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RISS 인기검색어
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- 저자 : 송승렬(Seung Ryel Song) (검색결과 4 건)
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최석채(Suck Chei Choi),송승렬(Seung Ryel Song),임동석(Dong Suk Lim),조규혜(Kyoo Hye Cho),유재규(Jae Kyu Ryu),김학철(Hak Chel Kim) 대한소화기학회 1993 대한소화기학회지 Vol.25 No.4
Villous adenoma of the ampulla of Vater Which is sometimes the cause of extrahepatic obstructive jaudice is uncommon disease. But they are important in spite of their rarity, because of frequent malignant change in the tumor as a focal or all occult tumor. Recently, the early diagnosis of ampullary tumors has become possible due to the ide application of fiberoptic endoscopy and increasing knowledge about the ampullary tumors. Although the biopsies were taken during the endoscopy, sometimes one might miss the area of malignant degeneration. But, it could increase the diagnostic accuracy by performing a hiopsy at the highly suspected site ofl malignancy, like our case in which fixed and discolorecl areas in the lesion were biopsied. So we recommed an affn.ssive endoscopic study and hypotonic duodenogram. Even thought it is diagnosed as benign, and can be treated with endoscopic pelypectorny, but we recommend the complete resection of the tumor because of high incidence of recurrence and malign ant transformati on.
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혈액투석을 위한 쇄골하정맥 도관삽입술 162예의 임상적 경험
송승렬,김형언,장명규,김태현,송주흥 圓光大學校 醫科學硏究所 1993 圓光醫科學 Vol.9 No.1-2
162 subclavian dual lumen catheters were placed in 162 patients as a temporary vascular access for hemodialysis at Wonkwang University Hospital during the last 8 years. Subclavian catheters were used in the treatment of 132 chronic renal failure patients waiting for the maturation of AV fistulas, 20 acute renal failure patients who required emergency hemodialysis, and 10 other patients. Catheters were inserted in the right subclavian vein and were left in place for an average of 25.4 days(3-118 days) and the number of hemodialysis per catheter were 10 times(3-56 times). The overall complication rate was 18.5%. Catheter related infections were 14 cases, there were 5 cases of bacteremia in 9 patients with suspected sepsis. Catheter malfunction were 8 cases, and inadvertent withdrawal of the catheter were 3 cases. Immediate traumatic complications were 3 pneumothoraxes. 1 hemopneumothorax and one exit site bleeding. We suggested that subclavian dual lumen catheters for hemodialysis could provide an excellent temporay vascular access with little serious complications.
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나용호,송승렬,유재규,장명규 대한소화기내시경학회 1994 Clinical Endoscopy Vol.14 No.2
The exact incidence of esophagitis in gastroesophageal reflux disease (GERD) remains poorly understood in Korea. To determine incidence of esophagitis in GERD, from August 1988 to July 1993, endoscopy, esophageal manometry with Bernstein test, and ambulatory 24 hour esophageal pH monitoring were carried out in a group of 349 patients with symptoms of heartburn or noncardiac chest pain. Based on these studies, 151(40%) patients had some degree of GERD and pstients were categorized as having: pathologic reflux, 98 patients; symptomatic reflux, 42 patients; and sensitive mucosal reflux, 11 patients. Among 151 patients with GERD, 27 patients(18%) had some degree of esophagitis. In conclusion, 40% of patients with symptoms suggestive of GERD have GERD. GERD is divided into subgroups; pathologic reflux, symptomatic reflux, and mucosal sensitive reflux. Less than 20% of GERD have esophagitis or esophageal mucosal injury and these low incidence of mucosal injury in Korean may be due to increased esophageal mucosal resistance.
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김학철,송승렬,장명규,강정성,원수연,전일문 대한내과학회 1994 대한내과학회지 Vol.46 No.2
Esophageal duplication is rare congenital malformation of the gastrointestinal tract, and it may occur at any level in the esophagus, but more frequently in the lower third. There are 2 types of it, cystic and tubular, the former is more common than the latter, and some- times its also classified as communicating type or non-communicating type whether the accessory lumen has opening to the esophagus or the adjacent structure or not. The clinical symptoms are variable according to the location, the type of esophageal dulication. We experienced an asymtomatic case considered as partial tubular duplication of esophagus that had two longitudinal folds those were not changed during the degluttination and connected the two orifices in the lower esophagus. So we report one case of partial tubular duplication of esophagus with review of the literatures.
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