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여향순(H S Yeo),박홍배(H B Park),김정호(J H Kim),이상운(S W Lee),이승민(S M Lee),최병인(B I Choi),오원주(W J Oh),이상철(Sang Chul Lee) 대한소화기학회 1988 대한소화기학회지 Vol.20 No.2
N/A We studied the clinical features of 17 patients of Tb. peritonitis, 2 patients of gastric tuberculosis. 16 patoemts of intestinal tuberculosis and 16 patients of intestinal Tbc with Tb. peritonitis who had been admitted to Kwangju, Korea, from July 1985 to July 1987, The results are as following: 1) In Tb. peritonitis, age predominace was almostly same, but in intestinal Tb, woman was predominat (1:4.3) at 3rd, 4th decade. 2) Pulmonary Tb. was accompanied by following: Tb. peritonitis 47%, Gastric tuberculosis 100%, and intestinal Tb. with peritonitis 83%. So, this results recommened that pul. Tb was major cause of these disease but, the severity of Pul. Tb was not consist with incidence of these diseases. 3) After anti Tb. chemotherapy, clinical symptoms were improved more than 70% within 7 days. 4) 3 Tb. peritonitis patients (13%), 2 gastric Tb. patients (100%) and 8 intestinal Tb. patients were confirmed by peritoneal biopsy and endoscopic biopsy. 5) The most common colonscopic finding of intestinal Tb. was multiple ulcers with inflammatory polyposis (70%) and the common sites were inflammatory polyposis (70%) and the common sites were as following in orders: cercum (57%), ileum (57%), ascending colon (52%), descending colon (14%) and sigmoid colon (5%). 6) Ascites in Tb. peritonitis (17 case) and intestinal Tb. with peritonitis (6 case) was all exudative finding with more than 50% lymphocytes.
긴급 내시경으로 진단된 상부 위장관 출혈의 임상적 고찰
박홍배,여향순,하승희,한정열,정판기,양영철 대한소화기내시경학회 1985 Clinical Endoscopy Vol.5 No.1
Department of Internal llafedicine, Kwarrqju CTtristian Hospltul Emergency endoscopy was performed in 315 patients for recent four years The aouree of upper GI bieeditag in these 315 cases were as follows: Esophageal varx(3), gastric ca(39), Mallory-we;3s syndromei(74), gastric ca(3),- Duodenal ulces(i)lrosive gastritis(14,1, Marginal ulcer(2), Goaabined case(24)k Unknown cases, Essential It was not performed in 4 died case because of poor general conditions. After check up H, Heart, P1use rate, that examination wad performed during drip infusion to he safety of ciralatary system. No compioatian were encountered. To confirm the source of bldeding 8t earlier stogie, was useful to decide which way, that is conservative of surgical therapy 'n which better far the Management. The results are as follows: f) The sex incidence of upper GI bleeding showed Male predominance c a ratio 4.6 : 1 and peak ale groups were 4th & 5th' decade. 2) Endoscbpic diagnosis of upper GI Bleeding in the studies case were in the ardeof Esophageal varix bleeding(29), Gastric ulcer(23.5), Mallory weiss eyndrome(12.), Duodenal uler(fi.'o) Erosive gastritis(j1.) We could not find the bleeding site in 3.216 of the studied case. 3) The cause of emergency endoscopy',are Melena(19), Hemateness(22.0) and combi ned(58. 4) 4) Among the 315 uses of upper GI bjleeding, 70.1 of the eases revealed moderate degree of bleeding. 5) Among the 315 cases of upper tr'*I 1',feeding, 28. 1' of the eases were confirmed of nducing factor. 6) Among the 3i5 cases of upper $I bileeding, 69io f the cases received an endascop.ic examinatcan within 72 hr after initial eaisode of bleedag. 7) The discovery rate of lesion was as follows. within 12 hrs, the discovery rate was 67같. From 12 hr, to 24 hr, the rate 48. From, 24 hr to 48 hr, the rate 3996. From 48 hr to 72 hr, the rate 2. 7. 8) The therapy of upper GI bleeding consists ef medical therapy(86,6), surgical therapy (14), the result of therapy shows 85 improvement.
김경수,여향순,임연근,조철현,김원영,이승욱,윤봉한,김광현,강명원 대한소화기내시경학회 1998 Clinical Endoscopy Vol.18 No.2
Behcet's disease is a recurrent and multisystemic disorder which usually persists over many years and is classified under vasculitic syndrome. A classic triad in this disorder is composed of a recurrent oral ulcer, genital ulceration and uveitis. While intestinal Behcet's disease most commonly affects the ileoecal region, dysphagia associated with esophageal ulceration is very uncommon. A 34-year-old-female patient visited our hospital because of dysphagia, epigastric pain and fever. The patient had ulcers on the oral mucosa, soft palate and extemal genitalia. Multiple irregularly marginated ulcers surrounded with hyperemic edematous mucosa were found on the middle and distal esophagus and lesser curvature of the stomach by an esophagogastroduodenoscopic examination. The pathologic findings were non-specific ulcers with necrotizing vasculitis in the vulva and with suspicious vasculitis in the esophagus. So she was diagnosed to have a Behcets disease and was treated with steroid and sulfasalazine. In this study we report a case of esophageal involvement of Behcet's disease with a review of the literature.
이은우,여향순,임동윤 조선대학교 부설 의학연구소 2000 The Medical Journal of Chosun University Vol.25 No.1
The reason why to migrate a large gallbladder stone into the common bile duct (CBD) remains to be established, but among various reasons the diameter of cystic duct appears to be the most important. None of the gallbladder stones with diameters greater than the cystic duct could be passed through it. However, pre-existing CBD stone increases biliary pressure that consequently dilates the cystic duct system retrogradely, allowing larger stones to migrate into the gut. Furthermore, sphincterotomy may actually prevent formation of gallbladder stone and enhance the removal of pre-existing stones from the gallbladder. We recently have experienced a case of a large CBD stone migrated from the gallbladder through the cystic duct after endoscopic sphincterotomy. The cholangitic symptoms were caused by the stone migrated from gallbladder, but several days later got well. So far any side effects related to this removed stone are not found out since we have successfully extracted a large CBD stone (3.5 x 2cm) with mechanical lithotripsy.
단세포군항체와 Magnetic Immunobead를 이용한 골수내 전이 Neuroblastoma 세포의 정밀검출
이현철,여향순,안태휴 大韓免疫學會 1987 大韓免疫學會誌 Vol.9 No.1
A method for enrichment tumor cells from bone marrow was developed to provide even greater sensitivity in detecting tumor cells that have metastasized to marrow. Mixtures of normal marrow and cultured neuroblastoma cells were reacted with anti-cell surface monoclonal antibodies, and then magnetic immunobeads coated with secondary antibodies that react with primary antibodies; the bead-target cell conjugates were removed from the mixture with a magnet. Negative selection with a combination of four anti-hematopoietic antibodies (anti-Ia, anti-myeloid, anti-)32 microglobulin, anti-HLA) produced enrichment of tumor cells from marrow (e.g. 1% can be enriched to 9.6%). Equilibrium sedimentation over Ficoll-Hypaque, which also enriched tumor cells about 3.6 fold, followed by removal of most hematopoietic cells using negative selection can concentrate tumor cells one and half logs. Combined with nnmunohistology using anti-neuron specific enolase antibody, It is suggested that this may increase sensitivity to one neuroblastoma cell per 10` normal cells.