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- 저자 : 최철영 ( Cheul Young Choi ) (검색결과 2 건)
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이차 병원 건강검진자의 바렛식도 유병률 및 분문부 장상피화생과의 비교 연구
최철영 ( Cheul Young Choi ),서승철 ( Seung Chul Suh ),박재석 ( Jae Serk Park ),이현정 ( Hyun Jeong Lee ),이종섭 ( Jong Sup Lee ),최효선 ( Hyo Sun Choi ),박현성 ( Hyun Sung Park ),홍승권 ( Seung Goun Hong ) 대한소화기학회 2012 대한소화기학회지 Vol.60 No.4
Background/Aims: The purpose of this study was to estimate the prevalence of Barrett`s esophagus (BE) and its association with reflux esophagitis (RE) and peptic ulcer disease detected by free charge endoscopy which was covered by the National Health Insurance at a secondary care hospital, and to compare the results of the biopsy of BE with that of cardiac intestinal metaplasia (CIM). Methods: A total of 4,002 patients underwent endoscopy from March 2010 to December 2012. BE was diagnosed if there was histologically proven specialized intestinal metaplasia, and CIM was diagnosed if intestinal metaplasia was accompanied with chronic gastritis. Results: Four hundred twenty four patients underwent endoscopic biopsy, and the prevalence of BE was 1.0% (42/4,002), The mean age and the proportion of males in BE were significantly higher than those of the rest of study population, and BE had slight tendency related to RE than the rest of study population, CIM was observed in 34 patients and BE and CIM showed similar results, regarding age, sex and association with RE. The mean length of endoscopic Barrett`s mucosa of BE group was 9.2±5.1 mm, and it was similar to that of CIM. Conclusions: The prevalence of BE in the secondary care hospital was not low, and old age and male sex were significantly associated with BE. Because BE was observed in about 10% of biopsied patients and CIM was observed in a similar percentage with BE, the precise targeted biopsy is warranted and the biopsy method should be reestablished through the large prospective study of multiple secondary care hospitals.
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이중풍선 소장내시경으로 진단된 위석에 의한 소장폐쇄 1예
채영제 ( Yeong Je Chae ),최철영 ( Cheul Young Choi ),변현우 ( Hyun Woo Byun ),최민호 ( Min Ho Choi ),장현주 ( Hyun Joo Jang ),은창수 ( Chang Soo Eun ),이진 ( Jin Lee ) 대한내과학회 2008 대한내과학회지 Vol.74 No.1
소장의 질환을 검사하기 위해 소장 조영술, push 방식 소장 내시경 등 여러 가지 방법들이 시도되었지만 진단율이 낮고 여러 가지 제한점이 있다. 최근 이중풍선 소장내시경이 개발되어 전체 소장을 관찰하면서 조직 생검과 치료내시경이 가능해 짐으로써 소장질환의 연구에 새로운 전기가 마련될 것으로 기대되고 있다. 저자들은 복통을 주소로 내원한 환자에서 이중풍선 소장내시경 후 수술을 시행하여 위석에 의한 소장폐쇄로 진단한 증례를 경험하여 보고한다. To examine diseases of the small intestines, the use of different methods including a small bowel series and push-type enteroscopy have been employed, but these procedures are restrictive and have a low diagnostic accuracy rate. Recently, the use of double-balloon enteroscopy has been introduced, and it is expected that this procedure will be of great value for research of diseases of the small intestine as it enables one to obtain a biopsy tissue sample and to perform diagnostic and therapeutic endoscopy while examining small intestine visually. We report as case of a patient that visited our institution complaining of abdominal pain, and the patient was diagnosed as suffereing from an intestinal obstruction due to a bezoar. The patient was treated by surgery after an investigation with the aid of a double-balloon enteroscope. (Korean J Med 74:85-89, 2008)
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