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      • SCOPUSKCI등재

        반흔성 위장 협착

        변흥열(Heung Yeal Byun),정준(Jun Jeong),이승은(Seung Eun Lee),조주영(Joo Young Cho),전영수(Young Soo Chun) 대한소화기학회 1994 대한소화기학회지 Vol.26 No.2

        Y,on-neoplastric cicatrical stenosis of the stomach is an infrequent lesion which may occur as a complication of the recurrent gastric ulcer and ingestion of corrosive agents. This subject should be of general interest to physicians. Since this type of gastric lesion is generally of an obstructive nature and curable only by operative means. A 36 year old man was admitted to our hospital due to epigastric discomfort and intermittent vomiting for 4 months. Gastrofiberscopy and barium study of stomach showed a stenosis from body to antrum. Esophagojenunostomy was carried out and gastric tissues showed variable degree of mucosal and submucosal fit>rosis, chronic ulcer and healed ulcer, healing process of ulcer, and chronic inflammation. We report a case of cicatrical gastric stenosis caused by recurrent gasric ulcer, (Korean J Gastroenterol 1994; 26: 348-352)

      • SCOPUSKCI등재

        복막 - 대정맥 문합술로 호전을 보인 간성 수흉중

        이승은(Seung Eun Lee),정준(Jun Jeong),변흥열(Heung Yeal Byun),한세환(Se Hwan Han),조주영(Joo Young Cho),최동환(Dong Hwan Choi) 대한소화기학회 1995 대한소화기학회지 Vol.27 No.2

        Since the introduction of the LeVeen modification of the peritoneovenous shunting(PVS) in l974, these devices have been placed in a relatively large number of patients. The most common indication has been for medically intractable ascites in the setting of chronic liver disease. The ascites pump is a tubular device for ascitic fluids which allows transfer of fluid from the peritoneal cavity to the venous system, usually via the right external jugular vein. Implantable tubular devices offer another choice to ameliorate ascites, with ascitic fluid being spontaneously and continuously infused into the circulatory system. A 34-year-old female patient with clinical and laboratory evidence of liver cirrhosis was admitted to our hospital due to dyspnea and abdominal distension. A large amount of ascites was noted on physical examination and the right hydrothorax was revealed on the chest X-ray film. In addition to conservative management of ascites, repeated thoracentesis with paracentesis and chemical pleurodesis were performed, but all of these efforts could not relieve her complaint of dyspnea. So, peritoneovenous shunt was performed to resolve the intractable hepatic hydrothorax. After the shunt operation, her complaint of dyspnea was relieved, and the frequency of repeated thoracentesis diminished. However, the patient expired about 11 weeks after tbe shunt operation, and the cause of death was hepatic encephalopathy. In our report, we present a case of peritoneovenous shunting of ascites in a patient with intractable hepatic hydrothorax. This case report suggests that peritoneovenous shunt would be benificial only in carefully selected patients. (Korean J Gastroenterol l995;27:267-272)

      • KCI등재후보

        고립성 식도 흑피증 1 예

        박영희,조주영,이승은,이문성,심찬섭,어중건,정준,박찬욱,전동하,김계혁,라성찬,변흥열 대한내과학회 1995 대한내과학회지 Vol.49 No.6

        Esophageal melanosis is discrete proliferation of melanocytes in the basal layer of the esophageal epithelium. Histologically, pigmented melanocytes lacking atypia and mitoses are observed amongst the keratinocytes in the basal layer of the esophageal mucosa. Junctional activity is absent. Esophageal melanosis has been reported synchronously with or preceding malignant melanoma and the possibility that it might be a premalignant lesion has been suggested. The value of sampling these pigmented lesions during endoscopy is emphasized as a means of obtaining well preserved material for the evaluation of a lesion which some authorities have viewed as a possible precusor for esophageal malignant melanoma. The management of esophageal melanosis consists of complete destruction of any isolated melanotic pigmentation by surgical operation, endoscopic electrocoagulation or laser. We experienced a case of isolated esophageal melanosis associated with benign gastric ulcer in a 63-year old man, who was admitted to our hospital complaining of hematemesis. Endoscopic esophageal mucosal resection (EEMR) was performed for the management of isolated esophageal melanosis.

      • SCOPUSKCI등재

        게실양 식도 천공 1예

        조주영(Joo Young Cho),박장필(Jang Pil Park),정준(Jun Jeong),변흥열(Heung Yeal Byun),이승은(Seung Eun Lee),전영수(Young Soo Chun),송인석(In Seog Song) 대한소화기학회 1993 대한소화기학회지 Vol.25 No.6

        N/A Boerhaave's Syndrome, or spontaneous esophageal rupture, is generally used to designate lesions resulting from intrinsic forces acting upon the esophagus as opposed to trauma. This disease is a rare. condition with high morbidity and mortality. A 47-year-old man was admitted to our hospital due to hematemesis for 1 hour and epigastric pain Esophagoscopic finding shows a well marginated oval shape puched lesion with necrotic tissue on left side of distal esophagus. Esophagograrn shows large, well marginated diverticuloid esophageal rupture. Correction of the perforated esophagus was carried out with primary repair and drainage. We experienced a case of diverticuloid esophageal rupture in a patient with liver dysfunction and hyperglycemia so report it with review of literatures.

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