• 제목/요약/키워드: stomach tube

검색결과 74건 처리시간 0.024초

A Newborn with Gastric Hemangioma Treated Using Propranolol

  • Kaya, Huseyin;Gokce, Ismail Kursad;Gungor, Sukru;Turgut, Hatice;Ozdemir, Ramazan
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제21권4호
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    • pp.341-346
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    • 2018
  • Gastric hemangiomas are rare benign vascular tumors that can cause severe gastrointestinal system bleeding. We presented the case of a neonate with fresh bleeding and melena from the orogastric tube and detected gastric hemangioma in esophagogastroduodenoscopic examination. Propranolol is widely used in treatment of cutaneous hemangiomas and non-gastric gastrointestinal system hemangiomas. However, the surgical approach is preferred for treating gastric hemangiomas, and there are few reports of gastric hemangiomas associated with non-surgical treatment. Gastric hemorrhage decreased with antacid and somatostatin treatment. Propranolol treatment was initiated before the surgery decision. After three weeks of treatment, we observed regression in the hemangioma with endoscopic evaluation. During the course of treatment, the patient's gastrointestinal system bleeding did not recur, and there were no side effects associated with propranolol.

자동산화 Methyl Linoleate가 Mouse혈청의 효소활성에 미치는 영향 (급성 독성) (The Effect of Autoxidized Methyl Linoleate on the Serum Enzyme Activity in the Mouse (Acute Toxicity))

  • 백태홍;정낙승
    • 한국응용과학기술학회지
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    • 제1권1호
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    • pp.23-31
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    • 1984
  • In order to investigate the acute toxicity of autoxidized methyl linoleate(AOML) on the activity of serum enzymes in the mouse, we administered once 0.45ml of AOML to ICR strain mouse by using stomach tube. The following results were obtained: The total lactic dehydrogenase(LDH) activities in the serum of AOML group were generally increased than those of normal group. According to electrophoresis, the activities of LDH, were increased while those of LDH, were decreased. The activities of glutamic oxaloacetic transaminase(GOT), glutamic-pyruvic transaminase(GPT) and ${\alpha}-amylase$ in the serum of AOML group were increased more than those of normal group. The activities of alkaline phosphatase in the serum of AOML group were increased but those of isozyme were not confirmed in the normal and AOML group. In the serum protein of AOML group, albumin was increased, on the other hand ${\gamma}-globulin$ was decreased. At the peripheral blood slide smear, lymphocytes were significantly decreased but neutrophils were increased and the morphological change of erythrocytes was observed. From these results we conclude that the AOML fed to mouse influences on the activity of various serum enzymes and blood cells in the mouse.

위장 이식편을 이용한 식도 재건술에서 위장 배출 지연 현상의 가시화 (Visualization of Delayed Gastric Emptying Flows After Esophageal Reconstruction Using a Gastric Graft)

  • 전혜진;박희진;성재용;이재익
    • 한국가시화정보학회지
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    • 제7권2호
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    • pp.22-27
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    • 2010
  • The delayed gastric emptying flows have been visualized in this study when a gastric graft replaced an esophagus after esophagectomy. To construct visualization models for gastric grafts, the path data of gastric graft were extracted from the CT images for real patients and then the experimental models were made from silicone tube by considering elasticity of real stomach. During experiments, 200 ml of water or glycerin was poured into the gastric graft model and the gastric emptying time for total volume of fluid to pass pylorus was measured from the successive images captured by a high speed CCD. The gastric emptying time was compared according to the change of diameter and path (front or rear path) of gastric graft, and pyloroplasty or not. In case that the pyloroplasty was not conducted, the smaller was the diameter of gastric graft, the shorter was the gastric emptying time. However, if the pyloroplasty was conducted, the larger diameter of gastric graft was better for the gastric emptying. Although the rear path gave rise to longer gastric emptying time than the front path, it did not matter, if the pyloroplasty was conducted.

Incarcerated Hiatal Hernia with Perforation after Laparoscopic Total Gastrectomy with Roux-en-Y Reconstruction: a Case Report

  • Wang, Nai-Yu;Tsai, Chung-Yu;Liu, Yuan-Yuarn;Chen, I-Shu;Ho, Kai-Hung
    • Journal of Gastric Cancer
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    • 제19권1호
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    • pp.132-137
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    • 2019
  • The occurrence of hiatal hernia after total gastrectomy with Roux-en-Y reconstruction is rare. We report the case of a 76-year-old man who presented with dyspnea, vomiting, and fever around 8 days after total gastrectomy with Roux-en-Y reconstruction. Abdominal computed tomography revealed a hiatal hernia containing part of the small intestine in the left thoracic cavity. Emergent reduction and repair of the hiatal hernia were performed later. Operative findings revealed that the Roux limb was incarcerated in the left pleural cavity. Esophagojejunostomy leakage, perforation of the small intestine with transient ischemic change, and pyothorax were also found. Thus, feeding jejunostomy, thoracoscopic decortication, and diversion T-tube esophagostomy were performed. Considering that the main cause of hiatal hernia is blunt dissection with division of the phrenoesophageal membrane, approximating the crus with 1 or 2 figure-8 sutures, according to the size of the defect, to prevent the incidence of hiatal hernia after total gastrectomy may be performed.

투시 검사 시 장비에 따른 환자와 시술자의 입사표면선량 연구 (Fluoroscopic the equipment study in accordance with the entrance surface dose study of patients and practitioners)

  • 양해두;홍선숙;성민숙;하동윤
    • 대한디지털의료영상학회논문지
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    • 제15권2호
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    • pp.13-18
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    • 2013
  • Purpose : Fluoroscopy equipment, depending on the type of changes that occur in the patient's position ESD and study the patient's scatter ray of ESD Practitioners considered a comparative analysis was to evaluate the correct dose. Materials and Methods : HITACHI four overtube type TU-8000 Flat Detector and Under tube C-Arm Philips' Multi Diagnost Eleva with Flat Detector type were measured by. Each devices is a measure of the patient's esd randophantom position in tabel unfors Xi multi funtion then fixed to the abdomen fluoroscopy and 10 seconds, spot was measured three times, practitioners of the incident surface dose by considering the patient's scatter ray of the table for each device in the average human stomach 21cm thickness acrylic phantom ($25cm{\times}25cm$) Place the practitioner position after position randophantom unfors Xi multi funtion in the thyroid and stomach 1 minute by a fixed one-time fluoroscopy and measured. Results : 10 seconds and the patient perspective of the c-arm ESD 1.2 times smaller on the AP and oblique measurements were measured in the 6-13 times smaller. spot positions to changes in the measured three times on the AP of the abdomen, ESD is 18 times smaller c-arm measurements and the oblique measurement was 19-30 times smaller. And 1 minute at practitioners fluoroscopy esd in the thyroid 2.12 times the c-arm, chest 1.75 times less the dose was measured. On the AP, depending on the device, but the lack of dose difference oblique positions of the two devices depending on changes in the area due to changes in both the AP than on the dose increased, the difference in dose between the two devices, the maximum difference was approximately 27 times. Conclusion : Fluoroscopic equipment at the time of inspection in accordance with changes in dose according to the patient and the patient's positions changes, because the area of the scatter ray considering the change of dose measurements be made, and study of the equipment according to the characteristics of the efficiency and the exposure of the patient and practitioner is considered smooth study equipment manufacturers that can be done is to build the system and think that is also important. Various fluoroscopy when you check future changes in many factors of change in dose for the equipment in the laboratory system by considering the scatter ray radiation shielding for the management to take advantage of reckless undertube have been utilized as more exposure Reduction activities can help is considered as the direction.

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한국산 동물로부터 크립토스포리디움의 분리 및 동정 II. 마우스로부터 Cryptosporidium muris의 분리 (Isolation and identification of Cryptosporidium from various animals in Korea II. Identification of Cruptosporidium muyis from mice)

  • 이재구;서영석;박배근
    • Parasites, Hosts and Diseases
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    • 제29권2호
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    • pp.149-160
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    • 1991
  • 한국산 마우스로부터 분리한 크링토스포리디움(Cryptosporidium)의 대형 오오시스트 (C. muris)를 SPF 마우스에 경구 투여하여 분변 내 오오시스트 배출 양상과 투과전자현미경으로 위선 조직에서 발견되는 여러 발육기의 미세구조를 관찰하였다. 마우스에 있어서 prepatent period는 평균 5.6일, patent period 63.0±1.6일, 오오시스트 배출 정점기는 투여 후 36.6±2.8일째, 그리고 일반적으로 30일부터 50일까지 20일간에 걸쳐 다수의 오오시스트가 분변으로 배출되었다. 이 원충의 거의 모든 발육기의 크기는 C. Parwum보다 커서 오오시스트 1.4배, 스포로조이트 2.4배, 메로조이트 1.6배, 수생식체 1.5배이었다. 그리고, 숙주세포에 부착되어 있는 부위는 C. parwum의 것과 현저하게 다르므로 모든 발육기에서 바같쪽이 숙주의 두터운 사상돌기로 둘러싸여 있는 전단 돌출부를 볼 수 있었다. 또한, 한국산 마우스 유래 오오시스트가 strain RN 66의 것보다 다소 작았다. 이상의 결과를 기초로 하여 한국산 마우스 유래 크립토스포리디움을 C. maris라고 동정하였으며, Cryptesporidium tsuris(strain MCR)라고 명명하고자 한다.

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Effects of Morphological Changes and Intestinal Transit time After Administration of Daesenggi-Tang in Rats

  • Yang Jun Seok;Shin Hyun Jong;Lee Chang Hyun;Lee Kwang Gyu;Kwon Gang Joo;Woo Won Hong;Kim Young Soo
    • 동의생리병리학회지
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    • 제18권4호
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    • pp.1199-1206
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    • 2004
  • This study was examined the effects of Daesenggi-Tang on intestinal mucosa and gastrointestinal transit time and plasma lipids in rats. Adult male rats were fed four weeks on diets containing no addition(basal diet group), 5% cellulose(cellulose group) and Daesenggi-Tang group(Daesenggi-Tang group). The results were as follows; 1. The gastrointestinal transit times was significantly decreased in Daesenggi-Tang administered group compare to basal diet and cellulose groups. Carmine red mixed with Daesenggi-Tang, as a marker, was administered through a gastric tube for stomach or intracecally by a chronically implanted catheter for colon transit. Small intestinal transit and large intestinal transit time were significantly decreased in Daesenggi-Tang administered group compare to basal diet. 3. The height of jejunal villi was developed in Daesenggi-Tang administered group compare to basal diet. The thickness of mucosa and muscle layer of colonic mucosa were significantly developed in Daesenggi-Tang administered group compare to basal diet group. 4. The numerical change of goblet cell in colonic mucosa was increased acid mucin stained alcian blue in Daesenggi-Tang administered group compare to basal diet and cellulose group. 6. HDL-cholesterol of plasma lipid was increased in Daesenggi-Tang administered group compare to basal diet and cellulose groups. Theses results suggests that Daesenggi-Tang may be used in prevention and treatment of constipation resulting in increase of fecal weight, decrease of gastrointestinal transit time, development of intestinal villi, intensify of stainability of acid mucin in colon.

자동산화 Methyl Linoleate가 Mouse의 지질대사에 미치는 영향(만성독성) (The Effect of Autoxidized Methyl Linoleate on the Lipid Metabolism in the Mouse (Chronic Toxicity))

  • 백태홍;이근환
    • 한국응용과학기술학회지
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    • 제3권2호
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    • pp.35-40
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    • 1986
  • 자동산화유의 독성을 구명하기 위하여 autoxidized methyl linoleate(AOML)의 일정량을 mouse에 1 일 1 회 20 일간 경구 투여하여 혈청 및 간의 지질대사에 미치는 영향을 검토한 결과는 다음과 같다. 실험군의 혈청 TBA값과 혈청 triglyceride, phospholipid 및 total cholesterol양은 정상군에 비해 모두 증가되었으며, 전기영동 결과 혈청 lipoprotein의 조성 백분율은 albumin이 약 21% 증가된 반면, VLDL은 약 70% 그리고 LDL은 약 33% 감소되어 있었다. 실험군의 간에서의 POV, COV 및 TBA값은 모두 정상군에 비해 크게 증가하였으며, 또한 간의 triglyceride, phospholipid 및 total cholesteroldml 양도 증가하는 경향을 나타내고 있었다. 한편, 실험군의 간에서의 형태학적 변화로는 정상군에 비해 간세포의 손상과 지질의 축적이 관찰 되었다.

좌측 완전 심낭결손증을 동반한 Communicating Bronchopulmonary Foregut Malformation - 1예 보고 - (A Communicating Bronchopulmonary Foregut Malformation Associated with Absence of the Left Pericardium - A case report -)

  • 유동곤;박종빈;강필제;이종혁;김종욱
    • Journal of Chest Surgery
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    • 제40권11호
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    • pp.793-797
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    • 2007
  • Communicating bronchopulmonary foregut malformation (CBPFM)은 매우 드문 선천성 기형으로 격리된 호흡계 조직과 식도 또는 위장 사이의 누관이 특징적이다. 원시위장관에서 기원한 부속의 폐조직이 모든 종류의 bronchopulmonary furegut malformation 발생의 중요한 요인이 된다. 반복되는 폐렴이 있는 환자의 chest X-ray에서 낭성 병변이 보인다면 CBPFM을 생각해봐야 하며, 진단적 방법으로 식도조영술, 기관조영술, 컴퓨터 단층촬영, 자기공명영상 그리고 혈관조영술 등이 도움이 된다. 치료는 수술적 제거가 권장되며 예후도 좋다. 좌측 완전 심낭결손증과 동반되었으며, 이중식도에 연결된 외엽성 폐격리증과 기관지성 낭종을 보인 CBPFM 1예를 보고한다.

틸라피아에 있어서 Edwardsiella tarda의 실험적 감염에 관한 연구 (Experimental infection of Edwardsiella tarda in the Tilapia)

  • 김광희;최동림;정준기;전세규
    • 한국어병학회지
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    • 제5권2호
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    • pp.61-75
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    • 1992
  • 틸라피아에 실험적으로 Edwardsiella tarda를 경구감염 시켰다. 틸라피아의 장을 자극시키지 않았을 때는 E. tarda가 감염되지 않았으나 과산화수소로 장을 자극시킨후 E. tarda를 투여하였더니 감염되었다. 150~200g되는 틸라피아 한마리에 $10^6CFU/m{\ell}$, $10^7CFU/m{\ell}$, $10^8CFU/m{\ell}$를 투여한 4일 후부터 죽은 실험어의 간장, 신장, 비장에 농창이 형성되었다. 또한 장관 장해부에서 세균이 증식되어 전신감염으로 급히 발병되어 죽은 예가 많았다. 자연감염어에서 볼 수 있는 증상이 나타났다.

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