• Title/Summary/Keyword: stricture

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Benign Esophageal Stricture (양성 식도 협착)

  • An, Jae-Ho;Kim, Ju-Hyeon
    • Journal of Chest Surgery
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    • v.21 no.6
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    • pp.1052-1059
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    • 1988
  • 297 cases of military personnel and 7 cases of civilian were operated in K.A.F.C.H. from January 1982 to October 1988 due to cardiovascular disease, which consist of 202 cases [66.4%] of vascular disease, 91 cases [29.9%] of cardiac disease, and 11 cases [3.6%] of pericardial disease. Mean age was 25.8*7.2[2S.D.] year of age and nearly all patients were male except 4 cases of female patient in civilian. Of the 253 cases [83.2%] of acquired disease, vascular diseases were 149 cases [583%], traumatic cardiovascular 54 [21.3%], cardiac 40 [15.8%], and pericardial 10 [4.0%]. Of the 51 cases [16.8%] of congenital diseases, cardiac anomalies were 48 cases [94.1%], vascular 2 [3.9%] and pericardial 1 [2.0%]. Open heart surgery was done in 83 cases of cardiac disease, which consists of 39 cases [46.9%] of valvular heart disease, 22 cases [26.59o] of ASD, 14 cases [16.9%] of VSD, 2 cases [2.4%] of partial ECD, and so on. Of the 6 cases [2.0%] of over-all mortality, operative death in open heart surgery was 4 cases[4.8%].

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Bronchial Mucoepidermoid Carcinoma - 1 Case Report - (기관지 점막표피종 치험 -1례 보고-)

  • Byeon, Hyeong-Seop;An, Byeong-Hui;Lee, Dong-Jun
    • Journal of Chest Surgery
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    • v.21 no.5
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    • pp.941-947
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    • 1988
  • The mucoepidermoid carcinoma of the bronchus is very rare neoplasm. The histological appearance is an intimate mixture of mucous-producing cell and epidermoid cell. The malignant potency of the tumor was determined by histologic pattern. Bronchoplasty techniques represent the ideal form of excisional therapy for benign endobronchial tumor as well as tumors of low-grade malignant potential, such as bronchial adenoma, and for repair of traumatic airway injuries and benign stricture and selected group of patients with carcinoma of the lung. We experienced a case of-low-grade mucoepidermoid carcinoma in a patient of 21-year old male who has been suffered from hemoptysis episodes for several years. The sleeve resection of left main bronchus and left lower lobectomy due to bronchiectatic change were carried out. The patient are being followed up without specific problem.

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Early Postoperative results of Esophageal Carcinoma using EEA Stapler (EEA Stapler 를 이용한 식도암 수술의 조기 성적)

  • 조성래
    • Journal of Chest Surgery
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    • v.23 no.2
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    • pp.309-315
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    • 1990
  • The introduction of end-to-end anastomosis stapler [EEA stapler] into esophageal surgery has reduced the mortality and morbidity associated with esophageal resection mainly owing to a reduction in the incidence of accidence of anastomotic leak. We now report the results of the 37 patients undergoing esophagectomy or esophagogastrectomy with EEA stapler in the department of cardiothoracic Surgery, Kosin Medical Center No leakage was demonstrated in the 37 esophagogastric anastomotic sites, but dehiscence of the TA stapled gastrotomy suture line occurred in two patient One patient was recovered with conservative treatment but the other patient was died due to hepatic metastasis of esophageal carcinoma during conservative treatment. And one severe esophagogastric anastomotic stricture was developed at the 30th postoperative day, but improved after dilatation with balloon dilatation catheter of Swiss Med. Tech. Company. The other complications were postoperative pneumonia[1 case], wound disruption and infection[3 cases], but all of 4 patients were recovered with conservative treatment. We experienced relative good postoperative results with use of EEA stapler in esophageal surgery. On the basis of our experience, we believe that the EEA stapler has definite place in esophageal surgery.

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An Efficient Relational Schema Extracting Technique Using Common Stricture in XML Documents (XML 문서의 공통구조를 이용한 효율적인 릴레이션 스키마 추출기법)

  • 안성은;이정선;최황규
    • Proceedings of the Korean Information Science Society Conference
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    • 2002.04b
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    • pp.49-51
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    • 2002
  • XML은 웹 상에서 데이터를 표현하고 교환하기 위안 표준으로 등장하고 있다 최근에 웹 상에서 다루어지는 데이터의 양이 급격하게 증가함에 따라 데이터의 형태는 구조적인 릴레이션 데이터에서 반 구조적인 데이터에 이르기까지 다양하다. 앞으로 웹에서 반 구조적 데이터를 대표할 XML 문서특이 많아지면 .1 데이터들간의 의미적 구조적 관계를 설정하는 스키마즐- 추출하여 그에 따라 데이터를 구조화 시켜 정보로써의 가치를 만들 수 있는 새로운 저장 기법들이 필요하다. 본 논문에서는 XML 문서의 DTD를 이용하여 통일한 DTD를 사용하는 XML 문서들의 공통구조론 추출하여 관계 데이터베이스 시스템에 XML 문서를 저장하기 위한 릴레이션 스키마 추출 기법을 제안한다.

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Current issues of pediatric inflammatory bowel disease in Korea

  • Oh, Seak Hee;Kim, Kyung Mo
    • Clinical and Experimental Pediatrics
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    • v.57 no.11
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    • pp.465-471
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    • 2014
  • Inflammatory bowel disease (IBD) is a chronic relapsing disorder of unknown etiology, which is believed to be multifactorial. Recently, the incidence of pediatric IBD has steeply increased in Korea since 2000. Poorly controlled disease activity can result in complications such as intestinal fistulae, abscess, and stricture, as well as growth retardation and delayed puberty in children. Because of a lack of confirmative tests, various diagnostic modalities must be used to diagnose IBD. Onset age, location, behavior, and activity are important in selecting treatments. Monogenic IBD must be excluded among infantile and refractory very-early-onset IBD. Early aggressive therapy using biologics has recently been proposed for peripubertal children to prevent growth failure and malnutrition.

Robust Stability of Two-Degrees-of-Freedom Servosystem with Stricture and Unstructured Uncertainties

  • Kim, Young-Bok
    • Journal of Mechanical Science and Technology
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    • v.14 no.11
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    • pp.1198-1205
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    • 2000
  • A two-degrees-of-freedom servosystem for step-type reference signals has been preposed, in which the integral compensation is effective only when there is a modeling error or a disturbance input. this paper considers robust stability of the servosystem incorporating an observer against both structured and unstructured uncertainties of the plant. A condition is obtained as a linear matrix inequality, under which the servosystem is robustly stable independently of the gain of the integral compensator. This result implies that we can tune the gain to achieve a desirable transient response of the servpsystem preserving robust stability. An example is presented to demonstrate that under the robust stability condition, the transient response can be improved by increasing the gain of the integral compensator.

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Free jejunal graft for replacement of cervical esophagus (유리 장 이식편을 이용한 식도 재건)

  • Lee, Hong-Seop;Lee, In-Seong;Kim, Chang-Ho
    • Journal of Chest Surgery
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    • v.17 no.4
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    • pp.775-779
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    • 1984
  • Reconstruction of the pharynx and cervical esophagus is a difficult surgical problem. A successful case of reconstruction of cervical esophagus by free jejunal graft upon a 23-year-old female who had stricture in the pharynx and cervical esophagus after ingestion of hydrochloric acid is presented. This procedure was done after the primary traditional reconstruction with right sided colon had resulted in restenosis due to necrosis of the cervical portion of the graft. A proximal jejunal segment, about 12 cm in length was isolated for free graft preserving its vascular arcade. Both superior thyroid artery and vein were anastomosed to the graft vessels in end to end by continuous suture of 8-0 monophil. Nylon. The postoperative course was uneventful. The patient has been followed for 4 months after operation and she can eat every kind of food without dysphagia. We think free jejunal graft offers an excellent and safe method of reconstructing cervical esophagus and pharynx with definitive advantages over other traditional techniques.

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An Experience of The Microwave Tissue Coagulation Therapy in The Restenosis of The Esophagogastrostomy (식도위 문합술후 재협착증에 대한 microwave 조직응고법적 치험 례)

  • Nam, Chung-Hui;An, Uk-Su;Lee, Gil-No
    • Journal of Chest Surgery
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    • v.20 no.4
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    • pp.859-864
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    • 1987
  • The microwave tissue coagulator was originally used for hemostasis in the hepatic surgery, which is effectively applied in the endoscopic surgery such as the hemostasis of gastric ulcer or tumor bleeding, stenosis relieving of esophageal or rectal stenosis and tumor reduction in inoperable early cancer cases. We experienced the good result of the microwave tissue coagulation therapy in the patient with the restenosis of esophagogastrostomy. The patient was 67 year-old female, who was admitted due to the lye stricture of esophagus for 40 years. We made the lower esophagectomy and the esophagogastrostomy with the upper intact esophagus in the right thorax. But the restenosis occurred at the esophagogastrostomy site because of the polypoid mucosal protrusion at one month after operation. We applied the microwave tissue coagulator 3 times with 6 day interval under esophagoscopy and the good symptomatic and endoscopic relief was alleviated. We think that the microwave tissue coagulation is a very convenient and advisable method in the case of restenosis after esophageal surgery.

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Stenosis of Esophageal Reconstruction by Abscess (농양에 의한 재건식도 협착증 -치험 1례 보고-)

  • 송종필;김경훈
    • Journal of Chest Surgery
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    • v.30 no.10
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    • pp.1048-1050
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    • 1997
  • We experienced a case of unusual complication following esophageal reconstruction. In 1969, accidentally the patient swallowed Aye and was developed benign esophageal stricture one year later. In 1972, esophageal reconstruction with right colon was done but pus was drained out of the abdominal wound. After then wound disruption and healing were repeated. In 1996, stenosis of colonic graft was found and resection of stenotic area and end to end anastomosis was done. We concluded that it was developed inflammatory change of graft by intraoper tive infection.

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Surgical Repair of Esophageal Atresia with Tracheoesophageal Fistula - Report of Three Cases - (선천성 식도 폐쇄및 기관식도루 수술치험 3례)

  • 허강배
    • Journal of Chest Surgery
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    • v.25 no.9
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    • pp.891-899
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    • 1992
  • Esophageal atresia with tracheoesophageal fistula may occur as separate, but usually occur in combination. First described by Thomas Gibson in 1696, esophageal atresia was not successfully treated until 1939 when the first two survivors of staged correction were described by Ladd and Leven. In 1941, Haight and Towsley performed the first successful one-stage primary repair. We report three cases of esophageal atresia with tracheoesophageal fistula of which were treated with one-stage surgical repair method. The operation was performed tra-nspleurally through right 4th intercostal space. The fistula in the trachea was closed with interrupted 5-O prolene sutures and esophagoesophageal anastomosis was performed with 3-O prolene single layer sutures in all cases. All patients tolerated the operative procedures and recovered uneventfully. On follow-up study, anastomotic stricture was developed in one patients, so esophageal dilatation was performed for it with the Griintzig balloon catheter and the result was satisfactory. The other patients were well-being without any complication.

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