1.Investigation of Factors Affecting Clinical Outcomes after Stent Placement in Malignant Obstruction of the Esophagus or the Gastric Cardia.
Gut and Liver 2017;11(1):1-2
No abstract available.
Cardia*
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Esophagus*
;
Stents*
2.Surgical treatment of adenocarcinoma of the cardia and proximal third of the stomach.
Kap Tae KIM ; Bong Ok YOO ; Eul Sam CHUNG
Journal of the Korean Cancer Association 1992;24(6):860-870
No abstract available.
Adenocarcinoma*
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Cardia*
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Stomach*
3.Breaking of esophage, abdomen, swelling of cardia and breaking of the liver as combined trauma
Journal of Practical Medicine 2003;454(6):10-12
Breaking in the site of connection of esophage and cardia is a rare condition in the close abdomen trauma with a high mortality. Its cause is usually a sudden rise of pressure in the abdomen cavity or an error in operation. Early diagnosis is most importance. Tomography is helpful to diagnose the emphysema in the chest in abdomen surgery is an approach od choise
Wounds and Injuries
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Liver
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Abdomen
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Cardia
4.Factors Associated with Operation Time of Laparoscopic Wedge Resection for Gastric Submucosal Tumors.
Kyu Sung CHOI ; Gui Ae JEONG ; Gyu Seok CHO ; Kil Ho KANG ; Yong Jin KIM ; Moon Su LEE ; Hyung Chul KIM ; Ok Pyung SONG
Journal of the Korean Society of Endoscopic & Laparoscopic Surgeons 2009;12(1):14-20
PURPOSE: Laparoscopic gastric wedge resection (LWR) is being increasingly performed as a safe and effective treatment for gastric submucosal tumors (SMTs). However, there are few studies on the factors associated with operation time of LWR for gastric SMTs. The purpose of this study was to determine the factors associated with the operation time of LWR for gastric SMTs. METHODS: Between June 2001 and December 2008, 58 patients with gastric SMTs underwent LWR. We analyzed the clinicopathologic data, perioperative parameters and outcomes, and surgeon's experience retrospectively. We also analyzed the factors associated with the operation time of LWR for gastric SMTs. RESULTS: Among 58 patients that underwent LWR, exogastric wedge resection (n=48) was mainly performed. Transgastric wedge resection (n=8) took the longest amount of time. Intraoperative GFS (n=7) was frequently performed for smaller tumors. When the tumor was located at the cardia and fundus, more time was needed for LWR of the SMTs. There was no correlation of the operation time with the clinicopathologic data and surgeon's experience; however, the tumor location (axis) and the approach used for the resection of the stomach were statistically correlated with the operation time. CONCLUSION: The operation time of LWR for gastric SMTs was related to the tumor location (according to gastric axis) and the approach used for the resection of the stomach. If the tumor location was identified precisely and the proper approach for resection of the stomach was determined preoperatively, the operation time of LWR for gastric SMTs might be reduced.
Cardia
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Humans
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Retrospective Studies
;
Stomach
6.Clicical Evaluation of a Novel Method for Endoscopic Removal of an EsophaCoil TM Stent which Migrated into the Stomach and Rectum.
Chan Sup SHIM ; Moon Sung LEE ; Joo Young CHO ; Young Deok CHO ; Jin Oh KIM
Korean Journal of Gastrointestinal Endoscopy 1999;19(4):531-536
BACKGROUND AND AIMS: The coiled stent is designed to allow removal in the event that stent malposition or migration occurs in patients with an inoperable malignant esophageal obstruction. There is limited published material on the EsophaCoilTM, especially with regard to its removability. A novel method for endoscopic removal of migrated EsophaCoilTM prosthesis is herein described. METHODS: Seven instances of migration occurred in 19 patients who had undergone coiled stent placement for carcinoma of the distal esophagus or gastric cardia. The stents had migrated into the stomach in 6 cases and the stent was at the rectosigmoid junction in 1 patient. The migrated stents were removed endoscopically using a conventional method in 3 cases, and the Song's stent introducer with a metal tip and overtube under fluoroscopic guidance, in the remaining 4 patients. RESULTS: Using the new endoscopic removal technique, migrated stents were successfully removed in 4 patients after conventional methods failed. There were no complications. CONCLUSIONS: An EsophaCoilTM stent, migrating into the stomach or rectum, could be removed easily by this new method using the overtube and Song's stent introducer.
Cardia
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Esophagus
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Humans
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Prostheses and Implants
;
Rectum*
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Stents*
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Stomach*
7.Clinical Correlation between Gastric Cancer Type and Serum Selenium and Zinc Levels.
Jae Hyo JI ; Dong Gue SHIN ; Yujin KWON ; Dong Hui CHO ; Kyung Bok LEE ; Sang Soo PARK ; Jin YOON
Journal of Gastric Cancer 2012;12(4):217-222
PURPOSE: We conducted this study to study the clinical correlation between the characteristics of gastric cancer and serum selenium and zinc levels. MATERIALS AND METHODS: The following data were measured in the baseline serum selenium and zinc levels of 74 patients with curative gastrectomy subsequent to confirmed gastric cancer, from March 2005 to August 2012. RESULTS: Among the 74 gastric cancer patients, 53 patients were male. Mean serum selenium and zinc levels were 118.7+/-33.1 ug/L and 72.2+/-24.3 ug/dl, respectively. Seven patients (9.5%) showed lower selenium level, and 33 patients (44.6%) showed lower zinc level. Serum Selenium level was 99.1+/-31.8 ug/L in cardia cancer group (10 cases) and 121.8+/-32.4 ug/L in non-cardia cancer group (64 cases)(P=0.044). According to tumor gross type, zinc level was 78.7+/-29.6 ug/dl in early gastric cancer (33) and 66.9+/-17.8 ug/dl in advanced gastric cancer (41) (P=0.064). CONCLUSIONS: The serum selenium level was highly correlated with the location of gastric cancer. The serum zinc level was lower in advanced gastric cancer.
Cardia
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Gastrectomy
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Humans
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Male
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Selenium
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Stomach Neoplasms
;
Zinc
8.Clinical Correlation between Gastric Cancer Type and Serum Selenium and Zinc Levels.
Jae Hyo JI ; Dong Gue SHIN ; Yujin KWON ; Dong Hui CHO ; Kyung Bok LEE ; Sang Soo PARK ; Jin YOON
Journal of Gastric Cancer 2012;12(4):217-222
PURPOSE: We conducted this study to study the clinical correlation between the characteristics of gastric cancer and serum selenium and zinc levels. MATERIALS AND METHODS: The following data were measured in the baseline serum selenium and zinc levels of 74 patients with curative gastrectomy subsequent to confirmed gastric cancer, from March 2005 to August 2012. RESULTS: Among the 74 gastric cancer patients, 53 patients were male. Mean serum selenium and zinc levels were 118.7+/-33.1 ug/L and 72.2+/-24.3 ug/dl, respectively. Seven patients (9.5%) showed lower selenium level, and 33 patients (44.6%) showed lower zinc level. Serum Selenium level was 99.1+/-31.8 ug/L in cardia cancer group (10 cases) and 121.8+/-32.4 ug/L in non-cardia cancer group (64 cases)(P=0.044). According to tumor gross type, zinc level was 78.7+/-29.6 ug/dl in early gastric cancer (33) and 66.9+/-17.8 ug/dl in advanced gastric cancer (41) (P=0.064). CONCLUSIONS: The serum selenium level was highly correlated with the location of gastric cancer. The serum zinc level was lower in advanced gastric cancer.
Cardia
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Gastrectomy
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Humans
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Male
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Selenium
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Stomach Neoplasms
;
Zinc
9.Stretching Causes Extensive Changes of Gastric Submucosa: Is It Acceptable to Define 500 micrometer as the Safe Margin?.
Sanghoon PARK ; Hoon Jai CHUN ; Yong Dae KWON ; Bora KEUM ; Yeon Seok SEO ; Yong Sik KIM ; Yoon Tae JEEN ; Soon Ho UM ; Chang Duck KIM ; Ho Sang RYU ; Ji Hye LEE ; Yang seok CHAE
Gut and Liver 2008;2(3):199-204
BACKGROUND/AIMS: Endoscopic mucosal resection can cure early gastric cancer. The risk of lymphatic metastasis is related to the depth of submucosal invasion by the mucosal malignancy, with a resection depth of 500 micrometer generally accepted as a safe cut-off. However, excessive thinning induced by stretching of the resected tissue sometimes preventing a precise diagnosis. We studied the effects of stretching on different layers and sites of gastric tissue. METHODS: Porcine stomachs were cut into 2.0x2.0 cm pieces, and pieces from body were stretched to 2.5, 3.0, and 3.5 cm. Pieces from the cardia, body, and antrum were also stretched to 3.0 cm. The thickness of each layer was measured and analyzed statistically. RESULTS: Whole gastric wall and submucosal layers showed gradual thinning, with stretching to 3.5 cm tearing the tissues and resulting in imperfect extension. The submucosa was thinner in body tissue than in cardia and antrum tissues. Stretching to 3.0 cm induced a consistent decrease in submucosal thickness (30-70%). The change in thickness varied widely between individual samples. CONCLUSIONS: A resection margin of 500 micrometer might be insufficient for the complete removal of malignancy. Moreover, the thickness of the submucosal layer differs with the gastric site and between individuals. Future studies are needed to confirm the findings in human tissue.
Cardia
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Gastric Mucosa
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Gastroscopy
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Humans
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Lymphatic Metastasis
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Stomach
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Stomach Neoplasms
10.Endoscopic Hemoclipping Using a Transparent Cap in Technically Difficult Cases.
Jin Il KIM ; Yong Jick SUNG ; Kyo Young CHOO ; Sung Soo KIM ; Choon Sang BHANG ; Soo Heon PARK ; Joon Youl HAN ; Jae Kwang KIM ; Sok Won HAN ; In Sik CHUNG ; Kyu Won CHUNG ; Hee Sik SUN
Korean Journal of Gastrointestinal Endoscopy 2001;23(4):201-206
BACKGROUND/AIMS: There was some technical difficulty in applying the hemoclip on the posterior wall of the body, cardia of the stomach and posterior wall of duodenum because the angle of approach was tangential. Use of transparent cap on the tip of the endoscope could reduce some of these problems. The purpose of this study was to examine the efficacy of endoscopic hemoclipping using a transparent cap. METHODS: From August 1997 to July 2000, 74 patients with bleeding peptic ulcer and stigmata of recent hemorrhage were treated with endoscopic hemoclipping. There was technical difficulty in applying the hemoclip in 18 patients and the transparent cap was used. RESULTS: There was no statistically significant difference between the patients treated with cap and the patients treated without cap in initial hemostasis rate (91.1% vs 94.4%), rebleeding rate (11.8% vs 11.7%), and permanent hemostasis rate (92.9% vs 94.4%). CONCLUSIONS: Use of transparent cap on the tip of the endoscope was an efficient method when the angle of approach was tangential.
Cardia
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Christianity
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Duodenum
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Endoscopes
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Hemorrhage
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Hemostasis
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Humans
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Peptic Ulcer
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Stomach