No abstract available.
Female ; Hormone Replacement Therapy* ; Humans

A 57-year-old man with chronic kidney disease and a history of using numerous herbal medications visited Inje University Ilsan Paik Hospital for abdominal pain and vomiting. An abdominal radiograph showed diffuse small bowel distension containing multiple air-fluid levels and extensive calcifications along the colon. Computed tomography showed colon wall thickening with diffuse calcification along the colonic mesenteric vein and colonic wall. Colonoscopy, performed without bowel preparation, showed bluish edematous mucosa from the transverse to the distal sigmoid colon, with multiple scar changes. At the mid transverse colon, a stricture was noted and the scope could not pass through. A biopsy of the stricture site revealed nonspecific changes. The patient was diagnosed with phlebosclerotic colitis. After the colonoscopy, the obstructive ileus spontaneously resolved, and the patient was discharged without an operation. Currently, after 2 months of follow-up, the patient has remained asymptomatic. Herein, we report the rare case of an obstructive ileus caused by phlebosclerotic colitis with a colon stricture.
Abdominal Pain ; Biopsy ; Cicatrix ; Colitis* ; Colon ; Colon, Sigmoid ; Colon, Transverse ; Colonoscopy ; Constriction, Pathologic ; Follow-Up Studies ; Herbal Medicine ; Humans ; Ileus* ; Mesenteric Veins ; Middle Aged ; Mucous Membrane ; Renal Insufficiency, Chronic ; Vomiting

A 57-year-old man with chronic kidney disease and a history of using numerous herbal medications visited Inje University Ilsan Paik Hospital for abdominal pain and vomiting. An abdominal radiograph showed diffuse small bowel distension containing multiple air-fluid levels and extensive calcifications along the colon. Computed tomography showed colon wall thickening with diffuse calcification along the colonic mesenteric vein and colonic wall. Colonoscopy, performed without bowel preparation, showed bluish edematous mucosa from the transverse to the distal sigmoid colon, with multiple scar changes. At the mid transverse colon, a stricture was noted and the scope could not pass through. A biopsy of the stricture site revealed nonspecific changes. The patient was diagnosed with phlebosclerotic colitis. After the colonoscopy, the obstructive ileus spontaneously resolved, and the patient was discharged without an operation. Currently, after 2 months of follow-up, the patient has remained asymptomatic. Herein, we report the rare case of an obstructive ileus caused by phlebosclerotic colitis with a colon stricture.
Abdominal Pain ; Biopsy ; Cicatrix ; Colitis* ; Colon ; Colon, Sigmoid ; Colon, Transverse ; Colonoscopy ; Constriction, Pathologic ; Follow-Up Studies ; Herbal Medicine ; Humans ; Ileus* ; Mesenteric Veins ; Middle Aged ; Mucous Membrane ; Renal Insufficiency, Chronic ; Vomiting

No abstract available.
Aged ; Animals ; Diagnosis, Differential ; Dirofilaria immitis/*isolation & purification ; Dirofilariasis/*diagnosis/parasitology/surgery ; Eye Infections, Parasitic/*diagnosis/parasitology/surgery ; Female ; Humans ; Ophthalmologic Surgical Procedures ; Orbital Diseases/*diagnosis/parasitology/surgery

PURPOSE: To evaluate the postoperative corneal topographic changes after 23-gauge transconjunctival vitrectomy. METHODS: Twenty eyes of 20 consecutive patients who required vitrectomy were included in the present study. The 23-gauge transconjunctival vitrectomy was performed by a single surgeon from September 2007 through November 2007. Videokeratography system (TMS-4, Tomey Co., Japan) was obtained preoperatively and at 1 day, 2 weeks, and 1 month postoperatively. The date changes of Fourier indices including spherical power, regular astigmatism, asymmetry, and higher-order irregularity were analyzed at the central 3- and 6-mm zone of the cornea. RESULTS: Twenty eyes, including eyes with proliferative diabetic retinopathy (n = 9), vitreous hemorrhage and opacity (n = 7), and epiretinal membrane (n = 4), underwent the operation. None of the Fourier indices significantly changed throughout the observation period (p < 0.05, Wilcoxon-signed-ranks test). CONCLUSIONS: A 23-gauge transconjunctival vitrectomy does not induce significant changes in corneal topography even in the central 6-mm zone, as well as the 3-mm zone of the cornea.
Astigmatism ; Cornea ; Corneal Topography ; Diabetic Retinopathy ; Epiretinal Membrane ; Eye ; Humans ; Vitrectomy ; Vitreous Hemorrhage

PURPOSE: To evaluate the postoperative corneal topographic changes after 23-gauge transconjunctival vitrectomy. METHODS: Twenty eyes of 20 consecutive patients who required vitrectomy were included in the present study. The 23-gauge transconjunctival vitrectomy was performed by a single surgeon from September 2007 through November 2007. Videokeratography system (TMS-4, Tomey Co., Japan) was obtained preoperatively and at 1 day, 2 weeks, and 1 month postoperatively. The date changes of Fourier indices including spherical power, regular astigmatism, asymmetry, and higher-order irregularity were analyzed at the central 3- and 6-mm zone of the cornea. RESULTS: Twenty eyes, including eyes with proliferative diabetic retinopathy (n = 9), vitreous hemorrhage and opacity (n = 7), and epiretinal membrane (n = 4), underwent the operation. None of the Fourier indices significantly changed throughout the observation period (p < 0.05, Wilcoxon-signed-ranks test). CONCLUSIONS: A 23-gauge transconjunctival vitrectomy does not induce significant changes in corneal topography even in the central 6-mm zone, as well as the 3-mm zone of the cornea.
Astigmatism ; Cornea ; Corneal Topography ; Diabetic Retinopathy ; Epiretinal Membrane ; Eye ; Humans ; Vitrectomy ; Vitreous Hemorrhage

OBJECTIVE: The authors attempted to investigate the relationship between depression and eating disorder or eating related problems through revealing the prevalence rate of eating problem and it's relationship to depressive tendency in athletic in athletic group which was considered as a high risk group fort eating disorders. METHODS: The subjects were 308 college athletes(Male: 187, Female: 121) and 477 college student controls(Male: 248, Female: 229). The authors used self-report questionnaire which was composed of epidemiologic data, eating habit scale, Eating Attitude Test(EAT), scale for locus of control for wieght, scale for food preference and eating behavior. And we also used Beck Depression Inventory of korean standadized edition for assessment of depression. RESULTS: 1) The eating habit of college athletes was better than that of college students, but the total score of the EAT related to abnormal eating behaviors and eating disorder in college athletes was higher than that in college students. In locus of control for weight, male athletes showed a similar trend with female athletes and college students, but they were different from male college students. And female athletes had a distinctive food preference or palatibility as like preference for cold and sour tasted food and vegetables. 2) The total scores of BDI in college athletes was higher than that in college students with the score highest in male athletes, among all the groups. The hypochondriacal tendency in male athletes was higher than that in male college students. 3) There were no significant correlation between eating habit and depression and between locus of weight control and depression in college athletes. But there was significant correlation between the score of EAT and BDI in male athletes. 4) In comparison with depressive group and non-depreressive group, there was no significant difference in eating habit, locus of weight control and hypochondriacal tendency but there was meaningful difference in the total score of the EAT. CONCLUSION: These results may suggest that athletes, especially female athletes, have higher prevalence rate of eating disorder or eating-related problems than college students. Eating problems were significantly related with depression in male athletes but not in female athletes. The difference may suggest that different strategy depending on the sex difference should be needed to manage the athletes with eating problems.
Athletes* ; Depression ; Feeding and Eating Disorders ; Eating* ; Feeding Behavior ; Female ; Food Preferences ; Humans ; Internal-External Control ; Male ; Prevalence ; Surveys and Questionnaires ; Sex Characteristics ; Sports ; Vegetables

PURPOSE: Intestinal atresia is a common cause of neonatal intestinal obstruction. Recently, the survival rate has been increasing from development of prenatal diagnosis, total parenteral nutrition (TPN) and neonatal intensive care. We evaluated the complication rate and cause of mortality after operative management for jejunoileal atresia. METHODS: We reviewed 62 patients (36 males, 26 females) with jejuno-ileal atresia who underwent operation from 1998 to 2007. RESULTS: There were 37 patients with jejunal atresia and 25 with ileal atresia. The average gestational age was 256+/-16.6 days and birth weight was 2,824+/-620 g. Prenatal diagnosis was performed in 45 patients (72.6%) around gestational age 27 weeks. Within 2nd day after birth, 44 patients (71%) underwent operation. Half of the jejunoileal atresia was type IIIa and type I was in 8, type II was in 3, type IIIb was in 12, and type IV was in 8. The operative treatment was resection & anastomosis in 59 patients and enterotomy & web excision in 3. They started feeding at 12.4+/-11.5 days after operation on average. The average duration of TPN was 26.7+/-23.5 days, and the incidence of cholestasis was 30.6%. Hospital days averaged 36.8+/-26 days. Early complication occurred in 14 patients (intestinal obstruction in 5, sepsis in 4, wound problem in 3, anastomosis leakage in 1, and intraabdominal abscess in 1). Late complication occurred in 7 patients (anastomosis stricture in 4 and intestinal obstruction in 3). There was only one case of mortality due to short bowel syndrome after re-operation for adhesive ileus. CONCLUSION: The operation for intestinal atresia was successful and aggressive management contributed to a low mortality rate.
Abscess ; Adhesives ; Birth Weight ; Cholestasis ; Constriction, Pathologic ; Gestational Age ; Humans ; Ileus ; Incidence ; Infant, Newborn ; Intensive Care, Neonatal ; Intestinal Atresia ; Intestinal Obstruction ; Male ; Parenteral Nutrition, Total ; Parturition ; Prenatal Diagnosis ; Sepsis ; Short Bowel Syndrome ; Survival Rate

Background: The purpose of this study was to evaluate the clinical and radiological outcomes of high-flexion total knee arthroplasty (TKA) using Vega Knee System (B. Braun, Aesculap) at a long-term follow-up and to analyze the implant survivorship. Methods: We enrolled 165 patients (232 knees) with a minimum 7-year follow-up after TKA (VEGA Knee System). For clinical assessment, range of motion (ROM), Knee Injury and Osteoarthritis Outcome Score (KOOS), and Western Ontario and McMaster University Osteoarthritis Index (WOMAC) were used. For radiologic assessment, hip-knee-ankle angle, component position, and the existence of radiolucent lines and loosening were used. Survival analysis was conducted using the Kaplan-Meier method. Results: The mean follow-up period was 9.8 years. The mean ROM increased from 124.4° to 131.4° at the final follow-up. The WOMAC score decreased from 38.5 to 17.4 at the final follow-up (p < 0.001). All 5 subscales of the KOOS improved at the final follow-up (all subscales, p < 0.001). Revision TKA was performed in 10 cases (4.3%), which included 9 cases of aseptic loosing and 1 case of periprostatic joint infection. Of the 9 aseptic loosening cases (3.9%), 8 cases (3.4%) were loosening of the femoral component and 1 case (0.4%) was loosening of the tibial component. When revision for any reason was considered an endpoint, the 10-year survivorship was 96.2% (95% confidence interval [CI], 93.9%–98.5%). On the other hand, when revision for aseptic loosening was considered the endpoint, the 10-year survivorship was 96.6% (95% CI, 94.4%–98.8%). Conclusions The Vega Knee System provided good clinical results in the long-term follow-up period. Although the VEGA Knee System showed acceptable implant survivorship, loosening of the femoral component occurred in about 3.4% of the patients. For more accurate evaluation of the survivorship of high-flexion design TKA with a short posterior flange, it is necessary to conduct more long-term follow-up studies targeting diverse races, especially Asians who frequently perform high-flexion activities.

BACKGROUND: Hyperuricemia is reported to be related to rapid progression of renal function in patients with chronic kidney disease (CKD). Allopurinol, a uric acid lowering agent, protects renal progression. However, it is not widely used in patients with CKD because of its serious adverse event. Febuxostat can be alternatively used for patients who are intolerable to allopurinol. We aimed to determine renoprotective effect and urate-lowering effect between the two drugs. METHODS: We performed a systematic review and meta-analysis of randomized controlled trials to assess the effects of febuxostat compared to allopurinol in patients with hyperuricemia. MEDLINE, Embase, and Cochrane Library databases were searched to identify research publications. RESULTS: Four relevant publications were selected from among 3,815 studies. No significant differences were found in the changes in serum creatinine from baseline between the febuxostat and allopurinol groups. Changes in estimated glomerular filtration rate (eGFR) were observed between the two groups at 1 month (mean difference 1.65 mL/min/1.73 m², 95% confidence interval [CI] 0.38, 2.91 mL/min/1.73 m²; heterogeneity χ² = 1.25, I² = 0%, P = 0.01); however, the changes in eGFR were not significantly different at 3 months. A significant difference did exist in the changes in albuminuria levels from baseline between the febuxostat and allopurinol groups (mean difference −80.47 mg/gCr, 95% CI −149.29, −11.64 mg/gCr; heterogeneity χ² = 0.81, I² = 0%, P = 0.02). A significant difference was also observed in the changes in serum uric acid from baseline between the febuxostat and allopurinol groups (mean difference −0.92 mg/dL, 95% CI −1.29, −0.56 mg/dL; heterogeneity χ² = 6.24, I² = 52%, P < 0.001). CONCLUSION: Febuxostat might be more renoprotective than allopurinol.
Albuminuria ; Allopurinol* ; Creatinine ; Febuxostat* ; Glomerular Filtration Rate ; Gout ; Humans ; Hyperuricemia* ; Population Characteristics ; Renal Insufficiency, Chronic ; Uric Acid