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A Case of Primary Pneumatosis Cystoides Intestinalis in a Patient with Chronic Abdominal Pain
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Joon Suk Kim, Soon Beom Kwon, Won Kim, Yong Jin Jung, Ji Bong Jeong, Ji Won Kim, Byung Kwan Kim, Kook Lae Lee
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Intest Res 2011;9(1):40-45. Published online April 30, 2011
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DOI: https://doi.org/10.5217/ir.2011.9.1.40
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Abstract
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- Pneumatosis cystoides intestinalis is a rare phenomenon presenting with multiple gas-filled cysts in the submucosal or subserosal layer of the gastrointestinal tract. Pneumatosis cystoides intestinalis can occur as a primary or secondary disease with an underlying etiology. We recently managed a case of primary pneumatosis cystoides intestinalis in a 42-year-old man with chronic abdominal pain. The case is presented with a review of the literature. (Intest Res 2011;9: 10-45)
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- A Case with Primary Pneumatosis Cystoides Treated after Colonoscopic Endoscopic Mucosal Resection
Suk Jae Hahn, Hyoun Woo Kang, Jun Kyu Lee The Korean Journal of Gastroenterology.2014; 64(2): 119. CrossRef
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Palliative Self-expanding Metal Stents in the Treatment of Malignant Colorectal Obstruction
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Ji Bong Jeong, Kook Lae Lee, Soon Beom Kwon, Joon Suk Kim, Jae Kyung Lee, Won Kim, Yong Jin Jung, Ji Won Kim, Byeong Gwan Kim
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Intest Res 2010;8(2):135-141. Published online December 30, 2010
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DOI: https://doi.org/10.5217/ir.2010.8.2.135
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Abstract
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- Background/Aims
This study was designed to evaluate the outcomes of self-expanding metal stents (SEMS) as palliative treatment for malignant obstruction of the colon and rectum. Methods: From January 2003 to September 2009, 28 patients (12 men and 16 women) with malignant colorectal obstruction received placement of uncovered or covered stents for palliative purposes under endoscopic or fluoroscopic guidance. The rates of technical success, clinical success, and the complications associated with stent insertion, patient survival, and long-term stent patency were evaluated. Results: The technical and clinical success rates were 100% (28/28) and 89.3% (25/28), respectively. Among the 25 patients with technical and clinical success, seven patients (28%) experienced complications: A case of perforation (n=1) was managed by surgical intervention, cases of tumor ingrowth (n=4), tumor ingrowth and overgrowth (n=1), and tumor overgrowth (n=1) were managed successfully with an additional stent. The median survival duration was 128.0±54.8 days. The median stent patency duration was 93.0±29.1 days, and the patency rates at 30, 90, and 180 days were 92%, 52%, and 25%, respectively. Conclusions: The placement of a self-expanding metal stent was safe and effective palliative treatment for malignant colorectal obstruction. Stent-associated complications can be managed with the placement of additional stents in the majority of the patients and long-term stent patency is favorable. (Intest Res 2010;8:135-141)
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- Colorectal Stents: Current Status
Jeong-Mi Lee, Jeong-Sik Byeon Clinical Endoscopy.2015; 48(3): 194. CrossRef
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Clinical Features and Therapeutic Responses of Abdominal Actinomycosis
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Ji Won Kim, Ji Bong Jeong, Yong Jin Jung, Byung Kwan Kim, Kook Lae Lee, Su Jong Yu, Mi Na Kim, Joo Sung Kim, Hyun Chae Jung, In Sung Song
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Intest Res 2007;5(2):177-183. Published online December 30, 2007
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Abstract
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- Background/Aims
Abdominal actinomycosis is a rare entity and difficult to differentiate from a malignant neoplasm. A study of clinical features and therapeutic responses will contribute to the understanding of this disease. Methods: We analyzed the clinical features and therapeutic responses of 12 cases of abdominal actinomycosis from 1989 to 2007. Results: The male to female ratio of patients was 1:1, and the patients had a median age of 50 years (range 38-60 years). Abdominal pain was the most common symptom, and seven of twelve patients had a history of abdominal surgery, trauma, DM or IUD (intrauterine device) use. An abdominal CT examination revealed infiltrative lesions with disruption of the tissue plane in eight cases, and colonoscopic findings showed luminal stenosis, nodular lesions and ulceration in four cases. Surgical resection was performed in eleven cases with a right hemicolectomy with or without a salpingo-ooporectomy, a left hemicolectomy or mass excision. Of the eleven patients who underwent surgical resection, seven patients received intravenous penicillin G (10-15×106 U) followed by administration of oral antibiotics for a median 8 months (range 4-12 months) according to the presence of symptoms and signs. Conclusions: With combined adequate surgical resection and high-dose antibiotic therapy, the therapeutic responses are favorable in most of the abdominal actinomycosis patients. (Intest Res 2007;5:177-183)
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