, Hye Young Son, Young Sun Kim, Sun Young Yi In prospective, controlled study of patients with reflux esophagitis without other gastrointestinal disease, the prevalence of
The prevalence of
The prevalence of
Recently, the improvement of the economic conditions and the increasing application of abdominal sonography as a diagnostic tool makes the early diagnosis of infants with infantile hypertrophic pyloric stenosis(IHPS) easy and precise. And the cases with the classical pathophysiologic derangement of IHPS have a declining tendency. In this study the author analyzed and reported the trend at Ewha Womans University Hospital.
The author analysed the clinical features and management of 91 young infants who were undergoing pyloromyotomy by author for IHPS from January 1981 through December 1997 at Ewha Womans University Hospital. The findings were compared between the former(1981-1990) and the latter period(1991-1997).
Among the total 91 cases, 42 cases were included into the former and 49 cases were the latter period. There has been no difference in sex ratio, birth rank, and age at time of admission between the former and the latter period. The percentage of patients breastfed decreased from 23.8% to 0. And the percentage of patients with alkalosis decreased from 54.8% to 30.6%, hypochloremia from 57.1% to 39.6%, and hypokalemia from 45.2% to 29.2% under the influence of increasing the incidence of early diagnosis. The number of patients with palpable pyloric mass by palpation of the abdomen decreased from 83.3% to 71.4%. And the use of upper gastrointestinal series only as diagnostic test decreased from 71.4% to 18.4%, ultrasonography increased from 11.9% to 46.9%, and both increased from 11.9% to 34.7%. There was no specific postoperative complication during the latter period, and the postoperative hospital stay decreased from 7.1±1.5 days to 4.5±0.7 days.
In conclusion, the increasing use of ultrasonography as diagnositic tool enabled the early diagnosis of infantile hypertrophic pyloric stenosis before appearing the disturbed fluidelectrolyte balance of the body. Although the signification decrease of the postoperative hospital stay and complications in the latter period, there has been less change in areas controlled by other specilaties.
, Soo-Seung Choi To demonstrate a number of advantages of Gd-enhanced MR-venography with FISP techinuque in diagnosis of extremity deep vein thrombosis.
Gd-enhanced MR venography with FISP technique was performed in patients had deep venous thrombosis of lower limb. Findngs of MR venography was retrogradely analyzed.
Gd-enhanced MR-venography clearly demonstrates venous anatomy of the lower extremities in all cases. And, deep vein thrombosis was well detected with signal void filling defect. MR-venography also shows additional combined findings in deep vein thrombosis.
Gd-enhanced MR venography well demonstrates the anatomy of lower extremities and is a useful method for detection of deep vein thrombosis.
, Tae Rim Shin, Kyung Eun Lee, Young Mi Park, Jung Hyum Jeon, Jin Sik Nam, Hyo Jeong Kim, You Kyung Kim, Hee Soo Yoon, Hae Soo Koo, Sun Hee Cheon The granulation tissue, which are found in nonspecific inflammation, occasionally seemed like round mass. We experienced and report four cases in which the granulation tissue presented as endobronchial mass on the bronchoscopy. The masses obstructing lobar or segmental bronchial oriface were round, smooth surfaced and pinkish except whitish one case. The granulation tissue caused by acute or chronic inflammations, should be considered to differentiate endobronchial mass.
, Chun Yong Kim, Sang Gyun Chae, Won Sick Park, Bong Suk Shim Emphysematous pyelonephritis is an uncommon serious suppurative infection, characterized by the production of intrarenal and perirenal gas and can occur in patients with diabetes mellitus or urinary obstruction.
We report our experience with successful management of a case of emphysematous pyelonephritis which occurred in 43 years-old diabetic woman with sepsis and liver cirrhosis. Left nephrectomy was carried out to cure septic crisis.
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