위암 환자의 개복전 전이판단에 관한 진단법의 비교관찰

허윤(Yoon Huh),조군제(Goon Jae Cho),최석렬(Seok Reyol Choi),이봉춘(Bong Chun Lee),윤중근(Jung Kun Yoon) 대한소화기학회 1985 대한소화기학회지 Vol.17 No.1

N/A The reliability of physical examination, liver scan, abdominal ultrasonography and CT scan in detecting cancer metastasis has been evaluated 49 patients with histologically proven stomach cancer (32 cases was performed CT scan.) who had admitted to Inje medical College, Pusan Paik Hospital from August 1982 to August 1984. Confirmation on laparotomy or peritoneoscopy showed the following results: 1) Thirty two cases out of forty nine were over the age of 41 years (87. 5%). 2) Liver scan, abdominal ultrasonography and CT scan were 71.4% accurate, and 79.6% accurate, and 81.3% accurate, respectively, in detecting liver metastasis. 3) Abdominal ultrasonography and CT scan were 32.7% accurate and 50% accurate in detecting lymph node metasis (p<0.05) 4) Abdominal ultrasonography and CT scan were 85.7% accurate and 84.4% accurate in detecting other organs metastasis. 5) The additional benefit of abdominal ultrasonography when liver scan was in error was an increase in accuracy of 22.4% for liver scan alone. 6) In a composite analysis on hepatic metastasis, the diagnostic accuracy was not improved by combining abdominal ultrasonography and liver scan examination (p>0. 05). 7) Borrmanns type 1V had the highest incidence of TMN classification stage IV (83.3%). Those who had palpable epigastric mass show higher incidence of TMN classification stage IV compared with those who had not (p<0.01).

식도 정맥류 출혈에 대한 내시경적 경화요법의 장기 관찰 결과

정정명(Jung Myung Chung),최하진(Ha Jin Choi),윤중근(Jung Kun Yoon),김병제(Byoung Jae Kim),박경태(Kyung Tae Park),김상정(Sang Jeong Kim) 대한소화기학회 1987 대한소화기학회지 Vol.19 No.1

N/A Esophageal Varices Bleeding is one of the major causes of death among the patients with liver cirrhosis or portal hypertenison, and it represents,50% mortality each episode of bleeding. As the method for the treatment of Esophageal Varices Bleeding, supportive cares such as Balloon tamponade, infusion of vasopressin are usually practiced but the results of therapy have been found unsatisfactory. Although surgical therapy can also be expected to improve the one-year survival rate, its long-term survival rate is very low because of high incidence of morbidity. For the purpose of improving these therapeutic defects, Endoscopic Injection Sclerotherapy has been tried as a new method and its good effects have been reported recently. Endoscopic Injection Sclerotherapy is so effective on the emergency treatment of Esophageal Varices Bleeding. However, it gives rise to many debates on the improvement of long-term survival rate. To investigate long-term prognosis of Endoscopic Injection Sclerotherapy, we evaluated the survival rates and the therapeutic effects on 150 patients with Esophageal Varices Bleeding, who were treated by Endoscopic Injection Sclerotherapv and could be followed up by the Department of Internal Medicine, In-Je Medical College. The results are as follow;. 1) Rebleeding occurred in,53 cases(35.3%) among patients followed up over one month after the first Endoscopic Injection Sclerotherapy. The incidence of rebleeding was highest within 6 months, noted in 23 cases (15.3%) which were 43.3% of all rebleedings. 2) Major complications of Injection Sclerotherapy were 6 cases of aspiration pneumonia. 4 cases of esophageal ulcer, 3 cases of esophageal stenosis, and of mediastinitis.Among all 16 cases fatal complications were estimated in cases. 3)During the follow up-period, 66 cases (44.0%) were expired. 26 cases (17.3%), which were 39.4% of all mortality, of expired cases were within one month after Sclerotherapy. The causes of their deaths were of hepatic failure in 35 cases(23.3%), of hepatoma in 16 cases (10.7%). of uncontrolled bleeding in 13 cases (8.7%), and of complications in 2 cases (1.3%). 4) The one-year survival rate of the patient afteer Sclerotherapy was 70.0%, and the four-years survival rate 40.0% (8 cases of 20 cases were survived). The survival rate of those patients was concerned with Child's Classicfication and remarkeable reduction in survival rate was noted in Child's class C. As the preceeding results, it isconsidered to be obvious that Endoscopic Injection Sclerotherapy is a recommendable method for the treatment and Esophageal Varices Bleeding. However, still high frequency of rebleeding and Hospital mortality are considered as projects to be improved hereafter.

간경변증 식도정맥류에 대한 내시경적 경화요법의 임상효과와 장기 예후

홍득민(Duk Min Hong),김두섭(Doo Sub Kim),윤중근(Jung Kun Yoon),김종인(Jong In Kim),이성주(Sung Joo Lee) 대한내과학회 1993 대한내과학회지 Vol.45 No.1

N/A Background: Endoscopic injection sclerotherapy (EIS) in cirrhotic patients was evaluated in comparison with patients not undergoing EIS. Methods: The subjects were 85 patients with EIS (EIS cases) and 106 patients without EIS (non-EIS cases) of liver cirrosis (LC) with or without hepatocellular carcinoma (HCC) in the same period. All cases had Stage III esophageal varices Results: The results were as follows 1) Urgent hemostatic rate in EIS cases was significantly higher than that in non-EIS cases. 2) The cumu1ative survival probability in EIS cases was significantly higher than that in non-EIS cases. 3) The cumulative survival probability (in EIS cases) was significantly higher in complete varix disappearance, before bleeding in recurent varix, EO-AS combination therapy. Conclusion: The survival rate was significantly improved in stage III esophageal varices by preventive endoscopic injection sclerotherapy (ELS).

증례 : 예기치 못한 담낭암의 복강경 담낭절제술 후 발생한 투관침 삽입부 전이 1예

김경욱 ( Kyung Wook Kim ),김철홍 ( Cheul Hong Kim ),박재홍 ( Jae Hong Park ),이민재 ( Min Jae Lee ),양윤식 ( Yoon Shig Yang ),윤중근 ( Jung Kun Yoon ) 대한내과학회 2004 대한내과학회지 Vol.67 No.-

소용량 TAD 화학요법에 의한 급성 골수성 백혈병의 관해 및 유지요법

김성록 ( Sung Rok Kim ),설상영 ( Sang Yung Sul ),정해철 ( Hae Chul Chung ),정승진 ( Seung Jin Jeong ),윤중근 ( Jung Kun Yoon ),김예회 ( Re Hye Kim ) 대한내과학회 1985 대한내과학회지 Vol.29 No.5

Guillain-Barre´증후군 27예의 임상적 관찰

윤중근,조효근 인제대학교 1984 仁濟醫學 Vol.5 No.4

저자들은 27예의 Guillain-Barre´ 증후군에 대한 임상적 관찰을 시행하여 문헌적 고찰과 함께 보고하는 바이다. Twenty seven cases of Guillain-Barre´ syndrome admitted to Inje Medical College Hospital from January 1980 to December 1983 were studied and the following results were obtained. 1.Nineteen cases were male and eight cases were female(male:female = 2.4:1) The age distribution was between 3 years and 58 years. There was increasing tendency in female with aging. 2.The highest incidence of season was summer, 10 cases(37 per cent) 3.Twenty five of 27 cases had preceding illness, 9 cases were upper respiratory infection. 4.On admission, all 27 cases showed weakness or paralysis of lower extremities and the cranial nerve involvement were observed in 7 cases(25.9 per cent). 5.Seventeen cases of C.S.F revealed protein level more than 46mg per cent, and 12 cases revealed increased cell count in C.S.F but 3 of them returned to normal level within 2 weeks. 6.Twenty cases improved completely or incompletely and 4 cases died with 11 per cent mortality rate.

식도암의 임상적 고찰

김은균,윤중근,정정명,최하진 인제대학교 1985 仁濟醫學 Vol.6 No.1

1980년부터 1984년까지 인제의대 부산 백병원 내과에 입원한 식도암 환자 66예에 대한 임상적 분석을 시행하고 문헌적 고찰과 함께 보고한다. Esophageal cancer is relatively rare among those of gastrointestinal tract, but is important because the difficulties in early diagnosis and operative therapy make the prognosis of the patients poor. The author assessed the 66 patients of esophageal cancer, including age and sex distribution, symptoms, duration of illness and risk factors, location of cancer, histological type and surgical treatment. The results were as follows: 1.Sex incidence of esophageal cancer revealed male predominance with ratio 15.5:1 and peak age group were 6th and 7th decades. 2.On the majority of patients, typical symptoms of esophageal cancer were manifested such as dysphagia 83.3%, substernal pain 43.9%, epigastric pain 37.9%, weight loss 22.7%, vomiting, hematemesis and/or melena. 3.The duration of illness before admission is relatively short, the duration within 3 months is 55.6%, within 9 months 88.9% of all patients. 4.Esophageal cancer was common in patients with blood type A (40.0%). There was correlation between esophageal cancer and consumption of alcohol and cigarettes. 5.Approximately 52% of esophageal cancer were in the lower one third, 36% in the middle and 12% in the upper one third of esophagus. Among the 66 patients, 52 patients were histologically confirmed as esophageal cancer by endoscopic biopsy, squamous cell carcinoma was observed in 75%, adenocarcinoma 25%. 6.Operation was performed 15% of all patients, in 10.6% curative and in 4.5% palliative operation.

Mucormycosis 에 의한 위궤양 1례

김민호,김병준,윤중근,오형석,문원주,고영재,정찬형,하연주 대한내과학회 1999 대한내과학회지 Vol.56 No.4

Mucormycosis is an uncommon, frequently fatal, opportunistic fungal infection. Rhino-cerebral and pulmonary involvement are the most common forms and usually occur in immunecompromised patients. Gastrointestinal involvement is extremely rare, the stomach being the most frequently involved site among them. We report a case of gastric mucormycosis in a 37 year old male alcoholic with gastric ulcer. On histological examination, characteristic findings of hyphae with irregular width and right angle branchings were observed in the gastric mucosa and ulcer debris. The diagnosis of gastric mucormycosis was made by the characteristic histological nature. The patient was treated aggressively with antibiotics and antiulcer regimen for 6 weeks, and then no fungus was present on follow up biopsy of gastric mucosa.

자궁내 피임 장치와 동반된 복부 및 골반 방선균증 1예

최동진,윤기현,김태균,문봄내,박찬호,한상훤,이민재,윤중근,이세용,설상영 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.2

Actinomycosis is an uncommon chronic, suppurative granulomatous disease, caused by an anaerobic bacterium. Actinomyces israeli, which is a component of human oral and gastrointestinal flora. The cervicofacial region is the commonest site of disease, and the abdominopelvic region is the second commonest site. In most cases the diagnosis is made postoperatively because of its unusual clinical presentation. Although the incidence of actinomycosis has decrease, the abdominal-pelvic form has been increasing over the past several years secondary to increased prolonged use of the intrauterine device. We report here the case of a patient with the most severe rare form of abdominal wall and pelvic involvement, characterized by dense adhesions between large and small bowel and large bowel and uterus, adnexa, and bladder associated with intrauterine contraceptive device.

장출혈을 동반한 Henoch-Scho¨lein Purpura 1예

김태균,윤기현,최동진,문봄내,한상훤,박찬호,최선희,윤중근,설상영 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.2

Henoch-Schonlein purpura(HSP) is a systemic, generalized vasculitis of unknown etiology, involving skin, joint. GI tract, and kidney. Although it can occur from age 6 months to adulthood, 50% of cases are children under 5 years of age and 75% are under 10 years. GI symptoms appear in more than half of affected children. However, in the adult age range, GI symptoms occur in approximately half of the cases of HSP and melena was observed in about 30% of patients. We report a case of a patient with HSP who presented with lower GI bleeding.