No abstract available.
Gastric Emptying* ; Pancreaticoduodenectomy*

No abstract available.
Gastric Emptying* ; Pancreaticoduodenectomy*

A patient with extraskeletal cervical epidural Ewing's sarcoma who presented with cervical radiculopathy is reported. A 58-year-old woman presented with right posterolateral neck pain and upper extremity radiculopathy. The computed tomography myelography showed epidural and paravertebral masses on right side, with widening of the ipsilateral neural foramina at the C2-C3 level. On magnetic resonance images, the mass was isointense to soft tissue on T1-weighted images, hyperintense on T2-weighted images, and showed diffuse enhancement on GdTA enhanced T1-weighted images. The staged, combined posterior and anterior approach were done and the tumor mass was subtotally removed. During postoperative adjuvant chemotherapy with Cytoxane, Adriamycin, Vincristine, Prednisolone regimen, the patient died of severe compression of upper cervical cord by recurrent, extended tumor mass in the spinal canal.
Chemotherapy, Adjuvant ; Cyclophosphamide ; Doxorubicin ; Drug Therapy ; Female ; Humans ; Middle Aged ; Myelography ; Neck Pain ; Prednisolone ; Radiculopathy ; Sarcoma, Ewing* ; Spinal Canal ; Upper Extremity ; Vincristine

No abstract available.
Knee Joint* ; Knee* ; Torque*

No abstract available.
Plasma Exchange* ; Plasma* ; Seoul*

No abstract available.
Plasma Exchange* ; Plasma* ; Seoul*

PURPOSE: Mycoplasma pneumoniae infection is relatively common in childhood. Its extrapulmonary manifestations have been reported so much, but hepatitis associated with it has not been studied yet until now in Korea. METHODS: We performed the prospective study of 19 cases that had AST and ALT>50 IU/L respectively without evidence of hepatitis A, B, C, cytomegalovirus, and Ebstein-Barr virus infections amongst 143 patients with M. pneumoniae pneumonia who were admitted to the Department of Pediatrics, Seoul Red Cross Hospital from Jan. 1999 to Dec. 2000. RESULTS: 1) Hepatitis occurred in 13.3% of Mycoplasma pneumoniae infection, especially in fall and winter times. The average age was 4.86 years and male to female ratio was 2.2 : 1. 2) Vomiting was developed in 21.1%, diarrhea in 36.8%, and hepatomegaly in 21.1%, respectively. And leukocytosis was noted in 21.1%, eosinophilia in 15.4%, anemia in 10.5%, and thrombocytosis in 5.3%, respectively. The average level of C-reactive protein was 6.34+/-4.82 mg/dl. 3) There was no hyperbilirubinemia, but hypoalbuminemia was detected in 42.1%. The average serum levels of AST and ALT were 214.05+/-183.22 IU/L and 284.16+/-286.84 IU/L, respectively. 4) Chest radiology showed lobar or lobular consolidation in 73.7%, bronchial infiltration in 26.3%, and pleural effusion in 31.6%. 5) The average length of hospitalization was 7.9 days, and the average length of normalization of serum transaminases was 8.8 days. All patients recovered within 2 weeks completely. CONCLUSION: The prognosis of M. pneumoniae hepatitis is good. However, its incidence is not so low that liver function should be considerately checked in case of M. pneumoniae infection.
Anemia ; C-Reactive Protein ; Child ; Cytomegalovirus ; Diarrhea ; Eosinophilia ; Female ; Hepatitis A ; Hepatitis* ; Hepatomegaly ; Hospitalization ; Humans ; Hyperbilirubinemia ; Hypoalbuminemia ; Incidence ; Korea ; Leukocytosis ; Liver ; Male ; Mycoplasma pneumoniae* ; Mycoplasma* ; Pediatrics ; Pleural Effusion ; Pneumonia ; Pneumonia, Mycoplasma* ; Prognosis ; Prospective Studies ; Red Cross ; Seoul ; Thorax ; Thrombocytosis ; Transaminases ; Vomiting

Conjunctivodacryocystorhinostomy(CDCR) with Jones tube is indicated in the cases with upper and lower or common canaliculi obstruction or failed cases of dacryocystorhinostomy. We made a clinical evaluation of the 247 CDCR with Jones tube which had been performed from May of April of 1990. The results were as follows: 1. Canalicular obstruction occured mainly in economic age. 2. The most common cause of the canalicular obstruction was trauma involving canaliculi. 3. The overall success rate of CDCR with Jones tube was 96%. 4. The cases that needed reoperation were extrusion or loss of tube, tilting of tube anteriorly or superiorly, and being buried of Jones tube to nasal cavity in decending order of frequency. 5. Postoperative complications were obstruction of tube with mucoid discharge, granuloma formation, clogging of tube with conjungvtiva, and inflammation around the tube in decending order of frequency. 6. By the development of surgical technique, amount of intraoperative blood loss has been decreased and the duration operation time has become shortened.
Dacryocystorhinostomy ; Granuloma ; Inflammation ; Nasal Cavity ; Postoperative Complications ; Reoperation

We report a case of sarcoidosis which developed in the skin, lung and eyes in a 50-year-old woman. The skin lesions showed two types of cutaneous manifestations which were subcutaneous nodules on her back and erytrematous papules on the face for several months. Our patient's seurm angiotensin converting enzyme (ACE) level was elevated at 33.5 IU/L(reference range, 8.3-21.4 IU/L) and the purified protein derivative(PPD) skin test had a negative result. On her roentgenographic examinations, we could find multiple nodular densities with hazziness on both her lungs and radionuclides(Gallium 67) uptakes in right lower lung field. The ratio of helper to suppressor T cells was 9 in bronchial lavage. Diagnosis of sarcoidosis was made on the basis of histologic findings of non-caseating granulomas from skin and lung tissue. Treatment was initiated with oral alternate-day prednisone 40mg. The cutaneous lesions and dyspnea improved in 2 and 4 weeks respectively, and serum ACE level returned to normal in 2 months.
Bronchoalveolar Lavage ; Diagnosis ; Dyspnea ; Female ; Granuloma ; Humans ; Lung ; Middle Aged ; Peptidyl-Dipeptidase A ; Prednisone ; Sarcoidosis* ; Skin ; Skin Tests ; T-Lymphocytes

Endoscopic microwave coagulation therapy was applied to two cases of postoperative anastomotic stenosis. Clinical symptoms and endoscopic findings were improved by endoscopic microwave coagulation tberapy in both cases. It is concluded that this method will be a safe and sure method for the treatment of anastomotic stenosis after gastrointestinal operation
Constriction, Pathologic* ; Microwaves*