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증례 : 유암종(Carcinoid)과 선암이 공존한 위의 충돌종양 1예
이광재 ( Kwang Jae Lee ),김영수 ( Young Soo Kim ),함기백 ( Ki Baek Hahm ),김진홍 ( Jin Hong Kim ),조성원 ( Sung Won Cho ),임현이 ( Heon Yi Im ) 대한소화기학회 1997 대한소화기학회지 Vol.29 No.6
Carcinoid tumors display wider histologic spectrum than those we have previously known. The simultaneous association of a gastric carcinoid tumor with adenocarcinoma as a synchronous dual malignancy of the stomach in a same patient is extremely rare. The collison tumor, which is quite rare in the worldwide literature, means the simultaneous presence of separate tumor in the same patient, which is different from composite tumor. We report a case with collision tumor composed of adenocarcinoma and carcinoid tumor, which is extremely rare. The tumor mass was histologically diagnosed as adenocarcinoma by gastroscopic biopsy before operation. The operative specimen grossly disclosed two different types of tumor and was histologically identified as concurrent occurence of carcinoid tumor adjacent gastric adenocarcinoma.(Korean J Gastroenterol 1997;29:841-846)
고혈압 환자의 순응도에 관한 연구 - 의사 개입의 성과 -
유원상(Won Sang Yoo),최석구(Suck Koo Choi),이건주(Kun Joo Rhee),이광재(Kwang Jae Yi),노승현(Seung Hyun Noh) 대한내과학회 1989 대한내과학회지 Vol.36 No.2
N/A Compliances of one hundred patients with essential hypertension treated with usual care were compared with those of another one hundred hypertensives with intervention care simply provided by the physician in charge. The results were as follows: 1) The cumulative dropout rate in the usual care group decreased by 9%, 15% and 13% in 6, 9 and 12 months respectively. 2) The intervention care involved a shorter waiting time, longer consultation time, supportive care with sympathy, educational booklets and positive follow-up by telephone and mails. 3) In the intervention care group 56% of the dropouts were because of the provider, 27% were due to the patient and 17% were because of socioeconomic ceasons. In conclusion, patient compliance will certainly be improved by positive intervention by the physician in charge, escalation of medical insurance and the personal efforts of the patient.
SIADH 와 시신경장애를 동반한 급성 간헐성 포르피리아증 1 예
문영수,김기환,김관엽,이정형,이광재 대한내과학회 1989 대한내과학회지 Vol.36 No.3
A case of acute intermittent porphyria associated with SIADH is presented. A 26-year-old woman was admitted to Inje University Paik Hospital because of severe abdominal cramp pain. Pain attacks occurred 10 months before entry, so she underwent an explolaparotomy under the impression of acute appedicitis, which was not revealed. On admission, she showed variable neurologic symptoms such as seizure, confusion, disorientation and transient optic nerve dysfunction. Acute intermittent porphyria was diagnosed by the Watson-Schwartz test and a quantitative assay of porphobilinogen and δ-ALA on 24 hrs. collected urine. It was induced by an upper respiratory tract infection or less probably, medications which were associated with SIADH. SIADH was diagnosed with hyponatremia, considerable urinary Na loss in spite of hyponatremia and a higher urine osmolality than that of plasma. The patient was treated with hypertonic saline infusion, fluid restriction, chlorpromazine and meperidine. Upon discharge, she was improved.
급성 심근경색 후의 좌심실류를 동반한 심실중격결손증 2례
김기환,류홍옥,문영수,고원섭,이광재,이건주,최석구,유원상 인제대학교 1989 仁濟醫學 Vol.10 No.1
Rupture of the interventicular septum, one of the must serious complication of acute myocardial infarction, requires prompt diagnosis and evaluation for surgical intervention. In two cases, we performed right heart catheterization, and two dimensional and Doppler echocadiogram for diagnosis.