No abstract available.

No abstract available.
Esophagectomy* ; Stomach*

Transhiatal gastric transpositions were performed in two case of long gap esophageal atresia without tracheoesophageal fistula. The patients were a 12 months old female and an 18 months old male. Stamm type gastrostomies were performed at other hospitals in both cases. The stomach was mobilized preserving the right gastric artery, the right gastroepiploic artery and spleen. The proximal and distal esophageal pouches were excised by transcervical and transhiatal route, respectively. The mobilized stomach was pulled up to the neck through esophageal hiatus and posterior mediastinal route. The esophagogastrostomy, the only one anastomosis of this procedure, was performed in the neck. There was no clinical evidence of anastomotic leakage, stricture, regurgitation, difficulty of gastric emptying, hoarseness or respiratory problem. Transhiatal gastric transposition seems to be a safe and easy alternative surgical procedure for esophageal replacement in long gap esophageal atresia.
Anastomotic Leak ; Arteries ; Constriction, Pathologic ; Esophageal Atresia* ; Female ; Gastric Emptying ; Gastroepiploic Artery ; Gastrostomy ; Hoarseness ; Humans ; Infant ; Male ; Neck ; Spleen ; Stomach ; Tracheoesophageal Fistula

No abstract available.
Rectal Neoplasms* ; Recurrence*

PURPOSE: Gastric cancer is the most common cancer in Korea. The principal therapy for this type of cancer is surgical operation along with neoadjuvant or adjuvant therapy. Gastric cancer patients develop disorders such as poor oral intake and indigestion after receiving a gastrectomy. Such patients gradually fall into nutritional disorders. The selection of gastrectomy procedures and anastomosis methods applied differentiate the presence of post-operative complications; and furthermore, whether the application adjuvant chemotherapy causes a difference in the grade of the nutritional disorder. In the past, the survival length was too short after the gastric cancer operation for interest to arise in the post-operative nutritional failure problems. However, current early screening tests have increased the detection rate of early gastric cancers, and the advancements in surgical techniques and immunochemical therapy have lengthened the expected life span long enough to raise the nutritional problems. This aim of this research was to study the changes in the mineral contents before and after a gastrectomy using hair tissues. METHODS: Twenty gastric cancer patients who received operation in Severance Hospital Yonsei University between January and March, 2002, were selected. Hair tissues with a length of 3 cm were collected from the posterior cephalic region before and 3 months after the operation. The collected hair tissues were sent to Tei KOREA CO., LTD. for the levels of 23 different minerals before and after the operation to be examined and measured. RESULTS: The average age was 53.55+/-11.74 years old, and the male and female ratio was 14: 6. Five cases received a total gastrectomy, while the other 15 received a subtotal gastrectomy. Six out of the 20 received post-operative adjuvant chemotherapy. The levels of almost all the minerals were marginally decreased, with the exception of two. The level of sodium had meaningfully decreased while that of molybdenum had increased. CONCLUSION: The mineral contents gradually decreased three month after the gastrectomy has been carried out. The level of sodium significantly decreased, while that of molybdenum increased. Further study and prolonged follow-up observations are essential to detect minerals changes in the evaluation of nutritional changes in those patients having received a gastrectomy.
Chemotherapy, Adjuvant ; Child ; Dyspepsia ; Female ; Follow-Up Studies ; Gastrectomy* ; Hair* ; Humans ; Korea ; Male ; Mass Screening ; Minerals* ; Molybdenum ; Nutrition Disorders ; Sodium ; Stomach Neoplasms* ; Stomach*

PURPOSE: Our objective was to determine the effect of erythromycin (EM) in improving gastrointestinal motility in subtotal gastrectomized patients. We used radio-opaque Kolomarks as an objective method. We conducted a prospective, controlled clinical trial study of 24 patients. METHODS: All patients underwent subtotal gastrectomy with 3 capsules containing Kolomarks (20 markers per 1 capsule) in the remnant stomach before anastomosis. From the day of the operation to the 2nd postoperative day, patients in the EM group began receiving 200 mg of EM intravenously for 30 minutes continuously. We counted the number of Kolomarks in the stomach, passed by stomach, in rectum, and in stool with serial simple abdominal X-ray films on the first postoperative day up to the 7th postoperative day. RESULTS: The study population included 14 patients in the control group and 10 patients in the EM group. The two study groups were compared in terms of their characteristics including age, gender, past medical history, cancer stage, and operation type. No significant differences were found for the demographics between the two groups. We only found a significant difference for the number of Kolomarks passed by the stomach on the 3rd postoperative day (P = 0.026). CONCLUSION: Our results demonstrated that 200 mg of EM intravenous infusion during the postoperative period induced rapid gastric emptying, although it did not improve gastrointestinal motility for the entire gastrointestinal tract in subtotal gastrectomized patients.
Capsules ; Demography ; Erythromycin ; Gastrectomy ; Gastric Emptying ; Gastric Stump ; Gastrointestinal Motility ; Gastrointestinal Tract ; Humans ; Infusions, Intravenous ; Postoperative Period ; Prospective Studies ; Rectum ; Stomach ; X-Ray Film

No abstract available.

No abstract available.

Although the "Duodenogastric reflux" was often developed in normal persons, it was more frequently developed in the majority of patients who had a gallstone disease or malfunctioned gallbladder. The "duodenogastric reflux" induced chronic gastritis, peptic ulcer, and esophagitis causing upper abdominal symptoms. After the cholecystectomy was performed, most patients have no further symptoms but a significant minority of patients still have persistent symptoms. Such symptoms was often explained with the "duodenogastric reflux". We examined the degree of duodenogastric reflux in the patients with gallstones and the changes of the degree of the duodenogastric reflux after the laparoscopic cholecystectomy in these patients. The study population consisted of 9 patients with gallstone disease. The clinical symptoms (upper abdominal pain, bloating, early satiety, nausea, vomiting, heartburn, dysphagia, indigestion, fat intolerance) were graded and all subjects had standard esophageal manometry to identify the location of the lower esophgeal sphincter and the 24 hour gastric pH monitoring to ascertain the duodenogastric reflux at before and 3 months after laparoscopic cholecystectomy. On the results of our study, the severity of clinical symptoms was decreased after operation and the time percentage above pH 7, longest time above pH 7, frequency above pH 7 and frequency persistent 5 min above pH 7 in supine and upright position were not significantly different after operation at statistical analysis. It is revealed that the degree of duodenogastric reflux was not changed on 24 hour gastric pH monitoring. We concluded that laparoscopic cholecystectomy did not affect on the duodenogastric reflux in the patients of gall bladder stone.
Abdominal Pain ; Cholecystectomy ; Cholecystectomy, Laparoscopic* ; Deglutition Disorders ; Duodenogastric Reflux* ; Dyspepsia ; Esophagitis ; Gallbladder ; Gallstones* ; Gastritis ; Heartburn ; Humans ; Hydrogen-Ion Concentration ; Manometry ; Nausea ; Peptic Ulcer ; Urinary Bladder Calculi ; Vomiting

Gastrointestinal involvement has been reported to occur in about 10 to 20% of patients with malignant lymphoma. The most common gastrointestinal site for the lymphoma is the stomach, followed by the small intestine, the ileocecal region and the colon. Esophageal involvement by a malignant lymphoma is unusual, and that by a primary lymphoma is extremely rare. When a lymphoma is found in the esophagus, generally it is a case with contiguous involvement of the gastric fundus or the cervical node, with secondary to mediastinal lymph node compression, or with late manifestation of advanced disease. Such cases cannot be labeled as primary esophageal lymphoma. We describe a case of primary esophageal malignant lymphoma diagnosed by endoscopy and CT scan. It was treated with concurrent chemoradiation, resulting in complete remission; nowever an esophageal stricture developed, so esophageal bougienation was performed several times. An Operation was performed because the esophageal stricture was not improved by endoscopic dilatation.
Colon ; Constriction, Pathologic* ; Dilatation ; Endoscopy ; Esophageal Stenosis ; Esophagus ; Gastric Fundus ; Humans ; Intestine, Small ; Lymph Nodes ; Lymphoma* ; Stomach ; Tomography, X-Ray Computed