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간장 ( 肝臟 ) 및 담도 ( 膽道 ) : 문맥 - 전신정맥 문합술 후 개존성 진단에 대한 Doppler 초음파검사의 유용성
최흥재(Heung Jai Choi),박인서(In Suh Park),문영명(Young Myoung Moon),이상인(Sang In Lee),전재윤(Chae Yoon Chon),김원호(Won Ho Kim),함기백(Ki Baik Hahm),배형미(Hyung Mee Bae) 대한소화기학회 1990 대한소화기학회지 Vol.22 No.4
N/A Surgical porto-syitemic shurlt is usually performed in patients who have bled from esophageal varices, Patency of the shunt generally prevents further bleeding; whereas, thrombosis exposes the patients to the risk of renewed and often life-threetening hemorrhage. Asaessment of shunt patency is therefore imyortant in the follow up of these patiensts. We asseased patency of squgical parto-aystemic shunts in five patients using Doppler ultrasonography. Of the five, one patient received a side-to-side partacaval shunt operation, one an end-to-side portacval Shunt,one a graft-interpoaitioning mesocaval shunt and two patients received a distal spIenarenal (Warren) shunt operation. In all patients, flow signal through the shunt was detected by Doppler ultrasonography. Four of five patent shuts were directly seen. In three patients color Doppler ultrasonography was performed and color flow eignals were detected, In one patients, who received side-to-side portacaval shunt operation, and another, who received graft-interpositioning mesocaval shunt operation, the flow signal of the portal vein showed reve direction of flow and a phasic pattern influenced by cardiac pulsativn, which was similar with the flow signaI of inferior vena cava. We concluded that Doppler ultraeonogrephy is a simple, noninvasive and very useful procedure to assess the pitecy of photo-systemic shunt.
김영수,김흥수,강진경,박인서,전재윤,박찬일,홍천수,최흥재,배형미,양동규,정준표 대한소화기내시경학회 1991 Clinical Endoscopy Vol.11 No.2
Studies on hepatic tuberculosis are rare in Korea except several case repots. This is the first report on hepatic tuberculosis confirmed by the peritoneoscopic liver biopsy in Korea. A 43-year-old man was admitted due to high fever and cough for l0 days. On physical examination moist rale was audible on the both lower lung fields and hepatomegaly was noted. Chest X-ray revealed multiple fine granularity scattered uniformly throughout the both lung fields compatible with miliary pulmonary tuberculosis. On blood chemistry, SGOT, SGPT and alkaline phosphatase were elevated. Peritoneascopy revealed multiple yellowish-white small nodules evenly acattered on the entire surface of the both lobes of the liver and the needle biopsy of the liver showed chronic granulomatous inflammation with multinucleated giant cells and caseous necrosis consistent with hepatic tuberculosis. The patient was treated with antituberculous medications. Chest X-ray 6 months after treatment revealed completely healed miliary pulmonary tuberculosis and on blood chemistry 200 days after therapy SGOT, SGPT and alkaline phosphatase were within normal limits.