No abstract available.
Neurofibromatoses* ; Pseudarthrosis* ; Ulna*

In 1906, the human ureteral repair with an isolated segment of ileum was performed by Shoemaker and since 1950, the operation was reported with increasing frequency. At present time, the use of ileum for the replacement of ureter gives the best alternative. Partial or total replacement of the ureter by ileal segment was performed at the Dept. of Urology, St. Mary's hospital in 6 patients from 1971 to 1988. Herein we report our clinical investigation, in which the results were considered to be relatively successful, with brief review of literatures.
Humans ; Ileum* ; Ureter* ; Urology

No abstract available.
Cytomegalovirus Infections* ; Cytomegalovirus*

PURPOSE: The aim of this study is that the prevalence of rotavirus infection was evaluated by each group and clinical features of group A, B and C rotaviruses infections were described respectively to compare one with another. METHODS: Between January 2010 and December 2010, we enrolled a group of children below 10 years of age admitted for management of acute diarrhea at the Catholic University of Korea Bucheon St. Mary's Hospital. A total of 310 stool samples documented to be free of common bacterial pathogens were collected from children with diarrhea. The presence of group A, B or C rotavirus is indicated by amplification of DNA segments of the expected lengths after the first and second PCRs. RESULTS: In a total of 310 stool specimens, 40 (12.9%) specimens were positive for rotaviruses. These included 23 (7.4%) positive for group A, 5 (1.6%) for group B and 12 (3.9%) for group C rotaviruses. Group B rotavirus infected patients had significantly less diarrheas per day (group A: P=0.01, group C: P=0.01) and shorter duration of vomiting days (group A: P=0.03, group C: P=0.03) than those with group A and C rotaviruses infection respectively. All the group B rotaviruses had been isolated in March and October. Group C rotavirus infections were prevalent during late summer and early winter and peaked in October. CONCLUSION: These findings indicate that group B and C rotaviruses are notable causes or the contributing causes of diarrhea among infants and children in Korea.
Child* ; Diarrhea ; DNA ; Gastroenteritis* ; Gyeonggi-do ; Humans ; Infant ; Korea ; Polymerase Chain Reaction ; Prevalence* ; Rotavirus ; Rotavirus Infections ; Vomiting

PURPOSE: A standardized colonoscopy training program surgical residents is still unestablished. The aim of this study was to assess the current status of colonoscopy training for surgical residents and collect the opinions on the direction for future colonoscopy education. METHODS: A questionnaire survey containing 24 items was conducted by sending an email to 310 colorectal surgeons in 84 training hospitals across the country. RESULTS: One hundred fifteen staff surgeons (115 of 310, 37%) of 84 institutions returned fully completed questionnaires. Most surgeons were working at tertiary hospitals with more than 5 years of clinical experience. About half of the responding surgeons answered that they perform colonoscopy in clinical practice and the main purpose of colonoscopy was follow-up after colorectal resection. Only 9 of 84 hospitals (10.7%) had a regular program on colonoscopy training for surgical residents. Most of colonoscopy education was conducted irregularly in a form of staff lecture, conferences or hands-on workshops. According to the future directions, 72 of 115 surgeons (62.6%) answered judging competency in colonoscopy should be needed for professional qualification of the surgeon. About 50 cases of colonoscopy seem appropriate during the 4-year-training of surgical residency, especially during the third- and fourth-year. CONCLUSION: This survey shows colonoscopy education for surgical residents is still insufficient in Korea and that most surgeons feel that regular colonoscopy training is needed during the surgical residency period. There needs to be efforts to standardize the education program as well as various institutional and academic societal supports to achieve this goal.
Colonoscopy* ; Colorectal Surgery ; Congresses as Topic ; Education* ; Electronic Mail ; Follow-Up Studies ; Internship and Residency ; Korea* ; Surgeons ; Tertiary Care Centers

No abstract available.

Contrast angiograplly is a reliable method for obtaing morphologic and hemodynamic informations about the blood vessels. The morbidity assoicated with angiographic procedures includes the possibility of stroke, renal failure, and discomforts from catheter insertion and contrast media injection. A noninvasive alternative angiographic method would be clearly desirable. This article discusses 70 examples of our initial experience with MR angiography (time-of-flight and phase contrast methods). The correlation between MR angiography and contrast angiography was relatively good. Conventional MR neuroangiography was better for the evaluation of collateral circulation than MR angiography. On MR angiography. The over estimation of luminal narrowing resulted from complex flow that occurred normally in carotid bifurcation as well as distal to stenosis. Contrast material was used for better monitoring of the spins of the capillary circulation. Feeding arteries and draining veins of vascular malformations were well delineated only in a large one, but not delineated in a small AVM and in a venous angioma Only six cases of aneurysm were experienced in this study and a aneurysm as small as 4 mm could be shown, The obstructed vessels were well demonstrated on MR angiography. 2-D time-of-flight MR angiography of trans verse sinus thrombosis could confirm the clinical impression by the showing of little now in the transverse sinus. MR angiography of the head and neck offers great promise as a noninvasive and useful means of studying vascular abnormalities and as an alternative means of difficult cases for contrast angiography.
Aneurysm ; Angiography* ; Arteries ; Blood Vessels ; Capillaries ; Catheters ; Collateral Circulation ; Constriction, Pathologic ; Contrast Media ; Head* ; Hemangioma ; Hemodynamics ; Neck* ; Phenobarbital ; Renal Insufficiency ; Sinus Thrombosis, Intracranial ; Stroke ; Vascular Malformations ; Veins

Gastric diverticula have been considered to be rave when compored with diverticula in other sites of the gastrointestinal tract. It's prevalence is 0.043% of routine gastrointestinal radiologic examination by Palmer's extensive review. Gastric diverticula almost always occur as a single lesion and approximately 75% of gastric diverticula occur in the juxtacardiac region, high on the posterior wall of the stomach, about 2 cm below the esophagogastric junction and 3 cm from the lesser curvature. We report a case of 75-year-old male patient with multiple gastric diverlicula which was first encountered by endoscopy and confirmed by upper gastrointestinal radiologic examination.
Aged ; Diverticulum ; Diverticulum, Stomach* ; Endoscopy ; Esophagogastric Junction ; Gastrointestinal Tract ; Humans ; Male ; Prevalence ; Stomach

To delineate the coronary anatomy and left ventricular function during early myocardial infarction, coronary arteriography and left ventriculogrphy were performed, prospectively in 23(22%) of 105 patients who were admitted to the coronary care unit at Masan Koryo Hospital from June 1986 to June 1988 within 4 weeks after the onset of symptoms(medium:21 days, range:18 days to 25 days). 1) Among 23 patients, male is 20 patients and female is 3 patients. The ratio of male to female was 6.6:1. The mean age was 55.4+/-10.3 years(range:34-77 years). 2) Coronary artery narrowing state which related to myocardial infarction was as follows; 2 patients(7%) had normal, 1 patients(4%) had insignificant narrowing(below 50%) 5 patients(22%) had moderate narrowing(50-75%), 10 patients(43%) had severe narrowing(75-99%), 5 patients(22%) had complete occlusion(100%). 3) The range of coronary artery disease was as follows; 9 patients had one vessel disease, 10 patients had two vessel disease, 1 patients had three vessel disease, and ejection fraction had no significant difference among 3 groups but lowest in three vessel disease. Among 23 patients, 13 patients had anterior infarction, 10 patients had inferior infarction. 4) Left ventricular ejection fraction and multiple vessel disease had no significant difference between i) the young(under 45 years old) and the old(over 45 years old) age groups, ii) presence or non presence of previous angina, iii) Killip classification I, II and III, IV) anterior infarction and inferior infarction. 5) In left ventriculography, akinesis and dyskinesis were shown at similar ratio in anterior infarction and inferior infaraction. Dyskinesis was shown in 27% of patients who have 0-1 vessel disease, 50% of patients who have 2-3 vessel disease, 62% of patients who have collateral circulation, 26% of patients who dose not have collateral circulation. 6) Collateral circulation was found in 8 patients(35%). Age and left ventricular ejection fraction were high in patients without collateral circulation than with collateral circulation, but there is no significant difference and collateral circulation exists regardless of infarction site and range of coronary artery disease. 7) As for the complication of angiocardiography in this study, there was ventricular tachycardia in 3 patients(13%) without mortality. It is concluded that coronary arteriography can be safely performed in early stage after acute myocardial infarction. Also good prognosis is anticipated since three vessel disease and complete occlusion were low in acute myocardiaol infarction of Korean People. Since these are not much case performed study, however more study on this area is required.
Angiocardiography ; Angiography* ; Classification ; Collateral Circulation ; Coronary Angiography ; Coronary Artery Disease ; Coronary Care Units ; Coronary Vessels ; Female ; Humans ; Infarction ; Male ; Mortality ; Myocardial Infarction* ; Prognosis ; Prospective Studies ; Stroke Volume ; Tachycardia, Ventricular ; Ventricular Function, Left

No abstract available.
Catheters* ; Dilatation* ; Esophageal Stenosis*