No abstract available.
Classification* ; Technetium Tc 99m Dimercaptosuccinic Acid*

No abstract available.
Technetium Tc 99m Dimercaptosuccinic Acid*

No abstract available.
Humans ; Urolithiasis*

BACKGROUND: Recently the number of elderly gallstone patients has increased, in Korea. The aim of this study is to analyze and to measure the risk factors associated with operation on elderly gallstone patients. METHODS: We reviewed the medical records of 206 gallstone patients who had been admitted and operated on in the department of general surgery. Konkuk University Hospital, between January, 1993 and December, 1999. The patients were divided into 2 groups, over and under age 65. In each group, analysis was done on sex distribution, the ratio according to location of gallstone, duration of hospital stay, duration of general anesthesia and operative mortality, and then the above factors of each group were compared. RESULTS: 1) The ratio of common bile duct stones in patients over age 65 was two times of that in patients under age 65(48%,24%) 2) The overall operative mortality was 1.9% and has no correlation with old age. 3) Severe coexisting disease may seem the risk factor for operative mortality. CONCLUSION: In the diagnosis and management of gallstones in the elderly, the possibility of common bile duct stone should be suspected. And in order to reduce the operative mortality, careful preoperative evaluation and treatment of coexisting disease should be done.
Aged ; Anesthesia, General ; Common Bile Duct ; Diagnosis ; Gallstones* ; Humans ; Korea ; Length of Stay ; Medical Records ; Mortality ; Risk Factors ; Sex Distribution

BACKGROUND: The relation between clinical characteristics and a change of thymid functions in patients with hyperemesis gavidarum(HO) has not been well described. In order to clarify this characteristics, we evaluated thyroid function in patients with HG and compared the relationship to clinical characteristics of gestational thyrotoxicosis and hyperemesis. METHODS: From March, 1991, to April, 1997, 20 patients were admitted to the department of obstetrics in Chonbuk National University Hospital because of HG. We examined clinical characteristics of patients with HG(age, marrital age, levels of educations, obstetrical history, gestational duration, vomiting duration, degree of weight loss, infant's birth weights, duration of pregnancy). Thyroid functions, liver functions and serum electrolytes was measured. Also, we compared to the clinical characteristics of patients with HG according to thyroxine concentration. RESULTS: An increased free thyroxine concentration was observed m 65% of 20 pregnancies complicated by severe HG. The level of serum ALT was greater in thyrotoxicosis patients(91.2+-76.6 IU/L, mean +-SD) than normothyroxemic patients(20.3+-12.7 IU/L, P=0.027). Also, increased level of serum AST was observed in patients with HG. In patients with thyrotoxicosis, the long durations of vomiting was observed. CONCLUSIONS: Increased free thyroxine concentration is found in severe HG. Because the relatively higher risk for thyrotoxicosis, patients with severe hyperemesis, they must be evaluated about thyroid functions.
Birth Weight ; Electrolytes ; Humans ; Jeollabuk-do ; Liver ; Obstetrics ; Pregnancy ; Thyroid Gland* ; Thyrotoxicosis ; Thyroxine ; Vomiting ; Weight Loss

No abstract available.

No abstract available.
Gallstones* ; Lithotripsy*

No abstract available.
Hydronephrosis* ; Urography*

No abstract available.
Calcium* ; Diet* ; Hypercalciuria* ; Osteocalcin*

In general, arthroplasty in the hand is divided into three categories, namely fusion, soft tissue arthroplasty and interpositional arthroplasy, each of that having some problems and limited indications. Frequently orthopedic surgeons fall into difficulties in deciding the treatment for the ankylosed joints of the hand in young adults. We now report a case of living joint transplantation from the M-P joint of 2nd toe for post-traumatic ankylosis of that of index finger. The follow-up shows improved range of motion and good pain relief.
Ankylosis ; Arthroplasty ; Fingers ; Follow-Up Studies ; Hand ; Humans ; Joints ; Orthopedics ; Range of Motion, Articular ; Surgeons ; Toes ; Young Adult