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간 , 담도 및 췌장 : 내시경적 (內視鏡的) 유두절개술의 (乳頭切開術) 문제점과 예후 (豫後)
박홍배(Hong Bae Park),명재일(Jae Il Myung),여향순(Hyang Soon Yeo),박순희(Sun Hi Park),이한기(Han Ki Lee),강명원(Myung Weon Kang),김정호(Jeong Ho Kim) 대한소화기학회 1987 대한소화기학회지 Vol.19 No.2
N/A Since 1976, 2185 cases of ERCP were performed at the Kwangju Christian Hosptial. From December 1981 to August 1986, 194 cases of endoscopic sphincteropapillotomy (EST) were performed. Following results were obtained: 1) In 194 cases of EST, CBD stones were noted in 168 cases, ascaris in common bile duct in 16 cases, clonorchiasis in 4 cases, fibrotic stenosis of a periampullary choledocho-duodenal fistula in 1 case, and pancreatic duct stones in 4 cases. 2) Results of EST; 5 cases of stones were removed by Dormia basket under direct visualization, 61 cases were passed in stool, 66 cases were confirmed at ERCP or T-tube cholangiogrphy. In 46 cases, stones were not removed but symptoms and laboratory findings showed improvement. 3) Complication of EST; 4 cases of bleeding and 1 case of peritonitis were treated by operation, 1 case of acute pancreatitis with pancreatic pseudocyst was treated by medication, 1 case of sepsis due to cholangitis was expired. And 5 cases of recurrent cholangitis, and 2 cases of recurrent pancreatitis were noted. 4) With technical improvement in EST, we could control bleeding and acute pancreatitis with a pancreatic pseudocyst due to an impacted stone and perform EST successfully in the cases with periampullary diverticula. 5) At last, although we could follow up only for 2 years, would expect that we use more EST for recurrent CBD stones.
위점막에서 조직화학적 및 면역조직화학적 염색을 이용한 Helocibaxter pylori 의 검출
백종철(Jong Cheul Baek),강헌석(Heon Seok Kang),이숭(Soong Lee),명재일(Jae Il Myung),김완(Wan Kim),박창수(Chang Soo Park) 대한내과학회 1997 대한내과학회지 Vol.53 No.5
logic test (ELISA, BIO-RAD GAP method), histochemical stain (Warthin-Starry silver stain), immunohistochemical stain (Avidin biotin conjugate method, ABC method) were performed to identify the presence of H. pylori infection. H. pylori infection was defined that 2 of 3 studies were positive. Results: Positive result to H. pylori infection by serologic test, Warthin-Starry silver stain and immunohistochemical stain were 82% (28/34 cases), 65% (22/34 cases), 68% (23/34 cases). Sensitivity and specificity were 68%, 20% in serologic test, 95%, 83% in Warthin-Starry silver stain, 100%, 100% in immunohistochemical stain. Correlation among these tests was best between Warthin-Starry silver stain and immunohistochemical stain. Conclusion: By the above results, we can conclude that histochemical stain and immunohistochemical stain are the most accurate diagnostic method to identify the infectivity of R. pylori.
간장 및 담도 : 담도결석 (膽道結石) 제거수술예의 (除去手術예) ERCP 진단적의 (診斷的義
박홍배(Hong Bae Park),전병철(Byung Chul Jun),조정열(Jung Youl Han),이상운(Sang Yoon Lee),김재원(Jae Won Kim),김규순(Kyu Soon Kim),명재일(Jae Il Myung),여향순(Hyang Soon Yoo) 대한소화기학회 1986 대한소화기학회지 Vol.18 No.1
N/A We performed 1856 cases of ERCP from 1976 to August 1985 and among them we analyzed 116 cases of ERCP after biliary stone surgery. 1) Among 1856 cases of ERCP, biliary tract diseases were 709 cases(38.2%), and among 709 cases, 336 cases(47.4%) had stones in the biliary tract. Among 709 cases, 116 cases of ERCP after biliary tract surgery demonstrated following data. 2) Almost all cases of 116 cases(16.4%) of ERCP received cholecystectomy due to gall stone and the duration from operation to ERCP were variable. Many cases received operation in the private hospital but 31.4% cases received operation in the general hospital and university hospital. 3) Sex distribution in ERCP 116 cases of biliary tract surgery showed predominence in the female(62.1%) and most of the cases were over 40 years of age. SGOT and serum bilirubin were normal in half the cases, but alkaline phosphatase was elevated in 80 cases. Clinical impression in ERCP 116 cases of biliary tract surgery were in the order of remained CBD stone(67 cases), obstructive jaundice(24 cases), T-tube CBD stone(10 cases), pancreatitis(5 cases), cholangitis(4 cases), postop jaundice(2 cases), etc. 4) 111 cases in 116 cases of biliary tract surgery were performed ERCP and ERCP demonstrated recurrent or remained biliary tract stone in 62 cases(53.4%) and chronic pancreatis in ERCP was demonstratated in 52 cases(44.8%) So we think that biliary stone induces duronic pancreatitis. Among 62 cases of recurrent or remained CBD stone EST was performed in 35 cases and after EST good results were obtained.
김완(Wan Kim),김용록(Yong Rok Kim),염형렬(Houng Roul Youm),백종철(Jong Cheol Baek),이형우(Hyoung Woo Lee),고향미(Hyang Mee Ko),강헌석(Heon Seok Kang),임종철(Jong Cheol Lim),류형선(Heong Seon Rheu),명재일(Jae Il Myung) 대한내과학회 1999 대한내과학회지 Vol.56 No.6
Cutaneous metastases from gastric carcinoma are uncommon. The frequency of metastses to the skin from gastric carcinoma have ranged from 0.3% to 0.4%. Carcinoma en cuirasse, first described by Velpeau in 1838, is marked sclerodermatous change and characterized by a difffuse morphea-like induration of the skin and represents a rare manifestations of breast carcinoma metastatic to the chest wall. It is vary rarely seen in lung, stomach, kidney and other metastasizing malignancies. We report a case of carcinoma en cuirase and nodular carcinoma from gastric carcinoma in a 36-year-old male who complained chiefly of multiple cutaneous nodules. He had mixed lesions of an erythematous morphea-like induration on the neck and multiple erythematous nodules on the chest and abdomen. Gastroscopy finding showed a Borrmann type Ⅳ advanced gastric carcinoma. Histopathologic examination of skin and stomach showed atypical cells with pleomorpic, hyperchromatic nuclei and scanty, eosinophilic cytoplasm, which are consistent with poorly differentiated adenocarcinoma. Immunohistochemical stainings showed positive reaction for cytokeratin. He died three months after the appearance of cutaneous lesions.
김영진,김완,이숭,김윤미,명재일,강헌석,백종철,김용록 대한소화기내시경학회 1996 Clinical Endoscopy Vol.16 No.4
Primary adenocarcinoma of the duodenum is a rare disease, representing 0.35% of all gastrointestinal neoplasm and 0.042% of all malignant neoplasm. Since Ham-burger described the first duodenal caricinoma in 1746, the incidence has shown an increasing tendency. Compared with upper gastrointestinal contrast studies, the gastroduodenoscopy has gained an increasing popularity as an invesitigative tool in recent years. But the diagnosis is usually made at a very late stage because the symptoms are often non-specific, which contributes to delayed diagonsiss and poorer prognosis. We have experienced two cases of the primary carcinoma of the duodenal bulb and one case of carcinoma of the second portion, which were diagnosed by biopsy with gastrofiberoscopic endoscopy and operative finding. So we report three csses with a brief review of literature.
임종철,김명성,이남훈,이대호,명재일,강헌석,김한균,염형렬,류형선,김완,고향미 대한소화기내시경학회 2001 Clinical Endoscopy Vol.22 No.1
Gastric lipoma is rare submucosal tumor, accounting for less than 3% of all be- nign gastric tumor. Most are usually asymptomatic, but on occasion, they may present with abdominal pain, obstruction, dyspepsia, intussuception and gastrointestinal bleeding. Surgical resection is definitive diagnostic and therapeutic procedure. Surgical removal of gastric lipoma should be considered in the following situations: 1) the lesion is large, 2) the lesion is difficult to differentiate from malignant tumor, 3) the patient is symptomatic or has recurrent bleeding or obstruction. We report a case of gastric lipoma with bleeding in a 67-year-old male. Gastroscopy showed active gastric ulcer with fresh blood clot. Although medical conservative treatment was done, bleeding was continued. We referred patient to general surgical department for open surgical procedure and subtotal gastrectomy was performed. Histopathological examination of surgical gastric segment showed 5 x 5.5 cm sized ulcerated mass. Microscopic finding of cross section showed uniform and mature adipose cell, finding consistent with lipoma. We confirmed it submucosal gastric lipoma with ulcer bleeding.
김완,이숭,김윤미,명재일,백종철 대한소화기내시경학회 1995 Clinical Endoscopy Vol.15 No.3
Colonic lesions by irritant laxative abuse are devided into melanosis coli, cathartic colon, soap or chemical colitis. Melanosis coli is the brownish or black discoloration of the colon because of the accumulation of lipofuscin pigment in macrophages located in lamina propria and associated with anthraquinone containing laxative abuse. The site of this lesion is more common in cecum and proximal colon, but whole colon can be involved. This lesion is occurred between 4 months and 13 months from initiation of drug medication, and the lesion is benign because the pigments disappear by withdrawning the laxatives. A number of cases were reported in our country, all of the cases were associated with prolonged administration of anthraquinone type laxatives. We presents two cases of melanosis eoli that had administrated aloe to treat the chronic constipation during long terms, and one case of melanosis coli that had not administrated laxatives or a specific drug with chronic constipation. All of three cases were confirmed by colonoscopy.