No abstract available.
Ganglia, Spinal* ; Longitudinal Ligaments*

Gastrojejunocolic fistula, a rare but serious complication of gastrojejunostomy often results from inadequate resection or incomplete vagotomy during gastric surgery. The most common symptoms include feculent vomiting, chronic diarrhea, and weight loss, and surgical repair is the definitive treatment for this condition. A 51-year-old man presented to our hospital with upper abdominal pain and chronic diarrhea. He had a history of gastric surgery for gastric cancer, 20 years prior at another hospital. Upper endoscopy and abdominal computed tomography confirmed diagnosis of a gastrojejunocolic fistula. In this case report, we present the clinical features and diagnostic approaches for gastrojejunocolic fistulas.

Gastrojejunocolic fistula, a rare but serious complication of gastrojejunostomy often results from inadequate resection or incomplete vagotomy during gastric surgery. The most common symptoms include feculent vomiting, chronic diarrhea, and weight loss, and surgical repair is the definitive treatment for this condition. A 51-year-old man presented to our hospital with upper abdominal pain and chronic diarrhea. He had a history of gastric surgery for gastric cancer, 20 years prior at another hospital. Upper endoscopy and abdominal computed tomography confirmed diagnosis of a gastrojejunocolic fistula. In this case report, we present the clinical features and diagnostic approaches for gastrojejunocolic fistulas.

Gastrojejunocolic fistula, a rare but serious complication of gastrojejunostomy often results from inadequate resection or incomplete vagotomy during gastric surgery. The most common symptoms include feculent vomiting, chronic diarrhea, and weight loss, and surgical repair is the definitive treatment for this condition. A 51-year-old man presented to our hospital with upper abdominal pain and chronic diarrhea. He had a history of gastric surgery for gastric cancer, 20 years prior at another hospital. Upper endoscopy and abdominal computed tomography confirmed diagnosis of a gastrojejunocolic fistula. In this case report, we present the clinical features and diagnostic approaches for gastrojejunocolic fistulas.

Gastrojejunocolic fistula, a rare but serious complication of gastrojejunostomy often results from inadequate resection or incomplete vagotomy during gastric surgery. The most common symptoms include feculent vomiting, chronic diarrhea, and weight loss, and surgical repair is the definitive treatment for this condition. A 51-year-old man presented to our hospital with upper abdominal pain and chronic diarrhea. He had a history of gastric surgery for gastric cancer, 20 years prior at another hospital. Upper endoscopy and abdominal computed tomography confirmed diagnosis of a gastrojejunocolic fistula. In this case report, we present the clinical features and diagnostic approaches for gastrojejunocolic fistulas.

Gastrojejunocolic fistula, a rare but serious complication of gastrojejunostomy often results from inadequate resection or incomplete vagotomy during gastric surgery. The most common symptoms include feculent vomiting, chronic diarrhea, and weight loss, and surgical repair is the definitive treatment for this condition. A 51-year-old man presented to our hospital with upper abdominal pain and chronic diarrhea. He had a history of gastric surgery for gastric cancer, 20 years prior at another hospital. Upper endoscopy and abdominal computed tomography confirmed diagnosis of a gastrojejunocolic fistula. In this case report, we present the clinical features and diagnostic approaches for gastrojejunocolic fistulas.

Obstructive sleep apnea syndrome (OSAS) is caused by repetitive upper-airway narrowing or collapse during sleep resulting in hypopneas and apneas. When a patient is diagnosed of OSAS with polysomnogram, he/she should receive upper airway evaluation to find the narrow site. The anatomic narrow site can be nasal cavity, nasopharynx, oropharynx, and/or hypopharynx. Surgical treatment for OSAS should be tailored to the anatomic narrow site. In this article, the authors describe surgical treatment options for OSAS.
Apnea ; Humans ; Hypopharynx ; Nasal Cavity ; Nasopharynx ; Oropharynx ; Polysomnography ; Sleep Apnea, Obstructive*

BACKGROUND: During a 1-month period in 2005 , a series of 4 Leclercia adecarboxylata and 8 Pseudomonas aeruginosa bacteremias were reported from patients admitted to the emergency room. METHODS: An outbreak of L. adecarboxylata and P. aeruginosa bacteremia that occurred from February to March 2005 was investigated. The infection control nurse reviewed medical records and observed the procedures of blood cultures at the clinical microbiology laboratory. Specimens were obtained for investigational cultures from alcohol sponge, tray, sink, water of sink, saline cotton, microscope, computer, and telephone. RESULTS: L. adecarboxylata was isolated from 4 patients and P. aeruginosa from 8 patients during a 1-month period. Observation of the culture procedure revealed that saline cotton was used to prevent betadin skin discoloration. The culture of the saline solution yielded a heavy growth of P. aeruginosa, which was not isolated from any other specimens. CONCLUSIONS: This was a pseudoepidemic caused by contaminated saline cotton. The use of the saline cotton was stopped, and during the follow-up period of 3 months, no additional L. adecarboxylata or P. aeruginosa bacteremia were reported.
Bacteremia ; Emergency Service, Hospital ; Enterobacteriaceae* ; Follow-Up Studies ; Humans ; Infection Control ; Medical Records ; Porifera ; Pseudomonas aeruginosa ; Skin ; Sodium Chloride ; Telephone ; Water

Colchicine poisoning is relatively uncommon, but potentially life-threatening, situation confronting the emergency physician. Although the toxic dose of colchicine is reported to be more than 0.5 mg/kg, it is extremely variable. Therefore, the emergency physician should always consider colchicine poisoning to be serious, even when the dose is small. We present a case of death after intentional ingestion of 12 mg (0.17 mg/kg) of colchicine by a 30-year-old male.
Adult ; Colchicine* ; Eating ; Emergencies ; Humans ; Male ; Poisoning*

BACKGROUND AND OBJECT: Immunostimulatory CpG-oligodeoxynucleotides (ISS CpG-ODN) up-regulate the TH1-type immune response and down-regulate the TH2-type response. This study was performed to investigate the immune response changes resulting from ISS CpG-ODN on bronchial hyperrestponsiveness, eosinophilic inflammation and mucus hypersecretion in rat asthma. MATERIALS AND METHODS: 10 normal controls(NC) and 26 asthmatic rats, which were generated by ovallbumin(OVA) sensitization and challenge, were studied. The asthmatic rats were randomized into 11 asthma controls(AC) and 15 in the asthma-CpG treatment group(CpG). The CpG group was administered ISS CpG-ODN intramuscularly and the AC group was administered a placebo(0.9% NaCl)on day 15 and 20. After CpG-ODN or placebo administration, we measured the IFN-(TH1-type cytokine) and IL-4(TH2-type cytokine) levels in the bronchoalveolar lavage fluid(BALF), the specific airway resistance(sRaw), eosinophilic fraction in BALF, eosinophilic infiltration, goblet cell dysplasia and MUC5AC gene expression in the lung tissue. RESULTS: In the BALF of the CpG group, the IFN-γ concentration was significantly high and the IL-4 concentration was significantly low when compared with the AC group. Both the sRaw and eosinophilic fraction, and infiltration into the BALF and lung tissue significantly lower in the CpG group when compared with the AC group. However, little difference in goblet cell dysplasia and MUC5Ac gene expression was observed between the CpG group and the Ac group. CONCLUSION: ISS CpG-ODN decreases bronchial hyperresponsiveness and eosinophilic inflammation in the rat asthma model through the up-regulation of the TH1-type immune response with the down-regulation of the TH2-type response. However, the effect of these immune response changes on mucus hypersecretion was is not remarkable in this study.
Animals ; Asthma* ; Bronchoalveolar Lavage ; Down-Regulation ; Eosinophils ; Gene Expression ; Goblet Cells ; Inflammation ; Interleukin-4 ; Lung ; Mucus ; Rats* ; Up-Regulation