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1.
Korean Journal of Gastrointestinal Endoscopy ; : 30-34, 2008.
Artigo em Coreano | WPRIM | ID: wpr-207719

RESUMO

There are many complications following gastrectomy and one of the most frequent complications is anastomosis site leakage. Postoperative leakage is a serious complication in patients after they undergo gastric surgery. It can lead to the progressive deterioration in the patient's condition and quality of life and the mortality rate is nearly 60%. We encountered a case of a 75 year-old man who had the leakage of the jejunal end of the Roux limb after total gastrectomy. We performed treatment of the leakage endoscopic clipping and detachable snaring. Hemoclips were fixed at the margin of both sides of the lesion. A detachable snare was used to bind both hemoclips, so the interval was made narrow. After snare binding, five hemoclips were used for final closure of the small interval. After treatment, the leakage of the afferent loop end was completely stopped. He resumed an oral intake and was discharged without complications.


Assuntos
Humanos , Extremidades , Gastrectomia , Qualidade de Vida , Proteínas SNARE
2.
The Korean Journal of Gastroenterology ; : 388-392, 2007.
Artigo em Coreano | WPRIM | ID: wpr-175506

RESUMO

Tuberculosis may affect primarily all organs and tissues of the body, although some of these show high immunity against the infection. The most common forms of non-pulmonary tuberculosis are tuberculosis of bones and joints (30%), urinary system (24%), lymph nodes (13%), sexual organs (8%), cerebrospinal meninges (4%), and alimentary system (3%). Especially, the commonest presentation of abdominal tuberculosis is ileocecal disease, but isolated appendicular involvement is also rarely seen, occuring in only 1.5% to 3% of cases in the absence of pulmonary or other abdominal involvement. The appendix may either be involoved secondary to ileocecal tuberculosis, or to tuberculosis at another site within the abdomen, or may occur in the even, rarer "isolated" form, without the evidence of disease elsewhere. We report a case of acute appendicitis underwent appendectomy and histopathologic examination of appendix revealed appendicular tuberculosis.


Assuntos
Adulto , Feminino , Humanos , Doença Aguda , Apendicectomia , Apendicite/diagnóstico , Diagnóstico Diferencial , Tomografia Computadorizada por Raios X , Tuberculose Gastrointestinal/diagnóstico
3.
Korean Journal of Gastrointestinal Endoscopy ; : 326-332, 2006.
Artigo em Coreano | WPRIM | ID: wpr-117405

RESUMO

An acinar cell carcinoma of the exocrine pancreas is a rare tumor with reported a incidence of 1% to 2% of pancreatic carcinomas. Cases of acinar cell carcinomas with amphicrine features have been reported in recent decades. However, there are no reports of two simultaneous pancreatic masses: an endocrine tumor and, an exocrine tumor. We encountered a 59-year-old female patient presenting with abdominal pain and melena. The acinar cell carcinoma was a 1x1 cm-sized round solid mass in the head of the pancreas. The islet tumor was a 2.5x1.5 cm-sized round mass in the body of the pancreas. The endocrine tumor was nonfunctioning. Melena resulted from the hemosuccus pancreaticus due to a ductal invasion of the acinar cell carcinoma. The patient had a parathyroid adenoma with hyperparathyroidism. Therefore, both the islet tumor and parathyroid adenoma with hyperparathyroidism were strongly suggestive of a MEN I.


Assuntos
Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Dor Abdominal , Células Acinares , Carcinoma de Células Acinares , Cabeça , Hiperparatireoidismo , Incidência , Melena , Neoplasia Endócrina Múltipla Tipo 1 , Pâncreas , Pâncreas Exócrino , Neoplasias das Paratireoides
4.
Korean Journal of Gastrointestinal Endoscopy ; : 756-759, 2000.
Artigo em Coreano | WPRIM | ID: wpr-112294

RESUMO

Biliary cystadenoma is a rare tumor that arises in the liver or, less frequently, in the extrahepatic ducts. Jaundice in patients with biliary cyst adenoma is not uncomon, but it is very rare that the jaundice is caused by tumor compression of the bile duct. A 43-year-old woman who had a huge biliary cystadenoma occupying the left liver developed deep jaundice. Endoscopic retrograde cholangiopancreatograpy demontrated that this tumor compressed the common hepatic ducts extrinsically which caused the deep jaundice.


Assuntos
Adulto , Feminino , Humanos , Adenoma , Ductos Biliares , Cistadenoma , Ducto Hepático Comum , Icterícia , Icterícia Obstrutiva , Fígado
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