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Clinical Outcome of Patients that Underwent Tracheostomy in Medical Intensive Care Unit
( Se Hyun Kwak ),( Nam Eun Kim ),( Youngmok Park ),( Seung Hyun Yong ),( Ah Young Leem ),( Sang Hoon Lee ),( Song Yee Kim ),( Kyung Soo Chung ),( Eun Young Kim ),( Ji Ye Jung ),( Young Ae Kang ),( Moo 대한결핵 및 호흡기학회 2020 대한결핵 및 호흡기학회 추계학술대회 초록집 Vol.128 No.-
Background We evaluated survival after tracheostomy and identified potential variables predicting weaning outcome in patients who underwent tracheostomy. Methods We retrospectively reviewed the medical records of patients that underwent tracheostomy in medical intensive care unit (ICU) of a tertiary referral hospital in South Korea between July 11, 2016 and April 10, 2019. We excluded patients who underwent tracheostomy before ICU admission and those who failed discontinuation of mechanical ventilation. The primary outcome was weaning failure, defined as prolonged home ventilator support. Tracheostomy tube de-cannulation or sealing off were considered a successful weaning, Results 271 patients received tracheostomy, and a total of 182 patients were included with a median age of 68.2 (IQR 57.5-77.0) years and median APACHE II score of 26.0 (IQR 20.5-31.0). The most common indication for tracheostomy was pulmonary problems (74.7%), followed by neurologic (8.8%), cardiac (3.3%), and neuromuscular (1.1%) problems. The median ICU length of stay was 89.5 (IQR 56.5-150.3) days and overall in-hospital mortality was 19.2%. Of the 182 patients, 113 (62.1%) experienced successful weaning, otherwise 69 (37.9%) patients failed to wean. There was statistically significant longer survival in weaning success group to weaning failure group (p<0.001). Multivariated analysis showed that potential factors associated with weaning failure were past history of coronary artery occlusive disease (CAOD, odds ratio [OR], 3.045; 95% confidence interval [CI], 1.237 to 7.494; p=0.015) and congestive heart failure (CHF, OR, 3.464; 95% CI, 1.171 to 10.246; p=0.025). Conclusions In our ICU, 62.1% of patients who received tracheostomy were successfully weaned. The most common reason of tracheostomy was pulmonary problems. In addition, CAOD and CHF could be predictive of weaning failure in ICU patients who underwent tracheostomy.
내시경으로 확진된 위선암의 VATER 팽대부 림프선 전이 1 예
김진범(Jin Bum Kim),김배영(Bai Young Kim),추무엽(Moo Youp Choo),황교승(Gyo Seung Hwang),김남훈(Nam Hun Kim),곽재영(Jae Young Kwak),이명기(Myoung Kee Lee),조연회(Youn Hui Cho),이영록(Young Lock Lee),김규식(Kyu Sik Kim),김영호(Young Ho 대한내과학회 1997 대한내과학회지 Vol.53 No.4
Cancer of the stomach is responsible for approximately 650,000 deaths globally each year and is probably second only to lung cancer worldwide as an overall cause of cancer-related mortality. Similar to the situation with most adenocarcinomas of the gastointestinal tract, carcinomas of the stomach can spread by local extension to adjacent normal structures and can develop lymphatic, peritoneal, and distant metastases. The tumor cells, can also permeate diffusely into the lymphatic plexus of the bowel, more often at the level of the upper duodenum hut sometimes down into the distal ileum and the large bowel. We report a case of lymphatic metastasis of gastric adenocarcinoma to the ampulla of Vater with review of the literature.