http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
Percutaneous Balloon Membranotomy로 성공적으로 치료된 하대정맥 (下大靜脈) 막성폐쇄 (膜性閉鎖)
김세종(Sei Jong Kim),윤종만(Chong Mann Yoon),최성규(Sung Kyu Choi),김석빈(Suk Bin Kim),양건호(Kun Ho Yang),박일종(Il Chong Park),박해옥(Hae Ok Park),남광우(Kwang Woo Nam),김재규(Jae Kyn Kim),나병식(Byung Sik Ra) 대한소화기학회 1987 대한소화기학회지 Vol.19 No.1
Idiopathic membranous obstruction of the inferior vena cava (MOVC) is the most common cause of hepatic outflow obstruction world-wide, especially among Orientals, and this lesion at its hepatic portion might be one of the common cause of portal hypertension in Korea, though having not been reported till now. Most of the symptoms and signs of the MOVC are those referable to portal hypertension, collateral circulation being the most prominent feature. Distribution and direction of collaterals of MOVC are, however, different from those observed in other causes of portal hypertension in that the collateral veins channels carry blood up-words to reach the superior vena caval system. So, large truncal collateral vessels, particulary on the back, strongly suggest MOVC. Final cliagnosis of MOVC comes from inferior vena caval catheterization and angiography using two catheters simultaneously inserted through the basilic and femoral vein by demonstrating web-like membranous structure in the IVC. The classical therapeutic approach has been transcardiac membranotomy by means of finger fracture technique, but percutaneous translumina1 angioplasty using balloon catheter has recently been recommended before proceeding to operative treatment because of its simplicity and safety. We have recently been confronted by one case of idiopathic membranous obstruction of the inferior vena cava (MOVC) that was successfully managed by percutaneous balloon membranotomy, which has prompted this report with a review of this relatively rare condition.
간장 및 담도 : 만성간질환 및 간외담도폐쇄 환자에서 99mTc - DISIDA 간담도스캔을 통한 간세포기능의 평가
최성규 ( Sung Kyu Choi ),범희승 ( Hee Seung Bom ),양건호 ( Kun Ho Yang ),윤종만 ( Chong Mann Yoon ),김석빈 ( Suk Bin Kim ),박일종 ( Il Chong Park ),박해옥 ( Hae Ok Park ) 대한소화기학회 1986 대한소화기학회지 Vol.18 No.1
N/A Scintigraphic studies were performed in 15 normal subjecte, and 33 patients suffering from chronic parenchymal liver disease(liver cirrhosis 7, chronic hepatitis 5, hepatocellular carcinoma 1), and extrahepatic biliary obstruction(CBD stone 8, postoperative CBD stricture 4, pancreatic head ca 4, CBD ca 3, ampullary ca 1) using 99mc-DISIDA. Extraction and excretory functions of hepatocytes were evaluated with respect to liver-to-cardiac blood pool ratio(LCBPR) and washout index(WI). And relationships between these indexs and SGOT, total bilirubin levels were evaluated also. LCBPR was reduced in both patients groups(p< VVI was reduced only in those with extrahepatic biliary obstruction. LCBPR and WI were inversely correlated with total bilirubin levels(r=-0.49,-0 33, respectively).
윤종만(Chong Mann Yoon),범희승(Hee Seung Bom),국돈표(don Pio Kook),김성렬(Seong Rhyul Kim),양건호(Keon Ho Yang),김석빈(Suk Bin Kim) 대한소화기학회 1985 대한소화기학회지 Vol.17 No.2
N/A Esophageal carcinomas are relatively rare among those of arising in gastrointestinal tract, but are important because of the high mortality and poor prognosis they have. This report was attempted to deal with an endoscopicopathological evaluation of 114 cases which had been diagnosed as esophageal cancer in the Department of Internal Medicine, Chonnam University Hospital during the period from January 1975 to August 1984. The results were as following 1) In 114 cases of esophageal cancer, male to female ratio was 7.8: 1. The peak age incidence was the 6 th decade with 39.5% 2) The tumors located at the middle one third in 48, at the lower one third in 40, at the cardia in 17, and at the upper one third in 9 cases. 3) Endoscopically, 53 cases were elevated types, 22 cases were stenotic, the remainings were 18 depressed, 15 superficial, and 6 unclassified types in order of frequency. 4) Endoscopic biopsy positive rate was 65%, in 114 cases of esophageal cancer and there was no significant difference in the involved sites but significant difference in the endoscopic tumor types: In elevated types, biopsy positive rate was 81% and in stenotic types 36% 5) Histological classification of the esophageal cancer in our study was squamous cell carcinoma in 56 cases, adenocarcinoma in 14 cases, undifferentiated carcinoma in 3 cases, and mucinous cell carcinoma in 1 case in order of frequency. 6) The histopathological types of the non-malignant cases were normal mucosa in 23 cases (59.5%), inflammation in 8 cases(20%), dysplasia in 5 cases(12.5%), hyperplasia in 2 cases (5.0%), and ulceration in 1 case(2.5%).
범희승,박광숙,양건호,윤종만,김석빈,박일종,김성렬 대한소화기내시경학회 1986 Clinical Endoscopy Vol.6 No.1
Dieulafoys lesion consists of abnormally large gastric submucosal artery which ruptures into the stomach causing massive or recurrent intragikstric bleeding. The lesion is very small and easily overlooked even at laparatomy and can only be correctly diagnosed by endoscopy or arteriography if the patient is actively bleeding. Three patients who were admitted with bleeding of upper gastrointestinal tract and eventually diagnosed as having Dieulafoys lesions were analysed. All were men with age range of 44 to 55 years. All patient were asymptomatic before presenting with hematemesis. Two of the three patients had had history of upper Gl bleeding. One patient used analgesics daily for ureteral colic and two patient drank alcohol excessively. Gastroscopy was performed during the bleeding episode in all three patients. Dieulafoy's lesion was seen in all three cases and in the second case, there was concomittent diffuse petechia in the whole stomach. The lesion was situated on the posterior wall of upper body in one, on anterior wall of upper body in another, lesser curvature side of gastric fundus in the other case. All three patient underwent laparotomy for persistent bleeding and the lesion was suture ligated only in two patients while in one patient vagotomy and pyloroplasty was added. Resection biopsy was performed in two cases and both revealed only normal gastric mucosa. All patients discharged after complete recover.
범희승,김성렬,양건호,윤종만,김석빈,박일종,박광숙 대한소화기내시경학회 1985 Clinical Endoscopy Vol.5 No.1
Esophagopericardial fistala is a rare and usually life threatening complication of both benign and malignant esophageal disease. A case of pyopneumopericarduim in 45 year-old female is reported. Streptocoeeus viridana in pas celtore was isolated from pericardial pus. The disorder resulted from eaqyhagoyericardial fistula which probably developed as a complication of esophageal diverticnlum. The diagnasis of the fistula was established preoperatively on the basis of chest X-ray, esophagogram and. endoeeopic findings. The treatment was thoracotorny with drainage of pericardium, diverticulectomy and antimicrobial chemotherapy. The patient improved postoperatively.