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RISS 인기검색어
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- 저자 : 이창우(Chang Uoo Lee) (검색결과 3 건)
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정극수(Keuk Soo Chung),김학현(hak Hyun Kim),이창우(Chang Uoo Lee),허성욱(Sung Ouk Huh),정동현(Dong Hyun Chung),배정동(Jyung Dong Bae) 대한소화기학회 1983 대한소화기학회지 Vol.15 No.2
N/A Percutaneous transhepatic cholangiography(PTC) was performed in 30 cases, who were suspicious of obstructive jaundice or not differentiated clearly from non-obstructive jaundice at the department of internal medicine, Daegu Catholic Hospital during about 1 year from Feb. 1982 to Mar. 1983. The results were as follows; 1) The ratio of male to female was 17 to 1(19 cases to 11 cases) in the total group (30 cases) and the highest incidence of age was 6th decade(10 cases). 2) Successful PTC was obtained in 27 cases(90%) among the total of 30 cases. Three caaes of the unsuccessful group were impressed as CBD stone(2 cases) and cholangitis(1 case). 3) Among the successful group(27 cases), CBD stone was seen in 7 cases, cholangio-Ca, in 7 cases(CBD Ca. in 4 cases and CHD Ca. in 3 cases), pancreatic head Ca. In 4 cases, GB Ca. In 1 case, Ascariasis sras found in 1 case and Clonorchiasis in 1 case etc. 4) On the laboratory examination, the average level of total serum bilirubin of cholangio-CA. (15. 4 mg%) and pancreatic head Ca. (17. 5 mg %) was significantly higher than that of CBD stone (8.3 mg%) and the average level of total serum alkaline phoshatase of cholangio-CA. (20.5 unit) and that of pancreatic head CA.(20.4 unit) was higher than that of CBD stone(12. 4 unit). 5) Twelve cases among the 27 cases were operated and operative findings of them were coincident with PTC finding except two cases. The one case of CBD stone was mistaken as CBD CA. and the CBD Ca. As pancreatic head Ca. 6) Operation could be excluded by PTC in 5 cases. These cases were improved by medical conservative treatment. 7) Complications were seen in 3 cases. Bile leakage in one, high fever(39℃) and transient hypertension in the others.
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상부위장관출혈환자에 ( 上部胃腸管出血患者) 대한 임상적 (臨床的) 관찰
김학현(hak Hyun Kim),허성욱(seong Wook Hur),이창우(Chang Uoo Lee),안기성(Ki Sung Ahn),배정동(Jung Dong Bae),정극수(Keuk Soo C hung) 대한소화기학회 1983 대한소화기학회지 Vol.15 No.1
N/A Eighty six cases of upper gastrointestinal bleeding who were admitted in catholic hospital during a period from June 1981 to May 1982 were clinically observed. The results are summarized as follows: 1) The incidence of cases of upper gastrointestinal bleeding was 4 9% of all patients admitted to our medical department. 2) The sources of bleeding were peptic ulcer(45. 3%), hemorrhagic gastritis(18. 6%), eso- phageal varices(15.1%), gastric cancer(9.3%), Mallory-Weiss syndrome(5.8%), hemorrhagic duodenitis(1.2%), gastic polyp(1.2%) and undetermined cause(3.5%) in order of frequency. 3) The ratio of male to female was 2. 6: 1 The age distribution revealed a greater prevalence in fifth decade. 4) Hematemesis was noted in 17 patients (19.8%), melena in 33 patients (38.4%) and combined hematemesis and melena in 36 patients(41.9%). The poss'ible causative agents of upper gastrointestinal bleeding included alcohol, and analgesics(salicylates), and steroid in this order. Massive bleeding group by Hamiltons criteria was 61 patients(70 9%) 7) Seventy seven patients(89.5%) were treated medically and 9 patients(10.5%) received operation. The over-all mortality rate was 4.7% and all of them were cases treated medrcally, Main causes of death were due to hepatic failure(3 cases) and renal shut down related to sustained bleeding(l case).
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정극수,정동현,배정동,허성욱,김학현,안기성,이창우,서승욱 대한소화기내시경학회 1983 Clinical Endoscopy Vol.3 No.1
A clinical analysis was carried out on 306 pts c Gastric ulcer who have visited the Depart on Internal lTedicine. Daegue Catholic Hospital during the period from August 1980 to June 1982. The result were as follows: of the total 306 cases, 249(81) cases were male and 57(19io) cases were female, Male to female ratio was 4.3 1. Thirsty two percent of the cases blonged to the 6 th decade, 24. 5 to 5 th and 19 to 7 th decade. Clinically, 206(67.3%) cases were diagnosed as benign ulcer. while 100(22.7) cases as malignancy. UGI series were done in 272 cases of total 806 eases and 159 casea(58.4%) had the impression of benign ulcer. while 98 cases(36%) showed the impression of malignant ulcer. EndoscopicaIly 162 cases(52.9%) were diagnosed as benign ulcer. while 144 cases(47.1) as malignant ulcer. Concerning the size of the ulcer. Relatively small ulcer which diameter is lem or less was prevalent (129 cases (42.2%)). Among these 129 cases 85 cases(65.9%) were benign and 44 .casea(34.1 0) were malignant. Endoscopic biopsy was done in 240 cases of tot.1 306 cases and 157 cases(65.4) showed the ids of benign nature wtfile 83 caaea(84.6%) p'oved to be malignant. The moat frequent site of ulcer by its size could be summarized as below. 1.0 or less in diameter: antrum (45 of total 129 cases) 1.12.0cm: body(47 of total I08 cases) 2.1 3. 0 cm : body (59 of total 4I cases) 3.1--4. 0 cm: body(70% of total 41 cases) 4.15. 0 cm: cardia 1 case antrurn 1 case 5.10cm: body 1 case(5.6cm) When the ulcer size was greater than 3. 0 cm in diameter chance of malignancy increased remarkably, (80% or more was malignant).
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