NO abstract available.
Glomerulonephritis, IGA* ; Humans ; Immunoglobulin A* ; Lymphocytes* ; RNA, Messenger* ; Transforming Growth Factor beta

No abstract available.
Gastrectomy* ; Stomach Neoplasms*

No abstract available.
Colorectal Neoplasms*

PURPOSE: This study was performed to identify the characteristic findings of miliary pulmonary tuberculosis on HRCT and to evaluate the usefulness of HRCT by compareson with chest radiographs. MATERIAL AND METHODS: High resolution CT, chest radiographs and medical records were retrospectively reviewed in 10 patients with miliary pulmonary tuberculosis. We analysed the size, distribution and margin of nodules, reticular or ground-glass density, parenchymal lesion, mediastinal lymphadenopathy and pleural effusion on HRCT which were compared with chest radiographic findings. RESULTS: On HRCT, characteristic 1--2mm sized sharp or ill-defined nodular densities were randomly distributed throughout both lungs in all cases. In seven cases, the nodules were evenly scattered, but slightly more in upper lung zone in two cases, and in lower in one case. Only three cases revealed somewhat large and abundant nodules in posterior lung zone. There were findings of ill-defined margin of nodules in three cases, reticular densities in three cases and ground-glass opacity in two cases, all of which were observed within 4 weeks after onset of symptom. In one case, HRCT scan revealed a micronodular pattern in the lung parenchyma, even though chest radiographs of 2 days before were not obviously abnormal. HRCT was better to evaluate the margin of nodule and distribution than chest radiographs in four cases. Focal parenchymal lesion (n=5), pleural effusion(n=4), mediastinal lymphadenopathy(n=6) and ARDS(n=I) were also associated. CONCLUSION: HRCT could suggest a more specific diagnosis of miliary pulmonary tuberculosis with the above characteristic findings in appropriate clinical setting and normal or interstitial pattern of chest radiographs.
Diagnosis ; Humans ; Lung ; Lymphatic Diseases ; Medical Records ; Pleural Effusion ; Radiography, Thoracic ; Retrospective Studies ; Tuberculosis, Pulmonary*

A 25-year-old female visited the clinic with abdominal pain and poor oral intake. She was diagnosed with Crohn’s disease and had a history of using infliximab for 4 years. She had no previous operative history. Magnetic resonance enterography demonstrated the progression of a penetrating complication that involved the distal ileum and complex entero-enteric fistula between the terminal ileum and sigmoid colon. Surgery was conducted using the da Vinci SP surgical system. In the operative field, severe adhesion was observed between the terminal ileum, adjacent ileum, cecum, and the sigmoid colon. After adhesiolysis of the small bowel and right colon was performed, the fistula tract between the sigmoid colon and terminal ileum was identified and resected. Then, simultaneous ileocecectomy and anterior resection was performed. The operation was completed without any intraoperative complications and patient’s recovery was uneventful. She was discharged postoperatively, after 8 days.

No abstract available.
Carcinoid Tumor*

Recurrent colonic perforation in patients already having colostomy is extremely rare and only a few cases had been reported. Herein, we report 2 cases of recurrent colonic perforation at the proximal part of the colostomy in geriatric patients resulting from different causes, which might be caused by stercoral perforation and recurrent colonic ischemia, respectively. Based on our experience, surgeons should consider correcting chronic constipation even in patients who already have a colostomy.Additionally, transverse colostomy should be considered as a surgical treatment in patients with sigmoid colostomy for recurrent perforation due to colonic ischemia.

The annular pancreas in adults is a rare congenital anomaly that is detected after development of complications, such as gastric outlet obstruction, recurrent pancreatitis, and peptic ulcer. Duodenal bypass is the procedure of choice for treating duodenal obstruction caused by the annular pancreas in both children and adults. Duodenoduodenostomy is routinely performed in neonates and children. In adults, duodenojejunostomy or gastrojejunostomy are recommended, because the duodenum is less mobile. We report a case of annular pancreas in a 33-year-old male that was successfully treated with laparoscopic gastrojejunostomy.
Adult ; Child ; Duodenal Obstruction ; Duodenum ; Gastric Bypass ; Gastric Outlet Obstruction ; Humans ; Infant, Newborn ; Laparoscopy ; Male ; Pancreas ; Pancreatic Diseases ; Pancreatitis ; Peptic Ulcer

No abstract available.
Gastric Stump*

OBJECTIVE: The purpose of this study is to evaluate the correlation between promoter hypermethylation of DNA repair gene O6-methylguanine-DNA methyltransferase (MGMT) and clinicopathologic characteristics in uterine cervical squamous cell carcinoma. METHODS: Pyrosequencing was used to analyze the MGMT promoter methylation status of 34 uterine cervical squamous cell carcinoma. 26 patients were stage Ib and 8 patients were stage IIa. Radical hysterectomy with pelvic lymph node dissection was done in all patients. The clinicopathologic characteristics were analyzed retrospectively. The correlation between hypermethylation and clinical characteristics was assessed using Mann-Whitney U-test or Fisher's exact test. RESULTS: Hypermethylation was detected in 3 of 34 (8.8%) cancer tissues. We investigated the correlation between hypermethylation and clinicopathologic characteristics including age, stage, menstrual status, metastasis of lymph node, invasion of resection margin, size of tumor, lymph-vascular space invasion and invasion of parametrial tissue. Among these characteristics, only invasion of parametrial tissue was related to hypermethylation (p=0.03) and the others were not. CONCLUSION: Promoter hypermethylation of MGMT gene was associated with invasion of parametrial tissue only.
Carcinoma, Squamous Cell ; DNA Repair ; Humans ; Hysterectomy ; Lymph Node Excision ; Lymph Nodes ; Methylation ; Neoplasm Metastasis ; Retrospective Studies ; Uterine Cervical Neoplasms