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송경일(Kyoung Il Song),김수희(Su Hee Kim),장진근(Jin Geun Jang),최종수(Jong Soo Choi) 대한신장학회 2001 Kidney Research and Clinical Practice Vol.20 No.4
Bromate salt is very toxic oxidant. The climical manifestations of bromate intoxications are vomiting, diarrhea, depression of central nervous system, oliguric or non-oliguric renal failure, hemolytic anemia and deafness. Most of the toxic manifestations are reversible with the exception of renal failure and deafness. Since bromate is a small hydrophilic molecule, its removal by dialysis, especially hemodialysis, can reasonably be expected. Since the serious complications such as deafness, acute renal failure usually occur concurrently within 4-16 hours after ingestion, dialysis should therefore be considered in every patient presenting within a few hours of a significant amount of bromate. Recently, we encountered a 40-year-old female, past hairdresser, who was admitted to Asan Kangnung Hospital due to frequent diarrhea, vomiting and anuria after ingestion of sodium bromate. The patient required regular hemodialysis therapy and has not any evidence of complication such as hearing loss, blindness and irreversible renal failure. The clinician must assess the potential for preventing izrreversible ototoxicity and nephrotoxicity and weigh the importance of early intervention against the possible risks of aggressive treatment in bromate intoxication.
맹주희 ( Maeng Ju Hui ),이희섭 ( Lee Hui Seob ),장진근 ( Jang Jin Geun ),박배근 ( Park Bae Geun ),나병규 ( Na Byeong Gyu ),김용호 ( Kim Yong Ho ),정승문 ( Jeong Seung Mun ),천갑진 ( Cheon Gab Jin ) 대한소화기학회 2003 대한소화기학회지 Vol.42 No.6
Gastric volvulus is an uncommon condition which is difficult to diagnose and treat. It designates abnormal rotation of the stomach along its longitudinal (organoaxial) or transverse (mesenteroaxial) axis. When the rotation exceeds 180˚, gastric obstruction or strangulation may occur. The classical presentation of acute gastric volvulus is the triad of severe epigastric pain, vomiting followed by retching without the ability to vomit, and difficulty or inability to pass a nasogastric tube. Delay in diagnosis and treatment of gastric volvulus can lead to fatal complications such as gastric ischemia, perforation, and hemorrhage. Gastric volvulus is a true emergency which should be treated immediately either surgically or by upper endoscopy. We report a case of an acute incarcerated gastric volvulus due to a left-sided diaphragmatic hernia in an adult male patient, which was treated successfully by operation. (Korean J Gastroenterol 2003;42:544-548)