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수술전 대장내시경으로 진단이 가능했던 대장의 비특이성궤양 1예
이태영,박재석,김완수,이재경,허갑도,나산균,구호성,성영란,박미경 대한소화기내시경학회 1996 Clinical Endoscopy Vol.16 No.2
Because nonspecific colonic ulcer is an unusual condition and varies markedly in clinical presentation and course, preoperative clinical diagnosis of nonspecific colonic ulcer is very difficult, But now, preoperative clinical diagnosis can he made by advent of colonofiberscopy. And, it is very important to diagnose this disease early, because late diagnosis make a poor prognosis. We report a case of nonspecific colonic ulcer diagnosed by repeated colonofiberscopy and treated with surgery.
김종훈(Jong Hoon Kim),최익수(Ik Soo Choi),김천환(Cheon Whan Kim),구호성(Ho Seong Ku),손성표(Seong Pyo Son),이광재(Kwang Jaw Lee),정철호(Cheol Ho Jeong),최신영(Shin Young Choi),김인주(In Joo Kim),김용기(Yong Ki Kim),강도영(Do Young Ka 대한내과학회 1996 대한내과학회지 Vol.50 No.4
Objectives: The morbidity and mortality of diabetes mellitus have increased with the improvement of our economy. To these days, there is no report on the cause of death associated with NIDDM in Korea, but it has been generally accepted that infection may be the leading cause of death in NIDDM patients. But recently, with the improvement of infection control technique and the clinical application of new effective antibiotics, it is suspected that the death due to infection is decreasing. And, due to improvement of skill of diabetic control, the life expectancy of the diabetics has been increased. So, we hypothesized that macrovascular diseases complicated with Diabetes Mellitus may play central role in death of diabetics, resembling in developed country. In this study, we try to confirm this hypothesis. Methods: We analysed the cause of death of 149 NIDDM patients on the basis of death certificates from major hospitals in Pusan, Korea. We compared the major cause of death such as cardiovascular disorder and infection with those of general population on the basis of the 1992's statistical mortality analysis. Results: 1) In the decreased 149 Non-insulin dependent diabetics, death from cerebrovascular disease was 24.8% (37/149), infection was 24.2% (36/149), ischemic heart disease was 12.8% (12/149), congestive heart failure was 9.4% (14/149). Death due to diabetic metabolic complications, liver disease, malignant tumor and renal failure were 6.0%, 5.4%, 4.7% and 3.3% respectively. 2) When we compared the major cause of death of non-insulin-dependent diabetic patients with that of general population by observed to expected death ratio(O/E ratio), infection was 7.8, congestive heart failure was 4.1, ischemic heart diease and cerebrovascular disease were 3.3 and 1.4 respectively. 3) When cerebrovascular disease, ischemic heart disease and congestive heart failure were defined together as cardiovascular disorder, O/E ratio was 2.0, and this is lower than that of infection. Conclusion: The large vessel disease is the most common cause of death in patients with non-insulin-dependent diabetes mellitus in Pusan, Korea. So, not only strict glycemic control, but detecting the risk factors related to large vessel disease and its control is important. This type of management may influence the diabetic's life expectancy ultimately, Generally, infection has been thought to be decreasing in recent years but, it is still one of the major cause of death in Korea. We have to detect infection early and treat it actively in non-insulin-dependent diabetic population.
이상인(Sang In Lee),최세식(Se Seek Chol),배무현(Mu Hyun Bae),김종훈(Jong Hoon Kim),최익수(Ik Su Choi),김천환(Chun Whan Kim),구호성(Ho Sung Goo),이민기(Min Ki Lee),나산균(San Gyun Rha),허갑도(Gap Do Hur) 대한소화기학회 1995 대한소화기학회지 Vol.27 No.2
Primary malignant melanoma of esophagus is rare and its symptoms are similar to those of squamous cell carcinoma. In general, this tumor tends to be polypoid with smooth intact overlying mucosa or be pediculated and irregular. Microscopically, characteristic features are junctional lenti- ginous growth pattern and tendency to expand and fill the submucosa without invading the muscularis. Primary malignant melanoma should be radiologically differentiated with unusual esophageal tumor, particularly if the lesion is polypoid. Because of the patentially widespread intramural component, surgical treatment requires a radical procedures with a far greater margin than for the usual squamous cell carcinoma. Despite these measures, however the prognosis is poor, with a 5 year survival of 4.2%. It is usually fatal within one year. The case of a 64-year-old man with esophageal malignant melanoma is described, and review of the llterature in presented related studies. (Korean J Gastroenterol 1995;27:245 - 250)
Young Adult 의 직장에 발생된 광범위한 혈관이형성증과 그로 인한 대량 출혈 1 예
배무현(Moo Hyun Bae),최세식(Se Sig Choi),이상인(Sang In Lee),변상준(Sang Jun Byun),김종훈(Jong Hun Kim),정미혜(Mee Hae Jung),최익수(Ik Soo Choi),김천환(Chun Hoan Kim),구호성(Ho Sung Koo),나산균(San Gyun Rha),조성락(Sung Rag Cho),지정희( 대한내과학회 1995 대한내과학회지 Vol.48 No.2
Angiodysplasia as a cause of gastrointestinal bleeding is increasingly recognized with the advancement of diagnostic technique. Most cases of angiodysplasia occur in old age and their sizes rarely exceed a few millimeters in diameter. We experienced a case of bleeding angiodysplasia in the rectum of 22-year old woman. The lesion was located at the submucosa of nearly all the rectum. This patient had a history of repeated hematochezia for several years. Diagnosis could be done easily by the colonoscopy with biopsy only. This report summarized our case and review of literature.