• 대한핵의학회지
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• 제35권1호
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• pp.1-11
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• 2001

Current scintigraphic tests of gastrointestinal motor function provides relevant pathophysiologic information, but their clinical utility is controversial. Many scintigraphic methods are developed to investigate gastrointestinal motility from oral cavity to colon. These are esophageal transit scintigraphy, oropharyngeal transit study, gastric emptying test, small bowel transit time measurement, colon transit study and gastroesopahgeal reflux scintigraphy. Scintigraphy of gastrointestinal tract is the most physiologic and noninvasive method to evaluate gastrointestinal motility disorders. Stomach emptying test is regarded as a gold standard in motility study. Gastrointestinal transit scintigraphy also has a certain role in assessment of drug effect to GI motility and changes alter therapy of motility disorders. Scintigraphy provides noninvasive and quantitative assessment of physiological transit throughout the gastrointestinal tract, and it is extremely useful for diagnosing gastrointestinal motor dysfunction. This article reviews the current procedures, indications, significance and guidelines for gastrointestinal motility measurements by scintigraphy.

• Journal of Yeungnam Medical Science
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• 제4권1호
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• pp.59-63
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• 1987

1. 기능성 소화기 장애증상이 있고 GET의 지연을 보였던 환자들의 GET 평균치는 22.49분으로 정상군 9.6분보다 유의하게 증가되어 있었으며 이를 환자수는 44명으로 88%에 해당하였다. 2. GFT지연군 15명에게 1단간 Cleboril을 투이한 결과 유의한 GET단축이 관찰되었으며 이중 11명(73%)에서는 현저한 단축소견이 있었다. 3. 기능성 소화기 장애증상을 호소하는 환자에서의 GET측정은 건강염려환자를 선별하는데 유용할 뿐만 아니라 간기능검사, 상부위상관, X-선촬영, 위내시경검사 및 경구담낭조영술 등에서 정상으로 확인된 환자에서 잠복된 소화기성 질환을 발견하는데도 유용하게 이용될 수 있을 것으로 사료된다.

• Journal of Trauma and Injury
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• 제30권2호
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• pp.25-32
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• 2017

Purpose: The use of computed tomography (CT) to evaluate acute abdominal complaints has increased over the past two decades. We investigated how the clinical practice of patients with intestinal perforation has changed with the increasing use of abdominal CT in the emergency department (ED). Methods: We compared ED arrival to CT time, ED arrival to surgical consultation time, and ED arrival to operation time according to the method of diagnosis from 2003-2004 and 2013-2014. Results: In patients with gastrointestinal perforation, time from ED arrival to CT was shorter ($111.4{\pm}66.2min$ vs. $199.0{\pm}97.5min$, p=0.001) but time to surgical consultation was longer ($135.1{\pm}78.8$ vs. $77.9{\pm}123.7$, p=0.006) in 2013-2014 than in 2003-2004. There was no statistically significant difference in time to operation for perforation confirmed either by plain film or CT between the two time periods. There was no statistically significant difference in length of hospital or ICU stay or mortality between the two groups. Conclusion: With the increasing use of abdominal CT in ED, ED arrival to CT time has decreased and ED arrival to surgical consultation time has increased in gastrointestinal perforation. These changes of clinical performance do not delay ED arrival to operation time or adversely influence patient outcome.

• Food Science and Biotechnology
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• 제15권4호
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• pp.599-602
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• 2006

The effects of ethanol extract from radish seeds on gastrointestinal function in rats were investigated. Rats were divided into 2 groups of 8 rats each, the basal group and the radish seed ethanol extract group. The radish seed ethanol extract group had a significantly decreased gastrointestinal transit time, but a significantly increased fecal weight compared with the basal group. The radish seed ethanol extract group also had significantly higher duodenal villus height and greater colonic mucosal thickness than the basal group. The radish seed ethanol extract group had a greater proliferation of 5-bromo-2-deoxy-uridine (BrdU) immunoreactive cells in the gastric mucosa as well as in the mucosa and submucosa of the small and large intestine than did the basal group. Thus, radish seed ethanol extract may be useful in preventing constipation based on the observation of an increase in fecal weight, a decrease in gastrointestinal transit time, and positive changes in the intestinal mucosa.

• 정보처리학회논문지:소프트웨어 및 데이터공학
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• 제9권3호
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• pp.101-108
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• 2020

최근의 영상 처리 분야는 딥러닝 기법들의 성능이 입증됨에 따라 다양한 분야에서 이와 같은 기법들을 활용해 영상에 대한 분류, 분석, 검출 등을 수행하려는 시도가 활발하다. 그중에서도 의료 진단 보조 역할을 할 수 있는 의료 영상 분석 소프트웨어에 대한 기대가 증가하고 있는데, 본 연구에서는 데이터 셋이 방대하고 판단에 시간이 오래 걸리는 캡슐내시경 영상에 주목하였다. 본 논문의 목적은 캡슐내시경 영상의 판독에서 모든 환자에 대해 공통으로 수행되고, 판독하는 데 많은 시간을 차지하는 위장관 랜드마크를 구별하고 위장관 교차점을 추정하는 것이다. 이를 위해, 위장관 랜드마크를 식별할 수 있는 CNN 학습 모델을 설계하였으며, 이를 이용하여 결괏값을 필터링해 위장관 교차점을 추정하였다. 무작위로 환자 데이터를 샘플링한 모델을 이용해서 나온 결과를 필터링 후에 위장관 교차점을 추정하였을 때, 88% 환자는 위장에서 소장으로 변화하는 위장관 교차점(유문판) 의심 구역 안에 들어왔으며, 소장에서 대장으로 변화하는 위장관 교차점(회맹판)의 경우 100% 환자가 위장관 교차점 의심 구역 안에 들어온 것을 확인할 수 있었다. 100프레임 범위로 위장관 교차점 의심 구역을 찾을 수 있었으며, 판독자가 초당 10프레임의 속도로 판독을 진행한다면 10초안에 위장관 교차점을 찾아낼 수 있다.

• 동의생리병리학회지
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• 제24권6호
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• pp.996-1003
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• 2010

This study was performed to investigate the effect of promoting gastrointestinal function and inhibiting of decreasing body temperature of ginger extract(Zingiber officinale) in rats. In order to elucidate the gastrointestinal function and inhibiting effect of body temperature of native ginger and improved ginger, water extracts of ginger were orally administrated into rats. The results are as follows: The gastrointestinal transit time was significantly decreased in native ginger(7.66hrs) and improved ginger(7.72hrs) extract administrated groups compare to control group(8.44hrs). The mean red faecal weight was increased in native ginger(30.6%) and improved ginger(31.1%) extract administrated groups compare to control group(24.9%) for 24hrs. Inhibiting effect of decreasing body temperature induced by serotonin was increased in native ginger($1.116^{\circ}C$) and improved ginger($1.416^{\circ}C$) extract administrated groups compare to positive control group($0.384^{\circ}C$) during 40 minutes. Gastrin and CGRP immunoreactive density was more strongly expressed in native ginger and improved ginger extract administrated groups compare to control group. Serotonin immunoreactive density was more weakly expressed in native ginger and improved ginger extract administrated groups compare to control group. These results suggest that ginger extracts may enhance physiological activity such as gastrointestinal motility, protection of mucosa and gastric acid secretion in gastrointestinal tracts, and inhibits decreasing body temperature

• 동의생리병리학회지
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• 제18권1호
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• pp.187-193
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• 2004

Constipation is a common clinical problem that comprises of symptoms that include excessive straining, hard feces, feeling of incomplete evacuation and infrequent defecation. Although many conditions, such as metabolic problems, fiber deficiency, anorectal problem, an drug, can cause constipation. This study was examined the effects of Chilsun-Whan on intestinal mucosa and gastrointestinal transit time and plasma lipids in rats. Adult male rats were fed for weeks on diets containing no addition(basal diet group), 5% cellulose(cellulose group) and 2.5% . Chilsun-Whan group(Chilsun-Whan group). The results were as follows; 1. The fecal weght was significantly increased 2 times in Chilsun-Whan administrated group compare to basal diet group. 2. The gastrointestinal transit times was significantly decreased in Chilsun-Whan administrated group compare to basal diet. 3. Carmine red mixed with Chilsun-Whan, as a marker, was administered through a gastric tube for stomach or intracecally by a chronically implanted catheter for colon transit. Small intestinal transit and large intestinal transit time were significantly decreased in Chilsun-Whan administrated group compare to basal diet. 4. The height of jejunal villi was developed in Chilsun-Whan administrated group compare to basal diet The thickness of mucosa and muscle layer of colonic mucosa were significantly developed in Chilsun-Whan administrated group compare to basal diet group. 5. The change of goblet cell in colonic mucosa was increased acid mucin stained alcian blue in Chilsun-Whan administrated group compare to basal diet and cellulose group. 6. HDL-cholesterol of plasma lipid was increased in Chilsun-Whan administrated group compare to basal diet and cellulose groups. Theses results suggests that Chilsun-Whan may be used in prevention and treatment of constipation resulting in increase of fecal weight, decrease of gastrointestinal transit time. development of intestinal villi, intensify of stainability of acid mucin in colon.

• Journal of Gastric Cancer
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• 제22권2호
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• pp.94-106
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• 2022

Purpose: Laparoscopic proximal gastrectomy with double-tract reconstruction (LPG-DTR) is a function-preserving procedure performed for treating upper early gastric cancer (EGC). However, few studies have compared the outcomes of LPG-DTR with those of laparoscopic total gastrectomy (LTG). This study aimed at comparing the short-term outcomes of LPG-DTR between LTG and upper EGC. Materials and Methods: For upper-third EGC, a multicenter, prospective, randomized trial was performed to compare those who underwent LPG-DTR with those who underwent LTG. Short-term outcomes, including clinicopathologic results, morbidity, mortality, and postoperative courses, were evaluated using a full analysis set based on the intention-to-treat principle and the per-protocol set. Results: Of the patients, 138 who fulfilled the criteria were randomized to each group. One patient in the LPG-DTR group withdrew consent. Sixty-eight patients underwent LPG-DTR and 69 underwent LTG. The operative time (LPG-DTR=219.4 minutes; LTG=201.8 minutes; P=0.085), estimated blood loss (LPG-DTR=76.0 mL; LTG=66.1 mL; P=0.413), and the morbidity rate (LPG-DTR=23.5%; LTG=17.4%; P=0.373) between the groups were not significantly different. No mortality occurred in either of the study groups. Two weeks post operation, the Visick scores for postprandial symptoms, including reflux symptoms, were not significantly different between the groups (P=0.749). Laboratory findings on postoperative day 5 were not significantly different between the groups. Conclusions: The short-term outcomes of LPG-DTR for upper EGC were comparable to those of LTG.

• Asian-Australasian Journal of Animal Sciences
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• 제5권1호
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• pp.55-61
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• 1992

To determine the effect of time after feeding on distribution of particle size of digesta in the gastrointestinal tract, 16 sheep given orchardgrass first cut hay were slaughtered at 2, 8, 16 and 24 hours after feeding and digesta in diverse sites of the tract were sieved into four fractions of particle size larger than $1180{\mu}m$, 300-1180, 45-300 and less than 45. Following results were obtained: 1) In the reticulo-rumen, the proportion of particles larger than $1180{\mu}m$ decreased with the time after feeding, while the other particle size fractions did not change with time after feeding. 2) In the post-ruminal alimentary tract, the proportion of particles larger than $1180{\mu}m$ was significantly smaller than that in the reticulo-rumen and distribution of fractions of every particle size stayed consistently at about the same level irrespective of the time after feeding. 3) In the cecum, the fraction of particle size less than $45{\mu}m$ appeared to be selectively retained when the passage rate was considered.

• Journal of Gastric Cancer
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• 제18권2호
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• pp.189-199
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• 2018

Purpose: This study sought to examine whether near total gastrectomy (nTG) confers a longterm nutritional benefit when compared with total gastrectomy (TG) for the treatment of gastric cancer. Materials and Methods: Patients who underwent nTG or TG for gastric cancer were included (n=570). Using the 1:2 matched propensity score, 25 patients from the nTG group and 50 patients from the TG group were compared retrospectively for oncologic outcomes, including long-term survival and nutritional status. Results: The length of the proximal resection margin, number of retrieved lymph nodes and tumor nodes, metastasis stage, short-term postoperative outcomes, and long-term survival were not significantly different between the groups. The body mass index values, and serum total protein and hemoglobin levels of the patients decreased significantly until postoperative 6 months, and then recovered slightly over time (P<0.05); however, there was no difference in the levels between the groups. The prognostic nutritional index values and serum albumin levels decreased significantly until postoperative 6 months and then recovered (P<0.05); the levels decreased more in the nTG group than in the TG group (P<0.05). The mean corpuscular volumes and serum transferrin levels increased significantly until postoperative 1 year and then recovered slightly over time (P<0.05); however, there was no difference between the groups. Serum vitamin $B_{12}$, iron, and ferritin levels of the patients did not change significantly over time, and no difference existed between the groups. Conclusions: A small remnant stomach after nTG conferred no significant nutritional benefits over TG.