http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
간장 ( 肝臟 ) , 담도 ( 膽道 ) 및 췌장 ( 膵臟 ) : Expandable Metallic Stent를 이용한 담도 협착의 치료
민영일(Young Il Min),이성구(Sung Koo Lee),김명환(Myung Hwan Kim),이승규(Sung Gyu Lee),전용철(Yong Cheol Jeon),성규보(Kyu Bo Seong),민병철(Pyung Cheol Min) 대한소화기학회 1991 대한소화기학회지 Vol.23 No.3
N/A Expandable metallic stents were implanted in 9 patients with malignant (4 patients) or benign (5 patients) biliary stenoses. Five patients with benign strictures (intrahepatic stones with intrahepatic strictures, n=4; intrahepatic and extrahepatic stones with common bile duct stricture, n= 1) and four with malignant biliary strictures (cholangiocarcinoma, n=4) were treated with expandable metallic stents via percutaneous or transpapillary route. The patients with benign disease had failed treatment with surgical reconstruction and transhepatic balloon dilatation. In the three of the four patients with cholangiocarcinoma, relief of jaundice was observed. Patients with benign strictures have done very well. Our experience shows that expandable metallic stents can be inserted with little discomfort for the patients and with relatively few complications. They will provide good palliation in patients with malignant obstructive jaundice and benign strictures.
민영일(Young Il Min),이영상(Young Sang Lee),김명환(Myung Hwan Kim),이승규(Sung Gyu Lee),민병철(Pyung Chul Min),유은실(Eun Sil Yu),정영화(Yong Hwa Chung),오용호(Young Ho Oh) 대한소화기학회 1993 대한소화기학회지 Vol.25 No.5
Hepatocellular carcinoma arising in the caudate lobe is rare and its prognosis is generally poor. Most of lesions already show multiple metastases and are inoperable at the time of presentation, because tumor cells may spread readily through its short portal and hepatic vein branches into the main portal vein and the inferior vena cava early in the disease. We report a case of hepatocellular carcinoma arising in the caudate lobe which was successfully resected through the combined upper midline incision and median sternotomy 43 months ago
간장 ( 肝臟 ) , 담도 ( 膽道 ) 및 췌장 ( 膵臟 ) : 급성 담낭염의 치료에 있어서 경피적 담낭루 설치술의 이용
민영일(Young Il Min),이성구(Sung Koo Lee),안세현(Sei Hyun Ahn),김명환(Myung Hwan Kim),이승규(Sung Gyu Lee),전용철(Yong Cheol Jeon),성규보(Kyu Bo Seong),조경식(Kyung Sik Cho),이문규(Mun Gyu Lee) 대한소화기학회 1991 대한소화기학회지 Vol.23 No.3
N/A Percutaneous cholecystostomy is a techniue to obviate cholestectomy or surgical cholecystostomy in high risk patients. We evaluated 12 relatively high risk patients who underwent percutaneous cholecystostomy in recent 1 year. Overall success rate of percutaneous cholecystostomy was 92%(12/ 13). Relief of pain and defervescence could be observed promptly in almost all patients. In 4 cases of acalculous cholecytstitis, the catheters were removed successfully after resolution of acute inflammation. 3 cases of calculous cholecystitis were treated with elective cholecystectomy after resolution of septic condition. Percutaneous stone removal was performed via the enlarged tract with stone basket or other mechanical devices in 3 cases of calculous cholecystitis. Two cases of tube dislodge and 1 case of mild bile leakage were the complications of this procedure without significant mortality or morbidity. Percutaneous cholecystostomy is a fast, low risk and effective treatment of acute cholecystitis in poor surgical risk patients.
경구 Nitrate 제재 투여로 호전된 Biliary Dyskinesia
민영일(Young Il Min),이영상(Yung Sang Lee),김해련(Hae Ryun Kim),이성구(Sung Koo Lee),김명환(Myung Hwan Kim),정영화(Young Hwa Joung),양석균(Suk Kyun Yang),전용철(Yong Cheol Jeon) 대한소화기학회 1991 대한소화기학회지 Vol.23 No.2
Biliary dyskinesia is a functional disorder of the biliary tracts, especially spasm of the sphincter of Oddi (SO). It is sometimes impossible to differentiate patients with true biliary dyskinesia from those patients with papillay stenosis, which is a structual narrowing of SO segment. We report a case of biliary dyskinesia diagnosed and treated by nitrates. The paitent has suffered from chronic liver disease and admitted to our hospital due to biliary pain and aggravated liver function. On biliary manometry, the basal pressure of SO phasic contractions and common bile duct pressure were increased. Also tachyoddia and increased retrograde propagation of phasic contractions were observed. After intravenous injection of nitrate, the basal pressure of SO were decreased and phasic contractions disappeared within 30 seconds. She was diagnosed as biliary dyskinesia and treated by long acting oral nitrates. And then, her symptoms were disappeared and liver function was improved.
이용국 ( Yong Kook Lee ),민영일 ( Young Il Min ),전영균 ( Young Kyun Chun ) 대한내과학회 1970 대한내과학회지 Vol.13 No.5
Serum creatinine concentration, creatinine clearance, urinary excretion of creatinine and daily amount of urinary protein were studied from 29 patients of hepatic cirrhosis, The results obtained were as follows; 1. Creatinine clearance of 29 patients of he
1990 년대 한국 성인에서 역류성 식도염의 유병률 변화
정성애(Sung Ae Jung),정훈용(Hwoon Yong Jung),김기락(Ki Rhack Kim),민영일(Young Il Min) 대한소화기기능성질환·운동학회 2001 Journal of Neurogastroenterology and Motility (JNM Vol.7 No.2
N/A Backgroud/Aims: The prevalence of reflux esophagitis has been considered to be low in Korea, but recent studies suggested that it has been increasing. The prevalence also is generally thought to be less in Korea compared to that in western countries. Methods: Data was collected from the leading medical journals published in Korea dealing with the prevalence of reflux esophagitis for last 10 years between 1990 and 1999 and annual reports of Health Promotion Center in Asan Medical Center of 1997 to 1999. Results: The prevalence was occupied 1.3% in the early period of 1990's, 5.3% in the middle and 7.2% in the late period in symptomatic group and 2.7%, 3.2% and 5.8% in asymptomatic group. The prevalence was reported 5.4% in 1997, 5.3% in 1998 and 7.0% in 1999 in asymptomatic group of annual report of Health Promotion Center in Asan Medical Center. Associated conditions in reflux esophagitis were hiatal hernia, alcohol consumption, smoking and obesity suggesting as risk factors. Conclusions: The prevalence of reflux esophagitis in Korea has increased in last 10 years of 1990' s but is still lower than that in the western countries. Continuous increase in the prevalence of reflux esophagitis in Korea is predictable and it leads to a greater concern for accurate diagnosis and rapid treatment of symptoms. (Korean Journal of Gastrointestinal Motility 2001;7:161-167 )
졸링거 - 엘리슨 증후군과 동반된 다발성 내분비종 I 형 1 예
이영미(Young Mi Lee),정훈용(Hwoon Yong Jung),최선영(Sung Young Choi),강호형(Ho Hyung Kang),명승재(Seung Jae Myung),양석균(Suk Kyun Yang),홍원선(Weon Seon Hong),김진호(Jin Ho Kim),민영일(Young Il Min) 대한소화기학회 2002 대한소화기학회지 Vol.39 No.1
Zollinger-Ellison syndrome (ZES) is characterized by recurrent peptic ulcer and diarrhea caused by gastric acid hypersecretion due to gastrinoma. Approximately, one third of patients with gastrinoma have multiple endocrine neoplasia type I (MEN-I). The diagnosis of gastrinoma is difficult, although it can be cured by surgery after localization. Recently, the somatostatin receptor scintigraphy (SRS) was reported to be more sensitive than any other tumor-localization methods. We report a case of ZES with metachronous MEN-I. A 47-year-old woman had peptic ulcer disease with its complications and recently developed diarrhea. Her serum gastrin level was markedly elevated (1,098pg/mL) but the results of conventional imaging tests were negative. We confirmed the presence of gastrinoma by the selective intraarterial secretin injection and portal vein sampling. Then, the tumor was eventually located by SRS under the diagnosis of ZES. She underwent a Whipple`s operation with the compatible pathologic findings of gastrinoma. She was confirmed to have parathyroid hyperplasia and MEN-I during follow-up. (Korean J Gastroenterol 2002;39:50-54)