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서종권,장정환,김성환,김정용,민영돈,김권천,김종안 朝鮮大學校 附設 醫學硏究所 1996 The Medical Journal of Chosun University Vol.21 No.1
For the purpose of finding the changing patterns of the status and management of the patient with pancreatic pseudocyst who were treated in same hospital according to the time sequence, the authors reviewed 29 patients' charts with pancreatic pseudocyst treated at department of Surgery, Chosun University Hospital during 11 years from Jan. 1984 to Dec. 1994 comparing with those of the previous 24 patients treated from Jan. 1974 to Dec. 1983 that was reported at the Journal of Korea Surgical Society, 1985. The following results were obtained: 1. The age and sex distribution were not changed. The male and female ratio was 2.2~2.4:1 and the most prevalent age group was fourth decade and fifth decade. 2. The pancreatitis was the main etiologic disease and it was more frequent than previous report. That can be probably attributed to the increasing of alcohol intake. 3. The pancreatic body was the most affective site. 4. The common symptoms and signs were abdominal pain and tenderness(93.1%), upper abdominal palpable mass(48.3%), and anorexia, nausea and vomiting(44.8%). That was not changed with previous report. 5. The duration of symptoms to diagnosis were usually 3~4 weeks and 5~6 weeks. 6. The most common laboratory finding was amy1asemia(72.4%). 7. The preoperative complications were pleural effusion (48.3%), infected cyst(17.2%) and rupture of cyst(10.3%). 8. We could obtain good outcomes in the 7 patients(25.9%) treated conservatively. The surgical treatment, external drainage, internal drainage and excision, were done in 21 patients according to the patients status. 9. There were total 11 cases(52.4%) postoperative complications in all operation patients. That rate was increased than before. However it does not mean true increase because of poor preoperative condition of the patients. 10. The time interval between diagnosis and operation was 1~3weeks(47.6%) and 3~6weeks(28.6%). The proper operation time should be taken case-byUcase. In conclusion, the last decade has witnessed no additional changes in diagnosing and curing pancreatic pseudocyst other than the following two. The disease is increasingly cause by pancreatitis, Particularly alcoholic pancreatitis and it can be more effectively dealt with by the conservative treatment. Nevertheless much remains to be discussed on the adequate time and therapy in curing pancreatic pseudocyst. What matters here is to develops more specified methods for each patient taking into consideration on the nature of disease.
서종권,김광실,이혜영,변영섭,정인현,이건주,김병옥 연세대학교의과대학 2019 Yonsei medical journal Vol.60 No.6
Purpose: The prevalence and clinical outcomes of asymptomatic carotid artery stenosis (CAS) in patients with coronary arterydisease (CAD) have not been thoroughly studied. We examined the prevalence and predictors of asymptomatic CAS detected bycarotid angiography and determined the impact of concomitant CAS on prognosis in patients undergoing coronary angiography(CAG) due to CAD. Materials and Methods: Between January 2013 and July 2015, 395 patients who underwent carotid digital subtraction angiographyto screen for CAS during CAG were analyzed. The presence of CAS was defined as angiographically significant stenosis(≥50%). Major adverse cardiac and cerebrovascular event (MACCE) rates were compared between patients with and withoutCAS. MACCEs included a composite of cardiac death, cerebrovascular death, acute myocardial infarction, and stroke. Results: Of the 395 patients, 101 (25.5%) patients had significant CAS. The independent predictors of CAS were age, male sex, hypertension,diabetes, and multi-vessel disease. In patients with CAD, the presence of CAS was as an independent predictor forMACCEs after adjusting for confounding factors (hazard ratio 2.47, 95% confidence interval 1.16–5.24, p=0.018). Conclusion: Asymptomatic CAS was documented in up to 25% of patients with CAD. The presence of CAS in patients with CADwas associated with a higher rate of MACCEs. Therefore, detection of CAS by carotid angiography during CAG may be importantfor risk stratification for CAD patients, particularly those with multi-vessel disease.