• 치위생과학회지
• /
• 제23권1호
• /
• pp.39-50
• /
• 2023

Background: To promote and maintain oral health among adults, the relationship between oral health and obesity was examined, and the effects of oral health on obesity were investigated. Methods: A total of 4,270 Korean adults aged ≥20 years were selected as study subjects using raw data from the first year (2019) of the eighth period of the Korea National Health and Nutrition Examination Survey (KNHANES). Complex sample Rao-Scott chi-square test and complex sample logistic regression analysis were performed using PASW Statistics ver. 18.0. Results: The prevalence of abdominal obesity was 1.3 times higher subjects with poor oral health than in those with good perceived oral health and 1.3 times higher in subjects who did not receive dental checkups compared to those that did. The frequency of brushing of teeth was 1.2 times higher for subjects who reported brushing 2~3 times per day compared to those who reported brushing four or more times per day. The risk of being overweight was 1.3 times higher in subjects with one or more dental implants than in those with none. Conclusion: To build an integrated health program, it is thought that a preventive approach through self and expert oral health care, considering the age-specific characteristics of adults, is necessary for the intervention process used to build customized obesity prevention projects at the national level.

• Journal of Digestive Cancer Research
• /
• 제2권1호
• /
• pp.32-36
• /
• 2014

We report a patient with combined hepatocellular-cholangiocarcinoma confined in the common hepatic duct and scirrhous type of hepatocellular carcinoma in the caudate lobe of liver simultaneously. The patient was a 55-yearsold Korean man with hepatitis B virus (HBV) carrier who was referred from a local hospital due to detected liver mass on abdominal computed tomography (CT). He has presented jaundice and weight loss for the previous 3 weeks. Laboratory examination showed AST/ALT elevation and hyperbilirubinemia. HBsAg was positive. The tumor marker study showed elevated AFP and DCP, not CEA and CA 19-9. Abdominal CT disclosed an about 2.1×0.9 cm sized soft tissue density in hilum with both intrahepatic duct (IHD) dilatations and an about 3×2.1 cm sized arterial enhancing lesion at segment 8 of the liver. Patient received 15 cycles of Gemcitabine/Cisplantin chemotherapy from February 27, 2013 to December 31, 2013. Caudate lobectomy of liver, segmental resection of bile duct and Roux-en-Y hepaticojejunostomy was performed on February 10, 2014. The final pathologic report showed double primary liver cancer, combined hepatocellular-cholangiocarcinoma in common hepatic bile duct and scirrhous type of hepatocellular carcinoma in segment 1 of the liver. This is a very unusual case in which combined hepatocellular-cholangiocarcinoma confined in the large bile duct and two rare hepatic cancers coexisted.

• 한국임상수의학회지
• /
• 제41권2호
• /
• pp.123-126
• /
• 2024

A seven-month pregnant 15-year-old Thoroughbred mare presented with acute abdominal pain to Jeju National University Equine Hospital. At presentation, a nasogastric intubation revealed 10 L of gastric reflux; rectal palpation and ultrasound revealed dilated loops and thickening of the walls of the small intestine. An exploratory laparotomy revealed strangulation of the small intestine due to a large abdominal mass. The mass was double-ligated and resected blindly due to the short pedicle. An enterectomy was not performed as intestinal motility was detected following the mass removal. Histopathological examination confirmed that the mass was a lipoma, measuring 24 cm × 16 cm × 16 cm in size. On day 8 post-surgery, the mare was discharged without complications. This case report describes the diagnosis and treatment of strangulation of the small intestine by a pedunculated lipoma, thus providing useful information on lipoma in horses.

• 한국임상수의학회지
• /
• 제41권2호
• /
• pp.127-132
• /
• 2024

A 6-month-old intact female Bichon Frise dog weighing 0.9 kg presented with vomiting, anorexia, and lethargy persisting for 3 days. No remarkable abnormalities were detected on the history or physical examination. Laboratory findings were mostly normal, except for elevated levels of alkaline phosphatase (ALP) and blood urea nitrogen (BUN). Abdominal radiography revealed a fluid-dilated stomach and gas-dilated intestinal loops in the regional areas. Abdominal ultrasonography was performed to investigate the cause of gastrointestinal dilation, which revealed a rectangular, homogeneous, echogenic foreign material with no shadowing in the small intestine, causing mechanical obstruction. Upon further inquiry involving detailed re-take of history with the owner, a history of ingesting dog gum 4 days prior was identified. On surgical enterotomy, the hard pet food was identified and removed from the distal duodenum. Postoperatively, the patient's clinical signs showed complete improvement, with a return to normal appetite. The present case demonstrates that less-digestible, hard pet food, despite showing no shadowing on ultrasonography, can act as a foreign material, causing mechanical intestinal obstruction in a small-breed puppy. Furthermore, surgical removal of these materials is necessary in cases of intestinal obstruction.

• Journal of Yeungnam Medical Science
• /
• 제12권2호
• /
• pp.191-202
• /
• 1995

목 적: 소아의 급성 열성 질환은 그 원인이 위장관 계통이 아니더라도 흔히 구토, 설사, 복통 등의 복부증상을 동반하나 발열의 원인이 불명이면서 복부 증상이 동반될 때는 발열의 원인이 복부장기 이상소견으로 인한 것인지, 복부장기의 이상소견으로 그 원인을 유추할 수 있는지 당연히 관심을 가지게 된다. 저자들은 발열과 복부 증상을 주소로 하는 환아에서 복부 초음파 검사를 실시하여 그의 진단적 의의에 대해 알아보기 위하여 본 연구를 시행하였다. 방 법: 1994년 1월부터 1995년 6월까지 발열과 복부증상을 주소로 울산 동강병원 소아과에 입원, 치료한 환아 중 진단적 목적의 일부분으로 복부 초음파검사를 시행한 60례를 대상으로 그 검사의 진단적 가치에 대해서 후향적으로 조사하였다. 결 과: 1) 검사 환아중 56례 (93.3%)에서 복부 초음파의 이상 소견을 보였다. 2) 복부 초음파검사의 이상 소견으로 장간막 임파선 종대를 동반하는 경우가 52례 (86.7%)로서 가장 많았고, 소량의 복수만 있었던 경우가 1례 (1.7%), 방광벽 비후가 2례 (3.5%), 미세한 대장벽 비후만 있었던 경우가 1례 (1.7%) 있었다. 3) 소량의 복수 동반 여부와 관계없이 장간막 임파선 종대만 있었던 예는 30례 (50.0%)로서 다양한 진단명으로 볼때 특별한 진단적 가치가 없었다. 4) 소량의 복수 동반 여부와 관계없이 장간막 임파선 종대와 회맹장벽 비후가 있었던 경우가 8례 (13.3%)로서 역시 특별한 진단적 가치가 없었다. 5) 회맹장벽의 비후와 관계없이 장간막 임파선 종대와 비장비후가 있었던 7례 (11.7%)에선 4례 (6.7%)에서 장티푸스로 진단되었다. 6) 장티푸스로 진단된 6례 (10.0%)의 복부 초음파소견은 장간막 임파선 종대가 6례 (100.0%) 모두에서, 비종대가 4례 (66.7%)에서 회맹장벽비후가 1례에서 (16.7%) 보였고, 장간막임파선종대와 비장비대를 같이 보인 경우가 4례 (66.7%), 장간막임파선종대, 간비장비대, 회맹장벽비후를 같이 보인 경우가 1례 (16.7%) 있었다. 7) 장간막 임파선종대와 충수돌기 부위의 이상이 같이 있었던 7례 (11.7%) 모두에서 급성 충수돌기염이나 그의 합병증으로 진단되었다. 8) 방광벽 비후가 있었던 2례 (3.3%)에서 급성 방광염과 급성 출혈성방광염으로 진단되었다. 9) 미세한 대장벽의 비후가 있었던 1례 (1.7%)에서는 이질로 진단되었다. 결 론: 발열과 복부증상을 주소로 하는 환아에서 복부 초음파검사상 회맹장벽의 비후, 장간막 임파선 종대, 비장비후 등의 소견이 있을때에는 장티푸스의 가능성을 고려해야겠으며 소아에서 복부이학적검사를 쉽게 할 수 없는 경우나 그 진단이 분명치 못한 경우 복부 초음파검사를 시행하여 장간막 임파선 종대와 충수돌기 주변 부위의 이상 소견으로 수술이 필요한 급성 충수돌기염이나 그의 합병증의 진단을 신속히 할 수 있으리라 사료된다.

• Pediatric Gastroenterology, Hepatology & Nutrition
• /
• 제12권1호
• /
• pp.57-63
• /
• 2009

평소 복부 팽만을 보인 2세 남아가 내원 3일 전부터 간헐적인 구토를 동반하여 시행한 복부 방사선 사진에서 좌상복부에서 석회화 소견을 관찰하여 상부 위장관내시경과 복부 전산화 단층 사진을 시행하였다. 술 후 병리 검사에서 상당히 빈도가 드문 석회화 섬유 종양을 발견하였기에 보고하는 바이다.

• 한국방사선학회논문지
• /
• 제14권3호
• /
• pp.261-270
• /
• 2020

진단 방사선 검사에서 임산부와 태아에 대한 선량 평가는 현실적으로 어려우며, 관련된 연구 자료 또한 부족한 실정이다. 이에 본 연구에서는 모의실험을 통해 복부 X선 검사 시 임산부에 대한 선량과 태아선량을 분석하고자 하였다. 본 연구에서는 ICRP 89에서 제시하는 자료를 토대로 기존의 임산부 팬텀을 재구성한 팬텀을 제작 하였으며, 이를 이용하여 임신 주 수에 따른 임산부의 장기선량 및 태아선량에 대한 평가와 기존 팬텀과 재구성된 팬텀의 선량 차이를 분석하였다. 그 결과 복부 X선 검사 시, 입사되는 선원방향에 가까운 장기일수록 높은 선량을 나타내는 경향을 보였다. 또한 후전방향 촬영 시, 전후방향 촬영보다 태아 선량이 약 65%이상 감소하는 것을 확인할 수 있었다.

• Asian Pacific Journal of Cancer Prevention
• /
• 제16권12호
• /
• pp.5111-5113
• /
• 2015

Background: To investigate the diagnostic and treatment methods for Chinese patients with gastrointestinal stromal tumor (GIST). Materials and Methods: From January 2004 to June 2014, patients diagnosed with primary GIST and treated by a single medical team in the Department of Digestive Disease of XuYi Hospital of Traditional Chinese Medicine were retrospectively recruited. Re-examination and follow-up was conducted regularly and abdominal enhanced CT, blood biochemistry and responses to surgery or imatinib were recorded. Results: A total of 15 patients were enrolled, including 9 male and 6 female patients, with an average age of 54 years (ranging from 32-81 years). The primary symptoms were abdominal uncomfortable in 5 patients, abdominal pain in 6 patients as well as nausea and vomiting in 4 patients. One patient was diagnosed with bowl obstruction at the first visit. All patients were treated with surgery, and tumor site was confirmed 1 esophagus, 6 stomach, 4 small bowel, and 4 colorectal and all patients were pathologically diagnosed with GIST. Immunochemical test positive for CD 117 was found 12 patients, and positive for CD 34 in7 patients. The median follow-up time was 24 months (range of 3-63). Three metastasis were confirmed 1.5, 2 and 2.6 years postoperatively. Three patients were treatment by imatinib postoperatively. Conclusions: Surgery remains the main treatment method for Chinese patients with GIST and imatinib could be feasible and safe for treating Chinese patients with GIST.

• 대한지역사회영양학회지
• /
• 제21권6호
• /
• pp.545-557
• /
• 2016

Objectives: This study was performed to compare the diet quality and diversity according to types of obesity categorized by body mass index and waist circumference among Korean adults aged 19-64 years. Methods: This study used the data of the 5th Korea National Health and Nutrition Examination Survey (KNHANES-V) and included 11,081 study participants. Type of obesity was categorized into 4 groups (Type 1: BMI obesity + abdominal obesity; Type 2: BMI obesity only; Type 3: abdominal obesity only; Type 4: Normal). To compare the diet quality and diversity according to obesity type, ANCOVA (Analysis of covariance) was used with stratification of age groups (19-44 years, 45-64 years). Results: With regard to comparative analysis of diet quality, there were significant differences between diet qualities in energy, protein, thiamin, riboflavin, niacin, phosphorous and iron and type of obesity in the 19-44 age group, while there were significant differences between diet qualities on protein, vitamin C, phosphorous and type of obesity in the 45-64 age group. There was no significant difference between diet diversity score and type of obesity in Korean adults. Conclusions: This study showed that in Korean adults, diet qualities of some nutrients were different among obesity types, while diet diversity was not. These observations should be considered in an effort to improve intake of over-and deficient nutrients and in further studies to evaluate the effects of nutrient quality on obesity.

• Journal of Trauma and Injury
• /
• 제26권1호
• /
• pp.14-17
• /
• 2013

Purpose: The open abdomen is now the standard of care in various clinical situations, especially it is used to treat abdominal compartment syndrome. Many techniques have been reported for closure after an open abdomen, but most take a long time for complete definitive closure and are associated with various problems. We describe a technique using biologic mesh that can achieve early definitive closure after an open abdomen. Methods: A 45-year-old man presented to the emergency room with a painful hip and painful lower extremities after a fall from 80 feet. Radiologic examination revealed multiple fractures of the pelvis and low extremities. Abdominal compartment syndrome caused by a retroperitoneal hematoma developed during the orthopedic surgery. We performed exploration immediately and closed abdomen temporarily. A peritoneal graft of porcine dermal collagen with anterior myofascial approximation of the rectus abdominis muscles and sliding skin flap was performed three days after the previous surgery. Results: There were no complications related to the wound. The patient was transferred to the Department of Orthopedic Surgery seven days after the initial surgery. Conclusion: Early definitive closure using porcine dermal collagen is a feasible method that can reduce the length of hospitalization and the number of operations for an open abdomen.