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헌트-로렌츠씨 주머니 조성술을 이용한 선천성 소위증(congenital microgastria) 치험

Other Titles
 Congenital Microgastria: Treatment with a Hunt- Lawrence Pouch 
Authors
 김성민  ;  박윤준  ;  한석주  ;  오정탁  ;  이상혁 
Citation
 JOURNAL OF THE KOREAN SURGICAL SOCIETY , Vol.73(4) : 350-354, 2007 
Journal Title
 JOURNAL OF THE KOREAN SURGICAL SOCIETY 
ISSN
 1226-0053 
Issue Date
2007
Abstract
Congenital microgastria results in growth retardation early in a patient’s life due to poor oral intake, malnutrition and failure to gain weight. An one-month-old female was admitted with a history of poor oral intake, vomiting and recurrent pneumonia after birth. She had an extremely small, tubular stomach in the midline of the abdomen, a megaesophagus and severe gastroesophageal reflux (Reflux Index: 41.1%, DeMeester score: 152.2). A Hunt- Lawrence Pouch (Roux-en-Y double barrel jejunal food pouch formation) procedure was performed for augmenting the small stomach after failure of conservative management such as small, frequent feedings and prokinetics. The postoperative UGI and esophageal pH study showed marked improvement of the GER (13.7%, 68.9 respectively). Although her preoperative symptoms have subsided, her weight is still below normal (third percentile). Creating a Hunt-Lawrence pouch is the treatment of choice for congenital microgastria that is refractory to conservative management.
Files in This Item:
T200700188.pdf Download
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Seong Min(김성민)
Park, Youn Joon(박윤준)
Oh, Jung Tak(오정탁)
Han, Seok Joo(한석주) ORCID logo https://orcid.org/0000-0001-5224-1437
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/97730
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