The common bile duct and the duct of Wirsung cojoin at the level of the duodenum, forming the major. papilla of Vater. Existence of a double major papilla, i.e., two neighboring independent papillary structure:, is infrequent. In our endoscopy unit we have experienced one case of double papilla of Vater wherein canulation of the common bile duct and pancreatic duct could be accom plished through either orifice independently.
Common Bile Duct ; Duodenum ; Endoscopy ; Pancreatic Ducts

No abstract available.
Amiloride* ; Colon* ; Colonic Neoplasms* ; Humans*

No abstract available.
Biomarkers* ; Carcinoma, Hepatocellular* ; Hepatitis B* ; Hepatitis* ; Humans ; Korea* ; Prevalence*

No abstract available.
Constriction, Pathologic ; Stents

No abstract available.
Oncogene Proteins* ; Oncogenes* ; Teratocarcinoma*

No abstract available.
Papaverine*

No abstract available.
Papaverine*

On 2,372 ophthalmic patients that received ocular examination and treatment by the author's medical service intended for doctor less farming and island villages, analyses were done according to disease entity, age, sex and district. The results were as follows: 1. Of the 2,372 patients, male was 384 (25.4%) and female 1,129 (74.6% and total 1,513 in farming districts, male 356 (41.4%) and female 503 (58.6%) and total 859 in island districts. Female far outnumbered male. 2. The most common ocular disease is pterygium (458 of 1,513, 30.3%) in farming districts and chronic catarrhal conjunctivitis (249 of 859, 29.0%) in island districts. 3. Of the pterygium patients, male was 77 (16.8%) and female 381 (83.2%) of 458 (30.3%) in farming districts, male 37 (30.3%) and female 85 (69.7%) of 122 (14.2%) in island districts. There was predominantly high incidence in farming districts, female and the age groups of the fifth and sixth decade. 4. In the nasolaorimal duct obstruction patients, male was 16(17.2%) and female 77(82.8%) of 93 (6.1%) in farming districts, male 12 (27.3%) and female 32 (72.7%) of 44 (5.l%) in island districts. There was no significant difference of the incidence in both districts, but mostly they were female and the age group from the fifth to seventh decade. 5. Of the cataract patients, male was 20 (24.7%) and female 61 (75.3%) of 81 (5.4%) in farming districts, male 10 (38.5%) and female 16 (61.5%) of 26 (3.0%) in island districts. There showed significant high incidence over age 50. 6. In the glaucoma patients, male was 3 (33.3%) and female 6 (66.7%) of 9 (0.6%) in farming districts, male 2 (40.0%) and female 3 (60.0%) of 5 (0.6%) in island districts. 7. Of the trachoma patients, male was 2 (28.6%) and female 5 (71.4%) of 7 (0.5%) in farming districts, male 24 (42.9%) and female 32 (57.1%) of 56 (6.5%) in island districts. Island districts and female were more predominant. 8. Of the 694 cases that required operation, only 287 (41.4%) received surgical procedures and on concerning to pterygium which was the majority, operations were done in 208 (35.9%) of cases.
Cataract ; Common Cold ; Conjunctivitis ; Female ; Glaucoma ; Humans ; Incidence ; Male ; Pterygium ; Trachoma

The purpose of this study was to investigate the possibility of distraction osteogenesis in membranous onlay bone graft on the mandible and to clarify the histology of bone repair during distraction osteogenesis in the membranous onlay bone in a dog model. Four dogs, 5 months of age at the beginning of the experiment, were used for this study. The zygomatic arch was exposed in the subperiosteal plane and the full-thickness zygomatic arch was harvested to 3 centimeters in length. The lateral surface of the mandibular body was exposed in the subperiosteal plane and the membranous onlay bone graft was performed with firm contact using screws. The osteotomy on the membranous onlay bone graft and underlying mandibular body was carried down week 1 in dog 1, week 2 in dog 2, week 3 in dog 3, and week 4 in dog 4 after membranous onlay bone graft. The external distraction device was applied to the mandibular body. Mandibular distraction was started 7 days after the operation at a rate of 1mm per day for a total of 10 mm distraction over 10 days. After completion of distraction, the distraction device was left in place for 6 weeks bony consolidation of the distracted area. Radiographs were carried out at 2 weeks, 4 weeks and 6 weeks after distraction. New bone between the native underlying mandibular segments was generated in the distracted zone in all dogs. The new bone between the native underlying mandibular segments was generated in the distracted zone in all dogs. The new bone between segments of membranous onlay bone graft was not generated in dog 1, but it was generated in dogs 2, 3 and 4. However, in dog 2 and 3, the new bone between segments of the distracted membranous onlay bone graft presented less firmness with fibrous tissue than that of the native underlying mandibular segment. Histologically, the distracted gap between segments of the membranous onlay bone graft was composed of much fibrous tissue in the central zone while activated osteoblastic cells formed new bone in the margins of the distracted gap in dogs 2 and 3. In dog 4, there were abundant osteoblastic activities in the distracted gap and the new bone appeared as nearly-normal cortical bone. In conclusion, these findings suggested that membranous onlay bone graft had an osteogenic capacity and that distraction osteogenesis was possible in membranous onlay bone graft.
Animals ; Dogs* ; Inlays* ; Mandible ; Osteoblasts ; Osteogenesis, Distraction* ; Osteotomy ; Transplants* ; Zygoma

Although many invasive studies in the biliary tract disase are replaced by noninvasive techniques such asultrasonography and CT, PTC does still play an important role indiagnosis of obstructive jaundice. Authors hadperformed 42 patients of PTC with Chiba needle at the department of radiology, Han Gang Sacred Heart Hospital for4 years from Jan. 1978 to April 1982. And we reviewed literatures. The results were as follows; 1. Forty twopatients of PTC were 22 males and 20 females. The success rate was 90.5%(38/42). The failed 4 cases of PTC werenonobstructive hepatobiliary diseases. 2. The PTC diagnosis of 38 cases were biliary stone (21 cases),cholangiocarcinoma(7 cases), pancreatic carcinoma (2 cases), hepatoma (2 cases), ascariasis(2 cases), andclonorchiasis(1 case), and the remainders were normal. 3. We made 2 cases of misdiagnosis on the basis of PTCfindings. They were one case of distal CBD stone with severe cholangitis diagnosed as ampullary carcioma andanother case of proximal CBD stone with cholangitis diagnosed as pancreas carcinoma. 4. We experienced 2 cases ofcomplication such as sepsis and severe hypotension, but they were recovered.
Biliary Tract ; Carcinoma, Hepatocellular ; Cholangiography ; Cholangitis ; Diagnosis ; Diagnostic Errors ; Female ; Heart ; Humans ; Hypotension ; Jaundice, Obstructive ; Male ; Needles ; Pancreas ; Sepsis