No abstract available.
Abdomen, Acute*

No abstract available.

No abstract available.
Hernia*

No abstract available.
Abscess* ; Reoperation*

No abstract available.
Peptic Ulcer Perforation* ; Peptic Ulcer*

No abstract available.
Hemorrhage*

BACKGROUNDS: Reflux esophagitis has been known to be a frequent complication after a total gastrectomy. Reflux esophagitis is very annoying to the patients, so various types of reconstructions has been introduced to eliminate this complication. METHODS: This study is a retrospective clinical analysis of 34 patients with gastric cancer who were treated with a total gastrectomy from January 1989 to December 1997 at the Department of Surgery, Seoul Adventist Hospital. RESULTS: During 9 years, the operation was performed on 194 patients with gastric cancer, amomg which 34 (17.3%) were total gastrectomies. The peak age was in the 5th and the 6th decades (58.8%), and the sex ratio of males to females was 1.6:1. The sites of the stomach cancer were the cardia (C) in 10 cases (29.4%), the body (M) in 19 cases (55.9%), and the cardia and body in 5 cases (14.7%). The TNM classification was stage I in 15.6% of the cases, stage II in 15.6% of the cases, stage III in 62.5% of the cases, and stage IV in 6.3% of the cases. Three methods of alimentary tract reconstruction were used:a loop esophagojejunostomy with a Braun anastomosis (27), a Roux-en-Y esophagojejunostomy (6), and an uncut Roux procedure (1). The reflux esophagitis rates for patients treated with a loop esophagojejunostomy with a Braun anastomosis and for patients treated with a Roux-en-Y esophagojejunostomy were 25.9% and 16.7%, respectively. The perioperative mortality was 5.8%, and the causes of death were pneumonia and anastomotic leakage. The most common recurrent site was the anastomotic site. CONCLUSIONS: Reflux esophagitis developed more often after a loop esophagojejunostomy with a Braun anastomosis than after a Roux-en-Y anastomosis. This finding was not significant statistically. Thus, further study of more cases is needed.
Anastomosis, Roux-en-Y ; Anastomotic Leak ; Cardia ; Cause of Death ; Classification ; Esophagitis, Peptic* ; Female ; Gastrectomy* ; Humans ; Male ; Mortality ; Pneumonia ; Retrospective Studies ; Seoul ; Sex Ratio ; Stomach Neoplasms*

This is a retrospective clinical analysis of 156 patient with colorectal cancer who were surgically treated from January 1988 to June 1996 at the Department of Surgery, Seoul Adventist Hospital. The results are as follows: 1) The peak age incidence was in the 7th decade (31.4% of the cases), and the sex ratio of males to females was 1.03 : 1. 2) The most common location of the tumor was the rectum in 77 cases (49.4%); next were the sigmoid colon in 25 cases (16.0%) and the ascending colon in 25 cases (16.0%). 3) In the right colon, the most frequent symptoms and signs were abdominal pain, a palpable mass, weight loss; in the left colon and rectum, bloody tarry stool and bowel- habit change were the most common symptoms and signs. 4) The duration of the symptoms and signs prior to admission was most commonly less than 3 month (46.8% of the cases). 5) The diagnostic methods were digital rectal examination, sigmoidoscopy, colonofiberoscopy, barium enema, and abdominal CT. In two cases,an exploratory laparotomy was done. Also, 2.8 studies were done per patient. 6) The operations performed included an abdominoperineal resection in 36 cases (24.0%) and a right hemicolectomy (18.7%). The operability was 96.2%, and the total resectability was 79.5%. 7) The staging of the tumor was performed during the initial operation according to the Aster Coller classification and the TNM classification. Stages C2 (33.8%) and B2 (29.1%) and T3N0M0 were the most frequent stages in both classification. 8) The most common histologic type was an adenocarcinoma (96.8%). 9) The most common macroscopic finding was of the annular type (59.6%) 10) The most common distant metastasis sites were the pelvic organs and the liver. 11) The most frequent postoperative complication was wound infection (14.7%). The complication rate and perioperative mortality were 32.7% and 2%, respectively.
Abdominal Pain ; Adenocarcinoma ; Barium ; Classification ; Colon ; Colon, Ascending ; Colon, Sigmoid ; Colonic Neoplasms ; Colorectal Neoplasms* ; Digital Rectal Examination ; Enema ; Female ; Humans ; Incidence ; Laparotomy ; Liver ; Male ; Mortality ; Neoplasm Metastasis ; Postoperative Complications ; Rectal Neoplasms ; Rectum ; Retrospective Studies ; Seoul ; Sex Ratio ; Sigmoidoscopy ; Tomography, X-Ray Computed ; Weight Loss ; Wound Infection

This report is a clinico-statistical review of our experience with 64 patients with circumferential hemorrhoids who were admitted to and treated at the Surgical Department of Seoul Adventist Hospital during 10 years from Jan. 1986 to Dec. 1995. 1) The indication for a modified Whitehead hemorrhoidectomy was third and or fourth degree circumferential hemorrhoid. 2) The sex ratio of male to female was 1.8 to 1. 3) The peak incidence was in the 3rd and the 5th decades(89.3%). 4) The frequent pre-operative anorectal symptoms were anal prolapse (81.5%), anal pain (52.3%), and anal bleeding (55.6%). 5) The mean average post-operative hospital stay was 9.9 days. 6) The early post-operative problems were urinary retention(35.4%), severe anal pain(21.5%), mild anal bleeding(8.9%) and constipation(1.5%). 7) The late post-operative complications were mild anal stenosis(3.3%), flatus incontinence(1.6%), fissure(3.3%) and a nonhealing wound(1.6%). 8) Attention to the proctologic anatomy and experience are essential for a good result and for prevention of anal stenosis or prolapse.
Constriction, Pathologic ; Female ; Flatulence ; Hemorrhage ; Hemorrhoidectomy* ; Hemorrhoids* ; Humans ; Incidence ; Length of Stay ; Male ; Prolapse ; Seoul ; Sex Ratio

This report is a clinico-statistical review of our experience with 64 patients with circumferential hemorrhoids who were admitted to and treated at the Surgical Department of Seoul Adventist Hospital during 10 years from Jan. 1986 to Dec. 1995. 1) The indication for a modified Whitehead hemorrhoidectomy was third and or fourth degree circumferential hemorrhoid. 2) The sex ratio of male to female was 1.8 to 1. 3) The peak incidence was in the 3rd and the 5th decades(89.3%). 4) The frequent pre-operative anorectal symptoms were anal prolapse (81.5%), anal pain (52.3%), and anal bleeding (55.6%). 5) The mean average post-operative hospital stay was 9.9 days. 6) The early post-operative problems were urinary retention(35.4%), severe anal pain(21.5%), mild anal bleeding(8.9%) and constipation(1.5%). 7) The late post-operative complications were mild anal stenosis(3.3%), flatus incontinence(1.6%), fissure(3.3%) and a nonhealing wound(1.6%). 8) Attention to the proctologic anatomy and experience are essential for a good result and for prevention of anal stenosis or prolapse.
Constriction, Pathologic ; Female ; Flatulence ; Hemorrhage ; Hemorrhoidectomy* ; Hemorrhoids* ; Humans ; Incidence ; Length of Stay ; Male ; Prolapse ; Seoul ; Sex Ratio