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Relationship between the Stimulated Peak Growth Hormone Level and Metabolic Parameters in Children with Growth Hormone Deficiency 生长激素缺乏症儿童受激生长激素峰值水平与代谢参数的关系
The Ewha Medical Journal Pub Date : 2023-01-31 DOI: 10.12771/emj.2023.e1
Seong Yong Lee
{"title":"Relationship between the Stimulated Peak Growth Hormone Level and Metabolic Parameters in Children with Growth Hormone Deficiency","authors":"Seong Yong Lee","doi":"10.12771/emj.2023.e1","DOIUrl":"https://doi.org/10.12771/emj.2023.e1","url":null,"abstract":"","PeriodicalId":197820,"journal":{"name":"The Ewha Medical Journal","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125120155","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
Low Anterior Resection Syndrome: Pathophysiology, Risk Factors, and Current Management 前低位切除综合征:病理生理学、危险因素和目前的治疗
The Ewha Medical Journal Pub Date : 2022-10-31 DOI: 10.12771/emj.2022.e12
S. Yeo, G. Son
{"title":"Low Anterior Resection Syndrome: Pathophysiology, Risk Factors, and\u0000 Current Management","authors":"S. Yeo, G. Son","doi":"10.12771/emj.2022.e12","DOIUrl":"https://doi.org/10.12771/emj.2022.e12","url":null,"abstract":"Low anterior resection syndrome (LARS) is a condition of anorectal dysfunction that occurs frequently following anal sphincter-preserving surgery for rectal cancer and can reduce the quality of life. In this review, we summarize the main symptoms and pathophysiology of this syndrome and discuss the treatment approaches. Early evaluation and initiation of appropriate treatment postoperatively are crucial. The most frequently used tool to evaluate the severity of LARS is the LARS score, and an anorectal manometer is used for objective evaluation. LARS is believed to be caused by multiple factors, and some of its causes include direct structural damage to the anal sphincter, damage to the innervation, loss of rectoanal inhibitory reflex, and decreased rectal volume and compliance. Diet modifications, medications, pelvic floor muscle training and biofeedback are the primary treatments, and rectal irrigation can be added as a secondary treatment. If LARS symptoms persist even after 1 to 2 years and significantly reduce the quality of life, antegrade irrigation, sacral nerve stimulation or definitive stoma may be considered. High-quality evidence-based studies on LARS treatment are lacking, and randomized controlled trials aimed at developing severity-based treatment algorithms are needed.","PeriodicalId":197820,"journal":{"name":"The Ewha Medical Journal","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124714848","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
Robot-Assisted Colorectal Surgery 机器人辅助结肠直肠手术
The Ewha Medical Journal Pub Date : 2022-10-31 DOI: 10.12771/emj.2022.e10
Young Ill Kim
{"title":"Robot-Assisted Colorectal Surgery","authors":"Young Ill Kim","doi":"10.12771/emj.2022.e10","DOIUrl":"https://doi.org/10.12771/emj.2022.e10","url":null,"abstract":"","PeriodicalId":197820,"journal":{"name":"The Ewha Medical Journal","volume":"61 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129102109","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
Treatment of Hemorrhoid in Unusual Condition-Pregnancy 妊娠期痔疮的治疗
The Ewha Medical Journal Pub Date : 2022-10-31 DOI: 10.12771/emj.2022.e11
Hyo-Seon Ryu
{"title":"Treatment of Hemorrhoid in Unusual\u0000 Condition-Pregnancy","authors":"Hyo-Seon Ryu","doi":"10.12771/emj.2022.e11","DOIUrl":"https://doi.org/10.12771/emj.2022.e11","url":null,"abstract":"Hemorrhoids are varicose veins of the rectum that are located in or near the anal canal and are covered by mucosa. They can occur at any age, are generally symptomless, and affect both sexes equally. Hemorrhoids are a common complaint among younger women and are more likely to occur during pregnancy and the menstrual cycle. In this article, we discuss the many approaches in the treatment of hemorrhoids. Laxatives, stool softeners, and fiber supplements are all considered safe for use by pregnant women. Moderate use of laxatives is also acceptable. Since there is a lack of sufficient evidence to support the safety and efficiency of topical medicines or oral phlebotomies during pregnancy, these treatments must to be utilized with an increased degree of extreme caution. In the case that considerable bleeding occurs, anal packing may be a straight forward and helpful operation to implement. A hemorhoidectomy is the treatment option for hemorrhoids that have become strangulated, badly thrombosed, or have bleeding that cannot be controlled.","PeriodicalId":197820,"journal":{"name":"The Ewha Medical Journal","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125169320","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
Is It a Refractory Disease?- Fecal Incontinence; beyond Medication 是难治性疾病吗?-大便失禁;除了药物治疗
The Ewha Medical Journal Pub Date : 2022-10-31 DOI: 10.12771/emj.2022.e9
Chung-Cheng Lee, J. L. Lee
{"title":"Is It a Refractory Disease?- Fecal Incontinence; beyond\u0000 Medication","authors":"Chung-Cheng Lee, J. L. Lee","doi":"10.12771/emj.2022.e9","DOIUrl":"https://doi.org/10.12771/emj.2022.e9","url":null,"abstract":"recurrent uncontrolled The life expectancy of Elderly have a significant rate of FI. Therefore, the number of patients with FI will increase. For diagnosis of FI, the digital rectal exam, ultrasonography, and anal manometry are used. In addition, the severity of FI can be assessed using the FI score system by examining symptoms. Recent applications include three-dimensional ultrasonography and other novel approaches. The treatments for FI include biofeedback therapy, anal implant, artificial sphincter, nerve modulation, SECCA, stem cell therapy, and surgical intervention. Biofeedback therapy is a noninvasive procedure. Anal implant, stem cell therapy, and SECCA are all minimally invasive treatments. And more methods constitute intrusive treatment. None of these therapies has been conclusively demonstrated to be superior. Depending on the severity of the symptoms, a non-invasive approach or an intrusive treatment is most frequently employed. In this review, I will discuss the diagnosis and treatment options for FI.","PeriodicalId":197820,"journal":{"name":"The Ewha Medical Journal","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131841050","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
Coronary Spasm during General Anesthesia in a Patient with Previously Undiagnosed Variant Angina 既往未确诊变异性心绞痛患者全身麻醉时冠状动脉痉挛1例
The Ewha Medical Journal Pub Date : 2022-10-31 DOI: 10.12771/emj.2022.e17
Gikil Lee, Sooyoung Cho, Dong Yeon Kim, Seung Hee Yoo
{"title":"Coronary Spasm during General Anesthesia in a Patient with Previously\u0000 Undiagnosed Variant Angina","authors":"Gikil Lee, Sooyoung Cho, Dong Yeon Kim, Seung Hee Yoo","doi":"10.12771/emj.2022.e17","DOIUrl":"https://doi.org/10.12771/emj.2022.e17","url":null,"abstract":"Variant angina, which is associated with coronary artery spam, is difficult to recognize on routine preoperative evaluation. Coronary spasm results in myocardial ischemia and even lethal arrhythmia in severe cases. Since patients are unconscious and cannot complain of symptoms during general anesthesia, early detection of such an event is difficult, and it could lead to severe bradycardia or cardiac arrest. We report a case of a patient with previously undiagnosed variant angina who experienced severe hypotension and ventricular fibrillation during general anesthesia.","PeriodicalId":197820,"journal":{"name":"The Ewha Medical Journal","volume":"126 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122043311","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: 2
Simultaneous Ileocecectomy and Anterior Resection with the da Vinci SP® Surgical System for Patient with Crohn’s Disease: A Case Report 达芬奇SP®手术系统同时回肠切除术和前切除术治疗克罗恩病患者:一例报告
The Ewha Medical Journal Pub Date : 2022-10-31 DOI: 10.12771/emj.2022.e16
Ho Seung Kim, G. T. Noh
{"title":"Simultaneous Ileocecectomy and Anterior Resection with the da Vinci\u0000 SP® Surgical System for Patient with Crohn’s\u0000 Disease: A Case Report","authors":"Ho Seung Kim, G. T. Noh","doi":"10.12771/emj.2022.e16","DOIUrl":"https://doi.org/10.12771/emj.2022.e16","url":null,"abstract":"A 25-year-old female visited the clinic with abdominal pain and poor oral intake. She was diagnosed with Crohn’s disease and had a history of using infliximab for 4 years. She had no previous operative history. Magnetic resonance enterography demonstrated the progression of a penetrating complication that involved the distal ileum and complex entero-enteric fistula between the terminal ileum and sigmoid colon. Surgery was conducted using the da Vinci SP surgical system. In the operative field, severe adhesion was observed between the terminal ileum, adjacent ileum, cecum, and the sigmoid colon. After adhesiolysis of the small bowel and right colon was performed, the fistula tract between the sigmoid colon and terminal ileum was identified and resected. Then, simultaneous ileocecectomy and anterior resection was performed. The operation was completed without any intraoperative complications and patient’s recovery was uneventful. She was discharged postoperatively, after 8 days. exteriorized","PeriodicalId":197820,"journal":{"name":"The Ewha Medical Journal","volume":"78 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129515582","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
Update on Diagnosis and Treatment of Colorectal Cancer 结直肠癌的诊断和治疗进展
The Ewha Medical Journal Pub Date : 2022-10-31 DOI: 10.12771/emj.2022.e8
C. W. Kim
{"title":"Update on Diagnosis and Treatment of Colorectal\u0000 Cancer","authors":"C. W. Kim","doi":"10.12771/emj.2022.e8","DOIUrl":"https://doi.org/10.12771/emj.2022.e8","url":null,"abstract":"The rate of colorectal cancer (CRC) has altered. Early-onset CRC patients are increasing, and it is one of the main causes of cancer-related death. Based on epidemiologic change, the CRC screening program needs to be changed. To increase compliance, non-invasive screening techniques are developed. Although CRC survival has increased, the oncologic prognosis of metastatic CRC is remains poor. Even in metastatic CRC, which is the most difficult to treat, attempts are being made to increase the survival rate by active surgical therapy with the creation of chemotherapeutic regimens and targeted treatment based on genomic information. Due to the introduction of aggressive chemotherapy regimens, targeted therapy based on genomic features, and improvements in surgical technique, the role of surgical treatment in metastatic CRC has expanded. Metastatic CRC surgery was indicated for liver, lung, and even peritoneal seeding. Local ablation therapy was also effectively used for liver and lung metastasis. Cytoreductive surgery and intraperitoneal chemotherapy were tried for peritoneal seeding and demonstrated good results in a subgroup of patients, although the right indication was carefully assessed. At the same time, one of the key goals of treatment for CRC was to maintain functional outcomes. Neoadjuvant treatment, in particular, helped rectal cancer patients preserve functional results while maintaining oncologic safety. Rectal cancer organ preservation techniques are now being researched heavily in a variety of neoadjuvant treatment settings, including immunotherapy and whole neoadjuvant therapy. Precision medicine based on patient and disease characteristics is currently being used for the diagnosis and treatment of CRC.","PeriodicalId":197820,"journal":{"name":"The Ewha Medical Journal","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133377189","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
Aggressive Clinical Deterioration of Recurrent Extramammary Paget’s Disease: A Case Report 复发性乳腺外佩吉特病侵袭性临床恶化1例报告
The Ewha Medical Journal Pub Date : 2022-10-31 DOI: 10.12771/emj.2022.e15
Sewon Lee, Sang Yoon Kim, Heejin Bang, Kyoung-Eun Lee
{"title":"Aggressive Clinical Deterioration of Recurrent Extramammary\u0000 Paget’s Disease: A Case Report","authors":"Sewon Lee, Sang Yoon Kim, Heejin Bang, Kyoung-Eun Lee","doi":"10.12771/emj.2022.e15","DOIUrl":"https://doi.org/10.12771/emj.2022.e15","url":null,"abstract":"EMPD in 2 months of recurrence. The purpose of this study is to report the rare case of fulminant disease course of EMPD after recurrence.","PeriodicalId":197820,"journal":{"name":"The Ewha Medical Journal","volume":"135 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127374630","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
Minute Colon Perforation by a Nonabsorbable Suture Knot after Uterine Myomectomy 子宫肌瘤切除术后不可吸收缝线结致微小结肠穿孔
The Ewha Medical Journal Pub Date : 2022-07-31 DOI: 10.12771/emj.2022.e7
Hyeonkyeong Kim, J. Nam, R. Lee
{"title":"Minute Colon Perforation by a Nonabsorbable Suture Knot after Uterine Myomectomy","authors":"Hyeonkyeong Kim, J. Nam, R. Lee","doi":"10.12771/emj.2022.e7","DOIUrl":"https://doi.org/10.12771/emj.2022.e7","url":null,"abstract":"We report a rare case of suture material-related colon perforation. A 60-year-old woman visited clinics because of the nonspecific abdominal discomfort for several months. There were no specific medical history except previous laparoscopic myomectomy 15 years ago. Colonoscopy and abdomen-pelvis computed tomography revealed an unknown foreign body penetrating the sigmoid colon wall adjacent to the uterus. We performed laparoscopic exploration with foreign body removal and primary colon wall repair. The foreign body was identified as a non-absorbable suture material suggestive of used in previous myomectomy. With recent trends for minimally invasive procedures in the field of pelvic organ surgery, surgeons, especially those without sufficient training have to pay attention to selecting the proper surgical suture materials. (Ewha Med J 2022;45(3):e7)","PeriodicalId":197820,"journal":{"name":"The Ewha Medical Journal","volume":"93 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117189512","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
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