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      • 消化性潰瘍에 起因한 幽門狹窄의 臨床的考察

        黃承榮 최신의학사 1968 最新醫學 Vol.11 No.12

        The result of surgical treatment for 56 cases of pyloric stenosis due to peptic ulcers during the 10-year period from April 1958 to March 1968- at the Dept.. of General Surgery, Pusan National University Hospital was reviewed. The peak age incidence of these cases was between 40-49 years with 41 / of patient fallings inside this range. Males were more frequently affected in this group of pyloric stenosis cases. The sex ratio being 3.3 1 (M:F). Duodenal ulcers were found to be more frequent cause of pyloric stenosis than gastric ulcers, with a ratio of 4.6 : 1. The duration of the clinical symptoms in the authors cases was from 5 years to 10 years; this is shorter than that described in other reports. Vomiting was the most prominent symptom in pyloric stenosis patients. The most commonly used operation for pyloric stenosis in the authors series was subtotal gastrectomy which removes the antral phase of acid secretion and adds a further excision of acid secreting cells. Early post-operative complications occurred in 10.7% : and the operative mortality rate was 3.5%

      • 閉塞性 黃疸에 關한 臨床的 考察 : 140例 分析 An Analysis of 140 Consecutive cases

        黃承榮 최신의학사 1968 最新醫學 Vol.11 No.11

        In this study an analysis was made. of the surgical management'of 140 patients with extrabepatic obstructive jaundice during the 7 year period between July 1959 and June 1960 at the Department' of General Surgery, Pusan' National University Hospital. The cause of the jaundice was a, benign lesion in 100(71.4%Mpatients and in remaining 40(28.6%)patients, cancer, either primary-or metastatic, was. the causative factor. A stone (or stones) in the commonduct was the most common cause of obstructive or surgical jaundice. There were 66 men and 74' women, the sex ratio being: 1 12 = 1(F:M): The ages ranged from 40days to 70 years and 74.2 of the 140. patients or approximately three of every four patients;, were between the ages of 30 and 60 years. Eighty eight percent of the patients with benign lesions and 57.5% of the patients with malignant lesions complained colic pain. The ratio of direct bilirubin/total bilirubinx 100 was above 40% in all patients and C.C.F. was positive _in 60% of the 140 cases. Various Operative procedure were performed in the cases; Cholecystectomy in 83, Choledochostomy in 70, by-pass procedure in 35 and whipple,s operation in 4 Early post-operative complications occurred in. 10.7% and the operative mortality rate was 9.3%.

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