Journal of Korean Association of Pediatric Surgeons最新文献_第3页

Esophageal Atresia with Bronchogenic Cyst 食管闭锁伴支气管源性囊肿

Journal of Korean Association of Pediatric Surgeons Pub Date : 2017-06-01 DOI: 10.13029/JKAPS.2017.23.1.5

Youngmin Kim, Chaeyoun Oh, J. Youn, Ji-Won Han, Hyun Young Kim, Sung-Eun Jung

引用次数: 0

Farber Disease Misdiagnosed as Hemangioendothelioma 法伯氏病误诊为血管内皮瘤

Journal of Korean Association of Pediatric Surgeons Pub Date : 2016-12-01 DOI: 10.13029/JKAPS.2016.22.2.54

Sang-Mok Lee, Chaeyoun Oh, Sung-Eun Jung, Hyun Young Kim

引用次数: 1

Cause of Abdominal Ultrasound Diagnostic Errors in Children with Acute Appendicitis 小儿急性阑尾炎腹部超声诊断错误原因分析

Journal of Korean Association of Pediatric Surgeons Pub Date : 2016-12-01 DOI: 10.13029/JKAPS.2016.22.2.33

Yoonho Kim, J. Chung

{"title":"Cause of Abdominal Ultrasound Diagnostic Errors in Children with Acute Appendicitis","authors":"Yoonho Kim, J. Chung","doi":"10.13029/JKAPS.2016.22.2.33","DOIUrl":"https://doi.org/10.13029/JKAPS.2016.22.2.33","url":null,"abstract":"Purpose: The use of CT as a diagnostic tool in pediatric acute appendicitis is increasing because of its high sensitivity and specificity. However, due to both the serious concerns about radiation of CT and the convenience and reasonable cost of ultrasound (US) examination, US has value on the initial diagnosis of acute appendicitis despite of the lower sensitivity in children. The purpose of this study was to examine the factors that affect the rate of false negative diagnosis of the ultrasound from the patients who received laparoscopic appendectomy. Methods: The pediatric appendectomy cases from 2002 to 2013 in Yeouido St. Mary’s Hospital have been reviewed through the medical records. We included patients who underwent an initial screening by ultrasound examination. Results: Among 181 patients, 156 patients were the sono-positive group and 25 patients were sono-negative group. There is no significant difference in ages, genders, physical examination findings and white blood cell count between the two groups. But, the degree of inflammation of appendicitis (simple, 58.3% vs. 32.0%; complicated, 41.7% vs. 68.0%) and the appendix position (antececal, 85.0% vs. 12.0%; retrocecal, 13.7% vs. 44.0%; pelvic, 1.3% vs. 44.0%) were significantly different between the two groups (sono-positive group vs. sono-negative group; p<0.05). Conclusion: The position of the appendix may act as a factor that causes an error in the diagnostic ultrasound, especially, in the retrocecal type and the pelvic type with the higher risk of necrosis or perforation.","PeriodicalId":164943,"journal":{"name":"Journal of Korean Association of Pediatric Surgeons","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127634950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

A Case of Pediatric Nodal Marginal Zone Lymphoma 小儿淋巴结边缘区淋巴瘤1例

Journal of Korean Association of Pediatric Surgeons Pub Date : 2016-12-01 DOI: 10.13029/JKAPS.2016.22.2.59

B. Min, J. Youn, Ji-Won Han, Chaeyoun Oh, Hyun Young Kim, Sung-Eun Jung

引用次数: 0

Single Stage Transanal Endorectal Pull-through Operation for Hirschsprung’s Disease in Neonate: A Single Center Experience 单阶段经肛门直肠内拉通手术治疗新生儿巨结肠病:单中心经验

Journal of Korean Association of Pediatric Surgeons Pub Date : 2016-12-01 DOI: 10.13029/JKAPS.2016.22.2.38

Ju Yeon Lee, Jung-Hyun Choi, Jung-Man Namgung, D. Kim, Sungwon Kim

{"title":"Single Stage Transanal Endorectal Pull-through Operation for Hirschsprung’s Disease in Neonate: A Single Center Experience","authors":"Ju Yeon Lee, Jung-Hyun Choi, Jung-Man Namgung, D. Kim, Sungwon Kim","doi":"10.13029/JKAPS.2016.22.2.38","DOIUrl":"https://doi.org/10.13029/JKAPS.2016.22.2.38","url":null,"abstract":"Purpose: The single stage transanal pull-through (SSPT) for Hirschsprung’sdisease is becoming the most popular procedure. This single center study compared the result of single stage operation with two-stage operation for Hirschsprung’s disease in neonates. Methods: We retrospectively reviewed medical records of all patients who were diagnosed as Hirschsprung’s disease and underwent SSPT or two-stage operation operation in Asan Medical Center between January 2003 and July 2014. Results: There were 17 SSPT and 28 two-stage operation. The mean age of SSPT group was 14.2±7.1 days, and the mean age of two-stage operation group was 15.4±8.6 days for stomy formation, and 188.6±36.3 days for Duhamel operation. The operation time of SSPT was shorter than Duhamel operation (145.0±37.0 minutes vs. 193.0±36.0 minutes, p<0.001). The mean follow-up period of SSPT and two-stage operation was 35.5±34.9 months (range, 2-132 months) and 56.6±35.5 months (range, 1-121 months), respectively. Defecation problem rate such as fecal soiling or fecal impaction showed no significant difference between the two groups (p=0.719). Two SSPT patients required botulinum toxin injection due to rectal stenosis. Three patients of SSPT group underwent re-do endorectal pull-through due to remnant aganglionic or hypoganglionic bowel. Conclusion: The SSPT showed shorter hospital days. However, few patients experienced rectal stenosis, but were manageable with botulinum toxin injection. The SSPT requires experienced-pathologist, as well as surgeon, because intra-operation pathology reading is critical for appropriate SSPT. SSPT is a feasible and reasonable option to treat Hirschsprung’s disease.","PeriodicalId":164943,"journal":{"name":"Journal of Korean Association of Pediatric Surgeons","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114167346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Trend of Pediatric Cholecystectomy: Clinical Characteristics and Indications for Cholecystectomy 儿童胆囊切除术的趋势:临床特点和胆囊切除术的指征

Journal of Korean Association of Pediatric Surgeons Pub Date : 2016-12-01 DOI: 10.13029/JKAPS.2016.22.2.42

Won-Ho Han, Chaeyoun Oh, J. Youn, Ji Won Han, J. Byeon, Soo-Hong Kim, Hyun Young Kim, Sung-Eun Jung

{"title":"Trend of Pediatric Cholecystectomy: Clinical Characteristics and Indications for Cholecystectomy","authors":"Won-Ho Han, Chaeyoun Oh, J. Youn, Ji Won Han, J. Byeon, Soo-Hong Kim, Hyun Young Kim, Sung-Eun Jung","doi":"10.13029/JKAPS.2016.22.2.42","DOIUrl":"https://doi.org/10.13029/JKAPS.2016.22.2.42","url":null,"abstract":"Purpose: Number of pediatric cholecystectomy has been recently showing a gradually increasing trend. The purpose of this study was to investigate the clinical features of patients who underwent pediatric cholecystectomy, and the latest trend in cholecystectomy. Methods: In the present study, we conducted a retrospective chart review on 47 patients who had undergone cholecystectomy at a single center. The entire patient population was divided into two groups, according to the time of cholecystectomy (early group, January 1999 to December 2006; late group, January 2007 to August 2014). Results: The comparison between the early and late groups showed that the number of cholecystectomy increased from 13 to 34 cases representing a 2.6-fold increase. The mean patient age also increased from 5.94±4.08 years to 10.51±5.57 years (p=0.01). Meanwhile, laparoscopic surgery also increased from 15.4% to 79.4%, respectively (p<0.001). However, sex, mean body mass index, comorbidities, indications of cholecystectomy, and previous total parenteral nutrition were not statistically significant. Conclusion: The results of this study showed that pediatric cholecystectomy cases are increasing, particularly in the 10 to 19 years age group and laparoscopic cholecystectomies are also being performed at an increasing rate. When the patients were compared according to the time of cholecystectomy, there were no differences in other risk factors or indications for cholecystectomy.","PeriodicalId":164943,"journal":{"name":"Journal of Korean Association of Pediatric Surgeons","volume":" 28","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113951579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Usefulness of Calretinin Immunohistochemistry for Rectal Suction Biopsy to Diagnose Hirschsprung’s Disease Calretinin免疫组化对直肠抽吸活检诊断巨结肠病的价值

Journal of Korean Association of Pediatric Surgeons Pub Date : 2016-12-01 DOI: 10.13029/JKAPS.2016.22.2.23

Jae-Gyu Jeong, Sang Pyo Kim, Eunyoung Jung, Soon-Ok Choi

{"title":"The Usefulness of Calretinin Immunohistochemistry for Rectal Suction Biopsy to Diagnose Hirschsprung’s Disease","authors":"Jae-Gyu Jeong, Sang Pyo Kim, Eunyoung Jung, Soon-Ok Choi","doi":"10.13029/JKAPS.2016.22.2.23","DOIUrl":"https://doi.org/10.13029/JKAPS.2016.22.2.23","url":null,"abstract":"Purpose: Hirschsprung’s disease (HD) is a congenital intestinal disorder with absence of ganglion cells in the intestinal muscle and submucosa. Diagnosis is based on histopathological study such as H&E, and acetylcholinesterase (AchE) immunohistochemistry. Calretinin immunohistochemistry was introduced as a new diagnostic method against limitations of other staining. The aim of this study is to investigate the usefulness of calretinin immunohistochemistry for the diagnosis of HD compared to H&E and AchE. Methods: Ten patients with HD and 22 non-HD patients were included in the study. H&E staining, AchE and calretinin immunohistochemistry were performed in all 32 patients. All slides were evaluated by same single pathologist and the diagnostic value was calculated for each H&E stain, AchE immunohistochemical staining, and calretinin immunohistochemical staining. Results: Calretinin method had sensitivity of 100% and specificity of 100% for diagnosis of HD. Its diagnostic accuracy was 100%. AchE staining showed 100% of specificity and 80% of sensitivity. Diagnostic accuracy of H&E staining was 56.3%. Conclusion: We concluded that calretinin immunohistochemistry is a very useful and valuable method to diagnosis HD patient.","PeriodicalId":164943,"journal":{"name":"Journal of Korean Association of Pediatric Surgeons","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121500525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Diagnosis and Treatment of Congenital H-type Rectovestibular Fistula 先天性h型直肠前庭瘘的诊断与治疗

Journal of Korean Association of Pediatric Surgeons Pub Date : 2016-12-01 DOI: 10.13029/JKAPS.2016.22.2.19

Youn-Jeong Kim, Min Jung Kim, S. H. Lee, Jeong-Meen Seo, S. Lee

{"title":"Diagnosis and Treatment of Congenital H-type Rectovestibular Fistula","authors":"Youn-Jeong Kim, Min Jung Kim, S. H. Lee, Jeong-Meen Seo, S. Lee","doi":"10.13029/JKAPS.2016.22.2.19","DOIUrl":"https://doi.org/10.13029/JKAPS.2016.22.2.19","url":null,"abstract":"Purpose: The congenital H-type rectovestibular fistula, a fistula between the anorectum and genital tract besides a normal anus is a rare variant of anorectal deformities. This disease needs proper treatment but there are no standard of diagnosis and treatment. The purpose of this report is to review a 13-year experience of approach and management for H-type rectovestibular fistula at a single institution. Methods: From February 2002 to August 2015, we cared for 11 patients who had congenital H-type rectovestibular fistula and reviewed their clinical presentation, accompanied anomalies, diagnostic modalities, operative technique, and postoperative progress. Results: Most patients with H-type rectovestibular fistula presented with symptoms including vestibular defecation and major labial abscess. We could find the fistula tract in most of patients by fistulography using contrast dye. All of the patients had been operated. There were 2 recurrences after surgical treatment who had inflammation and infection associated with the fistula. All other patients recovered without complications. Conclusion: We think the operation including fistulectomy and repair of perineal body through a transanal approach can be a feasible option to the congenital H-type rectovestibular fistula. Also, combined inflammation and infection should be treated prior to surgery to reduce postoperative complications.","PeriodicalId":164943,"journal":{"name":"Journal of Korean Association of Pediatric Surgeons","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133634231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinical Features of Varicose Vein in Pediatric Population 小儿静脉曲张的临床特点

Journal of Korean Association of Pediatric Surgeons Pub Date : 2016-12-01 DOI: 10.13029/JKAPS.2016.22.2.29

Seung Ju Lee, Jong Chan Lee, H. Shin, Y. Jeong

引用次数: 0

Neonate Congenital Bochdalek Hernia: A National Survey of Its Members by Korean Association of Pediatric Surgeons 新生儿先天性Bochdalek疝:韩国儿科外科医师协会对其成员的全国调查

Journal of Korean Association of Pediatric Surgeons Pub Date : 2016-06-01 DOI: 10.13029/JKAPS.2016.22.1.6

Doe-Young Kim, S. C. Kim, Soo-Hong Kim, Hye-Sun Kim, Soyun Nam, K. Park, J. Park, Jinyoung Park, Y. J. Boo, Jeong-Meen Seo, S. Ahn, J. Oh, S. K. Lee, Sang-Seop Lee, E. Jang, H. Jang, Sung-Eun Jung, S. Jung, Y. Jung, Eunyoung Jung, M. Cho, So Choi, Seungsuk Han, Y. Hong, Jae Shik Hong

引用次数: 1