerin Enema in a Patient on Modified Fasting Therapy (절식요법 중 글리세린 관장 직후 혈성 설사로 발현한 허혈성 대장염 1예)

  • Choi, Hyo-Jeong;Park, Hyun-Gun;Maeng, Tae-Ho;Yoo, Duk-Joo;Kim, Sung-Soo;Chung, Won-Suk
    • Journal of Korean Medicine Rehabilitation
    • /
    • v.23 no.2
    • /
    • pp.185-191
    • /
    • 2013
  • Case of ischemic colitis after enema for bowel cleansing have been rarely reported, but there has been no case report of a patient on modiefied fasting therapy. A 26-year old male patient with obesity admitted Korean medical hospital of Kyung Hee university for losing weight. He is on a special diet called modiefied fasting therapy, only took the fermented herbal drink. At 2nd day, he received an enema for bowel cleansing. A few hours after enema, he had a bloody diarrhea with lower abdominal pain. His colonoscopic and histologic findings presented ischemic colitis. He was advised to fast for two days and couldn't complete his diet program. We suggest 4 possible reasons : Increased intraluminal pressure by enema, vascular spasm caused by room-temperature glycerin solution colder than intraluminal temperature, predisposition to bleeding disturbances by taking selective serotonin reuptake inhibitor(SSRI) for depression history and mucosal injury by osmotic effect of glycerin solution itself. For reducing the risk of bowel cleansing, glycerin enema should be carefully prescribed and practiced concerning the condition of each patient.

A Case of Bronchial Artery Aneurysm Demonstrating Hilar Mass (폐문부 종괴로 관찰된 기관지 동맥류 1예)

  • Hong, Seong-Ah;Ha, Tae-Hoon;Lyu, Ji-Won;Kim, Yang-Ki;Lee, Young-Mok;Kim, Ki-Up;Uh, Soo-taek;Noh, Hyung-Jun;Kim, Yong-Jae;Goo, Dong-Erk
    • Tuberculosis and Respiratory Diseases
    • /
    • v.62 no.1
    • /
    • pp.62-66
    • /
    • 2007
  • A bronchial artery aneurysm is a rare condition, which needs optimal treatment due to the possibility of a life-threatening hemorrhage by rupture. The surgical removal of the aneurysm is the standard treatment. However, there are a few reports of coil embolization with a transcatheter. A 69 year-old man was referred for a further evaluation of a mass in the right hilum on chest radiography. He denied any respiratory symptoms. A chest CT scan showed a $3{\times}3{\times}4.5cm$ sized vascular mass with strong contrast enhancement on the right hilar area that originated from the bronchial artery. On the angiogram, the bronchial artery originated from the descending thoracic aorta at the T8 level. A bronchial artery aneurysm was catheterized selectively. and embolized successfully with a coil. After coil embolization, the selective bronchial arteriography confirmed complete occlusion. We report this case of bronchial aneurysm that was treated successfully with coil embolization.

Incidental Adenomyoma of Stomach Associated with Early Gastric Cancer (조기위암과 우연히 동반된 위의 샘근종(Adenomyoma) 1예)

  • Yeo, Min-Seok;Yang, Hyun-Jun;Suh, Dong-Youb;Kim, Ki-Hong;Byun, Chang-Gyoo;Koh, Young-Taeg;Lee, Hyo-Jin;Choi, Seok-Ho
    • Journal of Gastric Cancer
    • /
    • v.6 no.1
    • /
    • pp.43-46
    • /
    • 2006
  • An adenomyoma of the gastrointestinal tract is a rare, benign, tumor-like condition histologically characterized by glandular structures embedded within a smooth muscle stroma. An adenomyoma has been considered to be as an abortive variant of an ectopic pancreas. An ectopic pancreas is defined as the presence of pancreatic tissue that lacks anatomic and vascular continuity with the main body of the pancreas. Common sites of an ectopic pancreas are the stomach, duodenum, and upper jejunum. An adenomyoma may rarely undergo a malignant transformation or cystic dystrophy. Recently, the authors an experienced a case of an incidental adenomyoma of the stomach associated with early gastric carcinoma. We report that case here.

  • PDF

Moor Vegetation of Mt. Shinbul in Yangsan (양산 신불산의 습원 식생)

  • Kim, Jong-Won;Han, Seung-Uk
    • The Korean Journal of Ecology
    • /
    • v.28 no.2
    • /
    • pp.85-92
    • /
    • 2005
  • This study emphasizes syntaxonomy and syndynamics of intermediate (Zwischen) moor (area: 14,000 $m^2$) at Mt. Shinbul in Yangsan, southeastern Korean Peninsula. A total of 105 vascular plant species including 26 monitor-species were recorded. Analysis by the $Z\"{u}rich$-Montpellier School's method distinguished eight vegetation units: Eleocharitis-Blyxetum echinospermae ass. nov., Eriocaulon sikokianum-Utricularia racemosa community, Eleocharis wichurai-Molinia japonica community, Platanthero-Molinietum japonicas, Miscanthus sinensis for. purpurascens community, Tripterygium regelii community, Symplocos chinensis-Quercus mongolica community, Symplocos chinensis-Quercus dentata community. PCoA (Principal Coordinates Analysis) shows that vegetation changes and distributional aspects are associated with both moisture condition and sunlight on the ground layer and soil nutrient level (mesotrophic to oligotrophic). Most important to Molinietea japonicas being representative intermediate moor vegetation at the southeasternmost fringe of the Korean Peninsula is the local cooling effect by mountainous cloud and mist zone resulting in shorter and wetter growing season. The Yangsan moor vegetation was compared with earlier descriptions of related Mujechi moor from anthropogenic and natural moor vegetations.