• Title/Summary/Keyword: recurrence symptoms

Search Result 481, Processing Time 0.025 seconds

The Impact of Esophageal Reflux-Induced Symptoms on Quality of Life after Gastrectomy in Patients with Gastric Cancer

  • Im, Min Hye;Kim, Jong Won;Kim, Whan Sik;Kim, Jie-Hyun;Youn, Young Hoon;Park, Hyojin;Choi, Seung Ho
    • Journal of Gastric Cancer
    • /
    • v.14 no.1
    • /
    • pp.15-22
    • /
    • 2014
  • Purpose: To evaluate the prevalence of esophageal reflux-induced symptoms after gastrectomy owing to gastric cancer and assess the relationship between esophageal reflux-induced symptoms and quality of life. Materials and Methods: From January 2012 to May 2012, 332 patients were enrolled in this cross-sectional study. The patients had a history of curative resection for gastric cancer at least 6 months previously without recurrence, other malignancy, or ongoing chemotherapy. Esophageal reflux-induced symptoms were evaluated with the GerdQ questionnaire. The quality of life was evaluated with the European Organization for Research and Treatment QLQ-C30 and STO22 questionnaires. Results: Of the 332 patients, 275 had undergone subtotal gastrectomy and 57 had undergone total gastrectomy. The number of GerdQ(+) patients was 58 (21.1%) after subtotal gastrectomy, and 7 (12.3%) after total gastrectomy (P=0.127). GerdQ(+) patients showed significantly worse scores compared to those for GerdQ(-) patients in nearly all functional and symptom QLQ-C30 scales, with the difference in the mean score of global health status/quality of life and diarrhea symptoms being higher than in the minimal important difference. Additionally, in the QLQ STO22, GerdQ(+) patients had significantly worse scores in every symptom scale. The GerdQ score was negatively correlated with the global quality of life score (r=-0.170, P=0.002). Conclusions: Esophageal reflux-induced symptoms may develop at a similar rate or more frequently after subtotal gastrectomy compared to that after total gastrectomy, and decrease quality of life in gastric cancer patients. To improve quality of life after gastrectomy, new strategies are required to prevent or reduce esophageal reflux.

Cardiac Fibroma Involving Left Ventricle (좌심실에 발생한 심장 섬유종)

  • 신홍주;박정준;서동만;박인숙;고재곤;김영휘;김정선
    • Journal of Chest Surgery
    • /
    • v.37 no.3
    • /
    • pp.275-278
    • /
    • 2004
  • A 9-month-old male infant was admitted for evaluation of incidentally noticed cardiac mass. The patient had no symptoms and there was no hemodynamic abnormality. Echocardiographic finding showed a huge left ventricular free wall mural mass, which did not obstruct the left ventricular outflow tract. Maximal excision of the left ventricular free wall mass was performed. The pathologic finding revealed cardiac fibroma. During the 7-month of follow-up after surgery, there was no evidence of arrhythmia or tumor recurrence.

A Case Report of Allergic Purpura (알레르기성 자반증의 증례보고 1례)

  • Lee, Ji-Hong;Yu, Sun-Ae;Lee, Seung-Yeon
    • The Journal of Pediatrics of Korean Medicine
    • /
    • v.26 no.3
    • /
    • pp.12-19
    • /
    • 2012
  • Objectives The purpose of this study is to report the clinical effects of an oriental medical treatment on the patient with allergic purpura. Methods A 7-year-old female patient, who was suffering from the purpura on her extremities: swelling and arthralgia on her lower extremities, was treated by herb medicine, acupuncture and pediluvium. Results Treated only with oriental medicine, the patient's allergic symptoms were improved. When we checked back on her condition after 2 months later, she did not show any recurrence of the flares, and regained her health. Conclusions This study shows that oriental medical treatments are effective on allergic purpura, but further clinical studies are needed.

Osteoblastoma in Lingual Surface of Mandibular Body (하악골체 설면에 발생한 골모세포종)

  • Yun, Pil-Yeong;Jeong, Jae-Hwa;Myeong, Hun;Choe, Sang-Cheol;Lee, Jong-Ho;Jeong, Pil-Hun;Kim, Myeong-Jin
    • The Journal of the Korean dental association
    • /
    • v.41 no.3 s.406
    • /
    • pp.190-196
    • /
    • 2003
  • Osteoblastoma is an uncommon lesion of bone that occurred in jaw bone. The etiology of the Osteoblastoma is still undiscovered. The most frequent symptom is consistent pain which is often severe, and localized swelling and bone expansion mat occur. We experienced a case of osteo-blastoma which occurred on the lingual surface of mandibular body. It resembled tours mandibularis clinically, alveolar abscess radiologically. Biopsy was done to evaluable the tours-like bony mass. The results of excisional biopsy demonstrated an osteoblastoma. The symptoms are subsided and no signs related with recurrence have been noted. Our experience and many literatures demonstrated that Osteoblastoma must be included in differential diagnosis of bone-producing lesion.

  • PDF

Labial Adhesions in Children - Report of Two Cases - (소아의 소음순유착증 - 2예 보고 -)

  • Choi, Soon-Ok;Park, Woo-Hyun
    • Advances in pediatric surgery
    • /
    • v.15 no.2
    • /
    • pp.166-172
    • /
    • 2009
  • Labial adhesion in prepubertal girls is a common gynecologic problems. The labia minora are fused by thin transparent or thick fibrous membrane in the midline from the clitoris to posterior fourchet. The prevalence of labial adhesion may be even greater because many children with labial fusions are asymptomatic and these cases remain unreported. They are often unrecognized by physician and parents because most of symptomatic children complained urinary symptoms. The authors experienced 2 cases of labial adhesion in girls; one asymptomatic partial fusion and the other symptomatic complete fusion. These lesions were treated successfully by mechanical separation of labial adhesion and petroleum ointment (Vaseline) application without recurrence in follow-ups.

  • PDF

Clincal Report on Treating Molluscum Contagiosum using Bee Venom Pharmacopuncture (봉약침을 이용한 전염성 연속종의 임상 치험례 보고)

  • Park, Sa-Han;Lee, Jong-Young;Kwon, Ki-Rok
    • Journal of Pharmacopuncture
    • /
    • v.10 no.3
    • /
    • pp.127-135
    • /
    • 2007
  • Objectives This study observed the efficacy of bee venom pharmacopuncture on the treatment of Molluscum Contagiosum commonly manifesting in children. Methods 104 patients admitted for Molluscum Contagiosum at Love Blossoming Oriental medicine clinic from August 2005 to August 2006 were administered with Bee Venom Pharmacopuncture and measured and analyzed changes in symptoms. Results 1. Regardless of age or duration of Molluscum Contagiosum, all 104 patients showed improvement. 2. Recurrence of Molluscum Contagiosum was not noticeable when treated with Bee Venom Pharmacopuncture, and the duration of treatment was significantly shorter than treating with conventional allopathic ointment. 3. Regardless of size or location of Molluscum Contagiosum, most cases improved with one or two treatments. Conclusion Based on above findings, we can deduce Bee Venom Pharmacopuncture has superior anti-viral effects on the pox virus of molluscum contagiosum (MCV1,2).

Surgical Treatment of Esophageal Cancer (식도암의 임상적 고찰)

  • 최진호
    • Journal of Chest Surgery
    • /
    • v.28 no.3
    • /
    • pp.287-292
    • /
    • 1995
  • From March 1989 to June 1994, 24 casesof esophageal cancer were treated surgically. Among 24, male was 22 cases, female was 2 cases, and the age ranged from 46 to 75, the mean was 59.8. Symptoms were dysphagia[86.9% , weight loss[65.2% and retrosternal pain or discomfort[47.8% . The tumor was located cervical esophagus in two, upper esophagus in three, middle esophagus in 12 and lower esophagus in 7. Among 24 patients, 22 were curative resection, partial esophagectomy with esophagogastrostomy[18 cases or colon interposition [3 cases , with total esophagectomy with musculocutaneous flap[1 case , with feeding jejunostomy or gastrostomy in two cases.Postoperative complications revealed 10 patients[45.4% , as followed ; pleural effusion and pneumonia in 5, passage disturbance in 4, empyema and wound infection in 3, esophagopleural fistula and sepsis in 2, anastomotic site leakage and respiratory failure in each 1. The operative mortality was 13.6 % [3/22 and causes of death were respiratory failure in 1 case and sepsis in 2 cases.During follow-up work, 8 cases died during follow-up period, mean survival time was 15.2 months in curative resection group. One year survival rate was 55.3% in resected group. Also, cancer recurrence revealed in 1 cases.

  • PDF

Adenoid Cystic Carcinoma in Trachea - one case Report - (기관의 선양낭포암 치험 1례)

  • Kim, Chang-Hoe;Kim, Gwang-Taek;Kim, Hyeong-Muk
    • Journal of Chest Surgery
    • /
    • v.23 no.2
    • /
    • pp.362-365
    • /
    • 1990
  • Adenoid cystic carcinoma is a rare primary tracheal tumor, and this tumor behave slow growth, low grade malignancy with local invasion. Although many patient die within 2 to 3 years of the onset of symptoms without appropriate treatment, adequate therapy should lead to survival of 10 years or more. We had a case of adenoid cystic carcinoma in 47 year old female patient who was treated with resection and end-to-end anastomosis of the invaded trachea. Postoperative course was uneventful and discharged without any complications. Radiotherapy of total 6,600 cGy is scheduled 4 weeks after the resective surgery to prevent recurrence.

  • PDF

The Clinical Study of Pneumocranium in Traffic Accident Patient : Reports of One Cases (교통사고로 발생한 두개뇌기종 환자 1례 증례보고)

  • Jung, Jae Hun;Lee, Eun Mi;Pi, Chien Mei
    • Journal of Korean Medical Ki-Gong Academy
    • /
    • v.17 no.1
    • /
    • pp.52-63
    • /
    • 2017
  • Objectives : The purpose of this study is to report the case with pneumocranium in a traffic accident patient by korean medicine. Methods : The subject is a patient with pneumocranium in a traffic accident. This patient was treated with korean medical treatments. Results : After the treatment, pneumocranium in right cerebral convexities in brain CT is removed. The symptoms is improved significantly Conclusions : This study shows that a patient with pneumocranium was diagnosed with stroke and cured without a recurrence through holistic treatment of Korean medicine.

Acute Epstein-Barr Virus Hepatitis in a 32 Month Old Female Manifesting as Henoch-Sch$\ddot{o}$nlein Purpura

  • Kim, Hee Jin;Jung, Su Jin;Lee, Jun Ho
    • Childhood Kidney Diseases
    • /
    • v.19 no.1
    • /
    • pp.39-42
    • /
    • 2015
  • Henoch-Sch$\ddot{o}$nlein purpura can result from exposure to an antigen after infection with several types of organisms. However, Henoch-Sch$\ddot{o}$nlein purpura caused by a primary Epstein-Barr virus infection has been rarely reported. Here, we report the case of a 32-month-old female patient who presented with Henoch-Sch$\ddot{o}$nlein purpura. Based on abnormal liver function test results and positive results for Epstein-Barr virus infection markers, a diagnosis of Epstein-Barr virus hepatitis manifesting as Henoch-Sch$\ddot{o}$nlein purpura was made. Treatment with methyl-prednisolone and hydration improved the symptoms, and a switch to oral steroids was effective in completely alleviating the purpura. No recurrence was noted and no liver function abnormalities were detected during the follow up period.