• 제목/요약/키워드: jejunum

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공장의 모발석 1례 (A huge trichobezoar in the jejunum)

  • 임호경;김영옥;우영종
    • Clinical and Experimental Pediatrics
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    • 제49권5호
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    • pp.574-576
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    • 2006
  • Bezoar는 흡수되지 않은 이물질이 음식물과 섞여 형성된 장내 결석으로 이 중에서도 모발에 의한 경우를 trichobezoar라고 한다. 모발석은 대부분 위 내에 존재하고 소장까지 이동하지는 않는다고 알려져 있으며 빈혈, 위장관 폐쇄 또는 천공, 복막염, 장중첩증, 췌장염 등을 유발할 수 있다. 저자들은 복통과 담즙성 구토를 주소로 내원한 8세 여아에서 공장내의 10 cm 길이의 모발석을 진단하였고, 이로 인해 유발되었을 것으로 추정되는 췌장 효소(아밀라제 및 리파제)의 증가를 관찰하였다. 환아는 모발석의 수술적 제거 후 증상의 호전을 보였고, 췌장효소는 정상화되었다. 드물게 보고되고 있는 공장내의 큰 모발석 1례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

Preoperative administration effect of metronidazole, ceftriaxone sodium and their combination on stenotic index of jejunal anastomotic segment of dogs

  • Rafique, Rehan;Asi, Muhammad Nadeem;Saqib, Muhammad;Hussain, Muhammad Hammad;Sial, Awais-ur-Rehman;Mushtaq, Aqsa
    • 대한수의학회지
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    • 제54권1호
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    • pp.27-30
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    • 2014
  • The jejunum is the longest part of the small intestine and its lumen is mainly involved in the absorption of the nutrients. The present study was conducted to evaluate the effects of metronidazole, ceftriaxoine sodium and their combination on the stenotic index of the end to end jujunal anastomotic site. To accomplish this, 20 healthy stray dogs were subjected to end to end jejunal ansastmosis. Dogs in Group A (control) underwent jejunal anstomosis with no antibiotic prophylaxis, while those in Group B received surgery and metronidazole alone at 50 mg/kg, those in Group C received ceftriaxone sodium intravenously at 30 mg/kg body weight prior to surgery and dogs in Group D were given metronidazole in combination with ceftriaxone sodium at 50 mg/kg and 30 mg/kg, respectively, 2 h before surgical intervention. No significant difference (p > 0.05) in the stenotic index was observed at 14 days after jejunal anastomosis. These findings indicate that prophylactic administration of metronidazole and ceftriaxone sodium alone or in combination had no significant effect on the stenotic index of the jejunum.

Comparison of Gastrointestinal Permeability of Caffeine, Propranolol, Atenolol, Ofloxacin, and Quinidine Measured Using Ussing Chamber System and Caco-2 Cell Monolayer

  • Song, Im-Sook;Choi, Young A;Choi, Min-Koo
    • Mass Spectrometry Letters
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    • 제8권2호
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    • pp.34-38
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    • 2017
  • The purpose of this study was to develop a cocktail approach for the measurement of the permeability of marker compounds, caffeine and propranolol (high permeability), ofloxacin (intermediate), atenolol (low), and quinidine (P-glycoprotein substrate), simultaneously. Then we compared the permeability in Caco-2 cells with that in rat intestinal segments. The difference between individual measurement and cocktail approach was less than 20 %, and the permeabilities of these compounds were similar to those previously reported, suggesting that the cocktail transport study and simultaneous drug analysis were successfully developed and validated in this study. Additionally, in the application of this cocktail method, the permeability of five drugs in rat jejunum was similar to that in ileum but different from that in colon, which was measured using the Ussing chamber system. Moreover, permeability in jejunum and ileum was similar to that in Caco-2 cells. In conclusion, the permeability in Caco-2 cells was equivalent to the permeability in rat jejunum and ileum determined with the Ussing system. Therefore, this newly developed cocktail assay and its application to the Ussing system can be a useful tool for robust and rapid screening for site-specific permeability in rat intestine, thus accelerating the prediction of absorption of new chemical entities.

고슴도치 위장관의 Gastrin(G)세포, Glucagon(L)세포, Somatostatin(D)세포 및 Cholecystokinin(I)-8세포의 면역세포화학적 연구

  • 최월봉;원무호;박형진;서지은
    • 한국동물학회지
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    • 제30권2호
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    • pp.154-166
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    • 1987
  • Recently, the researches on the enteroendocrine cells of vertebrates have made a remarkable advance by the immunocytochemical methods. This study was attempted to investigate the topographical distributions and the shapes of gastrin, glucagon, somatostatin and cholecystokinin-8 immuno-reactive cells in the gastrointestinal tract of the Korean hedgehog, Erinaceus koreanus. For light-microscopical examination of immunocytochemistry, the tissue specimens taken from the various portions(body and pyloric protion of stomach, duodenum, jejunum, ileum and rectum) were fixed in glutaraldehyde-picric acid-acetic acid (GPA) or 10% neutral buffered formalin solutions. For the demonstration of immunoreactive cells, the paraffin sections (6$\mu$m) were immunocytochemically identified by PAP procedure (Sternberger, 1979) with gastrin, glucagon, somatostatin and cholecystokinin-8 antisera. Gastrin-immunoreactive cells were mainly distributed in the pyloric portion of stomach and were a few in the duodenum and jejunum. The shapes of these cells were round or oval in the pyloric portion and pyramidal in the small intestine. Glucagon-immunoreactive cells were sparsely distributed in the only small intestine. The shapes of these cells were mainly pyramidal. Somatostatin-immunoreactive cells were a few in the pyloric portion and duodenum, and were sparsely distributed in the body of stomach and jejunum. The shapes of these cells were round or oval in the stomach and oval or pyramidal in the small intestine. Cholecystokinin-8-immunoreactive cells were sparsely distributed in the only small intestine. The shapes of these cells were mainly oval or pyramidal.

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진도개의 장에서 발생한 pythium증의 증례보고 (Enteric pythiosis in a Jindo dog)

  • 손용성;김대용;권오경;서일복
    • 대한수의학회지
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    • 제36권2호
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    • pp.447-451
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    • 1996
  • A case of enteric pythiosis in the jejunum is reported in a 28-month-old, male Jindo dog. Grossly, a 20cm segment of the cranial jejunal wall was markedly thickened to a thickness of 10cm and the lumen was narrowed. Histological examination of the jejunum reveals transmurally affected multifocal to coalescing granulomatous inflammation. The granulomatous foci were composed of a necrotic center with neutrophilic infiltration and occasionally non-parallel, branching, septate hyphae surrounded by numerous epithelioid macrophages, multinucleated giant cells, lymphocytes and fibrosis. Multinucleated giant cells occasionally contain fragment of hyphae. The diagnosis was based on light microscopical studies and positive PAS and immunostaining for Pythium insidiosum. This is believed to be the first reported case of canine enteric pythiosis in Korea.

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선천성 영아 섬유육종 (Congenital Infantile Fibrosarcoma)

  • 김태형;정재희;송영택
    • Advances in pediatric surgery
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    • 제10권1호
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    • pp.52-55
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    • 2004
  • A newborn male baby was transferred to our hospital with a left inguinal mass. The mass was huge measuring $10{\times}10cm$, engorged, and dark-blue colored as a result of internal hemorrhage. Unstable vital signs were combined with DIC and acute renal failure. Emergency operation was performed because of the suspicion of bowel perforation. The peritoneal cavity was full of ascitis and the distal jejunum had a 0.5 cm perforation. Segmental resection of the jejunum and incisional biopsy of the inguinal mass were performed. On pelvic and thigh MRI, the mass protruded into pelvic cavity and encircled large vessels and nerves of the thigh. Pathologic diagnosis was congenital infantile fibrosarcoma. Fifteen days after operation, primary tumor excision was undertaken. The second look operation, performed after 6 times VAC chemotherapy, revealed no remained malignant cell on microscopic section. The baby has been followed closely for the last eight months.

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다람쥐 소화관의 내분비세포에 관한 전자현미경적 연구 (Electron Microscopic Observations of Endocrine Cells on the Squirrel's Gastrointestinal Tract)

  • 이형식;이재현
    • 대한수의학회지
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    • 제26권1호
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    • pp.19-30
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    • 1986
  • Endocrine cells were observed in the gastrointestinal tract of the squirrels by light microscopy using Grimelius and Masson-Hamperl silver impregnation, and in the stomach and duodenum by electron microscopy. Light microscopically, argyrophil cell decreased gradually in number in the pyloric region and ileum, stomach, duodenum and jejunum and rectum in the order listed. Argentaffin cells were moderately distributed in the stomach, pyloric region and duodenum, while absent in the jejunum, ileum and rectum. Five kinds of cell types, EC, ECL, D, $D_1$ and G cells were identified in the stomach and three kinds of cell types, S, $EC_1$ and $EC_2$ were also identified in the duodenum by electron microscopy. A cilium noted in the cytoplasm of $D_1$-type cell. The species differences in the distribution, size and structure of the secretory granules were discussed.

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장내 관류된 동물에서 Polyethylene Glycols에 의한 장내 투과율 (Intestinal Permeability)측정에 관한 연구 (Intestinal Permeabilities of Polyethylene Glycols (330-1122D) in the In Situ Perfused Rat)

  • 김미혜
    • Journal of Nutrition and Health
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    • 제29권2호
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    • pp.153-158
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    • 1996
  • Polyethylene glycols(PEGs)are hydrophilic molecules that have been used to characterize intestinal permeability via the paracellular pathway. Using a mixture of PEGs(400, 600 and 1000), containing oligomers in the molecular weight range 330 to 1122 D, the molecular weight permeability dependence in the jejunum of the rat small intestine was examined, employing an in situ recirculation perfusion technique. Individual oligomers were determined by HPLC with refractive detection. In the range studied, a distinct molecular weight cut-off was not apparent. Corrected for the length of jejunum used in the study, over the molecular weight range 330 to 1122D, the apparent permeability(Papp) of PEG ranged from 4.92$\pm$0.02$\times$10-5cm/sec(mean$\pm$SEM, n=5) to 0.28$\times$10-5cm/sec. Also, it was observed that the apparent permeability was inversely proportional to approximately MW2. The results in this study suggest that molecular weight is an important factor in determining the intestinal permeability.

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개의 소화관점막 재생에 관한 외과적 연구 (An Experimental Study on the Mucosal Epithelization of the Digestive Tract in the Dog)

  • 장경진
    • 대한수의학회지
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    • 제14권1호
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    • pp.107-113
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    • 1974
  • This study was performed for the purpose of investigating the possibility of epithelization on the defect of digestive tract after covering it with serosal wall of the cecum in the dog. The results obtained were as fallows: 1. Each defect of the digestive tract revealed almost complete formation of the mucous membrane and the muscle. Especially it was most fast in the jejunum. 2. Fistula formation was not found in all the experimental cases. The defects of small intestine and large intestine near the cecum were healed more fastly than the other portion. 3. The stomach and the duodenum appeared intestinal adhetion more frequently than the jejunum and the colon. Therefore, it is considered that covering with serosal wall of the cecum in the lower intestine is far better than in the upper intestine.

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Studies on the Effects of Piperidine Derivatives on Blood Pressure and Smooth Muscles Contractions

  • Saeed, M.;Saify, Z.S.;Gilani, A.H.;Iqbal, Z.
    • Archives of Pharmacal Research
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    • 제21권4호
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    • pp.370-373
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    • 1998
  • Ten substituted phenacyl derivatives of 4-hydroxypiperidine were synthesized and studied for their effects on the mean arterial blood pressure (MABP) in normotensive anaesthetized rats and smooth muscles contractions of isolated rabbit jejunum. Two derivatives caused fall in blood pressure at the dose of 10-20 mg/kg and one rise in blood pressure at the dose of 20 mg/kg. Two compounds exhibited biphasic response (hypotensive followed by hypertensive) and one gave triphasic response at 10 mg/kg dose. Rest of four derivatives were found devoid of any effect on mean arterial blood pressure up to the dose of 30 mg/kg. All the derivatives except two caused relaxant effect on the spontaneous contraction of rabbit jejunum at the dose range of 0.1 -2 mg/kg.

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