5.Changes in Electrogastrographic Findings and Gastric Fullness in Patients with Acute Hepatitis.
Kyu Chan HUH ; Tae Hee LEE ; Young Woo KANG ; Soong Kuk PARK
Korean Journal of Gastrointestinal Motility 2002;8(2):153-159
BACKGROUND/AIMS: The common complaints of the acute hepatitis patients studied involved upper gastrointestinal symptoms resembling those of dysmotility. The aim of this study was to evaluate the changes in the electrogastrographic findings and gastric fullness before and after feeding rice soup to patients with acute hepatitis. METHODS: The study was performed on 30 patients with acute hepatitis and 41 in a normal control group. Abdominal surface electrogastrography was applied for 30 minutes under a fasting state and 30 minutes after feeding. RESULTS: Patients with acute hepatitis showed a higher level of gastric fullness in both the fasting and postprandial state in comparison to the control group. Significant differences were found in a percentage of postprandial 3 cpm and fasting, and fed tachygastria between the two groups. The percentage of 3 cpm slow wave (unclear) increased by the same amount as the control group after eating. There was no significant difference between the two groups in the power ratio. CONCLUSION: Upper gastrointestinal symptoms of acute hepatitis did not appear to be related to the change in gastric myoeletrical activity. Other factors including neurological, endocrinological, and emotional should be evaluated.
Eating
;
Fasting
;
Hepatitis*
;
Humans
6.Changes in Electrogastrographic Findings and Gastric Fullness in Patients with Acute Hepatitis.
Kyu Chan HUH ; Tae Hee LEE ; Young Woo KANG ; Soong Kuk PARK
Korean Journal of Gastrointestinal Motility 2002;8(2):153-159
BACKGROUND/AIMS: The common complaints of the acute hepatitis patients studied involved upper gastrointestinal symptoms resembling those of dysmotility. The aim of this study was to evaluate the changes in the electrogastrographic findings and gastric fullness before and after feeding rice soup to patients with acute hepatitis. METHODS: The study was performed on 30 patients with acute hepatitis and 41 in a normal control group. Abdominal surface electrogastrography was applied for 30 minutes under a fasting state and 30 minutes after feeding. RESULTS: Patients with acute hepatitis showed a higher level of gastric fullness in both the fasting and postprandial state in comparison to the control group. Significant differences were found in a percentage of postprandial 3 cpm and fasting, and fed tachygastria between the two groups. The percentage of 3 cpm slow wave (unclear) increased by the same amount as the control group after eating. There was no significant difference between the two groups in the power ratio. CONCLUSION: Upper gastrointestinal symptoms of acute hepatitis did not appear to be related to the change in gastric myoeletrical activity. Other factors including neurological, endocrinological, and emotional should be evaluated.
Eating
;
Fasting
;
Hepatitis*
;
Humans
7.En-Bloc Resection of Extended Total Gastrectomy VS. Total Gastrectomy for Proximal Gastric Cancer.
Chan Jae PARK ; Seong Ryul RYU ; Tae Soo CHANG
Journal of the Korean Surgical Society 1997;53(1):31-35
It is very important to select the appropriate operative method in cancer surgery. For proximal gastric cancer, a total gastrectomy (TG) has usually had less morbidity and mortality than an extended total gastrectomy (ETG). To compare and evaluate the results of a TG with those of an ETG, the authors analyzed 50 cases treated by a TG and 50 cases treated by an ETG during the last 12 years. The results were as follows: The post operative complication rates were 34% for a TG and 54% for an ETG, the average operation time was 3 hours 53 minutes for a TG and 3 hours 42 minutes for an ETG, the postoperative fasting period was 7.1 days for a TG and 6.5 days for an ETG, and the mean length of hospital stay was 21.4 days for a TG and 22.6 days for an ETG. the ETG had a higher complication rate than the TG, but there was no statistical difference between the operation times, the postoperative fasting periods, and the length of stay in the hospital. from our experience, it is suggested that the ETG is easier, or almost the same, to carry out than the TG procedure. Therefore, we recommend an ETG for proximal gastric cancer to achieve better curative results.
Fasting
;
Gastrectomy*
;
Length of Stay
;
Mortality
;
Stomach Neoplasms*
8.Study of insulin resistance in hypertensive patients with impaired fasting glucose \r\n', u'\r\n', u'
Toan Canh Nguyen ; Thai Quoc Ngo ; Hieu Trung Luong ; Khoa Tran Anh Pham ; Son Van Nguyen ; Cong Duc Nguyen
Journal of Medical and Pharmaceutical Information 2005;0(12):22-24
Background: Hypertensive with impaired fasting glucose is the basic expression of metabolic syndrome. Objectives: To study the IR and the correlation between Fasting Plasma Insulin (FPI) and Fasting Plasma Glucose (FPG) concentration in hypertensive patients with Impaired Fasting Glucose (IFG). Subjects and method: The descriptive, cross-sectional study was carried out on 38 hypertensive patients with IFG (IFG group) and 30 hypertensive patients without IFG (control group). The data were collected and analyzed by SPSS 11.5 software. Results:The FPI and IR index in the IFG group were 14.6+/-5.2 micro mol/ml and 3. 94+/- l.40, respectively, higher than in the control group (9.6+/-4.2 micro mol/ml and 2.17+/-0.99/ respectively) with p<0.00l. There was a positive correlation between FPI and FPG systolic blood and diastolic blood pressure/ with correlation coefficients were 0.4/ 0.48 and 0.46/ respectively (p<0.00l). Conclusion: There was an increase of FPI and IR index in the hypertensive patients with IFG compared to those without IFG. \r\n', u'\r\n', u'
Insulin resistance
;
hypertensive patients
;
impaired fasting glucose.
9.Comparison of Barium Reduction and Pneumatic Reduction of Intussusception in Children: A Surgeon's View.
Ki Seog LEE ; Young Up CHO ; Kyung Rae KIM
Journal of the Korean Surgical Society 2000;59(4):526-531
PURPOSE: Pneumatic reduction has rapidly replaced traditional barium reduction owing to its potential advantages, such as higher reduction rate and greater safety; however, the effects on surgery after reduction failure have not been studied. In this study, we evaluated the influences of attempted barium and pneumatic reductions on subsequent surgical procedures. METHODS: One hundred and sixty-one barium reductions were performed on 158 patients while 153 pneumatic reductions were performed on 145 patients. Statistical comparisons of these two reduction methods were made regarding the following variables: the reduction rates, frequencies of bowel perforations and recurrences, mean operation times, fasting periods, and durations of admission. RESULTS: The reduction rates were similar for both groups with barium reduction being successful in 67.1% of the cases (108/161) and pneumatic reduction in 69.3% (106/153). Two cases of bowel perforation occurred during the pneumatic reductions, none were noted during the barium reductions. Recurrence of intussusception was noted in three cases initially reduced with barium and in nine cases reduced pneumatically. The mean operation time (130.7 minutes vs. 81.7 minutes), postoperative fasting time (61.6 hours vs. 37.6 hours), and duration of admission (6.7 days vs. 5.4 days) were significantly prolonged in the pneumatic reduction group. CONCLUSION: A part from a comparable reduction rate pneumatic reduction demonstrated no favorable outcome relative to barium reduction. Furthermore, it resulted in some obstacles to surgery and recovery, such as prolonged operation time, fasting period, and duration of admission.
Barium*
;
Child*
;
Fasting
;
Humans
;
Intussusception*
;
Recurrence
10.Preoperative Oral Carbohydrate Loading in Pancreaticoduodenectomy.
Kum Hee SON ; So Young KIM ; Yeong Ah CHO ; Gyung Ah WIE ; Sung Sik HAN ; Sang Jae PARK
Clinical Nutrition Research 2016;5(3):213-218
Overnight fasting before elective surgery has been the routine to reduce the risk of pulmonary aspiration. Recently, several international guidelines for preoperative fasting recommend to intake carbohydrate-containing fluids up to 2 to 3 hours before the induction of anesthesia to improve postoperative recovery. Based on the recommendations, we developed a "preoperative carbohydrate diet" provided for the preoperative patients. The purpose of this case report is to share our experience of applying preoperative carbohydrate loading prior to surgery.
Anesthesia
;
Fasting
;
Humans
;
Insulin Resistance
;
Pancreaticoduodenectomy*