당뇨병의 족부병변

鄭乙順 임상약학사 1995 臨床藥學 Vol.15 No.1

[인천광역시 서구 가좌2동] 더디 가더라도 주민과 함께하는 마을공동체만들기_동네 특성 살려 향후 10년을 위한 준비에 착수

정을순 한국자치학회 2014 월간 주민자치 Vol.28 No.-

위선종의 (胃腺腫) 임상적 (臨床的) 관찰

정을순(Eul Soon Chung),이상종(Sang Jong Lee),이만호(Man Ho Lee),오동주(Dong Joo Oh),이성훈(Sung Hoon Lee),김명숙(Myung Sook Kim),정인교(In Kyo Chung) 대한소화기학회 1986 대한소화기학회지 Vol.18 No.2

Gastric adenoma is a benign polypoid growth called borderline epithelial lesion, atypical epithelial lesion or flat adenoma. Some authors suggest that it may be a precancerous lesion and its frequent association with gastric carcinoma raises a possibility of its malignant potentiality although unclarified. In this context, we assessed 15 cases with gastric adenoma who visited Koryo General Hospital from 1981 to 1986 and obtained following results. 1) The most patients were in the seventh decade followed by the sixth decade, mean age being 61. 9. The ratio of male to female was 1:1.1. 2) The common clinical symptoms with which patients presented were indigestion (80.0%), epigastric pain and loss of appetite. Epigastric tenderness was observed in 40% of patients on physical examination. 3) UGI series taken in 9 patients showed findings compatible with malignant tumor in 3 cases, peptic ulcer in 3 cases and normal finding in 3 cases. 4) Gastroscopic findings of adenomas were pedunculated polypoid mass in 4 cases, elevated lesion in 2 cases, and multiple small nodules in 1 case. In remaining 8 cases, only nonspecific findings such as superficial ulcers or chronic inflammation were observed. 5) In most cases (13 of 15 cases), gastric adenoma was located in the pyloric antrum as a single in numher. 6) Histologically, only one case was associated adenocarcinoma and two cases showed cellular atypism suspected of malignant change although there was no evidence of malignant cell. 7) 12 cases showed symptomatic improvement with medical treatment and 3 cases who were suspected or confirmed as malignancy by endoscopic biopsy took surgery,

간장 및 담도 : 담도계 (膽道系) 원발성 (原發性) 암의 (癌) 임상적 (臨床的) 관찰

정을순(Eul Soon Chung),이상종(Sang Jong Lee),이만호(Man Ho Lee),오동주(Dong Joo Oh),박영철(Young Chul Park),이성훈(Sung Hoon Lee) 대한소화기학회 1986 대한소화기학회지 Vol.18 No.1

N/A Cancer of the biliary tract usually carries a poor prognosis because the disease involves vital structure early in its course and often become clinically manifest too late for curative surgical theraphy. In these days, it has been suggest that not all cancer of the biliary tree is hopelessly fatal if detect early. In this context, we assesed 39 cases with the malignant tumor of the biliary tree seen at Koryo General Hospital from 1976 to 1985 and obtained following results. 1) The most patients were in seventh decade followed by sixth decade, mean age being 58. 6. The ratio of male to female was 1.3: 1. 2) Sixteenth(41.0%) of the 39 patients of cancer of the biliary tract had the primary tumor in the gall bladder, thirteen(33.4%) in common bile duct, and five(12. 8%) in hepatic duct and ampulla of Vater, respectively. 3) The predominant symptoms or signs with which patients presented were upper abdominal pain(66.7%), jaundice and pruritus. On physical examinations, jaundice was observed in 74.% Of patients, hepatomegaly in 59% and upper abdoninal tenderness in 33.4% 4) The white cell count was found to be within normal limits in 33.3% of patients, showing leukocytosis in 28.2%. Anemia was only observed in 2% of patients. 5) Bilirubinuria was observed in 51.3% and urobilirubinuria in 28.2% of patients. 6) Serum GOT and/or GPT were abnormal in 87.2% and 79.5% of patients, respectively. In 51.3% Of patients serum total bilirubin was above 3.0mg/dl. Serum alkaline phosphatase was elevated in most patients(92.3%) 7) The accuracy, according to the various diagnostic procedures for twenty two patients as follows: In 17 of 19 cass by ultrasonic studies were proved as carcinoma, in 8 of 10 cases by PTC, in 8 of g cases by abdominal CT scan, all of cases by ERCP and in 2 of 7 cases by iv cholangiopgram or oral cholecystogram, respectively. 8) Twenty two of total cases confirmed histologically by operation and/or endoscopic biopsy were as adenocarcinoma but the rest as undifferentiated carcinoma and adenosquamous cell carcinoma, respectively.

간 및 위 , 장관을 침범한 특발성 과호산구 증후군 치험

정을순(Eul Soon Chung),이상종(Sang Jong Lee),김향(Hyang Kim),김병익(Byung Ik Kim),황기은(Kie Eun Hwang),성기철(Ki Chul Sung),조용균(Yong Kyun Cho),이희무(Hee Moo Lee),금주섭(Joo Seob Keum) 대한소화기학회 1997 대한소화기학회지 Vol.30 No.3

Marked eosinophilia is found in many kinds of disease state, It usually occur in allergic and parasitic conditions and occ assionally in autoimmune disease, blood dyscrasias, or certain malignancics. Idio- pathic hypereosinophilic syndrome is characterized by markedly elevated peripheral blood eosinophil count without explainable etiology. Eosinophilopoiesis is related with T-lymphocyte activation and cytokine cascade controlling eosinophilic production. It shows tissue infiltration in many organs including endomyocardium, lung, liver, gastrointestinal tract. We have recently experienced a case with idiopathic hypereosinophilic syndrome of a 65-year-old woman who had of complained anorexia, weight loss and diarrhea during the past month and half. Persistantly increased eosinophil count was shown in her peripheral blood, the count averaging 3480/mm'(41% in differential count). Abdominal computer tomography disclosed multiple small relatively ill-defined hypoechoic lesions in the liver. Microscopically, the needle biopsy of the liver revealed heavy infiltration by eosinophilis especially in the portal tracts. On reviewing, previously perfomed endoscopic biopsies from the stomach and terminal ileum also had mild to moderate eosinophilic infiltration, respectively. No evidence of parasitic infection was present on the clinical history and laboratory test. Corticosteroid was administered ard brought marked improvement of clinical manifestations including both hematologic and radiologic abnormalities. (Korean J Gastroenterol 1997; 30:397- 403)

위십이지장루

정을순(Eul Soon Chung),이상종(Sang Jong Lee),전우규(Woo Kyu Jeon),김병익(Byung Ik Kim),박정로(Jung Ro Park),김천중(Cheon Jung Kim),권중혁(Joong Hyuck Kwon),유영석(Young Suk Yoo) 대한소화기학회 1993 대한소화기학회지 Vol.25 No.4

One of the well-recognizecl complications of peptic ulcer is perforation into the adjacent organs. A classic example is gastrocolic fistula. Despite predilection of both the stomach and duodenum for peptic ulcer disease, however, the development of a fistula between these two organs is unusual. We report a paitient in whom the fistuious communication of the gastric antrum and the duodenal bulb rnanifested as an accessory pyloric channel.

내시경하 경화요법에 의한 Dieulafoy씨 궤양 치험

정을순(Eul Soon Chung),이상종(Sang Jong Lee),김향(Hyang Kim),김광조(Kwang Cho Kim),이준우(Joon Woo Lee),박영철(Young Cheol Park) 대한소화기학회 1991 대한소화기학회지 Vol.23 No.2

Dieulafoy ulcer is a distinctive arteriovenous malformation of gastric fundus, which presents with massive or recurrent gastrointestinal bleeding. The lesion is very small and easily overlooked even at laparotomy, and can only be correctly diagnosed by endoscopy or arteriography if the patient is actively bleeding. A 61-year-old man was admitted as emergency to this hospital because of repetitive hematemesis and melena. A history of gastric or hepatic disease was absent. There was no relevant family history, excessive alcohol or NSAIDS including aspirin administraion but a pack of cigaret per day. No telangiectasia or other abnormalities was found on physical examination, but he had obvious anemia and melena. He was found to have hemoglobin 7.1 lg/dl, hematocrit 22%, and a normal platelet count. Two pints of blood were transfused. Emergency gastrofiberscopy was performed during the active phase. A small spurtion blood vessel close to the esophago-gastric junction surround by gastric ulcer on the lesser curvature side of the stomach was identified. Sclerotherapy was done successfully by the multiple local injections of 95% ethanol. After this management, follow up gastrofiberscopy revealed much improvement of the lesion. The long term follow up of his course could not be done.

대장게실질환에 (大腸憩室疾患) 대한 임상적 (臨床的) 고찰

정을순(Eul Soon Chung),이민호(Min Ho Lee),이상종(Sang Jong Lee),오동주(Dong Joo Oh),박영철(Young Chul Park),김민자(Min Ja Kim) 대한소화기학회 1985 대한소화기학회지 Vol.17 No.1

N/A We experienced eighty three patients with colonic diverticular disease which had been diagnosed by either barium enema, colonofiberscopy and/or surgical operation in this hospital from January 1970 to August 1984. The following results were obtained; 1) Colonic diverticular disease was observed in eighty three cases(0.14%) among 58.283% patients admitted in the medical or surgical ward of this hospital. P) The sex incidence revealed a greater prevalence in male with a ratio of 2.5:10 3) The greater majority(84.3%) of the diverticular disease involved the right colon. 4) The number of diverticuli were variable from single(47.0%) to multiple(28.9%) through the entire colon. 5) The major presenting symptoms were abdominal pain (31.3%), indigestion (22.8%) and bowel habit change(12.0%). 6) More than half of patients have one or more associated disease such as hemorrhoid, diabetes mellitus, gall stone, peptic ulcer, colon cancer and duodenal diverticulum. 7) Diverticulitis was observed in eighteen cases(p1 7,,)

위장관 동정맥 기형 치험 예

정을순(Eul Soon Chung),이상종(Sang Jong Lee),박영철(Young Chul Park),김명숙(Myung Sook Kim),이만호(nan Ho Lee),김유경(Yu Kyung Kim),권순호(Soon Ho Kwon) 대한소화기학회 1989 대한소화기학회지 Vol.21 No.3

It has been known that arteriovenous malformations, involving gastrointestinal tract is often found to be the bleeding, in patient who present chronic anemia with or without specific past history and family history. Clint, et al. Report.d 47 arteriovenous malformations of gastrointestinal tract. In 22 patient (45%) arteriovenous malformations were found at terminal ileum, cecum, ascending colon and hepatic flexure, and rarely it was found at jejunum, ileum, stomach and duodenum. We have found each cases of arteriovenous malformation arising from stomach and jejunum. Diagnosis was confirmed by biopsy in each cases. A case of stomach arteriovenous malformation, the patient was a 67 year old male who complained of epigastric pain, hematemesis, melena and shock. The UGI series revealed a filling defect in greater curvature of stomach and gastrofiberoscope showed pulsatile mass suspicious of arteriovenous malformation. Diagnosis was confirmed by surgery and biopsy. A case of jejunum arteriovenous malformation, the patient was a 50 year old female who com- plained of painless melena and chronic fatigue. The patient appeared anemic on physical examina- tion. Gastrofiberoscope and colonofiberoscope were negative. However angiogram showed evidence of arteriovenous malformation at branch of jejunal artery. Diagnosis was also confirmed by surgery and biopsy.

복부초음파로 (腹部超音波) 의심된 간낭종의 (肝囊腫) 임상적 (臨床的) 관찰

정을순(Eul Soon Chung),이상종(Sang Jong Lee),이만호(Man Ho Lee),김향(Hyang Kim),박영철(Young Chul Park),제종찬(Jong Chan Chae),김영희(Young Hee Kim) 대한소화기학회 1987 대한소화기학회지 Vol.19 No.1

N/A Not all hepatic cystic diseases cause sypmtoms or signs. Hepatic cyst may remain silent during life to be found incidentally during the course of routine postmortem examination in the past time. The recently wide applications of abdominal sonography seems to be found relatively high incidence of the hepatic cyst. Herein is reported observation on 184 cases suspecting of hepatic cyst among the total of 31,412 subjects received the abdominal sonography for the purpose of the mediscreen testing or the diagnostic approach of the patients in this hospital from January 1982 to December 1986. 1. The incidence of the hepatic cyst among the all subjects received the abdominal sonography was 0.585 percent. 2. The rate of the hepatic cyst in the male group was 0.446 percent, but 0.773 percent in the female. The peak age group of this observation was sixth decade (63 percent). 3. The solitary cyst was 90.2 percent in our observation, but polycyst was only 9.8 percent. Cases having below of the 3.0 cm diameter in the size of hepatic cyst was 87.5 percent but only 2.7 percent above 5.0 cm in diameter of it. 4. Concomittent occurrence of the renal cyst was 5.4 percent in this series. 5. Most cases with the hepatic cyst was asymptomatic except someone complaining abdominal pain or fatigue and so on. Liver function tests disclosed usually within normal limits except slightly elevated sGPT, sGOT, or TTT in some cases. 6. All uncomplicated cases in this series have remained well to the present date without any management.