• Journal of Yeungnam Medical Science
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• 제23권1호
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• pp.131-137
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• 2006

Small bowel tumors have been difficult to diagnose because of low incidence and absence of specific symptoms. There are no efficient and accurate tests available for diagnosis. Capsule endoscopy is an efficient diagnostic tool for small bowel disease and obscure gastrointestinal bleeding. We diagnosed two cases of small bowel gastrointestinal stromal tumor (GIST) diagnosed by capsule endoscopy that were treated by surgery. A 68 year old male presented with abdominal pain. The capsule endoscopy showed fungating ulcer mass at the jejunum. A 55 year female presented with melena. The capsule endoscopy showed an intraluminal protruding mass with a superficial ulcer at the jejunum. Two cases were diagnosed with GIST after surgery. We report these two case diagnosed by capsule endoscopy and review the medical literature.

• 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.

• 대한영상의학회지
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• 제84권2호
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• pp.512-517
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• 2023

췌공장문합술 후 췌관 내 스텐트를 삽입하는 것은 수술 후에 췌장루나 췌관 협착의 발생을 예방하기 위해 널리 시행하는 술기이다. 그러나 삽입한 스텐트가 막히거나 이동하는 등 스텐트에 의해서도 다양한 합병증이 발생할 수 있다. 저자들은 췌관에 삽입한 플라스틱 스텐트가 이동하면서 발생된 매우 드문 합병증의 예를 보고하고자 한다. 유문부 보존 췌두부십이지장 절제술 시행 후 췌장 내 삽입한 스텐트는 공장으로 이동하여 스텐트-돌 복합체의 근원으로 작용하여 공장 폐색을 일으켰다. 스텐트-돌 복합체는 탐색적 개복술로 제거되었다.

• Asian-Australasian Journal of Animal Sciences
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• 제28권12호
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• pp.1784-1793
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• 2015

This study was carried out to investigate the effects of tributyrin (TB) on the growth performance, pro-inflammatory cytokines, intestinal morphology, energy status, disaccharidase activity, and antioxidative capacity of broilers challenged with lipopolysaccharide (LPS). A total of 160 one-day-old Cobb broilers were allocated to 1 of 4 treatments, with 4 replicated pens per treatment and 10 birds per pen. The experiment consisted of a $2{\times}2$ factorial arrangements of treatments with TB supplementation (0 or 500 mg/kg) and LPS challenge (0 or $500{\mu}g/kg$ body weight [BW]). On days 22, 24, and 26 of the trial, broilers received an intraperitoneal administration of $500{\mu}g/kg$ BW LPS or saline. Dietary TB showed no effect on growth performance. However, LPS challenge decreased the average daily gain of broilers from day 22 to day 26 of the trial. Dietary TB supplementation inhibited the increase of interleukin-$1{\beta}$ (in the jejunum and ileum), interleukin-6 (in the duodenum and jejunum), and prostaglandin $E_2$ (in the duodenum) of LPS-challenged broilers. Similar inhibitory effects of TB in the activities of total nitric oxide synthase (in the ileum) and inducible nitric oxide synthase (in the jejunum) were also observed in birds challenged with LPS. Additionally, TB supplementation mitigated the decrease of ileal adenosine triphosphate, adenosine diphosphate and total adenine nucleotide and the reduction of jejunal catalase activity induced by LPS. Taken together, these results suggest that the TB supplementation was able to reduce the release of pro-inflammatory cytokines and improve the energy status and anti-oxidative capacity in the small intestine of LPS-challenged broilers.

• Journal of Chest Surgery
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• 제22권1호
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• pp.134-140
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• 1989

A clinical evaluation was made on total 207 cases of corrosive esophageal stricture after ingestion of various corrosive substances and 173 cases of neoplasms in the esophagus and the cardia. The various complications associated with esophageal corrosion were observed on 28 cases [13.5%] in a total of 207 cases. Pathoanatomic findings of complication may be classified to the five category as follow; [1] stenosis in the pharynx due to adhesion of the epiglottis, [2] esophagobronchial fistula, [3] esophageal perforation with bougienation, [4] necrotic rupture of the esophagus and the stomach, and [5] so-called chronic corrosive gastritis. The comparative studies were done on a total of 165 cases of the various procedures of esophagoplasty to the reconstruction of the esophagus, which consists of antethoracal esophagoplasty with jejunum, retrosternal esophagoplasty with jejunum, retrosternal esophagoplasty with right colon, and retrosternal esophagoplasty with left colon. There is no hard and fast rule in selection of jejunum, right colon or left colon as the transplanting bowel and an operative method either antethoracal or retrosternal approach. When there was no possibility of the complication and no any defect of the anatomical states, one stage retrosternal esophagoplasty using right colon was better in various points of view. The 173 patients of the neoplasm of the esophagus consist of 28 cases of benign tumors and 145 cases of malignant tumors in the esophagus and cardia. 28 cases of benign tumors in the esophagus received the surgical treatment and they obtained with excellent results postoperatively. Of the 145 patients of esophageal carcinoma who received surgical managements, 101 cases [69.6%] were found to be operable and 44 cases [30.3%] were inoperable. Due to the various level of carcinoma in the esophagus, the following different surgical procedure was properly used case by case to get the best results in each case. Esophageal carcinoma in the upper and middle third segment received the total esophagectomy and the reconstruction of the esophagus using right colon by substernal procedure. Esophageal carcinoma in the lower third segment received an esophagojejunostomy in the mediastinum after the resection of lower third segment of the esophagus. Carcinoma in the esophago cardia and the stomach received also an esophagojejunostomy after the resection of the lower third segment of the esophagus and subtotal gastrectomy. For the 44 patients with inoperable carcinoma, the several palliative surgical managements such as gastrostomy or jejunostomy for feeding and esophagojejunostomy for bypass of the lower esophagus and the stomach were properly performed case by case for their maximum improvement.

• Journal of Yeungnam Medical Science
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• 제8권2호
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• pp.95-105
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• 1991

흰쥐 적출소장의 수축성에 미치는 GABA의 영향을 관찰하여 다음과 같은 결과를 얻었다. 1. GABA는 소장을 이완시켰으며 그 이완 작용은 십이지장, 공장 그리고 회장의 순이었다. GABA A수용체 효현제인 muscimol 역시 소장을 이완시켰으며, 그 효능의 강도는 십이지장, 공장 그리고 회장의 순이었다. 그러나 GABA B수용체 효현제인 baclofen은 소장의 운동성에 유의한 영향을 미치지 못하였다. 2. 상경적 GABA A수용체 길항제인 bicuculline과 비 상경적 GABA A수용체 길항제인 picrotoxin은 십이지장에 대한 GABA와 muscimol의 이완 작용을 현저히 억제시켰다. 그리고 bicuculline의 억제 작용이 picrotoxin 보다 강하였다. 3. Sodium channel blocker인 tetrodotoxin은 GABA의 이완 작용을 봉쇄하였다. 4. 신경절 봉쇄적인 hexamethonium은 십이지장에 대한 GABA의 이완작용을 길항하지 못하였다. 이상의 실험 결과로 볼 때 흰쥐 소장의 자발 수축운동에 대한 GABA의 이완작용은 소장이 부위에 따라 다르게 나타나며, 그 작용은 postganglionic presynaptic neuron에 존재하는 GABA A 수용체에 작용함으로써 나타나는 것으로 사료된다.

• Asian-Australasian Journal of Animal Sciences
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• 제27권6호
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• pp.855-861
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• 2014

This experiment was performed to investigate the effects of exogenous xylanase supplementation on performance, nutrient digestibility and the degradation of non-starch polysaccharides (NSP) in different sections of the gastrointestinal tract (GIT) of broilers fed wheat-based diets. A total of 120 7-day-old Arbor Acres broiler chicks were randomly allotted to two wheat-based experimental diets supplemented with 0 or 1.0 g/kg xylanase. Each treatment was composed of 6 replicates with 10 birds each. Diets were given to the birds from 7 to 21 days of age. The results showed that xylanase supplementation did not affect feed intake, but increased body weight gain of broiler at 21 day of age by 5.8% (p<0.05) and improved feed-to-gain ratio by 5.0% (p<0.05). Xylanase significantly increased (p<0.05) ileal digestibilities of crude protein (CP) by 3.5%, starch by 9.3%, soluble NSP by 43.9% and insoluble NSP by 42.2% relative to the control group, respectively. Also, compared with the control treatment, xylanase addition increased (p<0.05) total tract digestibilities of dry matter by 5.7%, CP by 4.1%, starch by 6.3%, soluble NSP by 50.8%, and had a tendency to increase (p = 0.093) insoluble NSP by 19.9%, respectively. The addition of xylanase increased the concentrations of arabinose and xylose in the digesta of gizzard, duodenum, jejunum, and ileum (p<0.05), and the order of their concentration was ileum>jejunum>duodenum>>gizzard> caecum. The supplementation of xylanse increased ileal isomaltriose concentration (p<0.05), but did not affect the concentrations of isomaltose, panose and 1-kestose in the digesta of all GIT sections. These results suggest that supplementation of xylanase to wheat-based diets cuts the arabinoxylan backbone into small fragments (mainly arabinose and xylose) in the ileum, jejunum and duodenum, and enhances digestibilites of nutrients by decreasing digesta viscosity. The release of arabinose and xylose in the small intestine may also be the important contributors to the growth-promoting effect of xylanase in broilers fed wheat-based diets.

• Asian-Australasian Journal of Animal Sciences
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• 제26권10호
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• pp.1484-1489
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• 2013

The study was conducted to determine the effects of chitosan on the concentrations of GH and IGF-I in serum and small intestinal morphological structure of piglets, in order to evaluate the regulating action of chitosan on weaned pig growth through endocrine and intestinal morphological approaches. A total of 180 weaned pigs (35 d of age; $11.56{\pm}1.61kg$ of body weight) were selected and assigned randomly to 5 dietary treatments, including 1 basal diet (control) and 4 diets with chitosan supplementation (100, 500, 1,000 and 2,000 mg/kg, respectively). Each treatment contained six replicate pens with six pigs per pen. The experiment lasted for 28 d. The results showed that the average body weight gain (BWG) of pigs was improved quadratically by dietary chitosan during the former 14 d and the later 14 d after weaned (p<0.05). Furthermore, dietary supplementation of chitosan tended to quadratically increase the concentration of serum GH on d 14 (p = 0.082) and 28 (p = 0.087). Diets supplemented with increasing levels of chitosan increased quadratically the villus height of jejunum and ileum on d 14 (p = 0.089, p<0.01) and 28 (p = 0.074, p<0.01), meanwhile, chitosan increased quadratically the ratio of villus height to crypt depth in duodenum, jejunum and ileum on d 14 (p<0.05, p = 0.055, p<0.01) and 28 (p<0.01, p<0.01, p<0.01), however, it decreased quadratically crypt depth in ileum on d 14 (p<0.05) and that in duodenum, jejunum and ileum on d 28 (p<0.01, p<0.05, p<0.05). In conclusion, these results indicated that chitosan could quadratically improve growth in weaned pigs, and the underlying mechanism may due to the increase of the serum GH concentration and improvement of the small intestines morphological structure.

• Parasites, Hosts and Diseases
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• 제29권1호
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• pp.9-20
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• 1991

요꼬가와흡충은 국내에서 가장 감염이 혼한 장흡충으로 은어나 기타 담수어에 의해 매개되며 전국적으로 분포한다. 이 흡충에 감염되면 심한 설사를 하며 이때 소장의 점막이 퇴행성 변화를 보인다. 이 연구에서는 소장 상 피세포의 미소융모막에 분포하는 몇 가지 소화효소의 활성도가 요꼬가와홉충의 감염과 치료에 의하여 받는 영향 을 관찰하였다. 그 결과를 보면 이 흡충에 감염되면 충체가 빠르게 배출되어 감염 2주 이후에는 투여량의 10% 이내의 충체만이 감염되어 있고, 상부 공장에서 감염 2∼4주에만 퇴행성 변화와 염증반응이 관찰되었다. Alkaline phosphatase, leucine aminopeptidase, disaccharidases (sucrase, maltase, trehalase, lactase)의 환성도가 십이지장과 상부 공장에서 감염 2주까지는 감소하였으며 하부 공장에서는 증가하였다. 감염 3주 이후에는 감염군에서의 활성도가 정상 대조군의 것과 차이가 없었다. 감염 1주에 치료한 군의 활성도는 치료 후 2주에 감염대조 군의 활성도와 비슷한 수준으로 회복하였고, 감염 3주에 치료한 군은 치료를 안한 감염군과 같은 환성도를 보였다. 요꼬가와흡충에 감염된 마우스의 소장에서 초기에 미소융모막 효소의 활성도가 크게 감소하며, 이러한 변화는 형태학적인 병변의 생성 및 회복과 또한 감염된 충체의 수의 시기적 변화와 일치하였다. 요꼬가와흡충 감염 초기에 소장의 소화효소 활성이 감소하는 현상이 미소융모막에서 일어나는 소화 및 홍수를 저해하고 이에 따라서 설사가 초래되는 것으로 추정된다.

• Asian-Australasian Journal of Animal Sciences
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• 제31권12호
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• pp.1963-1973
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• 2018

Objective: This study was conducted to evaluate the effect of dietary energy and lipase supplementation on growth performance, nutrient digestibility, serum profiles, intestinal morphology, small intestinal digestive enzyme activities, biochemical index of intestinal development and noxious gas emission in weaning pigs. Methods: A total of 240 weaning pigs ([Yorkshire${\times}$Landrace]${\times}$Duroc) with an average body weight (BW) of $7.3{\pm}0.12kg$ were used in this 28-d experiment. Weaning pigs were randomly allocated to 4 dietary treatments in a $2{\times}2$ factorial arrangement with 2 levels of energy (net energy = 2,470 kcal/kg for low energy diet and 2,545 kcal/kg for basal diet) and 2 levels of lipase (0 and 1.5 U/g of lipase) according to BW and sex. There were 6 replications (pens) per treatment and 10 pigs per pen (5 barrows and 5 gilts). Results: Weaning pigs fed the low energy diet had lower (p<0.05) gain-to-feed ratio (G:F) throughout the experiment, apparent digestibility of dry matter, nitrogen, ether extract, and gross energy during d 0 to 14, average daily gain during d 15 to 28, lipase activity in duodenum and ileum and protein/DNA in jejunum (p<0.05), respectively. Lipase supplementation had no effect on growth performance but affected apparent nutrient digestibility (p<0.05) on d 14 and enhanced lipase activity in the duodenum and ileum and protease activity in duodenum and jejunum of pigs (p<0.05) fed the low energy diet. Lipase reduced serum low-density lipoprotein cholesterol (LDL-C) and triglyceride (TG), $NH_3$ production (p<0.05) from the feces. Conclusion: The low energy diet decreased G:F throughout the experiment and nutrient digestibility during d 0 to 14 as well as lipase activity in duodenum and ileum. Lipase supplementation increased nutrient digestibility during d 0 to 14 and exerted beneficial effects on lipase activity in duodenum and ileum as well as protease activity in duodenum and jejunum, while reduced serum LDL-C, TG and fecal $NH_3$.