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      • SCOPUSKCI등재

        동시성 조기위암

        김환태(Hwan Tae Kim),신형규(Hyoung Gyu Shin),표지수(Ji Soo Pyo),김규환(Gyu Hwan Kim),류승환(Seong Hwan Ryoo),이상혁(Sang Hyuk Lee),설상영(Sang Yung Seol),정정명(Jung Myung Chung),최하진(Ha Jin Choi) 대한소화기학회 1994 대한소화기학회지 Vol.26 No.4

        The multiple gastric cancer have several clinicopathological characteristics which differ from those of patients with solitary cancer,' in particular, elderly men had a relatively high in- cidence of multiple cancer and early cancer of the elevated, well differentiated type was most common. A careful preoperative evaluation with both radiography and endoscopy enables de- tection of about 70% of synchronous EGC, and perhaps increased awareness of this phenome- non can lead to better results. We reported on a case of synchronous EGC type I and Iia origi- nating from lower body and antrurn.(Korean J Gastroenterol 1994; 26: 737 741)

      • 약년자 위암의 임상적 고찰

        김두일,이연재,신형규,조기정,설상영,정정명 인제대학교 1991 仁濟醫學 Vol.12 No.3

        위암의 호발연령은 50∼60대로 알려져 있으나 약년자에서도 위암의 발생빈도가 증가하고 있다. 저자들은 만 7년간 부산백병원 내 과학교실에서 경험한 약년자위암 115례에 대한 임상적 고찰을 하였다. 115 cases of stomach cancer under the age of 35 years, seen in the period 1984 to 1990 are reviewed. The results were as follows 1) The incidence of stomach cancer under 35 years was 7.6% in all gastric malignancies. and male to female ratio was 1:1.3 2) Most of symptoms were nonspecific and epigastric pain was major symptom(89.7%). About 57.8% of the patients visited hospital within 3 months after onset of symptoms, and average duration of symptoms were 7.8months. 3) Physical examination revealed epigastric tenderness, anemia, ascites, and palpable mass in decreasing order of frequency 4) The majority of tumors located in the lesser curvature of body and antrum 5) Endoscopic findings in 91 cases of advanced stomach cancer were type III, type Iv, type II, type I in decreasing order of frequency, and the most common type of early stomach cancer were IIc 6) Histopathologic finding revealed that all cases were adenocarcinoma, and 88.7% (102 cases) showed low grade differention 7) Forty four of 55 cases of operable cancer underwent radical operation for cure

      • SCOPUSKCI등재

        내시경적으로 절제된 위용종 126예의 임상적 및 조직학적 고찰

        이상혁,조길현,정정명,신형규,설상영,조기정 대한소화기내시경학회 1995 Clinical Endoscopy Vol.15 No.1

        The gastrointestinal polyp is a premalignant lesion in varying degree. According to the size, the pathology and the location of polyps, it should be removed. Polyps in the gastrointestinal tract can be removed by surgical excision, electrosurgery, cryotherapy, regional radiotherapy and laser therapy with some limitations. Considerable advance in therapeutic endoscopy as well as in diagnostic endoscopy along with newly developed instruments has now made it possible to excise gastrointestinal polyps by means of high frequency generator. We have underwent endoscopic polypectomy, strip biopsy and $quot;O$quot; ring ligation on gastric polyps in 112 patients who visited in this hospital from July l988 to January 1994, and the clinical characteristics including histopathology has been evaluated. Removed polyps were variable in size from less than 0.5 cm up to 4cm. Finally, we concluded that endoscopic polypectomy is a safe and relativly simple procedure and postpolypectomy complication can be considerably reduced by conservative antiulcer therapy.

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