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위장관 ( 胃腸管 ) : 식도 확장술에 합병된 식도 천공의 치료
윤용범(Yong Bum Yoon),송인성(In Sung Song),최규완(Kyoo Wan Choi),김정룡(Chung Yong Kim),정현채(Hyun Chae Jung),김용태(Yong Tae Kim),한철주(Cheol Joo Han),이준혁(Joon Hyeok Lee),김진욱(Jin Wook Kim),김태호(Tae Ho Kim),최상운(Sang Oun 대한소화기학회 1991 대한소화기학회지 Vol.23 No.3
N/A We reviewed the total 291 procedures in 134 patients in whom esophageal dilatation or esophageal endoprosthesis insertion had been performed in Seoul National University Hospital from March 1987 to September 1990. Twelve cases(4.1%) of esophageal perforation developed. Eight cases of them were managed successfully only with medical treatment. Two cases were not followed up after self-discharge during medical treatement. One case was treated successfully with immediate surgical intervention and one case underwent delayed surgical repair two times because of the failure of initial medical treatment. There were 7 cases of esophageal perforation with pleural or peritoneal involvement. Five of them were managed successfully with medical treatment. Thus we recommended the medical management as the first choice of treatment in iatrogenic esophageal perforation even in the cases with pleural or peritoneal involvement except in some selected cases.
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한국인에서의 만성적 궤양을 동반하는 대장염에 대한 임상적 고찰
이풍렬,윤한두,김나영,정숙향,유권,정현채,이효석,윤용범,송인성,최규완,김정룡,최상운 대한내과학회 1990 대한내과학회지 Vol.38 No.3
The purpose of this study is to compare the differences of the symptoms, signs and laboratory findings among colitis with chronic ulceration, such as ulcerative colitis, Behcet's colitis, tuberculous colitis and Crohn's disease in Korea. Were studied in Seoul National University Hospital from August 1982 to Oocober 1988. Forty-two cases of ulcerative colitis, 23 cases of Behcet's colitis, 53 cases of tuberoulous colitis and four cases of Crohn's disease were analyzed in terms of age, sex, symptomatology, laboratory findings and consequence of treatment. 1) The sex ratio of ulcerative colitis, Behcet's, colitis tuberculous colitis and Crohn's disease was 1 : 1.63, 4.74 : 1, 1 : 1. 30, and 3 : 1, respectively, and the mean age was 36.1, 34.3, 33.4, 22.5 years, respectively. 2) The duration of symptoms in tuberculous colitis was significantly shorter than in other diseases. 3) The items of symptoms and signs showed that significant differences were rectal bleeding, diarrhea, weight loss, tenesmus, oral ulcer, skin lesion and genital ulcer. 4) The items of laboratory findings revealed that significant differences were anemia, increased ESR, hypoalbuminemia and the evidenoe of tuberculous lesion on chest X-ray. 5) In view of the anatomical distribution of the lesions, the rectums of all the cases were involved in ulcerative colitis. In most cases of Behcet's colitis and tubercuious colitis, the right colon, including the cecum and the ileum, was involved. In Crohn's disease, the ileum and the jejumum were frequently involved. 6) From a discriminant analysis, we could find several items that differentiated the four diseases. There were rectal bleeding, diarrhea, oral ulcer, hypoalbuminemia and evidence of tuberculosis on chest X ray.
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