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RISS 인기검색어
- 검색키워드
- 저자 : 변정섭 ( Jeoung Sup Byon ) (검색결과 3 건)
- 무료
- 기관 내 무료
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췌장낭종의 (膵臟囊腫) ERCP 소견 및 임상 (臨床) 고찰
김석주 ( Seok Ju Kim ),박홍배 ( Hong Bae Park ),임중규 ( Jung Kyu Lim ),변정섭 ( Jeoung Sup Byon ),임준영 ( Jun Yeong Lim ),박영 ( Yeong Park ) 대한소화기학회 1983 대한소화기학회지 Vol.15 No.2
N/A ERCP has some advantages in the diagnosis of pancreatic cyst. One is that ERCP can find the ultrasonographically undetectable cyst which is less than 5 cm located in the left upper quadrant. Also ERCP provides the information about the ductal anatomy underlying diseases of pancreatic cyst. Authors report the clinical study S: ERCP finding of 10 cases of pancreatic cyst. The results were as follows 1) Out of 938 cases of ERCP, the pancreatic cysts were 10 cases and 1 case was mucinoous cystadenoma of pancreas and others were pseudocysts. 2) The etiologic causes of pancreatic pseudocysts were acute and chronic pancreatitis(4 cases) malignancy(2 cases) trauma(1 case) and unknown(2 cases). 3) There is no specific age-incidence and male to female ratio was 4: 1 4) The most common site of pseudocyst was tail and the mucinous cystadenoma was located in the head. 5) The most common chief complaints were upper abdominal pain & palpable abdominal mass and serum amylase was elevated in 4 cases & leukocytosis in 3 cases. 6) The diagnosis by UGI-series was pancreatic cyst(3 cases), retroperitoneal tumor(2 cases) normal(2 cases) and by G.I echo, pancreatic cyst(4 cases) retroperitoneal cystic tumor(1 case) & normal(1 case). 7) The complication after ERCP is absent except mild transient elevation of serum amylase 8) The complications of pancreatic pseudocyst were infection(2 cases) k retroperitoneal rupture(1 case) and tbe frequency rate was 33% 9) The ERCP finding was variable. In 5 cases, we have demonstrated the communication from the pancreatic duct system to the cyst with the filling of dye and they are small cysts located in the parenchyme. Other findings were the displacement & compression defect of CBD by the head cyst and the complete obstruction, stenosis and displacement of the pancreatic duct
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E . R . C . P . 로 진단된 (診斷) 담관암의 (膽管癌) 임상적 (臨床的) 고찰
임준영(Jun Yeong Lim),김석주(Seok Ju Kim),변정섭(Jeoung Sup Byon),임중규(Jung Kyu Lim),박영(Yeong Park),박홍배(Hong Bad Park) 대한소화기학회 1983 대한소화기학회지 Vol.15 No.1
N/A In 938 patients suspected of having pancreatic or biliary tract disease, 104 patients were shown to have biliary tract cancer demonstrated by endoscopic retrograde cholangiopancreatography, at kwangju christian hospital from Sep, 1971j to Aug, 1982. Authors analyzed the biliary tract cancer and compared them with the final diagnosis, The results were as follow 1) There were 41 cases of primary CBD ca and 19 cases(46.3%) of them were located in upper portion of CBD. In CBD cancer, stenosis of CBD(58. 5%) were more common than obstructive type(41. 5%) by ERCP. Male and female ratio was 2.2: 1 and 6th decade were most common. 2) There were 5 cases of primary GB cancer. Four of them were diagnosed by ERCP and remainer were by ERCP. In all cases, liver metastasis was suspected by liver scanning. 3) There were 14 cases of primary ampulla of Vater cancer. All of them were diagnosed by ERCP except one and female(9) was more common than male(5) In 6 cases of them, liver metastasis was suspected by liver scanning and prognosis was better than other biliary tract cancer. 4) There were 22 cases of infiltrative obstructive ampullary cancer and 16 cases of them were from pancreas cancer and male(17) was more common than female(5).Nearly all of them were not indicated for surgical treatment 5) There were 22 cases of metastatic biliary due to early distant metastasis. Tract cancer and in all cases, their primary foci were pancreas and 13 cases of them were male. Most common metastatic site of biliary tract was upper portion of CBC(18) and in all cases, liver metastasis was also demonstrated by liver scanning.
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내시경적 유두절개술로 총담결석(總膽結石)의 비관혈적 치료
김석주,박홍배,김종수,임중규,변정섭,임준영,조진행,고정미 대한소화기내시경학회 1983 Clinical Endoscopy Vol.3 No.1
Since 1976, 938 cases of E.R.C.P. were performed at the Kwangju Christian Hospital & since December 1981, 19 cases of Endoscopic papillotomy(E.P.T.) were performed, following Results were obtained: 1) Out of 19 cases which were diagnosed by E.R.C.P.; 17 cases of C.B.D. stones, 1 case of ascaris in bile duct, 1 case of remained C.B.D. stone diagnosed by T-tube cholangiogram after operation, & E.P.T. was done in total 19 casees. 2) During 1st E.P.T., 2 cases were removed by Dormia basket under direct visualization & during 2nd E.P.T., 5 cases were removed by Dormia basket under direct visulization & 12 cases were passed in stool & 3x3.5cm large stone passage was found. 3) Complications of E.P.T. were noted in 2 cases: 1 case of bleeding was treated by blood transfusion & 1 case of Acute pancreatitis was treated by medical care.
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