• 한국정보통신학회:학술대회논문집
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• 한국정보통신학회 2018년도 춘계학술대회
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• pp.363-365
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• 2018

대장과 소장에서 모두 폐색 영역을 검출하기 위하여 본 논문에서는 기존에 연구된 장 폐색 영역 검출 방법과 ART2 알고리즘을 이용한 대장 폐색 영역과 소장 폐색 영역을 검출하는 방법을 제안한다. 제안된 방법은 기존에 연구된 방법을 이용하여 ROI 영역을 추출한 후, 추출된 ROI 영역을 ART2 알고리즘을 이용하여 영상을 군집화 한다. 군집화된 ROI 영역과 기존에 연구된 방법으로 X-ray 영상에서 검출한 장 폐색 영역의 형태학적 특징을 비교 및 분석하여 장 폐색의 형태학적 특징을 포함하는 클러스터를 분석한다. 따라서 장 폐색 영역에 해당되는 클러스터로 분류된 영역 내부를 클러스터의 중심에 해당되는 픽셀로 모두 대체한다. 그리고 $3^*3$ 필터를 이용한 침식과 팽창 연산을 적용하여 잡음을 제거한다. 잡음이 제거된 영상에서 각 객체들을 라벨링한 후에 크기를 비교하여 배경과 기타 지방 영역을 제거하고 남은 객체들을 장 폐색 영역으로 검출한다. 제안된 추출 방법을 장 폐색 X-ray 영상을 대상으로 실험한 결과, 기존에 연구된 방법으로 추출에 성공한 대장 장 폐색 영상과 추출에 실패한 소장 폐색 영상 모두에서 추출되는 것을 확인하였다.

• 임상간호연구
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• 제14권3호
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• pp.15-25
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• 2008

Purpose: This study was aimed to investigate the effects of gum-chewing on the recovery of bowel movement and oral cavity discomfort after abdominal surgery. Method: The nonequivalent control group, non-syncronized repeated treatment design was used. A total of 99 patients were participated in the study. The 44 patients were in the experimental group and the rest in the control group. The experimental group chewed gum three times a day until they passed gas. As the patient reported gas-passing, bowel movement time, subjective symptoms of oral cavity, and oral status were recorded precisely. The frequency, percentage, $x^2$-test and t-test were analyzed by SPSS PC 12.0. Results: There were significant differences in bowel movement, gas passing, oral cavity symptoms, and oral status scores between the experimental and the control group. Conclusion: The findings of the study demonstrated the fact that gum-chewing helps early recovery from post-operative ileus and thirst. It is because gum chewing stimulates bowel mobility and secretion of saliva. Thus gum-chewing seems to be an effective nursing intervention in reducing post-operative side effects for patients with abdominal surgery.

• Advances in pediatric surgery
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• 제1권1호
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• pp.59-62
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• 1995

Meconium peritonitis is defined as an aseptic, chemical or foreign-body peritonitis caused by spill of meconium in the abdominal cavity related to the prenatal perforation of the intestine. Perforation is usually caused by obstruction from meconium ileus, intestinal atresia, stenosis, volvulus, internal hernia, congenital peritoneal bands, intussusception, or gastroschisis. Less commonly, no evidence of distal obstruction exists. Here, we present two cases of generalized meconium peritonitis of antenatal diagnosis. The first case, detected at 8 months of gestational age, had a perforation of the proximal blind pouch of jejunal atresia, associated with respiratory distress due to severe abdominal distension. This case was successfully treated with resection and anastomosis and brief period of postoperative ventilatory support. The second case had a distal ileal perforation with thick meconium in the terminal ileum. In this case, there was no dilatation of ileum proximal to the perforation site. Resection and anastomosis was performed and postoperative course was uneventful.

• Advances in pediatric surgery
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• 제17권1호
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• pp.51-57
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• 2011

Use of laparoscopic appendectomy (LA) for perforated appendicitis (PA) in children remains controversial because of the development of postoperative intra-abdominal abscess formation. We developed the irrigation method for the prevention of abscess formation after LA performed for PA in children with severe panperitonitis. We called it 'the shaking irrigation'. The object of this study was to analyze the efficacy of this irrigation method. All cases of PA with severe panperitonitis in children that underwent LA with massive shaking irrigation and drainage between June 2003 and December 2007 were studied retrospectively. We included only PA with panperitonitis and large amounts of purulent ascites throughout the abdomen as well as an inflamed small bowel with ileus. Thirty-four children were involved in this study. The mean patient age was eight years. The mean amount of irrigation fluid was 8.2 L (range: 4-15 L), The mean operative time was 89.5 min. The mean length of the hospital stay was 5.1 days. There were no postoperative intra-abdominal abscesses. There was no conversion to open surgery. In conclusion, Use of LA in PA with severe panperitonitis in children is safe and effective. Massive shaking irrigation and abdominal drainage appears to prevent intra-abdominal abscesses after LA for PA with panperitonitis.

• 대한추나의학회지
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• 제6권1호
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• pp.169-176
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• 2005

대소변 장애를 동반한 척추 압박골절로 입원한 환자에 대한 임상관찰에서, 척추 압박골절에 동반된 대소변 장애를 개선시키기 위한 침구치료와 한약물치료가 결과적으로 급성기 요통에 치료효과를 나타냈음을 알 수 있었고, 급성기 치료에서 침상안정과 함께 대소변의 통창(通暢)이 중요한 보존적 치료임을 확인하였다.

• Advances in pediatric surgery
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• 제19권1호
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• pp.32-38
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• 2013

The purpose of this study is to analyze the early experience of the laparoscopic adhesiolysis for the intestinal obstruction due to postoperative adhesion. Seven patients were included in this study. The median age of those patients was 13, and there were 3 males and 4 females. Previous diagnosis and surgical procedure were various in seven cases, including small bowel resection with tapering enteroplasty, Boix-Ochoa fundoplication, Ladd's procedure with appendectomy, mesenteric tumor resection with small bowel anastomosis, ileocecal resection and anastomosis, primary gastric repair, and both high ligation. A successful laparoscopic adhesiolysis was performed in one who had high ligation for inguinal hernia and had a single band adhesion. Six out of 7 (86%) cases needed to convert open surgery due to multiple and dense type of adhesion. In conclusion, laparoscopic approach with postoperative small bowel adhesion seems safe. However, it might be prudently considered because of high rates of conversion in children.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제5권1호
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• pp.83-87
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• 2002

Primary peritonitis usually refers to a bacterial infection of the peritoneal cavity without a demonstrable intra-abdominal source. Most cases occur in children with ascites resulting from nephrotic syndrome or cirrhosis. Rarely, it may occur in previously healthy children less than 7years of age, usually a girl. Distinguishing primary peritonitis from appendicitis may be impossible in patients without a history of nephrotic syndrome or cirrhosis. Accordingly, the diagnosis of primary peritonitis is made only at laparotomy. We report one case of primary pneumococcal peritonitis in a 27-month-old female who underwent explorative laparotomy to discover the cause of suspicious intestinal perforation and mechanical ileus. Later, pneumococci were cultured in blood and gram-positive diplococci were isolated from the pus of peritoneal cavity.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제5권2호
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• pp.181-185
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• 2002

저자들은 지속되는 고열과 복통을 주소로 입원한 10세 남아에서 외과적인 복부 질환이 의심되어 시험적 개복술을 시행하여 복막 조직 검사 소견과 복수에서 결핵균의 배양으로 확진하고 항결핵제 투여로 치료한 결핵성 복막염 1례를 문헌고찰과 함께 보고하는 바이다.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제2권2호
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• pp.256-261
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• 1999

저자들은 선천성거대결장 환아에서 인공항문복원술을 위해 시행한 바륨관장의 부작용으로 발생된 1개월간의 바륨매복을 gastrografin관장으로 성공적으로 제거하였기에 이에 관한 문헌고찰과 더불어 보고하는 바이다.

• The Korean Journal of Medicine
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• 제93권6호
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• pp.556-559
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• 2018

Intestinal tuberculosis is an infection of the gastrointestinal tract by the Mycobacterium tuberculosis complex. To the best of our knowledge, solitary intestinal tuberculosis accompanied by intestinal obstruction, particularly in the middle of the small intestine, is extremely rare. We report a case of solitary jejunal tuberculosis in a 49-year-old man with no underlying disease. He was admitted a few days after the onset of diffuse abdominal discomfort. Upon evaluation, we initially considered a malignancy of the distal jejunum with ileus due to the presence of a mass. Therefore, he underwent laparoscopic resection of the small bowel. Unexpectedly, the histologic specimen showed a chronic caseating granulomatous lesion with acid-fast bacilli. Ultimately, he was diagnosed with solitary jejunal tuberculosis. He was successfully treated with anti-tuberculosis drugs without any complications.