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주대현,Joo, Dae-Hyun 대한소아외과학회 2008 소아외과 Vol.14 No.2
Forme fruste choledochal cyst (FFCC) is one of the diverse types of choledochal cyst with little or no dilatation of the extrahepatic bile duct (EHBD). It is considered that FFCC has to do with the pancreatobiliary malunion (PBM). In children, 3 to 6 millimeters of EHBD is assumed to be normal. Even though there is no clear-cut definition, FFCC is likely to be associated with bile duct dilatation less than 10 millimeters. Almost all cases have PBMs and symptoms of the pancreatitis or cholangitis. We experienced a case of FFCC in a 4-year-old boy. His EHBD measures 10 mm diameter. He had symptoms of pancreatitis and elevated hepatic transaminases. The pancreatobiliary common channel was 28 millimeters. He underwent EHBD resection and Roux-en-Y hepaticojejunostomy and was discharged with no specific complications.
주대현(Dae Hyun Joo),김동환(Dong Hwan Kim),전시열(Si Youl Jun),장태수(Tae Soo Chang) 대한소화기학회 1994 대한소화기학회지 Vol.26 No.6
N/A Adenoma of the gallbladder is very rare pathologic condition and small in size, usually dis- covered incidentally during the laparotomy or diagnostic procedure for other intraabdominal lesions. Fifteen cases of the gallbladder adenoma were found from 1982 to 1993 at Depart- ment of Surgery, Masan Koryo General Hospital. The incidence of gallbladder adenoma to cholecystectomy during the same period was 0.76%(15:1985). The male to female ratio was 1;3.7 and the peak incidence was 6th decade. Pertaining to size, seven cases were less than 10mm in diameter, three were 10 to 14mm and remained five were larger than 15mm. For in- vestigating gallbladder adenoma, ultrasonography was a highly sensitive method (sensitivity'. 53.3%). There was a case of adenoma with focal adenomatous carcinoma, but no definite evi- dence of sequence suspecting malignant change from the underlying adenoma. In conclusion, the ultrasonography was a standard imaging technique in the preoperative diagnosis and as- sessing the surgical indications of the gallbladder adenoma,and there had been no definite ma- lignant evidence in our cases. (Korean J Gastroenterol 1994; 26: 981-986)
김강도,주대현,유용운,박성환,박기호,박재복,Kim, Gang-Do,Joo, Dae-Hyun,Yoo, Yong-Oon,Park, Sung-Hwan,Park, Ki-Ho,Park, Jae-Bok 대한소아외과학회 2002 소아외과 Vol.8 No.1
Infantile hypertrophic pyloric stenosis (IHPS) a common childhood disorders characterized by nonbilious projectile vomiting, an olive shaped mass in the right upper quadrant of the abdomen and visible gastric peristaltic wave in the upper abdomen. Its etiology and pathogenesis are not clear but abnormal nerve distribution of the pylorus has been $postulated^{2-6}$. We performed immunocytochemical staning to the pyloric muscle from 10 IHPS and 3 controls patients, utilizing specific monoclonal antibody to NCAM(neural cell adhesion molecule). In IHPS patients, the number of NCAM protein immunoreactive nerve fibers were less than that in normal subjects. Auerbach myenteric plexuse was well developed and interbundle nerve plexuse was present but nerve fibers supplying individual muscle cells in smooth muscle bundles were poorly developed. These results indicate reduction of innervation in smooth muscles in IHPS patients that possibly contributes to the pathogenesis of IHPS.