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RISS 인기검색어
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- 저자 : 전기완(Gy Wan Chun) (검색결과 2 건)
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노상현(Sang Hyun Rho),강성래(Seong Rae Kang),전기완(Gy Wan Chun) 대한소화기학회 1991 대한소화기학회지 Vol.23 No.4
N/A This is a clinical study of 10 cases of histologically confirmed small and large intestinal tuberculosis admitted and operated at GS department, Pusan Medical Center from January, 1986 to December, 1990. The following results were obtained. 1) There were 5 men and 5 women, giving a sex ratio of male to female 1:1. The high incidence of age was in third decade. 2) Preoperative diagnosis were generalized peritonitis due to intestinal perforation in 5 cases, intestinal obstruction with abdominal mass in 4 cases and enterocutaneous fistula following previous appendectomy in 1 case. 3) In the routine chest X-ray and direct smear A.F.Bacilli on sputum, positive findings were found in 7 cases. The 4 cases which were done the barium enema studies were all positive findings. 4) In associated diseases, mental retardation in 3 cases and neurofibromatosis in 1 case were noted. 5) The most common location of tuberculosis was the ileum in 6 cases, cecum in 2 cases and mesentery in 2 cases. 6) In the postoperative courses, 4 cases of intestinal perforation due to tuberculous ulceration having poor nutritional state were died due to sepsis but 1 case of a single ileal perforation is alive. Especially, 2 cases of multiple perforated tuberculous enetritis which managed by multiple wedge-resections were died due to reccurent perforation and anastomotic leakage, showed severe adhesion, stenosis, fistula, mucosal bleeding, ulceration and perforation on reoperative findings. Another 5 cases which were operated due to other intestinal tuberculous complications is alive. 7) In multiple perforated intestinal tuberculosis, we consider it may be necessory to intestinal plication and multiple side-to-side enetrostomy preventing to intestinal obstruction and leakage of anastomotic site.
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