• 대한방사선기술학회지:방사선기술과학
• /
• 제20권2호
• /
• pp.68-72
• /
• 1997

Small bowel series using methylcellulose are considered a better technique than using other contrast media considering a significant decrease of transit time of $BaSO_4$ and that of the necessary time for the examination. We investigated the mean transit time of $BaSO_4$, maximum luminal diamenter of small bowel, optical density and flocculation frequency after adminstratting 100 ml of 120% $BaSO_4$ to 20 pts), 150 ml of 70% $BaSO_4$ to 20 pts and 200 ml of $BaSO_4$ with 600 ml of mechylcellulose. It was shown that the technique using 150 ml of 70% $BaSO_4$ had the best result. When we apply a adequate amount of density(w/v%), dosage to pts for small bowel series using MC, we can decrease an examination time and have the better image due to double contrast. It is considered that a more study to lower the density of 70% $BaSO_4$ is necessary.

• Pediatric Gastroenterology, Hepatology & Nutrition
• /
• 제9권1호
• /
• pp.70-74
• /
• 2006

저자들은 6개월간의 만성적 반복적 복통을 주소로 한 환아에서 복부 초음파 검사와 소장 조영술로 반복된 일과성 소장형 장중첩을 발견하였고 보존적 치료로 호전된 증례를 경험하여 이를 문헌 고찰과 함께 보고하는 바이다.

• Pediatric Gastroenterology, Hepatology & Nutrition
• /
• 제22권1호
• /
• pp.98-104
• /
• 2019

We report a rare case of Meckel's diverticulum in a boy who initially presented with chronic iron deficiency anemia (IDA) without any history of gastrointestinal (GI) bleeding at 8 years-old. Isolated small bowel Crohn's disease was suspected based on findings of small bowel ulcers on capsule endoscopy. At four years from initial presentation, he developed massive GI bleeding. Abdominal computed tomographic angiography and small bowel series revealed findings suggestive of Meckel's diverticulum. Meckel's diverticulum should be suspected in children with unexplained chronic IDA even in the absence of prominent GI bleeding and negative findings on repetitive Meckel's scans. Moreover, Meckel's diverticulum should be included in the differential diagnosis of isolated small bowel Crohn's disease when the disease is limited to a short segment of the distal small bowel, as ulcers and inflammation may result as a consequence of acid secreted from adjacent heterotopic gastric mucosa constituting the Meckel's diverticulum.

• Parasites, Hosts and Diseases
• /
• 제55권1호
• /
• pp.65-69
• /
• 2017

A case of Taenia asiatica infection detected by small bowel series and colonoscopy is described. The patient was a 42-year-old Korean man accompanied by discharge of movable proglottids via anus. He used to eat raw pig liver but seldom ate beef. Small bowel series radiologic examinations showed flat tape-like filling defects on the ileum. By colonoscopy, a moving flat tapeworm was observed from the terminal ileum to the ascending colon. The tapeworm was identified as T. asiatica by mitochondrial DNA sequencing. The patient was prescribed with a single oral dose (16 mg/kg) of praziquantel.

• 대한방사선기술학회지:방사선기술과학
• /
• 제28권4호
• /
• pp.279-286
• /
• 2005

목 적 : 소장조영술과 복부골반 CT검사의 진단 결과를 비교함으로써 방사선학적 영상의 특징 파악 및 질환에 따른 적절한 방사선학적 검사법을 선택하는데 기초자료를 제공하고자 한다. 대상 및 방법 : 1999년부터 2000년까지 소장조영술과 복부골반 CT검사를 병행하여 시행한 환자 284명을 대상으로 하여, 각각의 진단 소견을 병명별로 분류하였다. 소장조영술은 250 ml 황산바륨 현탁액(W/V 40W/V%, Methylcellulose+$BaSo_4$)을 경구로 복용시키고, Rt. recumbent position을 취하게 한 후 약 10분 후에 Carboxymethylcellulose solution(0.5%) 600 ml 복용시켰다. 20분, 40분, 1시간 정규촬영을 하고, 조영제가 회맹판(I-C valve)을 통과하면 투시 하에 저격촬영을 시행하였다. 복부골반전산화단층촬영은 검사 1시간 전에 $BaSO_4$+Methylcellulose 1.5 W/V% 450 ml를 복용시키고 검사직전 450 ml 추가로 복용시켰다. 요오드 성분의 비이온성 조영제 2.5 ml flow/sec로 주입하고, 조영제 주입 후 72초 지연 촬영을 하였다. 촬영은 간 상연에서부터 치골결합 부위까지 continuous scan을 시행하였으며, 검사 protocol은 Helical thick 5 mm, picth 1.375 : 1, speed 27.50, increment 5 mm, 120 kV, 245 mA로 하였다. 결 과 : 소장조영술에서는 정상(Normal)이 131예(46.1%), 감염성 장질환(Inflammatory bowel disease ; 이하 IBS)이 65예(22.9%), ischemia+ileocolitis+vasculitis 22예(7.7%), obstruction+stricture 21예(7.4%)의 순으로 나타났고, 복부골반 CT검사에서는 정상이 103예(36.3%) IBS가 65예(22.9%), wall thickening+lymphadenopathy가 42예(14.8%), fluid collection이 17예(6%)의 순으로 나타났다. 소장조영술과 복부골반 CT검사에서 동일하지 않은 결과로 진단된 경우는 소장조영술에서 정상으로 진단된 132명(46.1%) 중 14예(10.6%), 복부골반 CT검사 결과에서는 wall thickening+lymphadenopathy와 IBS로 진단되어 차이를 보였으며, 복부골반 CT검사 결과 정상으로 진단된 103예(36.3%) 중 5예(5.8%)가 소장조영술에서 ischemia+ileocolitis+vasculitis로 진단되었다. 정상으로 진단 된 235예 중 37예(15.9%)가 서로 다른 결과로 진단되어 통계적으로 유의한 차이를 보였다(P<0.05). 결 론 : 본 연구에서 특정질환에 특정검사의 진단결과가 우수하게 나타나는 것으로 조사되었으므로 방사선학적 검사의 진단적 민감도를 높이기 위해서는 처방 및 검사에 있어서 질환에 따른 적절한 검사법의 선택이 무엇보다도 중요하리라 사료된다.

• Pediatric Gastroenterology, Hepatology & Nutrition
• /
• 제22권6호
• /
• pp.518-526
• /
• 2019

Purpose: Limited means exist to assess gastrointestinal activity in pediatric patients postoperatively. Recently, myoelectric gastrointestinal activity recorded by cutaneous patches has been shown in adult patients to be predictive of clinical return of gastrointestinal function postoperatively. The aim of this case series is to demonstrate the feasibility of this system in pediatric patients and to correlate myoelectric signals with return of bowel function clinically. Methods: Pediatric patients undergoing abdominal surgery were recruited to have wireless patches placed on the abdomen within two hours postoperatively. Myoelectric data were transmitted wirelessly to a mobile device with a user-interface and forwarded to a cloud server where processing algorithms identified episodes of motor activity, quantified their parameters and nominally assigned them to specific gastrointestinal organs based on their frequencies. Results: Three patients (ages 5 months, 4 year, 16 year) were recruited for this study. Multiple patches were placed on the older subjects, while the youngest had a single patch due to space limitations. Rhythmic signals of the stomach, small intestine, and colon could be identified in all three subjects. Patients showed gradual increase in myoelectric intestinal and colonic activity leading up to the first recorded bowel movement. Conclusion: Measuring myoelectric intestinal activity continuously using a wireless patch system is feasible in a wide age range of pediatric patients. The increase in activity over time correlated well with the patients' return of bowel function. More studies are planned to determine if this technology can predict return of bowel function or differentiate between physiologic ileus and pathologic conditions.

• Pediatric Gastroenterology, Hepatology & Nutrition
• /
• 제2권1호
• /
• pp.116-122
• /
• 1999

저자들은 복통, 구토, 혈변을 주소로 입원한 6세 여아에서 allergic purpura에 급성 췌장염이 병발된 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

• Advances in pediatric surgery
• /
• 제10권2호
• /
• pp.112-116
• /
• 2004

Midgut volvulus secondary to intestinal malrotation usually presents within the first month of life. Diagnostic delay may result in midgut infarction and mortality. In this retrospective study, we review seventeen cases of midgut volvulus to assess the importance of early recognition for midgut volvulus in pediatric patients of any age.. These patients were diagnosed as having a midgut volvulus by operation at Ewha Womans University Hospital. Eleven patients (64.7 %) were less than 1 month of age, and fifteen were boys (88.2 %). The mean gestational age was 38.3 weeks and the birth weight was 3.1 kg. Eight patients (47.1 %) had one or more combined anomalies such as heart malformation, brain ischemia, Down's syndrome or duodenal atresia. Vomiting was the most common symptom. Only thirteen patients underwent preoperative diagnostic procedures; 13 abdominal sonography demonstrated the whirlpool sign in 8 patients, upper gastrointestinal tract roentgenography showed a cork-screw pattern in 7 patients, and barium enema or small bowel series demonstrated positive findings in 7 patients. A Ladd's procedure was was formed on all patients.. There was no mortality or severe morbidity such as short bowel syndrome. Midgut volvulus should be included in the differential diagnosis in any infant or child who presents with the symptoms of acute abdomen, especially with vomiting.

• Journal of Chest Surgery
• /
• 제22권2호
• /
• pp.364-370
• /
• 1989

22 Cases of traumatic diaphragmatic injuries treated at the Department of Thoracic and Cardiovascular Surgery in Chon-Buk National University Hospital from Jan. 1979 to Oct. 1988 were reviewed in this study. Of the 22 cases, 18 were male and 3 were female, a ratio of 4.5:1. This ratio revealed high incidence in male patient. The age distribution ranged from 2 to 60 years and mean age was 31 years. The modes of injury were as follows: 11 stab wound, 5 traffic accident, 2 fall down, 2 fighting injury, 1 compression wound by sand bag, and 1 slip down injury. Useful diagnostic tools were chest X-ray with or without radiopaque dye swallowing, which was the most commonly diagnostic, UGI series, and thoracoscope. Operations were performed in 22 cases, and 18 cases were through thoracotomy. The herniated organs through the ruptured diaphragm were stomach, omentum, liver, spleen, colon, and small bowel. There were associated injuries, and the most commonly associated was rib fracture. There was no postoperative death.

• Pediatric Gastroenterology, Hepatology & Nutrition
• /
• 제16권1호
• /
• pp.49-52
• /
• 2013

Antral web is a rare cause of gastric outlet obstruction in neonate. It is a 2-4 mm thin mucous membrane that can be found anywhere from 1 to 7 cm proximal to the pylorus. The baby was born at gestational age of $32^{+1}$ weeks with 1,880 g as 2nd baby of dizygotic twin. After birth, the baby had constant non-bilious vomiting without feeding while he didn't show abdominal distension or discoloration. The infantogram showed distended stomach with distal small bowel gas. Upper gastrointestinal series revealed that the antrum was abruptly narrowed at 1 cm proximal to pylorus. We performed laparotomy at the 10th day after birth and excised the 2 mm-thick web circumferentially. He began milk feeding after 6 days and discharged uneventfully at postoperative 35 days with corrected age of $38^{+4}$ weeks with body weight 2,420 g. The antral web should be considered in the case of non-bilious vomiting in neonate.