1.Outcome of total proctocolectomy with ileal pouch-anal anastomosis for ulcerative colitis.
Wontae CHO ; Yong Beom CHO ; Jin Yong KIM ; Dong Kyung CHANG ; Young Ho KIM ; Hee Cheol KIM ; Seong Hyeon YUN ; Woo Yong LEE ; Ho Kyung CHUN
Journal of the Korean Surgical Society 2012;83(3):135-140
PURPOSE: We evaluated the risk factors for late complications and functional outcome after total proctocolectomy (TPC) with ileal pouch-anal anastomosis (IPAA) for ulcerative colitis (UC). METHODS: Pre- and postoperative clinical status and follow-up data were obtained for 55 patients who underwent TPC with IPAA between 1999 and 2010. The median follow-up duration was 4.17 years. Late complications were defined as those that appeared at least one month after surgery. For a functional assessment, telephone interviews were conducted using the Global Assessment of Functioning Scale. Twenty-eight patients completed the interview. RESULTS: Late complications were found in 20 cases (36.3%), comprising pouchitis (n = 8), bowel obstruction (n = 5), ileitis (n = 3), pouch associated fistula (n = 2), and intra-abdominal infection (n = 2). The preoperative serum albumin level for patients with late complications was lower than for patients without (2.4 +/- 0.5 vs. 2.9 +/- 0.7, P = 0.04). Functional outcomes were not significantly associated with clinical characteristics, follow-up duration, operation indication, or late complications. CONCLUSION: This study demonstrated that a low preoperative albumin level could be a risk factor for late complications of TPC with IPAA. Preoperative nutritional support, especially albumin, could reduce late complications. Functional outcomes are not related to late complications.
Colitis, Ulcerative
;
Fistula
;
Follow-Up Studies
;
Humans
;
Ileitis
;
Interviews as Topic
;
Intraabdominal Infections
;
Nutritional Support
;
Pouchitis
;
Risk Factors
;
Serum Albumin
;
Ulcer
2.A Case of Behcet's Disease Presenting with Aneurysm of Abdominal Aorta and Hemorrhagic Ulcerative Lesion of Terminal Ileum.
Hyun Min CHOI ; Woo Jae KIM ; Ji Yean KO ; Byung Su YOO ; Hyo Youl KIM ; Joong Hwan OH ; Ik Yong KIM ; Tae Hun KIM ; Kwang Hwa PARK ; Junghan YOON
Korean Circulation Journal 2001;31(10):1066-1070
Behcet's disease is a disorder of a multisystemic involvement with unknown etiology. Involvement of the cardiovascular system and intestinal tract are rare, but serious complications. We present a case with Behcet's disease demonstrating aneurysm of the abdominal aorta as well as hemorrhagic ileal ulcerative lesions and requiring surgical treatment.
Aneurysm*
;
Aorta, Abdominal*
;
Aortic Aneurysm
;
Behcet Syndrome
;
Cardiovascular System
;
Ileitis
;
Ileum*
;
Ulcer*
3.Crohn's disease: a case report.
Kyung Ja CHO ; Yeon Lim SUH ; Chul Woo KIM ; Je G CHI
Journal of Korean Medical Science 1987;2(2):133-136
A case of rather typical Crohn's disease in a 10 year old girl is described. She had suffered from intractable abdominal pain, diarrhea and fever for 1 year. Eventual right hemicolectomy revealed diffuse involvement of terminal ileum, cecum and ascending colon by confluent ulcerations and transmural inflammation. Histologically there were numerous well developed non-caseating granulomas scattered transmurally and in regional lymph nodes. Deep penetrating ulcerations were characteristic. Acid fast staining failed to demonstrate any organism. The rarity of Crohn's disease in Korea and this occurrence in pediatric age prompted this report.
Child
;
Colitis/pathology
;
Crohn Disease/diagnosis/*pathology
;
Diagnosis, Differential
;
Female
;
Granuloma/pathology
;
Humans
;
Ileitis/pathology
;
Intestines/pathology
4.Efficacy of a commercial live attenuated Lawsonia intracellularis vaccine in a large scale field trial in Korea.
Sangshin PARK ; Joong Bok LEE ; Kyung Jin KIM ; Yu Sik OH ; Man Ok KIM ; Yu Ri OH ; Min A HWANG ; Jung Ah LEE ; Sang Won LEE
Clinical and Experimental Vaccine Research 2013;2(2):135-139
PURPOSE: Porcine proliferative enteropathy (PPE) is known as one of the most important risk factors causing economic losses in swine industry worldwide. This study was conducted to evaluate the efficacy of a commercial oral attenuated Lawsonia intracellularis vaccine (Enterisol Ileitis) against PPE under a commercial pig farm condition in Korea. MATERIALS AND METHODS: Thirty two-day-old 672 piglets were randomly allocated into vaccinated and control groups. All piglets in the vaccinated group were inoculated with a commercial attenuated L. intracellularis vaccine as following the manufacturer's instruction. Body weights of all pigs in both groups were measured on the vaccination day and 6, 14, and 20 weeks post vaccination and an average daily weight gain (ADWG) was calculated. Health status was observed biweekly during the whole trial. RESULTS: The vaccinated group showed significantly higher body weight (p<0.05) and ADWG (p<0.05) than those of the control group. The vaccinated group had significantly reduced impairments in activity, growth, defecation frequency, and stool hardness (p<0.05). Additional health benefits and improved weight gain by the vaccination produced a 4.2:1 return of investment, and the higher gross margin was $4.80 per pig. CONCLUSION: Our finding suggests that the L. intracellularis vaccine program has effects on the substantial health and economic benefits in the Korean swine industry.
Body Weight
;
Defecation
;
Hardness
;
Ileitis
;
Insurance Benefits
;
Intestinal Diseases
;
Investments
;
Korea
;
Lawsonia Bacteria
;
Risk Factors
;
Swine
;
Vaccination
;
Vaccines
;
Weight Gain
5.A Case of Salmonella Typhi Complicating Acute Appendicitis Proven by Gene STY0312 Polymerase Chain Reaction (PCR).
Min Ji SEO ; Young Hee JUNG ; Ji Won MIN ; Yeon Ji KIM ; Jong Min LEE ; Hyun YANG ; Yu Seung KIM ; Young Shin KIM ; Cheol Min PARK ; Jin Hong YOO
Infection and Chemotherapy 2012;44(6):450-453
Typhoid fever frequently manifests as gastrointestinal complications, such as ileitis or colitis, but appendicitis is quite rare. A 37-year-old man was admitted due to abdominal pain, fever and diarrhea. Two weeks before admission, he underwent an appendectomy. The blood culture upon admission revealed Salmonella Typhi. A polymerase chain reaction(PCR) was performed on the tissue of the vermiform appendix and the STY0312 gene of S. Typhi was detected. This is the first case of acute appendicitis complicated with typhoid fever proven by PCR in Korea.
Abdominal Pain
;
Appendectomy
;
Appendicitis
;
Appendix
;
Colitis
;
Diarrhea
;
Fever
;
Ileitis
;
Korea
;
Polymerase Chain Reaction
;
Salmonella
;
Salmonella typhi
;
Typhoid Fever
6.A Case of Liver and Spleen Abscesses Secondary to Yersinia Enterocolitica Septicemia in a Chronic Renal Failure Patient on Hemodialysis.
Tak Yong KIM ; Sang Young ROH ; Seong Hyun SON ; Byung Soo KIM ; Joo Hyun PARK ; Chul Woo YANG ; Yong Soo KIM ; Byung Kee BANG
Korean Journal of Nephrology 1999;18(2):339-342
Yersinia enterocolitica, a gram-negative rod-like organism, has been recognized as an uncommon human pathogen producing a wide spectrum of clinical manifestations. It has been associated with gastroenteritis, acute ileitis, mesenteric lymphadenitis, and erythema nodosum. More recently polyarthritis, chronic arthritis, and Reiter syndrome have been related to previous infection with these organism. Liver and splenic abscesses have been found rarely in Yersinia enterocolitica bactermia, and these have not been reported yet in Korea. We report a case of multiple liver and splenic abscesses secondary to Yersinia enterocolitica septisemia in a chronic renal failure patient on hemodialysis.
Abscess*
;
Arthritis
;
Arthritis, Reactive
;
Erythema Nodosum
;
Gastroenteritis
;
Humans
;
Ileitis
;
Kidney Failure, Chronic*
;
Korea
;
Liver*
;
Mesenteric Lymphadenitis
;
Renal Dialysis*
;
Sepsis*
;
Spleen*
;
Yersinia enterocolitica*
;
Yersinia*
7.A Case of Lupus Mesenteric Vasculitis Resulting in Small Bowel Infarction.
Dae Keun LO ; Yoon Hee PARK ; Hyung In YANG ; Sung Hwan PARK ; Sang Heon LEE ; Chul Soo CHO ; Ho Youn KIM ; Byung Kee KIM ; Yong Bok KOH
The Journal of the Korean Rheumatism Association 1996;3(1):85-91
Systemic lupus erythematosus(SLE) is an autoimmune disease involving many organs. Mesenteric vasculitis is one of the serious organ involvement in this disease. Mesenteric vasculitis may produce mucosal ulceration, bowel edema with paralytic ileus, hemorrhagic ileitis, intussusception, perforation and mesenteric infarction. Because of high mortality rate, early diagnosis and treatment of this manifestation is very important. We experienced a case of SLE with extensive smell bowel infarction due to mesenteric vasculitis. She was 29 years old. She was suffered frem severe abdominal pain for three days. Abdominal computed tomography showed diffusse wall thickening of the small intestinal wall. After high dose intravenous steroid, her abdominal symptoms were improved. She was discharged with low dose oral steroid(15mg/day) treatment. Seven months later, she presented with sudden abdominal pain. Intravenous methylprednisolon(2mg/Kg) was started. Three days later, her abdominal symptoms were not subsided. On the plain radiograph of the abdomen, marked ileus was demonstrated. Mesenteric angiography showed diffuse decreased small bowel vascularity. A provisional diagnosis of small bowel infarction and obstruction, we performed exploratory laparotomy. She undergone small bowel segmental resection. The diagnosis was small bowel infaction due to mesenteric vasculitis.
Abdomen
;
Abdominal Pain
;
Adult
;
Angiography
;
Autoimmune Diseases
;
Diagnosis
;
Early Diagnosis
;
Edema
;
Humans
;
Ileitis
;
Ileus
;
Infarction*
;
Intestinal Pseudo-Obstruction
;
Intussusception
;
Laparotomy
;
Lupus Erythematosus, Systemic
;
Mortality
;
Smell
;
Ulcer
;
Vasculitis*
8.Cytomegalovirus Ileitis in Early Period after Kidney Transplantation.
Chul young CHANG ; Hye young KIM ; Hyung Geun SONG ; Lee chan JANG
Journal of the Korean Surgical Society 2006;70(2):153-157
One of the most frequent viral infections after kidney transplantation (KT) is cytomegalovirus (CMV) infection. CMV infection causes disease in lung, liver, retina, brain and GI tract and reduce graft survival rate after KT. CMV disease in GI tract is most common in the colon and ileum. CMV enteritis can present with vague abdominal pain, hemorrhage and overt bowel perforation. CMV enteritis in the upper GI tract and colon can be detected early by endoscopy, but it is difficult to diagnose CMV enteritis in the small bowel. We report a rare case with CMV ileitis after KT, who gave up a transplanted kidney at post-operative 3 months in spite of the treatment of CMV infection.
Abdominal Pain
;
Brain
;
Colon
;
Cytomegalovirus*
;
Endoscopy
;
Enteritis
;
Gastrointestinal Tract
;
Graft Survival
;
Hemorrhage
;
Ileitis*
;
Ileum
;
Kidney Transplantation*
;
Kidney*
;
Liver
;
Lung
;
Retina
;
Upper Gastrointestinal Tract
9.Clinical Significance of Erosive or Ulcerative Lesions Isolated in Terminal Ileum.
Sun Ok KWON ; You Sun KIM ; Myoung Ki OH ; Sun Young KIM ; In Hye CHA ; Seong Yeon JEONG ; Joo Yeon CHO ; Jin Nam KIM ; Jeong Seop MOON
Intestinal Research 2012;10(4):350-356
BACKGROUND/AIMS: Although terminal ileal erosive or ulcerative lesions are frequently observed on colonoscopic examination, their clinical significance are unclear. We evaluated clinical course and significance of isolated terminal ileal erosive or ulcerative lesions. METHODS: We retrospectively analyzed clinical features, number, size and histologic findings of 186 patients with isolated terminal ileal erosive or ulcerative lesions on colonoscopic examination from December 2003 to February 2012. RESULTS: The indications for colonoscopy included screening for colorectal cancer or surveillance in 122 patients (65.6%), evaluations for symptoms in 64 patients (34.4%). Of the 186 patients, 170 underwent biopsy at the terminal ileal lesions. Histologic findings were mostly non-specific chronic inflammation except two cases of Crohn's disease, one case of cytomegalovirus ileitis, and one case of intestinal tuberculosis. Forty six patients underwent follow-up colonoscopy and the mean duration was 17.8+/-14.2 months (range, 1-64 months). Of those who showed non-specific ileitis (44 patients), 35 (79.5%) showed resolution of lesions without specific treatment. In the remaining 9 (20.5%) patients, lesions were continued and two patients were diagnosed as Crohn's disease and Behcet's ileitis, respectively. There were no significant differences in the duration of follow-up, presence of symptoms, number and size of terminal ileal lesions between the patients who resolved and not resolved. CONCLUSIONS: Most isolated terminal ileal erosive or ulcerative lesions reveal non-specific histological findings and have a propensity to resolve without treatment. However, in small portions of patients, isolated terminal ileal lesions need careful attention because it is possible to be early inflammatory bowel diseases.
Biopsy
;
Colonoscopy
;
Colorectal Neoplasms
;
Crohn Disease
;
Cytomegalovirus
;
Follow-Up Studies
;
Humans
;
Ileitis
;
Ileum
;
Inflammation
;
Inflammatory Bowel Diseases
;
Mass Screening
;
Retrospective Studies
;
Tuberculosis
;
Ulcer
10.A Case of Terminal Ileitis Caused by Ascaris lumbricoides.
Sung Hoon JUNG ; Young Woon CHANG ; Jaejun SHIM ; Young HWANGBO ; Chang Kyun LEE ; Jae Young JANG ; Seok Ho DONG ; Hyo Jong KIM ; Byung Ho KIM ; Rin CHANG
Korean Journal of Gastrointestinal Endoscopy 2008;36(3):165-168
The major causes of terminal ileitis are inflammatory bowel disease and NSAIDs but parasites such as Anisakis rarely induce ileitis. Ascaris lumbricoides, the most common intestinal helminth in Korea, may enter the pancreaticobiliary ducts and cause pancreatitis or cholangitis. However, no case of A. lumbricoides-associated terminal ileitis has been previously reported in Korea. We report a case of a 58-year-old woman who presented with epigastric discomfort and bloating, and was diagnosed with terminal ileitis due to A. lumbricoides detected during colonoscopy.
Anisakis
;
Anti-Inflammatory Agents, Non-Steroidal
;
Ascaris
;
Ascaris lumbricoides
;
Cholangitis
;
Colonoscopy
;
Crohn Disease
;
Female
;
Helminths
;
Humans
;
Ileitis
;
Inflammatory Bowel Diseases
;
Korea
;
Middle Aged
;
Pancreatitis
;
Parasites