• 제목/요약/키워드: gastrointestinal tract

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골반 골절 위치와 방광, 요도, 하부 위장관계 손상의 관련성 (Relation between Location of Pelvic bone Fractures and the Injury to the Urinary bladder, Urethra or Lower gastrointestinal tract)

  • 김창호;박정배;류현욱;서강석;서준석;정제명;제동욱;성애진
    • Journal of Trauma and Injury
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    • 제20권2호
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    • pp.90-95
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    • 2007
  • Purpose: This research was conducted to study whether the specific location of pelvic-bone fractures could increase the risk for injury to the urinary bladder, urethra, or lower gastrointestinal tract. Methods: We retrospectively reviewed the data of 234 patients with pelvic-bone fractures who visited the emergency department of Kyungpook National University Hospital from January 2004 to December 2006. The location of the pelvic-bone fracture was divided into 8 parts. The association of fracture location with injury to the urinary bladder, urethra, or lower gastrointestinal tract was analyzed with Fisher' s-exact test and multiple logistic regression. Results: Nineteen(19) patients had urinary bladder injury, 8 had urethral injury, and 9 had lower gastrointestinal tract injury. The following fracture locations were found to be significant; urinary bladder: sacroiliac (SI) joint (p<0.001), symphysis pubis (p=0.011), and sacrum (p=0.005); urethra: SI joint (p=0.020); lower gastrointestinal tract: symphysis pubis (p=0.028). After the multiple logistic regression analysis, the primary and the independent predictors for each of the injuries were as follows; urinary bladder: sacroiliac joint (p=0.000, odds ratio [OR]=10.469); lower gastrointestinal tract: symphysis pubis (p=0.037, OR=7.009). Conclusion: Consideration of further workup for injuries to the lower gastrointestinal and urinary tract is needed for some locations of pelvic-bone fractures because certain pelvic-bone fracture locations, especially the sacroiliac joint and the symphysis pubis, are associated with increased risk for injury to the lower gastrointestinal and urinary tracts.

Recent Achievements in Stem Cell Therapy for Pediatric Gastrointestinal Tract Disease

  • Bae, Sun Hwan
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제16권1호
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    • pp.10-16
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    • 2013
  • The field of stem cell research has been rapidly expanding. Although the clinical usefulness of research remains to be ascertained through human trials, the use of stem cells as a therapeutic option for currently disabling diseases holds fascinating potential. Many pediatric gastrointestinal tract diseases have defect in enterocytes, enteric nervous system cells, smooth muscles, and interstitial cells of Cajal. Various kinds of therapeutic trials using stem cells could be applied to these diseases. This review article focuses on the recent achievements in stem cell applications for pediatric gastrointestinal tract diseases.

Characterization of the microbial communities along the gastrointestinal tract of sheep by 454 pyrosequencing analysis

  • Wang, Jin;Fan, Huan;Han, Ye;Zhao, Jinzhao;Zhou, Zhijiang
    • Asian-Australasian Journal of Animal Sciences
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    • 제30권1호
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    • pp.100-110
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    • 2017
  • Objective: The gastrointestinal tract of sheep contain complex microbial communities that influence numerous aspects of the sheep's health and development. The objective of this study was to analyze the composition and diversity of the microbiota in the gastrointestinal tract sections (rumen, reticulum, omasum, abomasum, duodenum, jejunum, ileum, cecum, colon, and rectum) of sheep. Methods: This analysis was performed by 454 pyrosequencing using the V3-V6 region of the 16S rRNA genes. Samples were collected from five healthy, small tailed Han sheep aged 10 months, obtained at market. The bacterial composition of sheep gastrointestinal microbiota was investigated at the phylum, class, order, family, genus, and species levels. Results: The dominant bacterial phyla in the entire gastrointestinal sections were Firmicutes, Bacteroidetes, and Proteobacteria. In the stomach, the three most dominant genera in the sheep were Prevotella, unclassified Lachnospiraceae, and Butyrivibrio. In the small intestine, the three most dominant genera in the sheep were Escherichia, unclassified Lachnospiraceae, and Ruminococcus. In the large intestine, the three most dominant genera in the sheep were Ruminococcus, unclassified Ruminococcaceae, and Prevotella. R. flavefaciens, B. fibrisolvens, and S. ruminantium were three most dominant species in the sheep gastrointestinal tract. Principal Coordinates Analysis showed that the microbial communities from each gastrointestinal section could be separated into three groups according to similarity of community composition: stomach (rumen, reticulum, omasum, and abomasum), small intestine (duodenum, jejunum, and ileum), and large intestine (cecum, colon, and rectum). Conclusion: This is the first study to characterize the entire gastrointestinal microbiota in sheep by use of 16S rRNA gene amplicon pyrosequencing, expanding our knowledge of the gastrointestinal bacterial community of sheep.

소화관 내 압력 측정을 위한 텔레메트리 캡슐 구현 (Telemetry capsule for pressure monitoring in the gastrointestinal tract)

  • 윤기원;우상효;이정현;문연관;박희준;원철호;김병규;최현철;조진호
    • 센서학회지
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    • 제14권4호
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    • pp.211-218
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    • 2005
  • As the cause and the treatment about gastrointestinal disease has been issued recently, the importance of measuring the pressure in the gastrointestinal tract has been increased. However, the conventional measurement methods of the pressure in the gastrointestinal tract cause the patients' pain and inconvenience as well as an inaccurate pressure measurement. In this paper, the pressure monitoring telemetry system has been designed and implemented for an accurate pressure measurement inside the gastrointestinal tract with minimizing pain and inconvenience. The pressure monitoring telemetry system is composed of a pressure measurement capsule and an external receiver. The capsule has been miniaturized into the same size of a vitamin tablet so that the capsule can be swallowed through the oral cavity. After the capsule acquires and encodes the pressure data in the gastrointestinal tract, the encoded pressure data are modulated by frequency shift keying (FSK) and transmitted with ultrahigh frequency (UHF) band signal to the outside of a body. The performance of the telemetry capsule for monitoring pressure in the gastrointestinal tract is demonstrated by the results of animal in-vivo experiments.

개체발생에 따른 황소개구리(Rana catesbeiana) 위장관에서 neurotensin, pancreatic polypeptide 및 gastrin/cholecystokinin 면역반응세포에 대한 면역조직화학적 연구 (Immunohistochemical study of neurotensin-, pancreatic polypeptide- and gastrin/cholecystokinin-immunoreactive cells in the gastrointestinal tract of the bullfrog, Rana catesbeiana during developmental stages)

  • 이형식;구세광;이재현
    • 대한수의학회지
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    • 제39권1호
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    • pp.20-26
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    • 1999
  • To investigate the regional distribution and relative frequency of the neurotensin-, pancreatic polypeptide(PP)- and gastrin/cholecystokinin(Gas/CCK)-immunoreactive cells in the gastrointestinal tract of the bullfrog(Rana catesbeiana) with developmental stages, group of bullfrogs subdivided into the tadpole with hindlegs, metamorphosed bullfrog with tail, 2 weeks after metamorphosed bullfrog and adult bullfrog, were stained by immunohistochemical methods (PAP methods). Neurotensin-immunoreactive cells were observed from the pylorus of the metamorphosed bullfrog with tail, but these cells were not detected after that periods. PP-immunoreactive cells were detected from the adult bullfrog in the pylorus, duodenum and ileum. These cells were most predominant in the pylorus. Gas/CCK-immunoreactive cells were observed from the adult bullfrog in the pylorus. According to these results, most of immunoreactive cells in the gastrointestinal tract of the bullfrog were appeared after the complete metamorphosed periods, in which the complete differentiation of structure of gastrointestinal tract were occurred, and variable changes of the regional distribution and relative frequency with developmental stages were observed.

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소아의 기능성 장질환에서 사용하는 소화기계 약물의 종류: 위장관조절제 (Medical Treatment of Functional Gastrointestinal Disorders in Children: Prokinetic Agents)

  • 서지현
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제11권sup1호
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    • pp.30-37
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    • 2008
  • The knowledge of motility disorders of the gastrointestinal tract has increased over the past decades. The development of newer therapies for bowel motility disorders has been disappointingly slow. Prokinetic agents are medications that enhance coordinated gastrointestinal motility and transit of material in the gastrointestinal tract. These agents are pharmacologically and chemically diverse. However, life-threatening adverse effects of prokinetic agents such as cisapride was present. In this review, pharmacologic effects and use of prokinetic agents in children was introduced.

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메기 소화관의 S-100 protein 면역반응세포에 관한 연구 (S-100 protein-immunoreactive cells in the gastrointestinal tract of the Catfish, Silurus asotus)

  • 이재현;박기대;구세광;이형식
    • 대한수의학회지
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    • 제40권3호
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    • pp.415-420
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    • 2000
  • Distribution of S-100 protein-immunoreactive cells in the gastrointestinal tract of the catfish, Silurus asotus was investigated by PAP method. S-100 protein-immunoreactive cells were mainly observed just under the epithelium of the gastrointestinal tract. Immunoreactive cells were distributed numerously in the stomach and moderately in the middle part of the intestine, however, a few in the upper and lower part of the intestine.

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생후 발생단계에 따른 한국재래산양 위장관에 있어서 somatostatin 면역반응세포에 대한 면역조직화학적 연구 (Immunohistochemical study of the somatostatin-immunoreactive cells in the gastrointestinal tract of the native korean goat during postnatal periods)

  • 이형식;이말순
    • 대한수의학회지
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    • 제40권2호
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    • pp.237-245
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    • 2000
  • 한국재래산양의 개체발생의 단계별 (1일령, 1개월령, 6개월령, 성체) 차이에 따른 위장관에 존재하는 somatostatin 면역반응세포의 부위벌 분포와 출현빈도률 알아보기 위하여 면역조직화학적 방법으로 관찰하였던 바, somatostatin 면역반응세포는 모든 실험군의 전 위장관에 분포하였으며, 위저부에서 가장 다수로 관찰되었으며, 각 실험군에서 소화관의 원위부로 갈수록 또 연령이 중가할수록 이들 세포는 감소하는 것으로 관찰되었다. 또한 이들 세포들의 형태는 유문부에서 주로 구형, 타원형, 난원형의 폐쇄형 세포가 주로 관찰되었으며, 장 부위에서는 방추형의 개방형 세포가 다수 관찰되었다. 이들 면역반응세포의 각 연령에서외의 정확한 의의는 알 수 없으나 분포 및 빈도의 차이는 연령에 따른 식이습성과 생리적 변화에 기인한 것으로 생각된다.

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기능성 위장관 질환에서 핵의학 검사의 역할 (Scintigraphic Evaluation of Gastrointestinal Motility Disorders)

  • 최재걸
    • 대한핵의학회지
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    • 제35권1호
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    • pp.1-11
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    • 2001
  • Current scintigraphic tests of gastrointestinal motor function provides relevant pathophysiologic information, but their clinical utility is controversial. Many scintigraphic methods are developed to investigate gastrointestinal motility from oral cavity to colon. These are esophageal transit scintigraphy, oropharyngeal transit study, gastric emptying test, small bowel transit time measurement, colon transit study and gastroesopahgeal reflux scintigraphy. Scintigraphy of gastrointestinal tract is the most physiologic and noninvasive method to evaluate gastrointestinal motility disorders. Stomach emptying test is regarded as a gold standard in motility study. Gastrointestinal transit scintigraphy also has a certain role in assessment of drug effect to GI motility and changes alter therapy of motility disorders. Scintigraphy provides noninvasive and quantitative assessment of physiological transit throughout the gastrointestinal tract, and it is extremely useful for diagnosing gastrointestinal motor dysfunction. This article reviews the current procedures, indications, significance and guidelines for gastrointestinal motility measurements by scintigraphy.

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2세 남아에서 발생한 공장 해면혈관종의 복강경 보조절제 (Large Cavernous Hemangioma in the Jejunum of a 2-year-old Boy Treated by Laparoscopy-assisted Resection)

  • 박진영
    • Advances in pediatric surgery
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    • 제18권1호
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    • pp.24-29
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    • 2012
  • Although hemangiomas are common vascular tumors that can occur anywhere in the body, they seldom involve the gastrointestinal tract. Hemangiomas of the gastrointestinal tract in infants and children are rare benign vascular tumors that most commonly present with gastrointestinal bleeding. We describe here the case of 2-year-old boy with intestinal bleeding caused by a large jejunal cavernous hemangioma, which was treated by laparoscopy-assisted resection of the affected portion of the jejunum.

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