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Biomedical subjects

K S Yoon

Publications and source records attributed to K S Yoon.

6 recordsLinked to original sources

Intussusception into the enteroanastomosis after Billroth II gastric resection; diagnosed by gastroscopy.

A case of retrograde intussusception (acute type) of efferent limb into Braun side-to-side jejuno-jejunal anastomosis is presented. Intussusception, though infrequent, is well recognized complication after gastric surgery. Patient was 50 year old man who was admitted with epigastric pain and abdominal mass for 6 hours. Patient had a history of total gastrectomy 2 years before admission due to stage II gastric cancer. Seven hours after admission, hematemesis developed. Emergency fiberopticgastroscopy revealed type 4 jejunogastric intussusception. Segmental resection with end-to-end reanastomosis was performed.

Humans

Morphometric comparison of capillaries in muscle spindles, nerve, and muscle.

Morphometric study was performed on transverse sections of microdissected muscle spindles from rabbit tenuissimus muscles. It showed a statistically significant difference in size and structure between the intrafusal capillaries and those of extrafusal muscle. The former are larger in diameter, circumference, and area due to a proportionate increase in the number of endothelial cells. Vesicles within spindle endothelial cells are fewer, mitochondrial counts are greater, but in proportion to the increased number of endothelial cells, intercellular junctions are tight and pericyte coverage is greater. The basement membrane around endothelial cells and pericytes is thicker and more often multilayered. The endoneurial capillaries of tenuissimus intramuscular nerve are morphologically identical to intrafusal capillaries. The similarity of the capillaries of spindles to those in brain suggests that a blood-nervous system barrier extends from brain into the peripheral nerves and muscle spindles.

Animals

Human muscle spindles: fine structure of the primary sensory ending.

The primary sensory innervation of muscle spindles obtained by muscle biopsy of normal human volunteers was studied with the light and electron microscopes. The parent IA sensory fibre branched 4-6 times, became unmyelinated for 25-30 mum, then formed sensory terminals on each nuclear bag and chain intrafusal muscle fibre. The first 4--5 mum of the unmyelinated segment is believed to be an encoder zone because the plasmalemma was undercoated by a dense granular layer similar to that under other membranes where action potentials originate. A reconstruction from micrographs of serial longitudinal sections showed that the primary sensory ending on a nuclear bag fibre is an irregular coil with branches and varicose swellings. The terminals contain central aggregates of microfilaments often surrounded by mitochondria, small numbers of vesicles, cisterns and tubular profiles. The latter merge with the plasma membrane. Junctional complexes between the plasma membranes of the terminals and intrafusal muscle resemble fascia adherns and are postulated to act as attachment plaques. These could contribute to the transduction process by incresing the degree of distortion of the terminal's membrane when stretch is applied to the spindle. A mechanism is described which could account for some of the differences in sensitivity of the primary and secondary sensory endings.

Humans

Permeability of muscle spindle capillaries and capsule.

The permeability of capillaries in rabbit muscle spindles, intramuscular nerves, and extrafusal muscle to intraaortically infused horseradish peroxidase (HRP) was studied. The permeability of the capsule cells of the muscle spindles was also examined. Immediately following the infusion of HRP, most extrafusal capillaries contained a dense accumulation of HRP reaction product, which began to escape into the surrounding extracellular space within 2-3 min. In contrast, the concentration of HRP in the intrafusal and endoneurial capillaries was much lower than that in extrafusal capillaries, and HRP was never found outside the former vessels. In addition, HRP never completely penetrated through the spindle capsule from the extracellular into the periaxial space, although it was regularly found between the outer two or three layers of capsule cells. The results indicate that the permeability characteristics of the muscle spindle capillaries and capsule to the tracer protein HRP are very similar to those of capillaries in peripheral nerve.

Animals