1.Radiological evaluation about the effects of acute and chronic pancreatitis on the stomach patterns
Woo Ki JAUN ; Chang Yul HAN ; Soo Sung PARK
Journal of the Korean Radiological Society 1983;19(2):394-399
The present study was intended to examine the spectrum of radiographic patterns of the stomach associated withacute and chronic pancreatitis and their complications. Subjects served for the study consisted of 70 cases ofpancreatitis (36 cases in acute stage and 34 cases in chronic stage). Intramural and perigastic permeation ofextravasated pancreatic enzymes and secondary inflammatory reacation that follows are responsible for theardiographic change observed. 1. Generalized rugal thickening and particularly selective mucosal prominences ingreater curvature of body and antrum are characteristically seen in acute(14 of 36 cases
Diagnosis
;
Diagnostic Errors
;
Pancreatitis, Chronic
;
Stomach
2.A Case of Confluent and Reticulated Papillomatosis: Treatment with Etretinate.
Jin Woo PARK ; Tae Sung BU ; Sung Yul LEE ; Jong Suk LEE ; Kyu Uang WHANG
Korean Journal of Dermatology 1998;36(6):1103-1105
Confluent and reticulated papillomatosis(CRP) is a rare dermatosis. The lesions are hyperkeratotic, verrucous papules and plaques, resulting in a confluence of lesions centrally and a reticulated pattern at the periphery. It is more common in women and during puberty. The histopathological findings show papillomatosis, hyperkeratosis and a sparse superficial perivascular lymphocytic infiltrate. We report a case of CRP that responded to oral etretinate in an 18-year-old man.
Acitretin*
;
Adolescent
;
Etretinate*
;
Female
;
Humans
;
Papilloma*
;
Puberty
;
Skin Diseases
3.10 Years Follow-up of Renal Function after Donor Nephrectomy.
Sung Yul PARK ; Hae Young PARK
The Journal of the Korean Society for Transplantation 2005;19(1):46-50
PURPOSE: In spite of the recognition of hyperfiltration injury after kidney donation, the function of the remaining kidney is considered relatively good. Few published reports have examined donor renal outcome after 10 years or later. We evaluated the effect of donor nephrectomy on donor renal outcome and the safety of the kidney donations. METHODS: From January 1991 to August 1994, 205 living donor nephrectomies were performed. 32 donors were available for evaluation at minimum 10 years after the operation. Preoperative laboratory findings included blood urea nitrogen (BUN), serum creatinine, 24-hour creatinine clearance (CCr) and 24-hour urine protein. The same indices were checked at one month after the operation and at the last follow up and was compared with preoperative indices. The CCr was compared with an age adjusted glomerular filtration rate (AGFR) for normal kidney. Blood pressure was checked and compared with general population. RESULTS: Mean patient follow up period was 11 years (10~15 years). BUN and serum creatinine increased, while CCr decreased from the preoperative levels, although still within normal limits. 24- hour urine protein was significantly increased from the preoperative level, and was higher than normal limits. CCr was not significantly different from AGFR. The incidence of hypertension was not higher than the general population. CONCLUSION: Most of the renal indices are well preserved within normal limits at 10 years after donor nephrectomy. Urinary protein excretion increases with marginal significance but seems to be of no clinical significance in most patients. Prospective and longer term follow-up of the donors after donor nephrectomies are needed to establish the safety for the kidney donation.
Blood Pressure
;
Blood Urea Nitrogen
;
Creatinine
;
Follow-Up Studies*
;
Glomerular Filtration Rate
;
Humans
;
Hypertension
;
Incidence
;
Kidney
;
Kidney Transplantation
;
Living Donors
;
Nephrectomy*
;
Tissue Donors*
4.The Effect of Chemical Peeling on the Dermal Connective Tissue in Facial Wrinkles of Patients with Leprosy.
Hyang Joon PARK ; Hyang Joon PARK ; Sung Yul AHN ; Jong Pill KIM
Annals of Dermatology 2002;14(3):153-157
BACKGROUND: Redundant and wrinkled face is a common finding in patients with long-standing leprosy, which is responsible for the appearance of premature aging. Chemical peeling plays a role in dermal regeneration in the treatment of wrinkles. However, the effect of chemical peeling has rarely been studied in patients with leprosy. OBJECTIVE: To investigate the effect of chemical peeling on dermal connective tissue components and clinical improvement of facial wrinkles in patients with leprosy. METHODS: Five patients with clinically and bacteriologically inactive lepromatous leprosy were treated with 70% glycolic acid plus 35% trichloroacetic acid (GA-TCA). Histologic and clinical changes were evaluated at 0 and 90 days postpeel. RESULTS: Histologically, collagen fibers and ground substance increased significantly but elastic fibers did not change at 90 days postepeel. Clinically, fine wrinkles improved considerably, whereas most deep wrinkles remained unchanged at day 90. CONCLUSION: This study demonstrates that chemical peeling with GA-TCA, or medium-depth peeling, causes an increase in collagen and ground substance but not in elastic fibers. These changes result in limited clinical improvement in the facial wrinkles of leprosy patients. Therefore, medium-depth chemical peeling may be insufficient to improve the premature aging appearance in patients with leprosy.
Aging, Premature
;
Collagen
;
Connective Tissue*
;
Elastic Tissue
;
Humans
;
Leprosy*
;
Leprosy, Lepromatous
;
Regeneration
;
Trichloroacetic Acid
5.Spacer graft using deep temporal fascia in the treatment of paralytic ectropion.
Sung Yul AHN ; Hyang Joon PARK
Korean Leprosy Bulletin 2007;40(1):25-30
BACKGROUND: Spacer graft is known to be a very effective surgical method in the treatment of paralytic ectropion. OBJECTIVE: This study was performed to evaluate deep temporal fascia as a spacer instead of Alloderm in spacer graft to correct paralytic ectropion. METHODS: In seven patients with the lower lid ectropion as a sequela of Hansen's disease, a strip of deep temporal fascia, 4.0cm long and 0.5cm wide, was obtained from the scalp. A separation between the tarsal plate and the capsulopalpebral fascia was made and the strip was inserted into the space. Two ends of the strip were fixed to the medial and lateral canthal ligaments respectively like a sling. RESULT: In all patients, immediate postoperative improvement was achieved, which was to the same degree in the patients treated with Alloderm previously reported. And no serious complications were observed in both donor and graft sites. CONCLUSION: As a spacer in spacer graft, patient's own deep temporal fascia shows good cost-effectiveness ratio and can be an alternative to Alloderm. However, further studies are neccessory to find out the long term efficacy, especially recurrence.
Ectropion*
;
Fascia*
;
Humans
;
Leprosy
;
Ligaments
;
Recurrence
;
Scalp
;
Tissue Donors
;
Transplants*
6.Surgical Procedures for Lagophthalmos during 13 years.
Sung Yul AHN ; Hyang Joon PARK ; Jong Pill KIM
Korean Leprosy Bulletin 2004;37(2):29-39
To affect the complete closure of the eyelids in leprosy patients with lagophthalmos, we have used various surgical methods to avoid using the temporalis transfer method. Although widely accepted as the most effective treatment for the chronic lagophthalmos patient, the temporalis transfer method creates a simultaneous involuntary closure of the eyelids while biting or chewing. This side effect creates a social stigmata which former leprosy patients wish to avoid. As a result, we have attempted to identify the most effective treatment which will also eliminate this involuntary closure of the eyelids during biting or chewing. In the upper eyelid, we performed gold plate implantation and levator muscle severing. In the lower eyelid, lateral tarsal strip, permanent medial tarsorrhaphy, horizontal shortening, cartilage grafting and alloderm graft have all been used in the treatment of ectropion. Based on our treatment of multiple patients, we now believe medial tarsorrhaphy supplemented with the various other methods mentioned above are insufficient to achieve the desired result of complete closure of the eyelids. As a result, we are now looking to a modified temporalis transfer procedure to ensure complete closure of the eyelids without the eye closing side effect.
Cartilage
;
Christianity
;
Ectropion
;
Eyelids
;
Humans
;
Leprosy
;
Mastication
;
Transplants
7.Surgical Treatment of Foot Ulcer in Hansen's Disease.
Sung Yul AHN ; Ki Hwan HWANG ; Hyang Joon PARK
Korean Leprosy Bulletin 1999;32(1):1-16
Damages to the sensory, autonomic and motor nerves in leprosy patients are followed by anesthesia, dryness of the skin and muscular paralysis. Most plantar ulcers in leprosy patients are caused by repetitive moderate stress. Minor injuries such as bruising sustained as a result of the misuse of anesthetic limbs may lead to ulceration, scar formation and secondary infection. Cellulitis develops and destroys subcutaneous tissue, resulting in an infection which can reach the bone. As a result of osteomyelitis, bone is absorbed, sequestra are extruded and the architecture of the foot is destructed. The most common sites of the plantar ulceration are over the metatarsal heads, the base of the fifth metatarsal, the base of the proximal phalanx, and the calcaneus. During the past 9 years, we treated 85 patients with ulcers located on the sole and the dorsum of the foot, and lower third of the leg. To prevent osteomyelitis and amputation of the lower leg, we performed various treatment modalities such as free and pedicle flaps, skin grafts, and mechanical stretching devices of the skin (e.g., Sure Closure, Proxiderm, etc), as well as consistent vacuum-assisted closure. We obtained satisfactory results in most cases. We report detailed results and related references.
Amputation
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Anesthesia
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Calcaneus
;
Cellulitis
;
Cicatrix
;
Coinfection
;
Extremities
;
Foot Ulcer*
;
Foot*
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Head
;
Humans
;
Leg
;
Leprosy*
;
Metatarsal Bones
;
Negative-Pressure Wound Therapy
;
Osteomyelitis
;
Paralysis
;
Skin
;
Subcutaneous Tissue
;
Transplants
;
Ulcer
8.Management of the paralyzed ectropion by implanting conchal cartilage.
Sung Yul AHN ; Hyang Joon PARK ; Jongpil KIM ; Sangjoon LEE
Korean Leprosy Bulletin 1999;32(2):15-24
Paralytic lagophthalmos and ectropion by leprosy are serious complications of facial paralysis, which may lead to exposure keratitis, corneal ulceration, and further lead to blindness. In 1995 and 1997, we reported in this journal on the surgical treatment of 38 patients and 98 patients suffering with paralytic lagophthalmos and ectropion. In the first report of 1995, for lid closing I(Ahn) performed the method of traditional surgery such as temporal muscle transfer, medial and lateral canthoplasty as well as gold implant. In the 2nd report of 1997, we(Ahn and Park) presented the results of our combination treatment that changed the design and weight of the gold plate inserted in upper lid, and the medial canthoplasty and horizontal shortening in lower lid. Combination treatment provided for near normal eye closure and aesthetically pleasing appearance without the drawbacks associated with other methods such as eye clinching in concert with mouth closure, donor site deformities resulting from temporalis muscle transfer, and over exposure of carbuncle due to stretching effects of lateral canthoplasty. We have now found that raising the level of the lower lid margin to the sclera is important in concealing the scleral show due to drooping of the lower lid. We grafted conchal cartilage in a 5 x 35 mm sized band, which was fixed at the medial and lateral canthal area in 57 patients during the recent 3 years. We also added the ancillary procedure of the horizontal shortening in cases of highly atonic lower lid. We have noted that gold implantation in the upper eyelid and cartilage graft in the lower eyelid, with optional horizontal shortening, successfully corrected the lagophthalmos and ectropion due to facial nerve palsy.
Blindness
;
Carbuncle
;
Cartilage*
;
Congenital Abnormalities
;
Corneal Ulcer
;
Ectropion*
;
Eyelids
;
Facial Nerve
;
Facial Paralysis
;
Humans
;
Keratitis
;
Leprosy
;
Mouth
;
Paralysis
;
Sclera
;
Temporal Muscle
;
Tissue Donors
;
Transplants
9.Clinical Observation of Retropubic Prostatectomy in Treatment of Benign Prostatic Hyperplasia.
Korean Journal of Urology 1982;23(4):535-538
A clinical observation was made on twenty cases of retropubic prostatectomy from June, 30 1978 to June 30, 1981. The results were summerized as follows. 1. The mean operation time was 92 minutes in retropubic prostatectomy. 2. The mean amount of blood transfusion was 1.2 pint. Transfusion was done in 75% of retropubic prostatectomy. 3. The mean duration of the urethral catheter indwelling was 8.85 days. 4. The mean duration of hospitalization was 9.6 days. 5. The weight of adenomatous tissue enucleated ranged from 20 to 52gm. 6. Postoperative complications were urinary infections in 12 cases, temporary incontinence in 5 cases, urethral strictures, wound abscesses and pyrexia. The mortality rate was 0%.
Abscess
;
Blood Transfusion
;
Fever
;
Hospitalization
;
Mortality
;
Postoperative Complications
;
Prostatectomy*
;
Prostatic Hyperplasia*
;
Urethral Stricture
;
Urinary Catheters
;
Wounds and Injuries
10.Management of the paralyzed ectropion by implanting the Alloderm(R).
Sung Yul AHN ; Hyang Joon PARK ; Jong Pill KIM
Korean Leprosy Bulletin 2001;34(2):71-79
Paralytic lagophthalmos and ectropion in leprosy are serious complications of facial paralysis, which may lead to expose keratitis, corneal ulceration, further lead to blindness. In 1995, 1997 and 1999, we had reported in this journal on the surgical treatment of paralytic lagophthalmos and ectropion. In the first report of 1995 for lid closing, I(Ahn) performed various method of traditional surgery such as temporal muscle transfer, medial and lateral canthoplasty as well as gold implantation. In the 2nd report of 1997, We(Ahn and Park) presented combination treatment of gold plate with minor change of design and weight in the upper lid and medial canthoplasty with horizontal shortening in the lower lid. In the 3rd report of 1999, We described an additional graft of conchal cartilage in the lower lid. However, the lateral end of the cartilage would warp and create new partial ectropion several months later. Therfore, we shifted from cartilage to Alloderm(R), acellular dermal graft. We applied it to the lower border of the tarsus instead of cartilage and fixed each end to medial and lateral canthal ligaments respectively. We think Alloderm(R) is a good substitute for the cartilage and is an effective volume expander to the atrophic lower lid.
Ankle
;
Blindness
;
Cartilage
;
Corneal Ulcer
;
Ectropion*
;
Facial Paralysis
;
Keratitis
;
Leprosy
;
Ligaments
;
Temporal Muscle
;
Transplants