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위신단락이 있는 간경변 환자의 위정맥류 치료에 있어서 역행성경정맥위정맥류폐색술의 치료 효과
백광호 ( Baeg Gwang Ho ),김동준 ( Kim Dong Jun ),이호권 ( Lee Ho Gwon ),민슬기 ( Min Seul Gi ),공승진 ( Gong Seung Jin ),김진봉 ( Kim Jin Bong ),이자영 ( Lee Ja Yeong ),한태호 ( Han Tae Ho ),백일현 ( Baeg Il Hyeon ),김종혁 ( Kim J 대한소화기학회 2004 대한소화기학회지 Vol.43 No.3
Background/Aims: Rupture of gastric varices was one of the most dreadful complications of cirrhosis. Recently, a new interventional procedure, balloon-occluded retrograde transvenous obliteration (B-RTO) was introduced for the treatment of gastric variceal bleeding. This study was performed to evaluate the therapeutic efficacy of B-RTO in the treatment of gastric varices with gastro-renal shunts. Methods: From March 2000 to June 2003, we performed B-RTO in 17 patients with gastric varices and gastrorenal shunts. All patients had history or high risk factors of gastric variceal bleeding. For the evaluation of therapeutic efficacy, we performed esophago-gastroduodenoscopy (EGD) and computed tomography (CT) at 1, 6 and 12 months after B-RTO. Successful B-RTO was judged by combined CT findings and EGD findings (disappearance of gastric varices or markedly reduced gastric variceal size or bleeding risk) during follow-up periods (1-14 months, mean:6.18). We analyzed the clinical factors related to clinical success of B-RTO. Results: Technical success were achieved in all patients except one (94.1%). Gastric varices were disappeared or decreased after B-RTO in 13 patients (81.2%). Complications related to procedure included transient hematuria (n=5), puncture site oozing (n=1) and partial splenic infarction (n=1), and all were conservatively managed. During the follow up periods, neither significant hepatic nor renal functional damages occurred. Statistically, no significant factors related with B-RTO success. Conclusions: B-RTO is effective and safe in the management of gastric varices in cirrhotic patients with gastrorenal shunt. Korean J Gastroenterol 2004;43:196-203)
춘천지역에서 위암 발생률 추정에 관한 연구-지난 10년간의 변화
백광호 ( Baeg Gwang Ho ),김동준 ( Kim Dong Jun ),김진봉 ( Kim Jin Bong ),이호권 ( Lee Ho Gwon ),김경호 ( Kim Gyeong Ho ),은창수 ( Eun Chang Su ),백일현 ( Baeg Il Hyeon ),김종혁 ( Kim Jong Hyeog ),김학양 ( Kim Hag Yang ) 대한소화기학회 2003 대한소화기학회 추계학술대회 Vol.2003 No.-
<목적> 위암은 아직까지 국내 발생률 1위의 암으로 조기진단과 확진이 일선 의료기관에서 가능한 질환이다. 최근 H. pylori가 위암의 원인으로 알려지면서 위암의 역학에 대해서 관심이 고조되고 있다. 춘천에서는 1992년부터 2년간 춘전지역에서 위암발생률 추정에 관한 연구 가 수행된 바 있다. 따라서 10년이 지난 시점에서 위암발생률을 추정, 비교함으로써 조기위암을 발견하기위한 노력과 함께 암관리 사업의 기초자료를 만들고자한다. <방법> 2000년
대한간학회지 제6차 춘계학술대회 초록집 : 구연 ; 1990년대 간경변증의 원인, 합병증 및 사망원인 변화에 관한 고찰
한요셉 ( Han Yo Seb ),김병호 ( Kim Byeong Ho ),백일현 ( Baeg Il Hyeon ),이동근 ( Lee Dong Geun ),김경진 ( Kim Gyeong Jin ),동석호 ( Dong Seog Ho ),김효종 ( Kim Hyo Jong ),장영운 ( Jang Yeong Un ),이정일 ( Lee Jeong Il ),장린 ( Ja 대한간학회 2000 Clinical and Molecular Hepatology(대한간학회지) Vol.6 No.1(S)
김수호 ( Kim Su Ho ),김종혁 ( Kim Jong Hyeog ),백광호 ( Baeg Gwang Ho ),백일현 ( Baeg Il Hyeon ),한태호 ( Han Tae Ho ),오순옥 ( O Sun Og ),김진봉 ( Kim Jin Bong ),박상훈 ( Park Sang Hun ),장웅기 ( Jang Ung Gi ),김동준 ( Kim Dong J 대한소화기학회 2004 대한소화기학회지 Vol.43 No.1
GIST is a rare neoplasm, the majority of GISTs are located in the stomach and small intestine. Most GISTs are diagnosed histopathologically after resection because of submucosal location. A 37-year-old female patient presented with a 2-weeks history of generalized weakness, nausea accompanied by intermittent passage of black, tarry stools. Esophagogastroduodenoscopy and ERCP showed a large round mass measuring 5 cm in diameter in the ampulla of Vater with ulcer crack. Endoscopic multiple biopsies from the mass including ulcer base were taken. Light microscopic findings showed spindle-shaped and epitheloid tumor cells having high cellularity and frequent mitotic figures. On immunohistochemical stainings, the tumor cells were positive for CD34 and smooth muscle actin. Based on these preoperative findings, a diagnosis of malignant GIST of the ampulla of Vater was made probably. After operation, immunohistochemical studies revealed positive reaction for c-kit and vimentin, as well as focally reactive for CD34 and smooth muscle actin. We report a case of GIST in the ampulla of Vater presenting with melena that was diagnosed preoperatively and postoperatively. (Korean J Gastroenterol 2004;43:66-70)