1.Fourth and Fifth Metacarpal Base Arthrodesis for Posttraumatic Arthritis of Fifth Carpometacarpal Joint.
Chul Hyung KANG ; Eun Sok SON ; Chul Hyun CHO
Journal of the Korean Society for Surgery of the Hand 2013;18(4):184-188
Posttraumatic arthritis of the fifth carpometacarpal joint occurs as a sequelae of intraarticular comminuted fracture or missed and untreated fracture. If it is inappropriately managed, persistent pain and functional disability of the hand can occur. Arthrodesis, resection arthroplasty, or interposition arthroplasty has been reported as the treatment for the arthritis. However, outcome studies for operative treatment of the fifth carpometacarpal arthritis have been rarely reported. We report a case of the fifth carpometacarpal arthritis occurred after missed fracture, which was successfully treated with fourth, fifth metacarpal base arthrodesis.
Arthritis*
;
Arthrodesis*
;
Arthroplasty
;
Carpometacarpal Joints*
;
Fractures, Comminuted
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Hand
;
Outcome Assessment (Health Care)
2.A Case of Acute Phlegmonous Gastritis Diagnosed with Endoscopic Submucosal Biopsy and Bacterial Culture and Improved by Antibiotics Treatment.
Mi Ae SONG ; Jae Hyuck CHANG ; Mo Eun JUNG ; Sang Won SON ; Tae Ho KIM ; Chang Whan KIM ; Sok Won HAN
The Korean Journal of Helicobacter and Upper Gastrointestinal Research 2013;13(3):202-206
Phlegmonous gastritis is a rare disease of acute suppurative inflammation in the stomach wall. It is rapidly progressive and potentially fatal. Its mortality rate remains very high because the clinical diagnosis is often delayed. Many patients with phlegmonous gastritis undergo surgery. We present the case of 63-year-old woman with epigastric pain, fever, nausea and vomiting. The presumed diagnosis of acute phlegmonous gastritis was made by esophagogastroduodenoscopy, abdominal computed tomography, endoscopic ultrasonography and deep submucosal biopsy assisted with hook knife. Acinetobacter baumannii was cultured in the aspiration from the stomach. We treated the patient with antibiotics alone. Early recognition of phlegmonous gastritis by endoscopic biopsies and bacteriological study may improve the prognosis of these patient.
Acinetobacter baumannii
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Anti-Bacterial Agents
;
Biopsy
;
Biopsy, Needle
;
Cellulitis
;
Endoscopy, Digestive System
;
Endosonography
;
Female
;
Fever
;
Gastritis
;
Humans
;
Inflammation
;
Middle Aged
;
Nausea
;
Prognosis
;
Rare Diseases
;
Stomach
;
Vomiting
3.The effect of ipriflavone on postmenopausal osteoporosis.
Young Joon WEON ; Yoon Sok CHUNG ; Ki Young HONG ; Yoo Kyoung PARK ; Hee Son KIM ; Jong Ho LEE ; Eun Jig LEE ; Sung Kil LIM ; Kyung Rae KIM ; Hyun Chul LEE ; Kap Bum HUH
Journal of Korean Society of Endocrinology 1993;8(3):259-264
No abstract available.
Female
;
Humans
;
Osteoporosis, Postmenopausal*
4.A Case of Pneumatosis Cystoides Intestinalis: Diagnosed by CT Colonoscopy.
Joo Ho HAM ; Tae Ho KIM ; Sok Won HAN ; Keun Jong CHO ; Son Ook CHOI ; Jung Sun PACK ; Seong Eun YANG ; Sang Hee KIM ; Seung Ah YANG ; Yune Jeong LEE ; Eun Sook KIM ; Chang Whan KIM
The Korean Journal of Gastroenterology 2007;50(5):334-339
Pneumatosis cystoides intestinalis (PCI) is a rare condition characterized by multiple gas filled cysts in the intestinal wall. The diagnosis of PCI is usually made by colonoscopy, histology, or radiologic findings. We report a case of PCI in a 35-year-old man. The patient initially complained of watery diarrhea and abdominal bloating for 2 weeks. Simple abdominal X-ray demonstrated numerous, small, round, air densities on the right upper abdomen along the ascending and proximal transverse colon. Colonoscopy revealed numerous, 5-20 mm sized, sessile polypoid, balloon-like distended, protruding subepithelial masses covered with normal colonic mucosa from cecum to proximal transverse colon. We performed a CT colonoscopy and confirmed PCI with multiple air-filled cystic masses along the colonic wall from cecum to proximal transverse colon. The patient was treated with antibiotics and oxygen inhalation for 2 weeks. Follow-up CT colonoscopy revealed marked regression in the number and size of the air-filled cystic masses. Herein, we report the first case of the PCI in Korea diagnosed by CT colonoscopy. Follow-up evaluation with CT colonoscopy was performed after the treatment of the PCI. CT colonoscopy is a useful non-invasive diagnostic tool for the diagnosis of pneumatosis cystoides intestinalis.
Adult
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Colonic Diseases/pathology/radiography
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*Colonography, Computed Tomographic
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Humans
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Intestinal Mucosa/pathology
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Male
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Pneumatosis Cystoides Intestinalis/*pathology/radiography
5.Two Cases of Colon Adenocarcinoma Transformed from Colonic Adenoma.
Dong Kyun SON ; Hiun Suk CHAE ; Won Hee HAN ; Je Hyun SHIN ; Sung Soo KIM ; Sok Won HAN ; Kang Moon LEE ; Man Won PARK ; Chang Don LEE ; Kyu Yong CHOI ; In Sik CHUNG ; Hee Sik SUN ; Chang Hyeok AHN ; Eun Jung LEE
Korean Journal of Gastrointestinal Endoscopy 2001;22(6):444-448
The prevalence of colorectal cancer is increasing now in Korea and the principal strategy of its management is early detection and surgical resection. Current discussion of the topic of colorectal polyps and cancer is largely based on the concept of the adenoma-carcinoma sequence, which is thought to be the most probable pathogenesis for colorectal cancer. But the case reports about colonic adenocarcinoma arising from adenoma in clinical practice between short interval are rare in Korea. We experienced two cases of colon cancer, which were transformed from small adenoma can not be removed because of patients' refusal, 3 years ago. So we present these cases with a review of relevant literatures.
Adenocarcinoma*
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Adenoma*
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Colon*
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Colonic Neoplasms
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Colorectal Neoplasms
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Disulfiram
;
Korea
;
Polyps
;
Prevalence
6.Comparison of the 13C-urea breath test and the endoscopic phenol red mucosal pH test in the quantification of Helicobacter pylori infection loading.
Young Seok CHO ; Hiun Suk CHAE ; Se Na JANG ; Jin Soo KIM ; Hye Suk SON ; Hyung Keun KIM ; Byung Wook KIM ; Sok Won HAN ; Kyu Yong CHOI ; Hae Kyung LEE ; Eun Deok CHANG
The Korean Journal of Internal Medicine 2008;23(3):134-139
BACKGROUND/AIMS: The 13C-urea breath test (UBT) is a semiquantitative test for measuring Helicobacter pylori infection loading. H. pylori produces ammonia, which elevates the pH of the gastric mucosa and is detectable via endoscopy using a phenol red indicator. We evaluated whether this test could be used to diagnose H. pylori infection and whether phenol red staining was correlated with 13C-UBT results. METHODS: One hundred and twenty-three patients participated. The UBT was performed after ingestion of a capsule containing urea. A change in 13C-UBT >2 ppt was selected as the cutoff value for diagnosing infection. After spraying evenly with a 0.1% phenol red solution, the pH of the gastric mucosal surface was measured using an antimony electrode through the biopsy channel. RESULTS: The pH of stained mucosa (6.9+/-0.4) was significantly higher than that of unstained mucosa (1.9+/-0.8; p<0.001), and the H. pylori detection rate confirmed via histology was higher in stained versus unstained mucosa (p<0.01). Extensive mucosal staining resulted in a higher detection rate (p<0.001). The UBT produced results were very similar to those obtained via histological detection in stained mucosa (p<0.001). The extent of staining, expressed as a staining score, was positively correlated with the change in 13C-UBT (r=0.426, p<0.001). A significant correlation was also observed between the histologically determined H. pylori density and 13C-UBT results (r=0.674, p<0.001). CONCLUSIONS: H. pylori infection elevates gastric mucosal surface pH, and endoscopic phenol red staining may be an alternative method for the diagnosis of H. pylori infection.
Adult
;
Aged
;
Breath Tests
;
Clinical Enzyme Tests
;
*Endoscopy, Gastrointestinal
;
*Esophageal pH Monitoring
;
Female
;
Gastric Mucosa/pathology
;
Helicobacter Infections/*diagnosis
;
Helicobacter pylori/*isolation & purification
;
Humans
;
Male
;
Middle Aged
;
Phenolsulfonphthalein/*diagnostic use
;
Urease/*diagnostic use