위내시경 (胃內視鏡) 검사 2000예에 대한 통계적 고찰

정준모,정극수 ( Joon Mo Chung,Keuk Soo Chung ) 대한소화기학회 1973 대한소화기학회지 Vol.5 No.2

Some clinical data obtained from 2, 000 cases of gastrofiberscopy done during over 5 years and 5 months from Jan., J 968 to June, 1973 at the Department of Gastroenterology of this university hospiteil were as fallows. 1. Among total 2, OQQ cases, 1, 395 was male and 605 was female. And about 54 of the cases belong.', to the age groups of 5 th and 6 th decades. 2. The most ireauent athology of the stomach was carcinoma (p2 4 I' Lch ave fp]Jp'eg by primary chronic gastritis (18. 3g), benign gastric ulcer (14. 5pg!, elevated lesion (2 9,) etc. in incidence. 3 In gastric carcinoma the highest number was in 6 th decade. So-called eariy cancer of t'.ie stomach was found in 21 cases which is 22. 3,y of 9J cases who had gastrofiberscopy and gastric surgery during the study period. I%fass was palpable in epigastriur.n in 20. Lro of total gastric carcinoma cases. 4. The incidence of primary chronic gastritis was 34. 8,Z in average and it increased with the aging to 50,y in 6 th decade from 20 of 3 rd decade. 5. The peak incidence of benign gastric ulcer was in 5 th and 6 th decades and the major complications of massive bleeding, pyloric stenosis and perforation was seen in .t 3, S and lpy of cases respectively.

소화성궤양예에 (消化性潰瘍例) 대한 Madecassol 의 사용경험 (使用經驗)

정준모,정극수 ( Joon Mo Chung,Keuk Soo Chung ) 대한소화기학회 1981 대한소화기학회지 Vol.13 No.1

A study that the efficacy of the asiaticoside to the patients who had peptic ulcer or gast- ritis was performed. The asiaticoside 2 tablets (20mg), tid, after meal and aluminium hydroxide gel were given to 9 gastric ulcer, 15 duodenal ulcer, 4 gastro duodenal ulcer, and 2 gastritis patients. The results were summarized as follow. The healing rate in peptic ulcer was 25. 0%, 62. 5%, 81. 2% and 90. 6% after 4, 6, 8, and 12 weeks respectively and in varioloid gastritis remarkable improvement was obtained after 6 weeks. 2) The healing rate was better in female than male. 3) No. side effects were noted by oral administration, but complained the pain on injected site following I.M. injection in most cases in whom only one case was stopped.

간경변증에서 특발성 세균성 복마염 증상을 가진 환자중 복수의 균 배양이 양상이 자와 음성인 자의 비교

정준모 ( Joon Mo Chung ),최용환 ( Yong Hwan Choi ),권영오 ( Young Oh Kweon ),김재왕 ( Jae Wang Kim ),곽규식 ( Kyu Sik Kwak ),김호각 ( Ho Gack Kim ) 대한소화기학회 1987 대한소화기학회지 Vol.19 No.1

N/A A retrospective study was done for evaluation of any differences in clinical features and prognosis between cirrhosis patients having symptoms of spontaneous bacterial peritonitis with culture positive ascites and those having symptoms with culture negative ascites. All the patients had been suffering from liver cirrhosis with spontaneous bacterial peritionitis clinically, whose ascites containing more than 250/mm3 in polymorphonuclear leukocyte count. There were no differences between both patients in biochemical analysis of serum and ascites, cell count of WBC and polymorphonuclear leukocyte of ascites, clinical features and mortality rate. Therefore it is suggested that the patient having symptoms of spontaneous bacterial peritonitis, even if culture negative ascites, should be treated carefully with early antibiotic therapy and positive attitude.

원발성 간암에서 간동맥색전술 전후의 담낭의 초음파 검사상 변화

정준모(Joon Mo Chung),최용환(Yong Hwan Choi),김재왕(Jae Wang Kim),김호각(Ho Gack Kim),권영오(Young Oh Kweon),곽규식(Kyu Sik Kwak) 대한소화기학회 1987 대한소화기학회지 Vol.19 No.1

N/A Transcatheter arterial embolization (TAE) is, now, one of the established treatment for hepatocellular carcinoma. We compared serial echographic changes of gallbladder after TAE with clinical symptoms in 7 cases of hepatoma. The results obtained were as follows: 1) Sonographic findings of acute cholecystitis such as gallbladder wall thickening, subserosal sonolucent halo and gallbladder distension were noted in 4 cases. One out of 4 cases, there noted intraluminal membrane. 2) The patients who complain of severe abdominal pain disclosed somewhat sonographic changes of gallblaader after TAE and also in whom had been TAE through common hepatic artery or rt hepatic artery. These findings suggest that ischemic cholecystitis by cystic artery emlolization during TAE in one of major causes of severe abdominal pain.

치유과정을 (治癒過程) 밟은 양성궤양에 (良性潰瘍) 유사한 조기 위암

정준모 ( Joon Mo Chung ),정극수 ( Keuk Soo Chung ) 대한소화기학회 1973 대한소화기학회지 Vol.5 No.2

A sixty four year old male visited our Gastroscopy Room on June 7, 1973, for his stomach trouble v'hich persisted in spite cf medical treatment for many years. Upper G.I. Series done on Oct. 1972 sugested duodenal ulcer and repeated examination on April, 1973 ivas unremarkaLle. On filerscopy of the stonach, there ivas a large ov:il sl;ped ulcer, about 2. 5X 2. 5 cm in ;neter, ivith c!ean-cv.t edge and c.!ean v.lier 1>ase covered liy whitish materiai. T;.e surrounding Illucosa ivas slightly hyperemic and smooth. Filierscopic irn;..essioa was benign gastric ulcer and bior;sy w...s done as a routine on the ulcer edge at fovr <lifferent sites. The result of biopsy, ho;vever, ivas reported as caiicer. Patient vas ir,formed to visit our clinic immcdiately but he came in on July 9, 1973 (32 days after the first examination) and repeated fiberscopv vas done for folloiv-up. Surprisingly the ulcer previously seen has disappeared completely and there remained only mini.mal hyperemia without and erosion or unevenness at the site of previous ulcer. This hyperemic area became only slightly depressed while the gastric v ai.l contracted. Biopsy ivas repeated at this site and it again was reported as cancer. Surgery ivas done and the pathology ivas proved to be mucosal carcinoma. Th;s is a case of so-called early,tom=ch ca::cer g + g b type by Japanese c!assification v;hich is thought to be a type that miznics Lenign ulcer and is often ve,y difficult to I-e difIere;:tiated from benign ulcei. In such a case only repented biopsies following its healing proce.s may make the corre:t diagrosis.

반복 시행한 상부소화관 내시경 검사례에 대한 고찰

정준모(Joon Mo Chung),최용환(Yong Hwan Choi) 대한소화기학회 1983 대한소화기학회지 Vol.15 No.1

N/A A follow up study was done in 451 patients who had taken repeated upper gastrointestinal endoscopy at Kyungpook National Univerity Hospital and the following results were obtained. 1) Among 451 patients, male were 384(85. 1%) and female were 67(14. 9%), The lesions observed were gastric ulcer, duodenal ulcer, chronic gastritis and stomach cancer in order of frequency. 2) Endoscopy was dione twice in 320 cases and the most important reasons for repeated endoscopy was to observe the process of healing. The interval between repeated endoscopy in the patients with gastric ulcer was 50.3 days and 80.6 days in those with gastritis. 3) In repeated endoscopic examination, same diangnosis was obtained in 407 cases(90.2%). In 16 (7.3%) of 220 cases of gastric ulcer and 3(9.4%) Of 32 stomach cancers, the initial diagnosis was missed. During the follow up study, one case of apparent chronic gastritis was proved to be stomach cancer. We conclude that much attention is needed in the evaluation of even minute or simpie lesions.

위장관 hormone ; 장 hormone

정준모 ( Joon Mo Chung ) 대한내과학회 1977 대한내과학회지 Vol.20 No.7

각종 간질환에서 High - Density Lipoprotein -Cholesterol 에 대하여

정준모(Joon Mo Chung),최용환(Yong Hwan Choi),김대환(Dae Whan Kim) 대한소화기학회 1984 대한소화기학회지 Vol.16 No.1

N/A For study whether there is any relationship between high-density lipoprotein cholesterol (HDL-C) level and various liver diseases, authors examined plasma total cholesterol, HDL-C and the ratio of total cholesterol and HDL-C in 51 patients with various liver diseases and 80 normal controls. The following results were obtained. 1) In 10 cases of acute viral hepatitis, the mean plasma levels of total cholesterol showed unremarkable change but decreased in that of HDL-C and the ratio of total cholesterol and HDL-C to normal controls was increased(p<0.01) 2) In 23 cases of liver cirrhosis, plasma levels of total cholesterol and HDL-C were decreased and the ratio between the level of cholesterol and HDL-C was increased. Although in the cases of well compensated liver cirrhosis, both plasma levels of cholesterol and HDL-C disclosed unremarkable changes, but the ratio between both was increased significantly. So these findings suggest that the ratio between the level of plasma cholesterol and HDL-C may be a certain guide in the diagnosis of inactive liver cirrhotic cases which are sometimes have somewhat difficulty in diagnosis. 3) There are no significant changes in chronic active hepatitis.

고령자 (고령자) 십이지장 궤양 (궤양)

정준모(Joon Mo Chung),정극수(Keuk Soo Chung),최용환(Yong Hwan Choi),김인호(In Ho Kim),김효석(Hyo Seuk Kim),김영재(Young Jae Kim) 대한소화기학회 1982 대한소화기학회지 Vol.14 No.1

N/A Clinical studies on patients with duodenal ulcer who visited endoscopy room of Kyungpook National University Hospital since 1976 were performed. Among these patients, we compared the number of patients with gastric or duodenal ulcer yearly, and some aspects of difference between 57 cases of old age(above 60 years) and 129 cases of young age(under 30 years) patients with duodenal ulcer. The results obtained were as follows. 1) In examined cases, number of patients with duodenal ulcer was progressively increased year by year and number of gastric ulcer was more prevalent than that of duodenal ulcer unti11979 when the ratio of gastric and duodenal ulcer became nearly same, and thereafter duodenal ulcer cases were begun more predominant about 2 times that of gastric ulcer in 1981 2) Comparing the sex distribution of old and young age group, male was predominant about 12 times of female cases in young age group and about 2.5 times in old. 3) Overall complications including bleeding, perforation, obstruction and others were seen in 63. 2% of old age group and in 48.1% of young. 4) In 8 weeks follow up cases that was possible although it was least in number, 8 cases were improved or healed in old age group but 5 cases out of 18 cases in young revealed no improvement by ordinary regimen.

복수를 동반한 간경변증 환자의 특발성 세균성 복막염

정준모(Joon Mo Chung),최용환(Yong Hwan Choi),황장룡(jang Yong Hwang),김재왕(Jae Wang Kim),고병구(Byung Goo Ko),곽규식(Kyu Sik Kwack) 대한소화기학회 1985 대한소화기학회지 Vol.17 No.2

N/A Fourty-nine consecutive in patients with cirrhosis and ascites were prospectively investigated for spontaneous bacterial peritonitis. The ascitic fluid was cultured and smeared and was also analyzed for white blood cell count, polymorphonuclear(PML) count and chemical study. Among these patients seven patients(14.3%) were proved as spontaneous bacterial peritonitis. Culture was positive for Eschericha coli, Staphylococcus aureous and Klebsiella pneumoniae. The mean white blood cell count and polymorphonuclear count were 3,791/ mm3 and 3,449/mm3 respectively. In-hospital mortality was 42.9% and causes of death were hepatic failure and hepatorenal syndrome.