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1.
Scand J Gastroenterol ; 59(1): 7-15, 2024.
Article in English | MEDLINE | ID: mdl-37671790

ABSTRACT

BACKGROUND/AIMS: Acute peptic ulcer bleeding is the most common cause of non-variceal upper gastrointestinal bleeding (NVUGIB). Endoscopic hemostasis is the standard treatment. However, various conditions complicate endoscopic hemostasis. Transarterial visceral embolization (TAE) may be helpful as a rescue therapy. This study aimed to investigate the factors associated with rebleeding after TAE. METHODS: We retrospectively investigated the records of 156 patients treated with TAE between January 2007 and December 2021. Rebleeding was defined as the presence of melena, hematemesis, or hematochezia, with a fall (>2.0 g/dl) in hemoglobin level or shock after TAE. The primary outcomes were rebleeding rate and 30-day mortality. RESULTS: Seventy patients with peptic ulcer bleeding were selected, and rebleeding within a month after TAE occurred in 15 patients (21.4%). Among the patients included in rebleeding group, significant increases were observed in the prevalence of thrombocytopenia (73.3% vs. 16.4%, p<.001) and ulcers >1 cm (93.3% vs 54.5%, p = .014). The mean AIMS65 (albumin, international normalized ratio, mental status, systolic blood pressure, age >65 years) score (2.3 vs 1.4, p = .009) was significantly higher in the rebleeding group. Multivariate logistic analysis revealed that thrombocytopenia (odds ratio 31.92, 95% confidence interval 6.24-270.6, p<.001) and larger ulcer size (odds ratio 27.19, 95% confidence interval 3.27-677.7, p=.010) significantly increased the risk of rebleeding after TAE. CONCLUSION: TAE was effective in the treatment of patients with high-risk peptic ulcer bleeding. AIMS65 score was a significant predictor of rebleeding after TAE, and thrombocytopenia and larger ulcer size increased the risk of rebleeding after TAE.


Subject(s)
Embolization, Therapeutic , Hemostasis, Endoscopic , Peptic Ulcer , Thrombocytopenia , Humans , Aged , Ulcer/therapy , Retrospective Studies , Peptic Ulcer Hemorrhage/etiology , Peptic Ulcer Hemorrhage/therapy , Gastrointestinal Hemorrhage/etiology , Gastrointestinal Hemorrhage/therapy , Embolization, Therapeutic/adverse effects , Thrombocytopenia/therapy , Peptic Ulcer/complications , Recurrence
2.
Korean J Gastroenterol ; 82(6): 304-309, 2023 12 25.
Article in English | MEDLINE | ID: mdl-38130001

ABSTRACT

Small bowel variceal bleeding is a rare cause of gastrointestinal hemorrhage, with clinical manifestations ranging from asymptomatic incidental findings to life-threatening conditions. The diagnosis and management of small bowel bleeding are challenging because of the localization of the lesion and the difficulty of the procedure. Trans-arterial embolization (TAE) is a secure and straightforward method for treating ectopic varices. On the other hand, there have been limited local studies on the outcomes of TAE for patients with small bowel variceal hemorrhage. This paper reports patients diagnosed with small bowel variceal bleeding and treated with TAE.


Subject(s)
Embolization, Therapeutic , Esophageal and Gastric Varices , Varicose Veins , Humans , Gastrointestinal Hemorrhage/diagnosis , Gastrointestinal Hemorrhage/etiology , Gastrointestinal Hemorrhage/therapy , Esophageal and Gastric Varices/complications , Esophageal and Gastric Varices/diagnosis , Esophageal and Gastric Varices/therapy , Embolization, Therapeutic/methods , Liver Cirrhosis/complications , Liver Cirrhosis/diagnosis , Varicose Veins/complications , Treatment Outcome
3.
Br J Neurosurg ; 37(5): 1233-1236, 2023 Oct.
Article in English | MEDLINE | ID: mdl-33095064

ABSTRACT

Primary glioblastoma develops de novo without clinical or histological evidence of a low-grade precursor lesion, whereas secondary glioblastoma develops from a low-grade glioma. The present report describes an extraordinary case of IDH-wildtype secondary glioblastoma arising in IDH-mutant diffuse astrocytoma. A 31-year-old female had a surgical history of IDH-mutant diffuse astrocytoma on the left frontal lobe six years before. Magnetic resonance imaging revealed new infiltrative lesions in the left frontal lobe adjacent to the previous lesion. The patient underwent tumourectomy, and the new infiltrative lesion was diagnosed as glioblastoma. Interestingly, the IDH-1 (p.Arg132His) mutation was found in diffuse astrocytoma but not in glioblastoma based on next generation sequencing. ATRX (p.Gln1670Ter) and TP53 (p.His193Arg) mutations were found in both lesions. Additionally, the PTEN (p.His296Pro) mutation was identified only in glioblastoma. A well-accepted hypothesis is that the IDH mutation initiates in glial progenitor cells and causes secondary glioblastoma harboring the IDH mutation to develop from low grade glioma with IDH mutation. However, this case showed that the other genetic mutations can be initiated before the IDH mutation in glioma oncogenesis. Contrary to the previous hypothesis, this is the first case of IDH-wildtype secondary glioblastoma arising in IDH-mutant diffuse astrocytoma.


Subject(s)
Astrocytoma , Brain Neoplasms , Glioblastoma , Glioma , Female , Humans , Adult , Glioblastoma/diagnostic imaging , Glioblastoma/genetics , Glioblastoma/surgery , Brain Neoplasms/diagnostic imaging , Brain Neoplasms/genetics , Brain Neoplasms/surgery , Isocitrate Dehydrogenase/genetics , Astrocytoma/diagnostic imaging , Astrocytoma/genetics , Astrocytoma/surgery , Glioma/pathology , Mutation
4.
J Med Food ; 18(10): 1164-72, 2015 Oct.
Article in English | MEDLINE | ID: mdl-26284906

ABSTRACT

Cordyceps militaris is a mushroom traditionally used for diverse pharmaceutical purposes in East Asia, including China, and has been found to be effective for enhancing immunity through various types of animal testing. The aim of this study is to determine the efficacy of C. militaris for enhancing cell-mediated immunity and its safety in healthy male adults. Healthy male adults were divided into the experimental group (n = 39), given 1.5 g/day of ethanol treated C. militaris in capsules, and the control group (n = 40), given the same number of identical placebo capsules filled with microcrystalline cellulose and lactose for 4 weeks from February 13 to March 14, 2012; the natural killer (NK) cell activity, lymphocyte proliferation index (PI), and T-helper cell 1 (Th1) cytokine cluster (interferon [IFN]-γ, interleukin [IL]-12, IL-2, and tumor necrosis factor [TNF]-α) were measured, along with stability test, at weeks 0, 2, and 4. The C. militaris group showed a statistically significant greater increase in NK200 (P = .0010), lymphocyte PI (P ≤ .0001), IL-2 (P = .0096), and IFN-γ (P = .0126), compared with the basal level, than the placebo group. There was no statistically significant adverse reaction. C. militaris enhanced the NK cell activity and lymphocyte proliferation and partially increased Th1 cytokine secretion. Therefore, C. militaris is safe and effective for enhancing cell-mediated immunity of healthy male adults.


Subject(s)
Cordyceps/chemistry , Deoxyadenosines/administration & dosage , Immunity, Cellular/drug effects , Adult , Cell Line, Tumor , Cell Proliferation/drug effects , Cytokines/blood , Deoxyadenosines/adverse effects , Double-Blind Method , Ethanol , Humans , Killer Cells, Natural/drug effects , Killer Cells, Natural/immunology , Leukemia, Erythroblastic, Acute , Lymphocyte Activation/drug effects , Male , Middle Aged , Placebos , Republic of Korea , Th1 Cells/drug effects , Th1 Cells/immunology , Tumor Necrosis Factor-alpha/blood
5.
Ann Plast Surg ; 74(6): 665-71, 2015 Jun.
Article in English | MEDLINE | ID: mdl-25969970

ABSTRACT

The purpose of our retrospective study was to evaluate the outcomes of scaphoid fracture nonunion treated with a pronator quadratus pedicled vascularized bone graft and a headless compression screw with regard to early wrist and thumb mobilization. From January 2008 to June 2011, 27 patients (20 men and 7 women; mean age, 24 years; age range, 15-32 years) with scaphoid fracture nonunion were treated with a pronator quadratus pedicled vascularized bone graft and a headless compression screw, and who met our inclusion criteria, including symptomatic scaphoid waist fracture nonunion with or without compromised vascularity and carpal instability. We evaluated radiologic assessment (correction of carpal instability and union rate). And, overall clinical results were also graded using the wrist range of motion, the modified Mayo wrist score, and disabilities of the arm, shoulder and hand score. All patients achieved bony union in a mean of 11.5 weeks (range, 8-18 weeks). The mean radiolunate and scapholunate angles improved from -12.3 degrees (range, -38.0 to 4.5 degrees) and 62.8 degrees (range, 50.0-72.5 degrees) preoperatively to -1.4 degrees (range, -14.5 to 6.5 degrees) and 48.5 degrees (range, 40.5-63.5 degrees) at the follow-up. The final average range of motion was as follows: wrist flexion, 73 degrees (range, 65-85 degrees); extension, 69 degrees (range, 60-80 degrees); ulnar deviation, 36 degrees (range, 15-50 degrees); and radial deviation, 22 degrees (range, 10-35 degrees). The average postoperative modified Mayo wrist score and disabilities of the arm, shoulder and hand score were 92 points (range, 78-100 points) and 11 points (range, 0-32 points), respectively. Our results suggest that a pronator quadratus pedicled vascularized bone graft and internal fixation with a headless compression screw can yield satisfactory functional and radiographic outcomes in the treatment of scaphoid fracture nonunion.


Subject(s)
Bone Screws , Bone Transplantation/methods , Fracture Fixation, Internal/methods , Fractures, Ununited/surgery , Radius/transplantation , Scaphoid Bone/injuries , Surgical Flaps , Adolescent , Adult , Female , Follow-Up Studies , Fracture Fixation, Internal/instrumentation , Humans , Male , Scaphoid Bone/surgery , Treatment Outcome , Young Adult
6.
Korean J Gastroenterol ; 65(3): 182-5, 2015 Mar.
Article in Korean | MEDLINE | ID: mdl-25797383

ABSTRACT

Liposarcoma is one of the most common soft tissue sarcomas that occurs in adults and is currently divided into five main subgroups: well-differentiated, myxoid, round cell, pleomorphic, and dedifferentiated. Primary mesenteric liposarcoma is extremely rare, and the treatment strategy is surgical resection with a wide free margin, often followed by radiation and adjuvant chemotherapy if distant metastasis is not detected. A 73-year-old male patient presented with lower abdominal distension. Abdominal CT scan revealed a large homogeneously enhancing mass lesion abutting the sigmoid colon and urinary bladder. At laparotomy, the solid mass measured 28×26×12 cm in size, was well-demarcated, and originated from the mesentery of the middle ileum. It was removed along with some small intestine (ileocecal valve upper 50-150 cm) and ileal mesentery because of adhesion. Histologically, the tumor proved to be pleomorphic liposarcoma. The patient did not undergo any adjuvant treatment following surgery, but he remains disease free until 33 months after surgery. Herein, we report a case of pleomorphic liposarcoma arising from small bowel mesentery.


Subject(s)
Liposarcoma/diagnosis , Mesentery/pathology , Peritoneal Neoplasms/diagnosis , Aged , Humans , Liposarcoma/pathology , Liposarcoma/surgery , Male , Peritoneal Neoplasms/pathology , Peritoneal Neoplasms/surgery , Tomography, X-Ray Computed
7.
J Foot Ankle Surg ; 53(5): 522-8, 2014.
Article in English | MEDLINE | ID: mdl-24713494

ABSTRACT

Intramedullary screw fixation has been the most common treatment for fifth metatarsal base fractures. However, screw application will not achieve accurate reduction in fractures with small fragments, osteoporotic bone, or Lawrence zone 1 fractures. Because of the similar anatomic architecture between the distal ulna and the fifth metatarsal base, the purpose of the present study was to assess the results of a locking compression plate distal ulna hook plate in stabilizing displaced zone 1 or 2 fifth metatarsal base fractures. A total of 19 patients with Lawrence zone 1 (n = 12) or 2 (n = 7) fractures of the fifth metatarsal base were treated surgically with a locking compression plate distal ulna hook plate. The patients were evaluated clinically and radiographically, and the functional outcomes were graded using the American Orthopaedic Foot and Ankle Society midfoot scoring system. Radiographic bony union was obtained in all patients, at an average of 7.4 weeks. The mean American Orthopaedic Foot and Ankle Society midfoot score improved from 26 (range 0 to 45) points preoperatively to 94 (range 72 to 100) points at the final follow-up visit. Three patients developed post-traumatic cubometatarsal arthrosis, and 1 patient developed sural nerve neurapraxia. In our experience, the distal ulna hook plate achieved a high rate of bony consolidation and anatomically suitable fixation in zone 1 or 2 fifth metatarsal base fractures. We suggest that the locking compression plate distal ulna hook plate should be considered as an alternative treatment of multifragmentary, osteoporotic, and tuberosity avulsion (zone 1) fifth metatarsal base fractures.


Subject(s)
Bone Plates , Foot Injuries/surgery , Fracture Fixation, Internal/instrumentation , Fractures, Bone/surgery , Metatarsal Bones/surgery , Adolescent , Adult , Aged , Female , Humans , Male , Metatarsal Bones/injuries , Middle Aged , Prospective Studies , Young Adult
8.
Korean J Intern Med ; 29(1): 31-9, 2014 Jan.
Article in English | MEDLINE | ID: mdl-24574831

ABSTRACT

BACKGROUND/AIMS: Oxidative stress increases the risk of cardiovascular complications of metabolic syndrome (MetS). This study was conducted to examine the difference in antioxidant capacity according to the presence of MetS, and to characterize the association between antioxidant capacity and MetS-related factors. METHODS: We used the biological antioxidant potential (BAP) test to estimate antioxidant capacity. The BAP test has recently been used as an indicator of antioxidant capacity. We measured BAP levels in 45 patients with MetS (mean age, 44.6 ± 1.1 years) and 47 age- and sex-matched controls (mean age, 42.7 ± 1.1 years). To evaluate the association between antioxidant capacity and MetS, adiponectin, high-sensitivity C-reactive protein (hs-CRP), interleukin-6, tumor necrosis factor-α, and homeostatic model assessment for insulin resistance (HOMA-IR), linear regression and logistic analyses were performed. RESULTS: The mean BAP of the MetS group (1,937.3 ± 36.5 µmol/L) was significantly lower than that of the non-MetS group (2,101.7 ± 29.5 µmol/L). Also, the mean BAP was low in persons having low high density lipoprotein and high triglyceride. Reduced antioxidant capacity was significantly associated with adiponectin, HOMA-IR and hs-CRP after adjusting for age and sex. The odds ratios for MetS with BAP, log adiponectin, log HOMA-IR, and log hs-CRP were 0.63 (95% confidence interval [CI], 0.49 to 0.82), 0.22 (0.10 to 0.51), 14.24 (4.35 to 46.58), and 1.93 (1.36 to 2.75), respectively. CONCLUSIONS: Persons with MetS showed reduced antioxidant capacity. We identified relationships between antioxidant capacity measured by BAP test and MetS, as well as MetS-related factors, such as insulin resistance, hs-CRP, and adiponectin.


Subject(s)
Antioxidants/metabolism , Metabolic Syndrome/blood , Adipokines/blood , Adult , Biomarkers/blood , C-Reactive Protein/metabolism , Case-Control Studies , Female , Humans , Insulin Resistance , Interleukin-6/blood , Male , Middle Aged , Predictive Value of Tests , Tumor Necrosis Factor-alpha/blood
9.
Korean J Gastroenterol ; 62(5): 296-300, 2013 Nov.
Article in Korean | MEDLINE | ID: mdl-24262596

ABSTRACT

Inferior mesenteric arteriovenous fistula is rare and may be congenital or acquired. Affected patients present with abdominal pain, mass, or manifestations of portal hypertension and bowel ischemia. Until now, inferior mesenteric arteriovenous fistula due to trauma has not been reported. Herein, we report a case of a 53-year-old woman who had inferior mesenteric arteriovenous fistula considered to have originated from remote blunt trauma that was successfully treated by surgical resection of only the arteriovenous fistula without colectomy. To our knowledge, this is the first case of traumatic inferior mesenteric arteriovenous fistula.


Subject(s)
Arteriovenous Fistula/diagnosis , Arteriovenous Fistula/pathology , Arteriovenous Fistula/surgery , Colonoscopy , Female , Humans , Mesenteric Artery, Inferior/diagnostic imaging , Middle Aged , Tomography, X-Ray Computed , Treatment Outcome
10.
Eur J Orthop Surg Traumatol ; 23(6): 705-13, 2013 Aug.
Article in English | MEDLINE | ID: mdl-23412193

ABSTRACT

Intramedullary screw fixation is the most common treatment for fifth metatarsal base fractures. Screw application does not achieve accurate reduction in fracture with small fragments, osteoporotic bone, or Lawrence zone 1 fractures, however. On the basis of similar anatomical architectures between the distal ulna and the fifth metatarsal base, the purpose of this study was to assess the results of a locking compression plate (LCP) distal ulna hook plate in stabilizing displaced zone 1 or 2 fifth metatarsal base fractures. Nineteen patients with Lawrence zone 1 (n = 12) or 2 (n = 7) fractures of the fifth metatarsal base were treated surgically with an LCP distal ulna hook plate. The patients were evaluated clinically and radiographically, and functional outcomes were graded by using the American Orthopaedic Foot and Ankle Society (AOFAS) midfoot scoring system. Radiographic bony union was obtained in all patients, at an average of 7.4 weeks. The mean AOFAS midfoot score improved from 26 (range, 0-45) preoperatively to 94 (range, 72-100) points at the final follow-up. There were three patients with post-traumatic cubometatarsal arthrosis and one patient with sural nerve neuropraxia. In our experience, the distal ulna hook plate achieves a high rate of bony consolidation and anatomically suitable fixation in zone 1 or 2 fifth metatarsal base fractures. We also suggest that the LCP distal ulna hook plate should be considered as an alternative treatment in multifragmentary, osteoporotic, and tuberosity avulsion (zone 1) fifth metatarsal base fractures.


Subject(s)
Bone Plates , Fracture Fixation, Internal/methods , Fractures, Bone/surgery , Metatarsal Bones/injuries , Ulna/surgery , Adolescent , Adult , Aged , Female , Humans , Male , Metatarsal Bones/surgery , Middle Aged , Prospective Studies , Treatment Outcome , Young Adult
11.
Phys Rev Lett ; 110(24): 247201, 2013 Jun 14.
Article in English | MEDLINE | ID: mdl-25165955

ABSTRACT

We report the effective methods to induce weak ferromagnetism in pristine MoS2 persisting up to room temperature with the improved transport property, which would lead to new spintronics devices. The hydrogenation of MoS2 by heating at 300 °C for 1 h leads to the easy axis out of plane, while the irradiation of proton with a dose of 1 × 10(13) P/cm(2) leads to the easy axis in plane. The theoretical modeling supports such magnetic easy axes.

12.
Orthopedics ; 35(9): e1358-64, 2012 Sep.
Article in English | MEDLINE | ID: mdl-22955402

ABSTRACT

The significance of distal ulna fractures is often undermined, which can result in inadequate treatment compared with fractures of the radius, the ulna's larger counterpart. However, little guidance exists in the current literature on how to manage distal ulna head or neck fractures and intra-articular ulna head fractures. Therefore, the purpose of this retrospective study was to evaluate the outcomes of distal ulna hook plate fixation for the treatment of an unstable distal ulna fracture associated with a distal radius fracture. Twenty-five patients with unstable distal ulna fractures who underwent stable fixation for an associated distal radius fracture were included in the study. All patients achieved satisfactory reduction and bony union. Average final motion was as follows: wrist flexion, 72° (range, 60°-85°); extension, 69° (range, 65°-80°); pronation, 77° (range, 55°-95°); supination, 82° (range, 65°-90°); ulnar deviation, 35° (range, 15°-50°); and radial deviation, 24° (range, 10°-40°). Average postoperative grip strength was 28 kg (range, 22-30 kg) and was 91% (range, 71%-100%) in the cases in which the dominant hand was injured and 80% (range, 65%-100%) in the cases in which the nondominant hand was injured. Average postoperative modified Mayo wrist score and Disabilities of the Arm, Shoulder and Hand score was 87 points (range, 65-100 points) and 14 points (range, 0-54 points), respectively. Chronic instability of the distal radioulnar joint was not encountered in any patient. Thus, the study demonstrated that distal ulna hook plate fixation for the treatment of unstable distal ulna fractures can achieve healing with good alignment, satisfactory function, and minimal transient morbidity.


Subject(s)
Bone Plates , Fracture Fixation, Internal/instrumentation , Joint Instability/surgery , Multiple Trauma/surgery , Radius Fractures/surgery , Ulna Fractures/surgery , Wrist Injuries/surgery , Aged , Aged, 80 and over , Female , Fracture Fixation, Internal/methods , Humans , Joint Instability/diagnosis , Joint Instability/etiology , Male , Middle Aged , Multiple Trauma/diagnosis , Radius Fractures/complications , Radius Fractures/diagnosis , Range of Motion, Articular , Treatment Outcome , Ulna Fractures/complications , Ulna Fractures/diagnosis , Wrist Injuries/complications , Wrist Injuries/diagnosis
13.
Korean J Gastroenterol ; 59(5): 366-71, 2012 May.
Article in Korean | MEDLINE | ID: mdl-22617531

ABSTRACT

Gastritis cystica profunda (GCP) is an uncommon hyperplastic benign lesion, and histologically characterized by hyperplasia and cystic dilatation of the gastric glands extending into the submucosal layer. GCP usually occurs at a gastroenterostomy site, although it can occasionally be found in an unoperated stomach. GCP is thought to be a possible precancerous lesion, since a few early gastric cancers associated with it were reported. Herein, we report a case of gastric adenoma associated with GCP in an unoperated patient. The sizes of both the GCP and adenoma overlying it have increased during a 10 year follow-up period. Adenoma on the latest biopsy showed low grade dysplasia, and it was successfully treated by endoscopic submucosal dissection.


Subject(s)
Adenoma/diagnosis , Gastritis/diagnosis , Stomach Neoplasms/diagnosis , Adenoma/complications , Adenoma/surgery , Aged, 80 and over , Female , Follow-Up Studies , Gastritis/complications , Gastritis/diagnostic imaging , Gastroenterostomy , Humans , Precancerous Conditions , Stomach Neoplasms/complications , Stomach Neoplasms/surgery , Tomography, X-Ray Computed , Ultrasonography
14.
J Korean Med Sci ; 26(12): 1613-8, 2011 Dec.
Article in English | MEDLINE | ID: mdl-22147999

ABSTRACT

The objective of the study was to document practice pattern of gastroenterologists for the management of gastroesophageal reflux disease (GERD) under the minimal influence of the insurance reimbursement guideline. Data on management for 1,197 consecutive patients with typical GERD symptoms were prospectively collected during 16 weeks. In order to minimize the influence of reimbursement guideline on the use of proton pump inhibitors (PPIs), rabeprazole was used for the PPI treatment. A total of 861 patients (72%) underwent endoscopy before the start of treatment. PPIs were most commonly prescribed (87%). At the start of treatment, rabeprazole 20 mg daily was prescribed to 94% of the patients who received PPI treatment and 10 mg daily to the remaining 6%. At the third visits, rabeprazole 20 mg daily was prescribed to 70% of those who were followed and 10 mg daily for the remaining 30%. Continuous PPI treatment during the 16-week period was performed in 63% of the study patients. In conclusion, a full-dose PPI is preferred for the initial and maintenance treatment of GERD under the minimal influence of the insurance reimbursement guideline, which may reflect a high proportion of GERD patients requiring a long-term treatment of a full-dose PPI.


Subject(s)
Gastroesophageal Reflux/diagnosis , Gastroesophageal Reflux/drug therapy , Guideline Adherence , Practice Patterns, Physicians' , 2-Pyridinylmethylsulfinylbenzimidazoles/therapeutic use , Adult , Aged , Aged, 80 and over , Enzyme Inhibitors , Female , Gastroenterology , Humans , Insurance, Health, Reimbursement , Male , Middle Aged , Proton Pump Inhibitors/therapeutic use , Rabeprazole , Republic of Korea , Treatment Outcome
15.
Clin Orthop Surg ; 3(4): 279-84, 2011 Dec.
Article in English | MEDLINE | ID: mdl-22162790

ABSTRACT

BACKGROUND: We analyzed the clinical and radiologic results of patients with spontaneous osteonecrosis of the knee treated by minimally invasive medial unicompartmental arthroplasty using Oxford Uni. METHODS: We reviewed 22 knees in 21 patients which were treated for spontaneous osteonecrosis between 2002 and 2006. Patients included one male and 20 females. The mean age was 70.8 years (range, 53 to 82 years). The mean follow-up period was 70.3 months (range, 48 to 93 months). The clinical results were evaluated using the Hospital for Special Surgery (HSS) knee score and the range of motion of the knee preoperatively and at the final follow-up. Preoperative plain radiographs and magnetic resonance images were analyzed to determine the size and stage of osteonecrotic lesions. RESULTS: The mean HSS knee score was 64.3 (range, 54 to 75) preoperatively and 92.0 (range, 71 to 100) at the final follow-up. The mean preoperative flexion contracture was 8.9° (range, 0 to 15°) and 0.2° (range, 0 to 5°) at the final follow-up. The mean further flexion increased from 138.6° (range, 100 to 145°) preoperatively to 145.6° (range, 140 to 150°) at the final follow-up. Active full flexion was possible within 2 months of the operation. The squatting position was possible in 16 patients (84.2%) out of 19, except one case of bronchiectasis and one case of spine fracture. The cross-leg posture was possible in 19 patients (90.5%) out of 21. The mean tibiofemoral angle was improved from varus 0.98° to valgus 3.22°. Meniscal bearing dislocation occurred in 2 cases and femoral component loosening occurred in 1 case. CONCLUSIONS: Unicompartmental knee arthroplasty using Oxford Uni could be an alternative treatment option in spontaneous osteonecrosis of the knee.


Subject(s)
Arthroplasty, Replacement, Knee/methods , Joint Diseases/surgery , Knee Joint , Osteonecrosis/surgery , Aged , Aged, 80 and over , Female , Humans , Joint Diseases/pathology , Knee Joint/pathology , Male , Middle Aged , Retrospective Studies
16.
Korean J Gastroenterol ; 57(5): 309-14, 2011 May 25.
Article in Korean | MEDLINE | ID: mdl-21623140

ABSTRACT

Acute phlegmonous gastritis is an uncommon disease, often fatal condition characterized by suppurative bacterial infection of the gastric wall. It has a high mortality rate mainly because the diagnosis is usually made late. Until recently, gastrectomy in combination with antibiotics was recommended. We had experienced a case of 66-year-old man presented with epigastric pain, nausea, vomiting, and hematemesis, followed by aspiration pneumonia. At upper gastrointestinal endoscopy, the gastric lumen was narrow, and the mucosa was severely inflamed, which was erythematous, swelled, and showed necrotic areas covered with purulent exudate. Klebsiella oxytoca and Acinetobacter lwoffii were isolated in the gastric tissue culture. Contrast-enhanced computerized tomography scan of abdomen demonstrated diffuse gastric wall thickening and an intramural abscess in the gastric antral wall. Although delayed gastric emptying by gastroparesis prolonged the in-hospital period, the only medical treatment with antibiotics alone successfully cured the patient without gastrectomy.


Subject(s)
Anti-Bacterial Agents/therapeutic use , Gastritis/diagnosis , Gastroparesis/diagnosis , Acinetobacter/isolation & purification , Acute Disease , Aged , Anti-Infective Agents/therapeutic use , Cefotaxime/therapeutic use , Ceftriaxone/therapeutic use , Ciprofloxacin/therapeutic use , Drug Resistance, Multiple, Bacterial , Drug Therapy, Combination , Gastritis/drug therapy , Gastritis/microbiology , Gastroparesis/microbiology , Gastroscopy , Humans , Imipenem/therapeutic use , Klebsiella oxytoca/isolation & purification , Male , Ofloxacin/therapeutic use , Pneumonia/diagnosis , Pneumonia/drug therapy , Tomography, X-Ray Computed
17.
Korean J Gastroenterol ; 54(5): 337-41, 2009 Nov.
Article in Korean | MEDLINE | ID: mdl-19934616

ABSTRACT

There have been an increasing number of reports of intraductal papillary mucinous neoplasms (IPMNs) of the pancreas since its first report by Ohhasi et al. in 1982. Most IPMNs arise from Wirsungs duct or its branches, whereas IPMNs arising from Santorinis duct are rare. Pancreas divisum is a common congenital anatomical anomaly characterized by the lack of fusion of the ventral and dorsal parts of the pancreas during the eighth week of fetal development. Although clinical significance of pancreas divisum has been the subject of debate for many years, there seems to be little doubt that in certain patients there is a causal relation between pancreas divisum and pancreatitis. Also, it is occasionally accompanied by a pancreatic tumor. Herein, we report a case of IPMN arising from Santorinis duct in patient with complete type of pancreas divisum.


Subject(s)
Adenocarcinoma, Mucinous/diagnosis , Carcinoma, Pancreatic Ductal/diagnosis , Carcinoma, Papillary/diagnosis , Pancreatic Ducts/surgery , Pancreatic Neoplasms/diagnosis , Adenocarcinoma, Mucinous/etiology , Aged , Carcinoma, Pancreatic Ductal/etiology , Carcinoma, Papillary/etiology , Cholangiopancreatography, Endoscopic Retrograde , Cholangiopancreatography, Magnetic Resonance , Diagnosis, Differential , Female , Humans , Pancreatic Ducts/abnormalities , Pancreatic Neoplasms/etiology
18.
J Gastroenterol Hepatol ; 23 Suppl 2: S131-9, 2008 Dec.
Article in English | MEDLINE | ID: mdl-19120886

ABSTRACT

BACKGROUND AND AIM: The gastroduodenal ulcer (GDU) mostly develops on the lesser curvature side of stomach and the anterior wall of duodenal bulb, irrespective of the etiologies including Helicobacter pylori infection, non-steroidal anti-inflammatory drugs, alcohol, etc. However, a clear explanation as to why ulcers are prevalent in these areas has still not been given. The current study was designed to evaluate whether the vascular endothelial growth factor (VEGF) polymorphism could predict susceptibility to GDU through deranged angiogenic activities. METHODS: A large scale case-control study based on known single nucleotide polymorphisms (SNP) of VEGF and another case control study based on the novel SNP of VEGF was performed through the SNP-IT assay using the SNP stream 25 k system. A site-directed mutagenesis and functional assay was executed to document the biological effect of a novel VEGF SNP on angiogenesis. RESULTS: Even though the case-control study between non-ulcer dyspepsia (NUD) and gastric ulcer (GU) patients was done in 10 SNP of the VEGF gene including -2488C/T, -634G/C, -7C/T, 3436G/C, 6112C/A, 6894C/T, 9374G/A, 9812C/T, 13128C/T, and 13553C/T, the analysis showed no statistically significant association between NUD and GU. Denaturing high-performance liquid chromatography analysis could identify two novel SNP of the VEGF gene, -1780T/C and IVS-99 G/C, among which -1780T/C showed a very strong association between NUD and GDU, presenting with OR=2.93 on codominant analysis (P<0.001), OR=8.62 on dominant analysis (P<0.001), and OR=3.21 on recessive analysis (P<0.001). The promoter assay using a site-directed mutagenesis and in vitro angiogenesis assay showed repressed transcription of the VEGF gene in gastric epithelial cells and defective tube formation in endothelial cells, both transfected with a plasmid containing -1780C/C mutant of VEGF gene. CONCLUSION: The novel VEGF polymorphism -1780T/C could significantly predict the predisposition to GDU after the exposure to etiologic risks, based on defective angiogenic activity.


Subject(s)
Duodenal Ulcer/genetics , Neovascularization, Physiologic/genetics , Polymorphism, Single Nucleotide , Stomach Ulcer/genetics , Vascular Endothelial Growth Factor A/genetics , Adolescent , Adult , Aged , Aged, 80 and over , Case-Control Studies , Cells, Cultured , Child , Duodenal Ulcer/metabolism , Duodenal Ulcer/physiopathology , Endothelial Cells/metabolism , Female , Genetic Predisposition to Disease , Humans , Male , Middle Aged , Mutagenesis, Site-Directed , Odds Ratio , Promoter Regions, Genetic , Risk Assessment , Risk Factors , Stomach Ulcer/metabolism , Stomach Ulcer/physiopathology , Transcription, Genetic , Transfection , Vascular Endothelial Growth Factor A/metabolism , Young Adult
19.
J Gastroenterol Hepatol ; 23 Suppl 2: S278-85, 2008 Dec.
Article in English | MEDLINE | ID: mdl-19120912

ABSTRACT

BACKGROUND AND AIM: Helicobacter pylori (H. pylori) infection has been known to influence the gastric leptin and ghrelin secretion, for which the exact pathogenic role has not been documented yet. This study was designed to investigate the influence of H. pylori eradication on plasma or gastric levels of ghrelin, body mass index (BMI), and resultant levels of appetite in patients with peptic ulcer disease. METHODS: Twenty-two patients with H. pylori-associated active duodenal or gastric ulcer were treated with 7 weeks of antisecretory medication followed with 7 days of eradication regimen. The plasma and tissue ghrelin levels, tumor necrosis factor-alpha (TNF-alpha) mRNA, BMI, and appetite scale were checked before and after treatment. An additional endoscopic examination was conducted in 10 patients taking both ulcer treatment and H. pylori eradication. RESULTS: Gastric ghrelin mRNA expression was significantly increased after either ulcer healing or H. pylori eradication, whereas gastric TNF-alpha mRNA expression was decreased after ulcer treatment and H. pylori eradication. In parallel with these changes, the visual analog scales for hunger and prospective food consumption were significantly increased after ulcer healing and H. pylori eradication. An increase in BMI was not statistically related to ulcer healing and H. pylori eradication therapy. In the subgroup analysis of 10 patients performed with additional endoscopic examination, ulcer treatment was associated with increased plasma ghrelin level and tissue ghrelin expression irrelevant to H. pylori eradication. CONCLUSION: Restored tissue levels of ghrelin and improved status of appetite was achieved with gastric ulcer healing and H. pylori eradication.


Subject(s)
Anti-Bacterial Agents/therapeutic use , Appetite/drug effects , Body Mass Index , Duodenal Ulcer/drug therapy , Ghrelin/metabolism , Helicobacter Infections/drug therapy , Helicobacter pylori , Proton Pump Inhibitors/therapeutic use , Stomach Ulcer/drug therapy , Stomach/drug effects , Adult , Aged , Drug Therapy, Combination , Duodenal Ulcer/blood , Duodenal Ulcer/microbiology , Duodenal Ulcer/physiopathology , Eating/drug effects , Endoscopy, Gastrointestinal , Female , Gastric Mucosa/metabolism , Ghrelin/blood , Ghrelin/genetics , Helicobacter Infections/blood , Helicobacter Infections/microbiology , Helicobacter Infections/physiopathology , Humans , Male , Middle Aged , RNA, Messenger/metabolism , Stomach Ulcer/blood , Stomach Ulcer/microbiology , Stomach Ulcer/physiopathology , Treatment Outcome , Tumor Necrosis Factor-alpha/metabolism , Wound Healing/drug effects
20.
Korean J Gastroenterol ; 50(3): 188-92, 2007 Sep.
Article in Korean | MEDLINE | ID: mdl-17885285

ABSTRACT

Pneumatosis cystoides intestinalis is an uncommon condition of unknown etiology, characterized by the presence of multiple gas filled cysts in the gastrointestinal tract. Many different causes of pneumatosis cystoides intestinalis have been proposed, including mechanical, pulmonary, and bacterial causes. Approximately 85% of cases are thought to be secondary to coexisting disorders of the gastrointestinal tract or the respiratory system. The condition has been associated with the therapeutic uses of lactulose, steroids, and various cancer chemotherapeutic regimens. Lactitol is a disaccharide analogue of lactulose which is available as a pure crystalline powder. There are three previous case reports suggestive of lactulose causing pneumatosis intestinalis. We report a case of recurrent pneumatosis cystoides intestinalis associated with benign recurrent pneumoperitoneum developed probably secondary to lactitol therapy.


Subject(s)
Pneumatosis Cystoides Intestinalis/diagnosis , Pneumoperitoneum/diagnosis , Adult , Cathartics/adverse effects , Cathartics/therapeutic use , Female , Humans , Pneumatosis Cystoides Intestinalis/diagnostic imaging , Pneumatosis Cystoides Intestinalis/etiology , Pneumoperitoneum/complications , Recurrence , Sugar Alcohols/adverse effects , Sugar Alcohols/therapeutic use , Tomography, X-Ray Computed
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