• 제목/요약/키워드: anastomosis

검색결과 1,014건 처리시간 0.021초

Inflammatory Myofibroblastic Tumor Treated with Laparoscopic Proximal Gastrectomy and Double-Tract Anastomosis

  • Kim, Dong Jin;Kim, Wook
    • Journal of Gastric Cancer
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    • 제15권1호
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    • pp.64-67
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    • 2015
  • Inflammatory myofibroblastic tumors (IMTs) of the stomach are extremely rare in adults, and their oncologic prognosis is not well understood. We present a 28-year-old man with a proximal gastric IMT. The patient visited the emergency department of Yeouido St. Mary's Hospital with syncope and hematemesis. Hemoglobin levels were <5.5 g/dl. Gastric fibroscopy showed a protruding mass $4{\times}4cm$ in size, with central ulceration on the posterior wall of the fundus and diffuse wall thickening throughout the cardia and anterior wall of the upper body. Endoscopic biopsy revealed indeterminate spindle cells, along with inflammation. Given the risk of rebleeding, an operation was performed despite the uncertain diagnosis. Because the mass was circumferential, laparoscopic proximal gastrectomy and double-tract anastomosis were performed to ensure a safe resection margin. The pathological diagnosis was consistent with an IMT originating from the stomach, although the tumor was negative for anaplastic lymphoma kinase gene mutation.

Three-Dimensional Flow Simulations of End-to-Side Vascular Anastomoses : Flow Dynamic Aspect on Preferential Development of Intimal Hyperplasia or Thrombosis

  • Kim, Young H.;Krishnan B.Chandran
    • 대한의용생체공학회:의공학회지
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    • 제15권3호
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    • pp.253-258
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    • 1994
  • Three-dimensional steady and pulsatile flows in an end-to-side anastomosis were investigated using a finite difference method in order to understand the flow dynamics in the preferential development of distal anastomotic intimal hyperplasia or thrombosis. Steady flow results revealed that a double helical vortex was formed in the host artery and flow recirculations near toe find heel regions were restricted due to the secondary flow. Oscillating wall shear stress with significant secondary flow might be flow dynamic reason of developing intimal hyperplasia or thrombosis near the anastomotic region.

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2종류의 양말착의행동이 인체생리반응에 미치는 효과 (Effects of Two Kifferent Kinds of Socks on Physiologrical Responses)

  • 김희은;권오경
    • 한국의류학회지
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    • 제23권2호
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    • pp.242-249
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    • 1999
  • The purpose of this study was to investigate two different kinds of socks on physiological responses at an ambient temperature of 35$\pm$1$^{\circ}C$ and relative humidity of 50$\pm$5% Five healthy women wearing normal socks or toes socks participated as the subjects. Rectal temperature skin temperatures sweat rate blood pressure pulse rate and questionnaire wee measured. Rectal temperature skin temperature sweat rate blood pressure pulse rate and questionnaire were measured. Rectal temperature and mean skin temperature were lower after exercise at wearing toes socks . Sweat rate was higher at wearing normal socks and blood pressure and pulse rate were tend to higher at wearing toes socks. Thermal comfort temperature sensation and humidity sensation were better wearing toes socks. Thermal comfort temperature sensation and humidity sensation were better wearing toes socks than wearing normal socks but wearing comfort was better at wearing normal socks. These results will be discussed form the viewpoint of thermoregulation AVA(Arterio venous Anastomosis) and count current heat exchange.

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인조혈관의 단단문합에 대한 유동과 구조의 동시해석 (A Simultaneous Fluid -Structure Modeling of the End-to-End Vascular Graft Anastomosis)

  • 김영호
    • 대한의용생체공학회:의공학회지
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    • 제20권5호
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    • pp.593-599
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    • 1999
  • 수축절정기에 0.2mm, 0.4mm 두께의 소구경 인조혈관의 내경3.2mm의 동맥에 문합한 단단문합 주위의 유동과 구조해석을 동시에 수행하였다. 유동해석 결과 속도분포 및 벽단전률은 타 연구결과와 매우 유사하며 이론해와 매우 유사함을 보였다. 유동에 의해서 문합부 주위에 작용하는 응력은 문합부에 집중되며 이는 수십만 pa에 달했다. 또한 인조혈관과 동맥에 작용하는 원주방향의 응력을 이론해와 비교한 결과 서로 유사함을 보였으며 두께가 얇은 인조혈관을 사용하는 경우 문합부의 compliance mismatch 는 개선되나 반대로 응력은 더 많이 받음을 알 수 있었다. 본 연구를 통해서 유체에 의하여 혈관이 영향을 받는 심혈관계 현상을 연구하는데 있어서 이와 같은 유체-구조 상호작용을 고려하여 동시에 해결 하는 방법은 매우 유용할 것으로 생각된다.

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기관삽관에 후발한 기관협착증의 외과적 치료 (The Surgical Treatment of the Tracheal Stenosis Following Tracheostomy and Intubation)

  • 이상호;노준량
    • Journal of Chest Surgery
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    • 제14권4호
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    • pp.339-344
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    • 1981
  • Eight patients underwent tracheal resection and reconstruction for tracheostomy and postintubation injuries from 1971 to early 1981. The ages ranged from 12 years to 59 years. The patients had 7-cuff stenosis and one stomal lesion in whom intubated long. Four male and four female patients were treated. Cervical approach was used in one, cervicomediastinal in 3 and transthoracic in four. The longest length of resection extended to 4 cm in whom cervico-upper half mediastinal incision and neck flexion were applied. Techniques for obtaining tension-free anastomosis included cervical flexion or division of the inferior pulmonary ligament and mobilization of the right hilum. Concurrent tracheostomy was not needed in all. There was one death at the end of emergency operation from anesthetic accident. Granulations at the anastomosis line, necessitating bronchoscopy, were noted in two and the lesion did not recurred after removal. No restenosis or other complications occurred during long follow-up.

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Ribosomal DNA의 PCR-RFLP에 의한 국내산 Rhizoctonia solani 균주들의 종내그룹의 구분 (Differentiation of Intraspecific Groups within isolates of Rhizoctonia solani Using PCR-RFLP of Ribosomal DNA)

  • 홍승범;고승주;류진창;김완규;김인수
    • 한국식물병리학회지
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    • 제14권2호
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    • pp.157-163
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    • 1998
  • Genetic diversity among 27 isolates of Rhizoctonia solani, which were obtained from diseased crops in Korea and classified into 9 intraspecific groups by anastomosis test and cultural characteristics, was studied by PCR-RFLP. Gene regions of nuclear 17S ribosomal DNA and internal transcribed spacers including 5.8S rDNA of the isolates were amplified with polymerase chain reaction and digested with 12 restriction enzymes. Differences of restriction patterns were not shown among isolates within each intraspecific groups, however, each anastomosis group and culturala type sowed unique restriction fragment length polymorphisms by restriction patterns using HaeIII, Cfr13I and MspI. The results suggest that PCR-FRLP of rDNA using three restriction enzymes could be used to differentiate intraspecific groups of Rhizoctonia solani in Korea.

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식도재건술 (Esophageal Reconstruction)

  • 최영호;황재준
    • 대한기관식도과학회지
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    • 제4권1호
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    • pp.15-26
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    • 1998
  • The first successful transthoracic esophagectomy and intrathoracic esophago- gastric anastomosis reported in 1938. Stomach, small intestine, and colon as well as free revascularized grafts have been substituted for excised esophagus. During the past 60 years, there have been substantial advances in preoperative assessment, nutritional support, anesthetic and operative techniques, and postoperative care of patients undergoing esophageal resection and reconstruction. However the hospital mortality and morbidity of esophageal resection and reconstruction is still high and disruption of an intrathoracic esophagogastric anastomosis continues to be the most dreaded complication of esophageal surgery, And the choice of the conduit is still controversial. In this paper, I would like to review the current surgical options available to patients who require esophageal resection and reconstruction as well as the advantages and disadvantages of each technique.

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Damping-off of Fischer's Ragwort Caused by Rhizoctonia solani AG-2-2 (IIIB)

  • Moon, Youn-Gi;Park, Ki-Jin;Kim, Wan-Gyu
    • 한국균학회지
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    • 제49권3호
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    • pp.413-416
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    • 2021
  • In July 2019, damping-off symptoms of young Fischer's ragwort (Ligularia fischeri) plants were observed in four vinyl greenhouses of a farmer located in Taebaek, Gangwon Province, Korea. This disease occurred in 20-30% of plants in the vinyl greenhouses investigated. Nine isolates of Rhizoctonia sp. were obtained from the diseased plants. All the isolates were identified as Rhizoctonia solani AG-2-2 (IIIB), based on morphological, cultural characteristics, and anastomosis test. Three isolates were used for artificial inoculation test on Fischer's ragwort. Pathogenicity of these isolates was confirmed on the plants with the inoculation tests. Damping-off symptoms observed on the inoculated plants were similar to those observed in the diseased plants in the vinyl greenhouses. This is the first report of R. solani AG-2-2 (IIIB) being the causative agent in damping-off in Fischer's ragwort.

Damping-off of Indian Lettuce Caused by Rhizoctonia solani AG-4

  • Moon, Youn-Gi;Kim, Se-Won;Seo, Hyun-Taek;Kim, Wan-Gyu
    • 한국균학회지
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    • 제48권4호
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    • pp.519-521
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    • 2020
  • Damping-off symptoms were frequently observed on young plants of Indian lettuce (Lactuca indica) grown in a farmer's vinyl greenhouse located in Goseong, Gangwon province of Korea during a disease survey in June 2019. The incidence of diseased plants in the vinyl greenhouse investigated was 30-50%. Four isolates of Rhizoctonia sp. were obtained from the diseased plants and identified as Rhizoctonia solani AG-4 based on the morphological characteristics and anastomosis test. Three isolates of R. solani AG-4 were tested for pathogenicity on Indian lettuce by artificial inoculation. All the tested isolates induced damping-off symptoms on the inoculated plants. The symptoms were similar to those observed in plants from the farmer's vinyl greenhouse investigated. This is the first report of R. solani AG-4 causing damping-off in Indian lettuce.

Damping-off of Coastal Hogfennel Caused by Rhizoctonia solani AG-4

  • Moon, Youn-Gi;Kim, Se-Won;Seo, Hyun-Taek;Kim, Wan-Gyu
    • 식물병연구
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    • 제27권1호
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    • pp.45-47
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    • 2021
  • Damping-off symptoms were frequently observed on young plants of coastal hogfennel (Peucedanum japonicum) grown in a farmer's vinyl greenhouse located in Goseong, Gangwon Province, Korea during a disease survey in June 2019. Incidence of the diseased plants was 50-70% in the vinyl greenhouse investigated during the disease survey. Eight isolates of Rhizoctonia sp. were obtained from the diseased plants. All the isolates were identified as Rhizoctonia solani AG-4 based on the morphological characteristics and anastomosis test. Three isolates of R. solani AG-4 were tested for pathogenicity on coastal hogfennel by artificial inoculation. All the tested isolates induced damping-off symptoms on the inoculated plants. The symptoms were similar to those observed in the farmer's vinyl greenhouse investigated. This is the first report of R. solani AG-4 causing damping-off in coastal hogfennel.