Journal of Yeungnam Medical Science

Bo Yang Suh

9 Articles

Splenectomy in Hereditary Spherocytosis in Childhood.: Young Soo Heo, Chang Sig Kim, Byung Soo Do, Bo Yang Suh, Jeong Ok Hah; Yeungnam Univ J Med. 1994;11(1):42-48. Published online June 30, 1994; DOI: https://doi.org/10.12701/yujm.1994.11.1.42

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Among the erythrocyte membrane defects, hereditary spherocytosis is the most common. The erythrocyte membrane defect results from a deficiency of spectrin, the most important structural protein in red cell. Hereditary spherocytosis often presents with hemolytic anemia, jaundice, moderate splenomegaly. Diagnosis is established by the presence of spherocytes in the peripheral blood, reticulocytosis, an increased osmotic fragility, and a negative Coombs test. In children, splenectomy is usually performed after age 6 years but can be done at a younger age if warranted by the severity of the anemia and the need for frequent transfusions. In the period December 1987 to Agust 1993, 9 patients with hereditrary spherocytosis underwent splenectomy and the following results were obtained. 1. Nine patients were comprised of five males and four females. 2. Five patients(55.6%) had been admitted to our hospital during age 6-10 years. 3. Four of the nine patients had autosomal dominant inheritance with variable expression. The other five patients had no known inheritance. 4. The diagnosis of the spherocytosis was based on the increased osmotic fragility and increased autohemolysis of the erythrocytes, as well as on the appearance of spherocytes in the peripheral blood smear. 5. In all cases splenectomy was performed. Two patients had concomitant gall stones and choledocholithiasis, respectively. One patient with concomitant gall stones underwent simultaneous cholecystectomy and splenectomy. The other patients associated with choledocholithiasis underwent splenectomy, cholecystectomy, choledocholithotomy, and T-tube drainage. 6. Complete hematologic recovery was obtained by the splenectomy in all cases. 7. Postoperative complication was not occurred.

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A histopathological study of spectrum of splenic lesions- An eleven year analysis of clinical and pathological aspects of splenectomy specimens in a tertiary care hospital
Namratha R, Vijaya B, Karthika Bhadran
Indian Journal of Pathology and Oncology.2022; 9(3): 220. CrossRef

A Clinical Study of Congenital Duodenal Obstruction.: Young Soo Huh, Bo Yang Suh, Koing Bo Kwun; Yeungnam Univ J Med. 1990;7(2):39-48. Published online December 31, 1990; DOI: https://doi.org/10.12701/yujm.1990.7.2.39

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Abstract PDF: Congenital duodenal obstruction in the newborn infant may be due to a variety of causes. Duodenal obstruction often presents with bilious vomiting and upper abdominal distention. Diagnosis is usually established on plain x-ray of the abdomen by the classic finding of the double-bubble. In the period July 1986 to June 1990, 16 patients with congenital duodenal obstruction were operated and the following results were obtained. 1. Sixteen patients were comprised of 11 males and 5 females, the ratio of male and female was 2.2:1. 2. Thirteen patients (81%) had been admitted to our hospital during one month of life. 3. Congenital duodenal obstruction was in 16 cases; malrotation in eight (50%), annular pancreas in six (38%), type 1 atresia in one (6%), and wind-sock anomaly in one (6%). 4. There were two premature patients and six patients of small for gestational age. 5. Overall, bilious vomiting, occurring in three fourths, was the single most frequent presenting complaint. 6. Polyhydramnios occurred in two of the patients. 7. Diagnosis was possible with clinical symptom and simple abdomen. 8. The operative procedures performed were; duodenoduodenostomy in five, duodenojejunostomy in two, excision of wind-sock membrane in one, and Ladd's procedure in eight. 9. A total of ten associated congenital anomalies were found in six patients. 10. Postoperative complications occurred in five cases (31%).

The development of organ transplantation.: Bo Yang Suh; Yeungnam Univ J Med. 1990;7(2):1-11. Published online December 31, 1990; DOI: https://doi.org/10.12701/yujm.1990.7.2.1

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Abstract PDF: No abstract available.

Preduodenal Portal Vein Associated with Duodenal Obstruction: A case report.: Young Soo Huh, Jae Hwang Kim, Bo Yang Suh, Koing Bo Kwun; Yeungnam Univ J Med. 1990;7(1):211-214. Published online June 30, 1990; DOI: https://doi.org/10.12701/yujm.1990.7.1.211

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Abstract PDF: Portal vein anomalies include absence, duplication, and malposition (preduodenal portal vein). Duplication of the portal vein or a preduodenal portal vein are hazards at the time of biliary or duodenal surgery, or liver transplantation. Preduodenal portal vein, which was first reported by knight in 1921, is extremely rare congenital anomaly and may cause duodenal obstruction. Recently, we experienced a case of preduodenal portal vein associated with dextrocardia, situs inversus, and duodenal obstruction in a 3 days old male newborn and report with review of the references.

Duodenal Obstruction due to Peptic Ulcer in Children.: Young Soo Huh, Won Jong Lee, Wook Dong Kim, Bo Yang Suh, Kwoing Bo Kwun; Yeungnam Univ J Med. 1989;6(1):43-46. Published online June 30, 1989; DOI: https://doi.org/10.12701/yujm.1989.6.1.43

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Abstract PDF: Primary peptic ulcer disease in not known to be the result of underlying illness or trauma. These are most frequently duodenal or prepyloric. Since clinical features of peptic ulcer in children can easily be confused with many other disorders, the diagnosis is usually made when one of the more dramatic presentations, such as perforation, bleeding and obstruction. Recently, we experienced 2 cases of duodenal obstruction due to peptic ulcer in children. So, we report it with review of references.

Mutiple Primary Malignant Tumor.: Su Jung Lee, Yun Woong Chung, Hong Jin Kim, Bo Yang Suh, Koing Bo Kwun; Yeungnam Univ J Med. 1988;5(2):221-230. Published online December 31, 1988; DOI: https://doi.org/10.12701/yujm.1988.5.2.221

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Abstract PDF: Though the occurrence of multiple primary malignant tumor is a rare finding but the reported cases of it has increased in recent years. We collected multiple primary cancer of different organ, tissue and the multicentric origin of bilaterally paired organs. This paper reports 6 cases of multiple primary malignant tumors which were experienced at Yeungnam university hospital in Taegu during the past 2 years with review of journals. The results were as follows. 1. The incidence of multiple primary cancer was 0.31% for 2 years (1987-1988). 2. The ratio between male and female was 1:1 and mean age of incidence was 54.1 years. 3. The ratio between synchronous and metachronous (interval more than 6 months) was 1:1. 4. The time interval between first and second cancer was average 2.7 years in metachronous cases. 5. The most frequent involved organ was stomach, breast and colon in order of frequency. 6. The incidence of familial cancer associations was found in one out of 6 cases. 7. The test of DNCB, multitest CMI and ratio of T4 to T8 were performed in 4 cases but there was no definitive evidence of abnormality. We concluded that every effort should be made to discover the presence of synchronous malignancies in the patients who are being treated for a known tumor, and also special care should be given to detect new metachronous lesions is required.

Primary Sclerosing Cholangitis: One Case Report.: T J Park, Hyun Sik Min, Bo Yang Suh, Koing Bo Kwun, Tae Sook Lee; Yeungnam Univ J Med. 1986;3(1):351-355. Published online December 31, 1986; DOI: https://doi.org/10.12701/yujm.1986.3.1.351

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Abstract PDF: Sclerosing cholangitis is an uncommon disease which involves either all or part of the exrahepatic biliary duct system and, occasionally, affects the intrahepatic biliary radicles. The disease has also been called “obliterative cholangitis” and “stenosing cholangitis”, in reference to a progressive thickening of the bile duct walls encroaching upon the lumen. Several authors have proposed that the term “primary sclerosing cholangitis” be reserved for cases in which there are no associated diseases, and that all other cases be classified as “secondary sclerosing cholangitis.” Many rigid criterias have been established for the diagnosis of primary sclerosing cholangitis. Recently the authors experienced one case of primary sclerosing cholangitis which was coincided with rigid criterias and was confirmed by operation with histologic examination. We present our case and review the literatures.

A Clinical Use of CT Scan in Rectal Cancer.: Bo Yang Suh, Yong Sik Chung, Su Jeung Lee, Min Chul Shim, Koing Bo Kwun; Yeungnam Univ J Med. 1986;3(1):67-72. Published online December 31, 1986; DOI: https://doi.org/10.12701/yujm.1986.3.1.67

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Abstract PDF: Authors evaluated the accuracy of preoperative pelvic CT scan staging and its effects on management in 12 biopsy proved rectal cancer patients. Authors also studied postoperative CT in 5 patients to detect disease recurrence and metastasis. Preoperative CT staging was identical to surgical and/or pathological staging in 9 patients (75%), but it was underestimated in two cases and overestimated in one instance than in surgical stagings. In 7 cases, CT scan did not alter original choice of procedures. However, preoperative CT staging gave definitive informations to change management plans in 5 cases otherwise the treatment would be difficult and inadequate. Postoperative CT showed local recurrence in one and liver metastases in 2 cases. One of them was not detected at exploratory laparotomy.

Leiomyosarcoma of Small Intestine: Two Cases Report with Literatural Review.: Yong Sik Chung, Bo Yang Suh, Koing Bo Kwun, Tae Sook Lee; Yeungnam Univ J Med. 1985;2(1):281-286. Published online December 31, 1985; DOI: https://doi.org/10.12701/yujm.1985.2.1.281

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Abstract PDF: Small bowel malignancy consists 1~2% of overall gastrointestinal tract cancer and leiomyosarcomas of small intestine are 10~20% of small bowel malignancy. Small bowel leiomyosarcomas are rare in incidence and have no specific symptoms, signs or definite radiologic findings, so it is not easy to diagnose at early stage of disease. They are found occasionally by unknown origined gastrointestinal bleeding, abdominal pain, intestinal obstruction, perforation and palpable mass, and diagnosed mostly by operation. Recently annual case reports are increasing trend in Korea. We experienced two cases of small bowel leiomyosarcomas which was diagnosed finally by pathologic findings, so we report them with literatural review.

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