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이상팔,정영기,서동룡,장덕기,허용진,원대식,박두복 대한소화기내시경학회 1988 Clinical Endoscopy Vol.8 No.2
In 1960 Martin and his associates described another type of tumor of the stomach derived from the smooth muscle, which they named myoid tumor in a study of six patients. In 1962 Stout applied the term "lelomyoblastoma" to this interesting entity in a report of a collected series of 69 patients. Tumor cells are round or polygonal epithelioid cells, which contain perinuclear vacuole or clear zone. A 58 year-old female was admitted to this hospital because of epigastric discomfort for three months. At Upper gastrointestinal series and gastrofiberscope, a round hemispherical submucosal tumor was noted at posterior wall near the lesser curvature of gastric antrum. After subtotal gastrectomy, the submucosal tumor was diagnosed as leiomyoblastoma. Because leiomyoblastoma are rare and easily misdiagnosed as leiomyoma or leiomyosarcoma, careful histologic study is recommended.
총담관확장 및 결석진단에 있어서의 초음파와 ERCP 의 비교분석
정영기(Young Ki Chung),서동룡(Dong Ryong Seo),장정표(Jeong Pyo Jang),주홍(sung Yub Yeo),여승엽(Hong Joo) 대한소화기학회 1987 대한소화기학회지 Vol.19 No.1
N/A ERCP was performed in 107 patients who underwent right upper quadrant sonography at Maryknoll Hospital in Pusan from Jan. 1985 to Feb. 1987. ERCP showed biliary tree appeared in 83 cases of the total 107 cases (78%). The time lapse between the performance of the ultrasound and ERCP did not exceed 7 days in 55 cases of the 83 cases mentioned above. These 55 cases make up this study population. In this study, we assessed the presence or absence of choledocholithiasis and the size of the common bile duct. The results are as follows: 1) Ultrasound was not accurate in the diagnosis (sensitivity, 41%) or exclusion (value of a negative study, 77%) of choledocholithiasis. 2) In the postcholecystectomy patient population, ultrasound assessment of biliary duct size is not a useful predictor of biliary disease (value of a positive diagnosis, 40%). As a conclusion, when biliary diseases are suspected, especially for syptomatic postcholecystectomy patients, we recommand that as the diagnostic modality ERCP as well as ultrasound should be performed necessarily.
십이지장 폐색증을 보인 Choledochocele 1예
정영기(Young Ki Chung),서동룡(Dong Yong Suh),최호수(Ho Soo Choi),김용인(Yong Inn Kim),이우형(Woo Hyoung Lee) 대한소화기학회 1985 대한소화기학회지 Vol.17 No.1
N/A Congenital cystic dilataion of the common bile duct(choledochal cyst) is a relatively rare anomaly. The etiology of this condition is unknown. The locacion, degree, and type of dilatation is variable. Type I anomaly in AlonsoLej classification is most common, and comprises about 80% of cases, The choledochocele(Type III) that we experienced, however, comprises 15% approximately. The classic triad of symptoms of this anomaly are abdominal pain, palpable abdominal mass, and jaundice. But nausea and vomiting are main symptoms in the choledochocele because it involves only the intraduodenal portion of the common bile duct, and causes the obstruction of the duodenal lumen. A intraduodenal mass is easily found by UGI contrast medium study or gastrofiberscopy, and ERCP & abdominal sonogram are helpful in the diagnosis of tbe choledochocele, which is confirmed by a surgical procedure. The choice of the treatment of congenital choledochal cyst is a operation. The choledochocele is treated by transduodenal excision of the cyst wall so as to create a wide opening into the duodenum.
간 경변증을 동반한 간세포암 환자에서 혈청 보체의 진단적 의의
이정규,김호균,옥종한,서동룡 대한내과학회 1990 대한내과학회지 Vol.38 No.3
To evaluate the usefulness of serum complements level for diagnosis of Hepatocellular carcinoma(HCC), the serum levels of C₃, C₄ and alpha-fetoprotein(AFP) were studied in 23 clinicopathologically proven cirrhotic patients and 20 HCC patients with cirrhosis at Maryknoll Hospital. The results were as follows: 1) Serum C₃, C₄ levels in cirrhotic patients were significantly lower than those of the control group, and serum C₃, C₄, levels in patients with HCC combined with cirrhosis showed a significantly higher level than in patients with cirrhosis. 2) Serum C₃, C₄ levels decreased with the severity of the cirrhosis. 3) Serum C₃, C₄ had a tendency to increase in HCC patients with serum AFP level lower than 400㎎/㎖. 4) The serum C₃:74㎎/㎗ and C₄:26㎎/㎗ were selected as cutoff value. The combination of C₃ and C₄ showed positive predictive value of 92.3%, negative predictive value of 73.3% and accuracy of 79.1%. The results suggest that the serum complement test is a useful diagnostic tool for the detection of HCC in patients with cirrhosis.
김진우,임경수,정인석,최영미,공진민,서동룡 대한내과학회 1991 대한내과학회지 Vol.41 No.1
Typhoid fever is an acute systemic febrile disease caused by Salmonella typhi. Salmonella infection can lead to diffuse organ involvement, including bone, lung, thyroid, kidney, liver, spleen, heart, pericardium, intestine and skin, and cause a variety of complications. But, Salmonella typhi-associated pancreatitis rarely occurs. A 21 year-old man was admitted to Maryknoll hospital on December 30th, 1989 due to high fever, chilling sensation and epigastric pain developed 10 days before admission. Physical examination revealed dry mucous membranes, mild tenderness just above umblicus, and hepatomegaly (5cm below the costal margin at the midclavicular line). Upon admission, serum amylase, lipase and transaminase showed elevated. On the 3rd hoapital day, culture of blood yielded Salmonella typhi. The patient was treated with amoxicillin for 2 weeks. On the 13th day after the discontinuance of amoxicillin, he was readmitted due to high fever and epigastric pain. On readmission, serum amylase, lipase and transaminase elevated again and Salmonella typhi grew in blood. We report a case of Salmonella typhi-associated acute pancreatitis and hepatitis which recurred when typhoid fever relapsed.