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조성락(Sung Rag Cho),나산균(San Gyun Rha),문성수(Seong Soo Moon),한규호(Kyu Ho Han),박인철(In Cheol Park),김순관(Soon Kwan Kim),양만석(Man Seok Yang),허갑도(Gap Do Hur),최태룡(Tae Lyong Choi) 대한소화기학회 1991 대한소화기학회지 Vol.23 No.1
Unilobular atrophy or hypoplasia involving the hepatic lobes is not uncommon on the left side. It is distinctly uncommon on the right, where it probably represents an developmental anomaly if no other etiological factor is demonstrable. So we report a case of hypoplasia of right hepatic lobe.
정주섭(Ju Sup Jung),박병엽(Byeung Yeub Park),이강희(Kang Hi Lee),나산균(San Gyun Rha),유방현(Bang Hyung Liu) 대한소화기학회 1986 대한소화기학회지 Vol.18 No.1
N/A Twenty-seven patients with alcoholic liver disease who had had a habbit of excessive alcohol consumption and had had a characteristic liver biopsy findings and had been diagnosed as alcoholic liver disease at Pusan National University Hospital during the period of March 1980 to August 1985 were studied. Their epidemiologic, laboratory, histologic and imaging studies were summarized as follows; 1) When the amount of daily alcohol intake is larger, or the duration of alcohol intake is longer, the incidence of alcoholic cirrhosis is more common. 2) The twenty-seven cases were 17 cases with fatty liver, 10 cases with alcoholic cirrhosis. 3) On the chemical liver function test, the value of rGPT & SGOT were elevated nearly all cases and the mean ratio of SGOT/SGPT was above 2. 4) On 99mTC liver scanning, 2 cases with alcoholic cirrhosis showed characteristic scanning change and 6 cases out of 9 cases of fatty liver showed minor non-homogeneity of hepatic uptake and hypertrophic pattern of the liver. 5) On CT scanning, 7 cases with fatty liver showed lower CT numbers than that of control(p<0.01)
위선암 중 Signet - ring cell type 의 임상적 연구
허윤(Yoon Huh),정주섭(Ju Sup Jung),윤명순(Meung soon Yoon),박병엽(Byung Yeub Park),김무현(Moo Hyun Kim),나산균(San Gyun Rha) 대한소화기학회 1986 대한소화기학회지 Vol.18 No.1
To investigate the clinical characteristics about signet-ring cell type of gastric adenoca- rcinoma, the authors has evaluated 176 cases of gastric adenocarcinoma that had been diagnosed by gastrofiberscopic biopsy during 5.5 years. Of these, 21.6%(38/176) were signet-ring cell type. At the time of diagnosis, the average age of patients with signet-ring cell type was younger and the sex ratio showed equal male: female(1.1: 1) distribution. The location of signet-ring cell type was mainly the gastric body 45%(17/38) and more wides- pread 26%(10/38) than non-signet ring cell type 9%(13/138). The macroscopic features pre-dominantly detected in signet-ring cell type. For staging gastric adenocarcinoma preoperati- vely, 63 patients were examined with abdominal Computerized Tomography scan. The group of patients with signet-ring cell type was often composed by stage 4 50%(7/14) that could not be performed with curative surgery. To study the invasiveness of cancer cell, the microscopic examination on the resected margin was designed in 36 specimens that curative operation had been done. Malignant cells were found in 33%(2/6) in the group of signet-ring cell type and this result was statistically significant(p<0.05), as compared with the group of non-signet ring cell type, 3%(1/30). These data suggest that signet-ring cell type of gastric adenocarcinoma may result in a worse outcome.
이상인(Sang In Lee),최세식(Se Seek Chol),배무현(Mu Hyun Bae),김종훈(Jong Hoon Kim),최익수(Ik Su Choi),김천환(Chun Whan Kim),구호성(Ho Sung Goo),이민기(Min Ki Lee),나산균(San Gyun Rha),허갑도(Gap Do Hur) 대한소화기학회 1995 대한소화기학회지 Vol.27 No.2
Primary malignant melanoma of esophagus is rare and its symptoms are similar to those of squamous cell carcinoma. In general, this tumor tends to be polypoid with smooth intact overlying mucosa or be pediculated and irregular. Microscopically, characteristic features are junctional lenti- ginous growth pattern and tendency to expand and fill the submucosa without invading the muscularis. Primary malignant melanoma should be radiologically differentiated with unusual esophageal tumor, particularly if the lesion is polypoid. Because of the patentially widespread intramural component, surgical treatment requires a radical procedures with a far greater margin than for the usual squamous cell carcinoma. Despite these measures, however the prognosis is poor, with a 5 year survival of 4.2%. It is usually fatal within one year. The case of a 64-year-old man with esophageal malignant melanoma is described, and review of the llterature in presented related studies. (Korean J Gastroenterol 1995;27:245 - 250)
이상인,문성수,허갑도,나산균,조성락,김순관,최태룡,변상준,최세식 대한내과학회 1992 대한내과학회지 Vol.43 No.1
Choledochal cyst is a rare congenital malformation of the pancreaticobiliary system. Cystic dilatation of the biliary tree has been reported in many forms. The etiology is multifaceted and evidence of the existence of both acquired and congenital cyst is presented. The anomalous pancreaticobiliary ductal union (APBD) has received attention because of its importance in pathogenesis of the pancreaticobiliary disease. APBD is associated with congenital cystic dilatation of common bile duct and carcinoma of gall bladder. We report two cases of choledochal cyst combined with anomalous pancreaticobiliary ductal union.
Young Adult 의 직장에 발생된 광범위한 혈관이형성증과 그로 인한 대량 출혈 1 예
이상인,김종훈,최익수,나산균,조성락,변상준,지정희,최세식,배무현,정미혜,김천환,구호성 대한내과학회 1995 대한내과학회지 Vol.48 No.2
Angiodysplasia as a cause of gastrointestinal bleeding is increasingly recognized with the advancement of diagnostic technique. Most cases of angiodysplasia occur in old age and their sizes rarely exceed a few millimeters in diameter. We experienced a case of bleeding angiodysplasia in the rectum of 22-year old woman. The lesion was located at the submucosa of nearly all the rectum. This patient had a history of repeated hematochezia for several years. Diagnosis could be done easily by the colonoscopy with biopsy only. This report summarized our case and review of literature.
김동수,김인주,김용기,신우원,나산균,배상균,정주섭,윤명순 대한내과학회 1986 대한내과학회지 Vol.30 No.5
To clarify the pathogenetic significance of TBII in the autoimmune thyroid disease, the author assayed TBII using TSH-radioreceptor assay kit (R,S.R, Limited, England) in 10 normal control, 93 patients with Graves' disease, 21 patients with Hashimoto's thyroiditis and 3 patients with Hashitoxicosis. The following results were obtained: 1) The mean value of TBII activity in the normal control, patients with Graves' disease, Hashimoto's thyroiditis and Hashitoxicosis was 2, 6±3.4%, 37.2±26.2%, 3.9±8.4% and 44.0±38.1%, respectively. 2) The range of TBII activity in the normal control was 010% and then TBII positivity was defined to the value over 10% of TBII activity. The prevalence of TBII positivity were O%, 81, 7%, 9.5% and 66.0% respectively, and the activity and prevalence of TBII positivity in the patients with Graves' disease and Hashitoxicosis were significantly higher than the normal control and the patients with Hashimoto's thyroiditis. 3) There was no significant difference in the thyroid function states between TBII positive and TBII negative patients with Graves' disease. 4) There was no significant correlations between TBII activity and thyroid function states in the patients with Graves disease and Hashimoto's thyroiditis. 5) The prevalence of TBII positivity in Graves' disease was highest in fourth decades.
수술전 대장내시경으로 진단이 가능했던 대장의 비특이성궤양 1예
이태영,박재석,김완수,이재경,허갑도,나산균,구호성,성영란,박미경 대한소화기내시경학회 1996 Clinical Endoscopy Vol.16 No.2
Because nonspecific colonic ulcer is an unusual condition and varies markedly in clinical presentation and course, preoperative clinical diagnosis of nonspecific colonic ulcer is very difficult, But now, preoperative clinical diagnosis can he made by advent of colonofiberscopy. And, it is very important to diagnose this disease early, because late diagnosis make a poor prognosis. We report a case of nonspecific colonic ulcer diagnosed by repeated colonofiberscopy and treated with surgery.