• Asian-Australasian Journal of Animal Sciences
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• 제7권1호
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• pp.137-145
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• 1994

Amino acid (AA) substituted diets had no influence on rumen levels of total volatile fatty acids (VFA), ammonia and ${\alpha}$-amino-N, but tended to increase molar proportions of isovalerate and counts of total viable AA utilizing and celluloytic bacteria in the rumen as compared with the control urea diet. The AA diets did not affect daily flow to the duodenum of dry matter (DM), organic mater (OM) and acid detergent fibre (ADF), and rumen digestibility of these nutrients. However, the AA diets, in particular the 10 essential AA (EAA) diet improved total digestibility of DM, OM and ADF by decreasing faecal output of these fractions. Although N flow to the duodenum and N retention were not affected with the dietary treatments, duodenal bacterial flow appeared to increase by the AA diets when it was estimated by means of 2,6-diaminopimelic acid (DAP) and nucleic acid-purine bases (PB) as markers. The results suggest that AA supplements to a urea diet could improve feed utilization by stimulating microbial activity and proliferation in the rumen but and increased microbial activity per se is not necessarily associated with improvement of feed conversion.

• 한국식품영양과학회지
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• 제23권3호
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• pp.387-395
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• 1994

The effect of vitamin C on th egramoxone toxicity in the duodenal globlet cells of rats were investigated suing histochemical methods. Rats in control, gramoxone and gramoxone+vitmain C (Vt.C) group, aged 6 to 7 weeks, were fed 18% casein diet. In th egramoxone group, neutral and acid mucins of the globlet cells in villi and crypts of duodenum tended to decrease as compared with the control group. And the globle cells secreting nonsuphated mucins tended to increase in number, being usually accompanied by a decrease of the globlet cells secreting suphated mucins which are prominent in the duodenal mucosa of control group. However, the goblet cells secreting nonsuphated mucins tended to increase in the gramoxone + Vt.C group. Morphological changes of the globlet cells in the gramoxone group were noted vacuolation and demolition of globlet cells, while those changes were not significant in the gramoxone +Vt. C group. It seems to be that Vt. C has alleviating effects on the gramoxone toxicity in secretion and production of the duodenal goblet cells.

• Clinical and Experimental Pediatrics
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• 제56권4호
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• pp.182-185
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• 2013

Children have a natural tendency to explore objects with their mouths; this can result in the swallowing of foreign objects. Most ingested foreign bodies pass uneventfully through the gastrointestinal tract. However, some foreign bodies cause obstruction or perforation of the gastrointestinal tract, requiring surgical intervention. Perforation of the gastrointestinal tract may be associated with considerable morbidity and mortality. The most common sites of intestinal foreign body perforation are the ileocecal and rectosigmoid regions. Foreign body perforation of the duodenum is relatively uncommon. We report the first Korean case of duodenal perforation by an ingested 8-cm lollipop stick. Lollipops are popular with the children and fairly accessible to them, as most parents are not aware of their potential harm. Pediatric clinicians should be aware of the risks associated with lollipop stick ingestion. Our report also describes the feasibility and safety of laparoscopic diagnosis and management of pediatric patients with peritonitis induced by the ingestion of foreign bodies.

• 한국임상수의학회지
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• 제34권5호
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• pp.325-329
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• 2017

In this retrospective study the effect of positioning on the radiographic appearance of duodenum and the radiographic differences of duodenal gas pattern between dogs without pancreatitis and dogs with pancreatitis were investigated. Ventrodorsal, dorsoventral as well as both lateral abdominal radiographs of 255 dogs were evaluated. Gas distribution in the duodenum, gastroduodenal angle, accuracy of the positioning was examined. The duodenum was more visible in a left lateral view and a dorsoventral view. The positioning of dorsoventral view was the most inaccurate. Based on this study, there were not significant differences in duodenal gas pattern between dogs without pancreatitis and dogs with pancreatitis.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제8권1호
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• pp.64-69
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• 2005

선천성 불완전 십이지장 격막은 매우 드문 질환이나 반복되는 구토나 성장 지연 등이 보일 경우 반드시 의심해 보아야 한다. 저자들은 갑작스런 사출성 구토와 토혈, 혈변으로 내원한 13개월 여아에서 단순복부 방사선 사진에서 발견된 십이지장 내 이물질(단추)을 위십이지장내시경으로 제거하며 진단한 불완전 십이지장 격막 1례를 경험하였다.

• Advances in pediatric surgery
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• 제11권2호
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• pp.175-179
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• 2005

An 11-year-old girl with a history of two previous attacks of acute pancreatitis was admitted to another hospital. Her epigastrium was tender, and serum amylase was 657 IU/L and lipase 3131 IU/L. Abdominal computed tomography scan suggested necrosis of 30% of the pancreas. Retrograde endoscopic cholangiopancreatography showed a diverticulum covered by normal duodenal mucosa at the second portion of the duodenum, which was separated from the adjacent duodenal lumen by a radiolucent band at UGI series. The apex of the diverticulum was incised endoscopically using a needle knife papillotome. A follow-up endoscopy on the next day noticed bleeding from the incised edge of the diverticulum. Endoscopic hemostasis with hemoclipping and injection of hypertonic saline-epinephrine solution was not successful. The patient was transferred to Kyungpook National University Hospital, and open duodenotomy and excision of the diverticulum were performed. She has recovered well and remains asymptoatic.

• Advances in pediatric surgery
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• 제2권1호
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• pp.72-76
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• 1996

Annular pancreas is a rare congenital anomaly with the descending duodenum encircled by a ring of pancreatic tissue, which may cause partial or complete obstruction of the duodenum. In newborn, the symptoms can be those of duodenal stasis resulting from partial intestinal obstruction secondary to some degree of duodenal stenosis. A male newborn weighing 2.0 Kg was born by C-section delivery at 37 weeks' gestation to a 27-year-old mother who had a hydramnios. He was in relatively good condition at birth except regurgitation of saliva and intermittent apnea. A plain film of the abdomen showed the double-bubble of gas filled stomach and proximal duodenum, and upper gastrointestinal series showed a dilated proximal duodenum, with a complete obstruction of the descending duodenum. Intraoperative finding revealed encirclement of the duodenal second portion by pancreatic tissue. Duodenojejunostomy was performed. After the operation, he had developed two serious complications, neonatal septicemia by Enterobacter cloacae on postoperative day 12 and systemic candidiasis on postoperative day 19, and been managed with ventilatory support, antibiotics, and antifungal agents with recovery.

• Parasites, Hosts and Diseases
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• 제32권3호
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• pp.201-204
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• 1994

상보부 통증과 토혈을 주소로 내원한 55세 한국인 남자 환자를 내시경으로 검사한 결과 위와 삽이지장의 벽에서 궤양을 관찰하였다. 위벽의 궤양은 조기위암으로 확인되어 위절제 수술을 받았다. 시이지장의 병변은 유문부 직후의 뒷벽에 세 개의 궤양이 형성되어 있었고, 그 중 하나에는 움직이는 호르텐스극구흡충이 파고 들고 있었다. 이 충체를 내시경 집게로 꺼내어 표본을 만들어 관찰한 바 호르텐스극구흡충으로 진단하였다. 환자를 프라지콴텔로 치료한 후에 충체 수집을 시도하여, 호르텐스극구흡충 3마리와 미야타형 Metaponimus 7마리를 더 얻었다. 이 증례를 소장 점막의 궤양을 처음으로 확인한 극구흡충증례로 기록한다.

• Journal of Digestive Cancer Research
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• 제11권1호
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• pp.49-54
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• 2023

Colorectal cancers often invade adjacent organs; however, direct duodenal invasion is rare. Adenocarcinoma is the most common type of colorectal cancer, but an undifferentiated carcinoma type is unusual. Herein, we present a case of undifferentiated carcinoma of the colon that directly invaded the duodenum and metastasized to distant lymph nodes. An 85-year-old female patient was admitted with a 7-cm-sized colonic mass invading the duodenum, detected by computed tomography. Positron emission tomography revealed fluorodeoxyglucose uptake in the colon, duodenum, and aortocaval lymph nodes. A large encircling mass in the ascending colon and an ulcerated mass in the duodenum were revealed by colonoscopy and esophagogastroduodenoscopy, respectively. Pathologic examinations of the colon and the duodenum revealed nonglandular, diffusely infiltrating atypical round cells, confirming undifferentiated carcinoma of the colon. The histologic type of this tumor was distinguished using immunohistochemical (IHC) markers. Finally, microscopic characteristics and IHC markers aided in identifying the histologic type of colorectal cancer.

• Journal of Digestive Cancer Research
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• 제2권2호
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• pp.68-71
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• 2014

한 달 동안의 점점 커지는 복부의 종괴를 주소로 방문한 57세 남자 환자에서 대장-십이지장루를 동반한 대장암을 진단하였으며, 이에 대해 수술 전 동시 항암방사선 치료를 시행하여 수술 범위를 줄일 수 있었던 좋은 예였다. 국소적으로 진행된 대장암 환자에서 본 증례와 같은 합병증으로 수술의 범위가 커질 가능성이 있다면, 보존적 치료 및 수술 전 동시 항암방사선 치료를 시행하여 수술 범위를 좁히는 것이 환자의 치료 경과에 도움이 될 것으로 생각된다.