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As a n ew interventional procedure for the control ofvariceal bleeding, a portosystemic shunt can be established with th e insta llment of m etallic stent through the transjugular approach. In order to evaluate the clinicaJ usefulness of the procedure, tran닫jugular intrahepa tic portosystemic shunt procedure were performed in 5 patients with vaIiceal bleeding due to liver cirrhosis . The m e tallic s tents were mainly a self expandable Wallstent(Schneider, Switzerland). An 8 to 10 mπ shunt wasdoi:10.3348/jkrs.19220.127.116.113 fatcat:qnlo25febjgkhgv4iimgklc3gi
more »... orm ed by the insertion of the stent and balloon dilatation after puncture of the proximal portal vein from the right or middle h epatic vein. The patency of the shunt was proven by portography after the procedu re. The portal pressure m eas ured in 3 pa tients before a nd after the procedure improved with decrease from
Isolated Metastasis of Hepatocellular Carcinoma to the Gallbladder Mimicking Gallbladder Carcinoma: A Case Report 1 담낭암으로 오인된 간세포암의 담낭 내에 국한된 전이: 1예 보고 1 Man-Su Choi, MD 1 , Hee-Jin Kwon, MD 1 , Jin-Han ... Cho, MD 1 , Jong-Yeong Oh, MD 1 , Kyung-Jin Nam, MD 1 , Sang-Yeong Han, MD 2 , Jin-Sook Jeong, MD 3 Departments of 1 Diagnostic Radiology, 2 Internal Medicine, 3 Pathology, Dong-A University Hospital, ...doi:10.3348/jksr.2012.66.5.459 fatcat:k44q7zkyu5ayfg5dkmtdhuos5e
A study was done on 23 men in order to identify individuals with venous leakage as a cause of erectile impotence Combined pressure flow measurement and cinecavernosography were performed after the injection of papaverine into the corpora. Nine patients had abnormal venous leakage to various drainage systems while the remaining 14 had no v enous leakage. The rate of infusion to maintain intracavernosal pressure of 120-150 mmHg was 30-180 ml/min in nine patients with venous leakage and it wasdoi:10.3348/jkrs.1918.104.22.1686 fatcat:yjvcqgcq7fgwnlezzxr77gokla
more »... ml/min in 14 patients without venous leakage. The authors conclude that cinecavernosography and cavernosometry are essential in the work-up of impotence.
Here, we present anintramural hematoma presenting with ST-elevation myocardial infarction without definite intimal dissection in an elderly man who was diagnosed using intravascular ultrasound and managed ... who had no risk factors for atherosclerotic disease.CASE REPORTA 67-year-old man with a history of chronic hepatitis C and pneumonectomy for destructive aspergillosis presented with severe ongoing substernal ... angiography after additional stenting overlapping the previous stent and covering the propagated intramural hematoma. intimal disruption that presented with ST-elevation myocardial infarction in an elderly man ...doi:10.3904/kjm.2015.89.4.444 fatcat:eo35f7xu2rb3zhb4v7kzlffvsm
Purpose: Gastric emptying may influence the quality of life of patients who undergo distal gastrectomy. Little is known, however, about gastric emptying after distal gastrectomy. The aim of our study was to investigate gastric emptying patterns after distal gastrectomy. Methods: This gastric-emptying study investigated patients who underwent distal gastrectomy in the 6 months or more before May 2008 to July 2013 at Chungbuk National University Hospital with a study sample of 205 patients. Wedoi:10.4174/astr.2017.93.6.310 pmid:29250510 pmcid:PMC5729125 fatcat:2h2qw65rqja55pskg3hu45egdu
more »... lyzed patterns of gastric emptying. Results: Delayed gastric emptying was found in 109 of the 205 patients (53.2%). Food stasis was more frequent in a group with delayed gastric emptying. In multivariate analysis, risk factors for gastroparesis were laparoscopic operation (hazard ratio [HR], 2.731; P = 0.008) and duration of less than 24 months after distal gastrectomy (HR, 2.795; P = 0.001). Delayed gastric emptying tended to decrease with duration of the postoperative period. Conclusion: Delayed gastric emptying is common in distal gastrectomy, and is related to laparoscopic operation and duration of the postoperative period. Food stasis was more frequent in a group with delayed gastric emptying. [Ann Surg Treat Res 2017;93(6):310-315]
doi:10.3347/kjp.2010.48.3.259 pmid:20877507 pmcid:PMC2945803 fatcat:cz7cprjnqffshnrav2qcybq5fa
We report a rare association of IRPF with Hashimoto's thyroiditis in a 67-year-old man demonstrating good response to steroid therapy. ... Our patient was a 67-year-old man, unlike the previous reports. ... CASE REPORT A 67-year-old man was referred for biopsy of a known retroperitoneal mass in April 2006 after suddenly developing gross hematuria two months earlier. ...doi:10.3349/ymj.2008.49.6.1032 pmid:19108029 pmcid:PMC2628029 fatcat:qvcyoegwpff3vjjgbowafztw6q
Patients undergoing liver resection are at risk for intraoperative hyperglycemia and acute hyperglycemia is known to induce hepatocytes injury. Thus, we aimed to evaluate whether intraoperative hyperglycemia during liver resection is associated with the extent of hepatic injury. Methods: This 1 year retrospective observation consecutively enrolled 85 patients undergoing liver resection for hepatocellular carcinoma. Blood glucose concentrations were measured at predetermined time pointsdoi:10.1371/journal.pone.0109120 pmid:25295519 pmcid:PMC4189957 fatcat:b7emf4aw7veqvedhx3teccf4vy
more »... every start/ end of intermittent hepatic inflow occlusion (IHIO) via arterial blood analysis. Postoperative transaminase concentrations were used as surrogate parameters indicating the extent of surgery-related acute hepatocytes injury. Results: Thirty (35.5%) patients developed hyperglycemia (blood glucose . 180 mg/dl) during surgery. Prolonged ($ 3 rounds) IHIO (odds ratio [OR] 7.34, P = 0.004) was determined as a risk factors for hyperglycemia as well as cirrhosis (OR 4.07, P = 0.022), lower prothrombin time (OR 0.01, P = 0.025), and greater total cholesterol level (OR 1.04, P = 0.003). Hyperglycemia was independently associated with perioperative increase in transaminase concentrations (aspartate transaminase, b 105.1, standard error 41.7, P = 0.014; alanine transaminase, b 81.6, standard error 38.1, P = 0.035). Of note, blood glucose . 160 or 140 mg/dl was not associated with postoperative transaminase concentrations. Conclusions: Hyperglycemia during liver resection might be associated with the extent of hepatocytes injury. It would be rational to maintain blood glucose concentration , 180 mg/dl throughout the surgery in consideration of parenchymal disease, coagulation status, lipid profile, and the cumulative hepatic ischemia in patients undergoing liver resection for hepatocellular carcinoma.
Biological activities such as antioxidant, anticoagulant, and α-glucosidase inhibitory effects of 40% (v/v) ethanolic extract from black locust (Robinia pseudoacacia L.) flower were investigated. The polyphenol content of the black locust flower extract was 39.8±0.5 mg gallic acid equivalents/g. The flower extract represented antioxidant effects such as free radical, cationic radical, and nitrite scavenging abilities as well as reducing power. Also the flower extract inhibited α-glucosidasedoi:10.3839/jabc.2022.015 fatcat:5c7jz7j3bbhnbc62r37cxh52a4
more »... vity and common pathway in plasma coagulation system.
Focal segmental glomerulosclerosis (FSGS) is a heterogeneous clinicopathological entity. Two frameworks for the classification of FSGS have been described: etiologic and morphologic. The etiologic classification is distinguished among genetic, adaptive, virus-associated, drug-induced, and idiopathic types. Morphologic classification is commonly referred to as the Columbia classification published in 2004, which distinguishes five variants: collapsing, tip, cellular, perihilar, and not otherwisedoi:10.1155/2016/9375753 pmid:27247945 pmcid:PMC4876206 fatcat:prbn7oig4bfwhaz3h4t6kr75pu
more »... specified (NOS). This classification is based on light microscopic patterns with rigorously defined specific criteria, which can be applied to primary and secondary forms of FSGS, and has been widely used over the past 10 years both as a diagnostic and as a prognostic clinical tool. This paper defines common histopathological features of FSGS, distinguished characters among five variants, and points out the confusion about terminology of variants, because most were proposed in the past with different definitions. Despite good interobserver reproducibility of this classification system, difficulty in its application may arise in the interpretation of lesions with mixed features of more than one variant in the same tissue specimen and with late lesions, because other variants may evolve into the NOS variant over time.
Subsequently, using the combined results of dynamic viscoelastic measurement (i.e. logarithmic plots of dynamic storage modulus versus dynamic loss modulus) and turbidity measurement, Han and coworkers ...doi:10.1016/0032-3861(92)90698-v fatcat:5shvfk76u5f47fenatrtbh6wi4
We performed 70 proceudres of transarterial chemoembolization (fAE) through extr하lepatic collateral vessels (n = 27) or parasitic feeders (n = 18) in 45 hepatocellular carcinoma patients. The collaterals developed after inteπuption of the hapatic arteIγ due to repeated TAE (n = 17), surgical ligation (n = 7) and primaη celiac occlusion (n=3). Radiologic findings suggesting the existence of parasitic or collateral supply for hepatocellular carcinoma were 1) a focal defect of Lipiod이 retention ondoi:10.3348/jkrs.1922.214.171.1240 fatcat:q3zowhpvdbbs3gvhdqknswdt44
more »... CT or plain film after TAE via the hepatic artery, 2) dilated and tortuous vessels around the mass on angiography, 3) persistent elevation of the level of serum alpha-fetoprotein or continuous clinical symptoms in spite of sufficient devascularization of the tumor via the hepatic artery, and 4) radiological findings of direct invasion into adjacent organ. The sites of the catheter placement were the inferior phrenic artery (n = 19), omental branches (n = 16), periportal collaterals (n=6) , pancreaticoden혀 arcade (n = 3), gastroduodenal arteη (n =3), internal mammary artery (n=2), intercostal artery (n = 2) , lateral thoracic arteIγ (n = 1), bronchial artery (n = 1), and colic branches (n = 1). Masses feeded by the inferior phrenic and chest wall collaterals were usu잉ly located at the dome area of the liver, and the omental 잉ld gastroduodenal collaterals developed in the masses located at the inferior tip of the liver. After TAE via collateral vessels , 37 patients underwent follow-up study. In 18 cases (48%) , the tumor favorably responded to TAE. Specific complications of collateral TAE were epigastric soreness (n = 10), severe shoulder pain (n=4), and embolization of the spin띠 arteη during embolization through the intercostal artey (n= 1). In conclusion, various extr하lepatic collaterals are important alternative or additional routes for effective chemoembolization in patients with advanced hepatoma, and early recognition of the parasitic supply and the effort to perform TAE via collaterals is veπ important for effective management of the patients with the hepatoma.
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