• 대한수의학회지
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• 제37권1호
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• pp.1-8
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• 1997

The relative frequency and distribution of occurrence of immunoreactive cells in the proventriculus, diverticulum, cardia, fundus and pylorus of the stomach of pigs were investigated by PAP method using specific antisera against BCG, Gas/CCK, 5-HT, somatostatin, glucagon, BPP, motilin and insulin. In the diverticulum and cardia, BCG-, 5-HT-, somatostatin- and glucagon-immunoreactive cells were detected. In the fundus, BCG-, 5-HT- and somatostatin-immunoreactive cells were also found. In the pylorus, BCG-, Gas/CCK-, 5-HT-, somatostatin- and glucagon-immunoreactive cells were observed. However, no BPP-, motilin- and insulin-immunoreactive cells were found in the stomach epithelium of the pigs. These results showed that the occurrence of the endocrine cells confirmed in the diverticulum as the cardia and suggest that the function of diverticulum may be similar to that of cardia in the pigs.

• Journal of Chest Surgery
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• 제23권3호
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• pp.600-604
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• 1990

A fistulous communication between an esophageal traction diverticulum and the tracheobronchial tree appears to be of rare occurrence. This report reviews the feature of benign esophagobronchial fistula due to esophageal traction diverticulum. This 36-year-old female patient suffered from substernal pain, interscapular pain and severe paroxysmal coughing after ingestion of fluids. This patient was taken a diverticulectomy and partial resection of superior segment of right lower lobe. After the operation, there was no subjective symptoms, esophagobronchial fistula, leakage, stricture and diverticulum. The postoperative result was excellent.

• Advances in pediatric surgery
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• 제13권1호
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• pp.37-44
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• 2007

A vitelline duct (VD) anomaly is a relatively common congenital abnormality of the umbilical area. The anomalies include patent vitelline duct (PVD), cyst, fistula or sinus. The incidence is approximately 2% of the populations, but development of symptoms is rare. Recently, we experienced two cases; PVD accompanied by a small omphalocele and intestinal volvulus due to mesenteric band between Meckel's diverticulum and the mesentery. Thereafter,we evaluated the data of vitelline duct anomalies for 27 years. From 1980 to 2006, 18 cases of VD anomalies were reviewed based on the hospital records retrospectively. There were 15 boys and 3 girls and age ranged from 2 days to 15 years. Among the 18 cases, 15 cases were symptomatic and consisted of Meckel's diverticulum (10 cases), PVD (4 cases) and umbilical polyp (1 case). Three asymptomatic cases of Meckel's diverticulum were found incidentally were and were observed without resection. Ten cases of Meckel's diverticulum were presented with intestinal bleedings (4 cases), intestinal obstructions (5 cases) and perforation (1 case). Wedge resections and segmental resections of ileum were performed in 8 patients and 2 patients, respectively. Postoperative complications were adhesive ileus (1 case) and wound seroma (1 case). Small omphaloceles were accompanied in two of 4 PVD patients. There was 1 small omphalocele case which was accompanied by a prolapse of ileum. In summary, VD anomalies were more common in male and more than half of them were found in patients less than 1 year of age. PVD was diagnosed most frequently in neonates. Meckel's diverticulum presented with intestinal obstruction more frequently than bleeding.

• Advances in pediatric surgery
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• 제8권1호
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• pp.28-32
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• 2002

Meckel's diverticulum (MD) occurs in approximately 2 % of the population. The major complications of MD are bleeding, intestinal obstruction, infection and perforation. Perforation is the least common but most serious complication, the incidence od which is about 5-10 %. The causes of perforation are inflammatory diverticulitis and peptie ulceration. the purpose of study is to review the characteristics of perforated MD in children. Six patients with perforated MD who had been operated upon at the Department of Pediatric Surgery, Yeungnam University Hospital from April 1984 to July 2001 were included. Male predominated in a ratio of 5:1 and there were 2 neonates. The chief complaints were abdominal pain and distension. Half of the children showed a past history of bloody stools. The average age was 4 year and 9 months. The mean distance from the ileocecal valve to the diverticulum was 60 cm. Average length of the diverticulum was approximately 3 cm and width was 1.7 cm. The perforation site was the tip of the diverticulum in 3 cases, the base in 2 cases and along the lateral border in one. In two patients, ectopic gastric mucosa was found in the specimen. All of the patients were operated upon with a diagnosis of peritonitis of unknown etiology. In conclusion, when a child shows symptoms of acute abdomen or peritonitis, especially in boys, with the history of bloody stools and episodic abdominal pain, perforated MD should be suspected.

• Clinical and Experimental Pediatrics
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• 제45권4호
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• pp.466-472
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• 2002

목 적 : Meckel 게실은 장출혈, 장폐색, 감염, 천공등의 합병증에 의한 증상이 나타날 수 있으며 급성 복증을 일으키는 다른 질환과 감별진단이 어렵고 진단이 지연되기 쉽다. 저자들은 Meckel 게실 환자에서 임상증상과 조직학적 소견을 비교하여 신속히 진단하고 치료하는데 도움이 되고자 하였다. 방 법 : 1993년 10월부터 2001년 8월까지 이화의료원에서 진단한 Meckel 게실 10례의 의무기록을 후향적으로 조사하여 임상증상과 조직학적 소견 등을 분석하였다. 결 과 : 1) 환자의 연령은 7일-14세의 분포를 보였고, 6세 이전(60%)이 많았다. 남녀비는 2.3 : 1로 남아에서 많았다. 2) 주요증상은 무통성 하부 장출혈, 복통, 복부 팽만, 구토 순이었고 나이가 많을수록 증상이 심하였다. 3) 수술 전에 Meckel 게실로 진단되거나 의심되어 수술 한 경우 5례, 초음파 유도하 수압으로 정복되지 않은 장중첩증(3례)과 장폐색(2례)으로 수술하여 발견된 경우 5례이었다. 4) Meckel 스캔($^{99m}Tc-pertechnetate$)은 cimetidine을 투여한 후 6례에서 시행되었으며, 이소성 위점막이 있었던 5례 중 4례에서 양성, 1례 위음성, 이소성 위점막이 없었던 1례에서 음성이었다. 5) Meckel 게실은 회맹판으로부터 35-70 cm 상부에 있었고, 길이는 4-12 cm이었으며 이중 80%가 5cm 미만이었다. 6) 하부 장출혈이 있었던 5례 모두에서 이소성 위점막이 발견되었고, 그 외의 조직학적 소견은 염증 3례, 궤양 3례, 천공 1례, 출혈 3례, 경색 1례이었다. 결 론 : Meckel 게실은 출혈량이 적거나 증상이 경미한 환자에서 신속히 진단하게 되면 출혈이나 수혈의 빈도를 줄일 수 있으며 회복도 빠르므로, Meckel 게실을 염두에 두고 조영술이나 내시경에 우선하여 Meckel 스캔을 시행하는 것이 좋다. 이소성 위점막이 없는 Meckel 게실에서는 Meckel 스캔이 음성이므로 임상적으로 의심될 때에는 복강경, 컴퓨터 단층촬영, 고해상도 초음파촬영 등의 다양한 진단법이 시도되어야 할 것이다.

• 한국임상수의학회지
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• 제21권2호
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• pp.197-199
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• 2004

A 2-month-old intact female English Cocker Spaniel weighting 2.8 kg was presented with pollakiuria and urinary incontinence. On the inspection, moisture around the perineum and hindlegs was observed with a mild urine odor. No other abnormalities were detected on physical examination. Retrograde vaginourethrography revealed the urachal remnant. The vesicourachal diverticulum was surgically removed without complications.

• Clinical and Experimental Pediatrics
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• 제48권8호
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• pp.907-910
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• 2005

신생아에서 멕켈게실에 의한 장중첩증으로 장폐쇄를 유발한 경우는 매우 드물다. 신생아기에 장폐쇄의 원인으로 장중첩증은 장폐쇄의 원인 중 단지 3%, 멕켈게실은 0.3% 정도만이 보고되었다. 저자들은 출생 수시간 후부터 담즙성 구토를 보인 신생아에서 복부 초음파, 대장소영술 및 복부 전산화단층촬영상에서도 확진하지 못하고 시험적 개복술을 시행하여 비로소 확인된 태생기에 발생한 멕켈게실에 의한 장중첩증 1례를 경험하였기에 보고하는 바이다.

• Journal of Yeungnam Medical Science
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• 제28권2호
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• pp.192-195
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• 2011

Tracheal diverticulum is relatively rare. It results from congenital or acquired weakness of the tracheal wall. Most cases are asymptomatic, but when symptoms are present, they are usually nonspecific. A 54-year-old man complained of sputum lasting for several months. Chest computed tomography showed an air-containing cystic structure in the trachea. Fiberoptic bronchoscopy demonstrated ostium arising from the right posterolateral wall at the trachea. Reported herein is a case of eosinophilic bronchitis associated with tracheal diverticulum.

• Journal of Chest Surgery
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• 제52권4호
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• pp.227-231
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• 2019

Background: There is no established surgical procedure for the treatment of epiphrenic esophageal diverticulum. The aim of this study was to compare the clinical outcomes of esophageal diverticulectomy using abdominal and thoracic approaches. Methods: We retrospectively reviewed 30 patients who underwent esophageal diverticulectomy through the thoracic or abdominal approach for an epiphrenic diverticulum at a single center between 1996 and 2018. We compared clinical outcomes, including the postoperative length of stay, time from the operation to oral feeding, leakage rate, and reoperation rate between the 2 groups. Results: The median age was 56 years. Of the 30 patients, 18 (60%) underwent diverticulectomy via the thoracic approach and 12 (40%) underwent the abdominal approach. The median hospital stay was 10 days (range, 5-211 days) in the thoracic approach group and 9.5 days (range, 5-18 days) in the abdominal approach group. The median time from the operation until oral feeding was 6.5 days (range, 3-299 days) when the thoracic approach was used and 5 days (range, 1-11 days) when the abdominal approach was used. In the thoracic approach group, the leakage rate was 16.67% and the reoperation rate was 27.78%. However, there were no cases of leakage or reoperation in the abdominal approach group. Conclusion: The abdominal approach for esophageal diverticulectomy is a feasible and appropriate alternative to the thoracic approach.

• 한국패류학회지
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• 제27권3호
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• pp.159-165
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• 2011

개조개 소화맹낭의 해부학적 구조와 미세구조를 광학 및 전자현미경을 이용하여 기재하였다. 개조개는 한국 여수연안에서 2010년 5월에 채집하였다. 소화맹낭은 진한 녹색으로 생식소 위쪽에 위치하며, 일차소관으로 위와 연결되어 있었다. 소화맹낭은 다수의 소화선세관들로 구성되며, 각각의 소화선세관은 단층 상피층으로 호염기성세포와 소화세포들로 이루어져 있었다. 호염기성세포는 원주형으로 소화세포에 비해 전자밀도가 높았다. 세포질에는 잘 발달된 조면소포체, 관상의 미토콘드리아, 골지체 및 전자밀도가 높고 막을 가진 분비과립들을 함유하고 있었다. 소화세포는 원주형이며, 자유면에는 미세융모가 발달되어 있었다. 세포질 상부에서는 음소포, 용해소체 및 미토콘드리아가 관찰되었다. 본 연구에서 이러한 결과는 소화선세관의 호염기성세포와 소화세포는 각각 세포외 소화와 세포내 소화에 적당하게 분화되었음을 의미한다.