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총담관확장 및 결석진단에 있어서의 초음파와 ERCP 의 비교분석
정영기(Young Ki Chung),서동룡(Dong Ryong Seo),장정표(Jeong Pyo Jang),주홍(sung Yub Yeo),여승엽(Hong Joo) 대한소화기학회 1987 대한소화기학회지 Vol.19 No.1
N/A ERCP was performed in 107 patients who underwent right upper quadrant sonography at Maryknoll Hospital in Pusan from Jan. 1985 to Feb. 1987. ERCP showed biliary tree appeared in 83 cases of the total 107 cases (78%). The time lapse between the performance of the ultrasound and ERCP did not exceed 7 days in 55 cases of the 83 cases mentioned above. These 55 cases make up this study population. In this study, we assessed the presence or absence of choledocholithiasis and the size of the common bile duct. The results are as follows: 1) Ultrasound was not accurate in the diagnosis (sensitivity, 41%) or exclusion (value of a negative study, 77%) of choledocholithiasis. 2) In the postcholecystectomy patient population, ultrasound assessment of biliary duct size is not a useful predictor of biliary disease (value of a positive diagnosis, 40%). As a conclusion, when biliary diseases are suspected, especially for syptomatic postcholecystectomy patients, we recommand that as the diagnostic modality ERCP as well as ultrasound should be performed necessarily.
간장 및 담도 : Halothane 마취후 발생한 급성 간염 3예
김영조(Young Jo Kim),정영기(Young Ki Chung),이병욱(Byung Wook Lee),이상룡(Sang Ryong Lee),최동준(dong Joon choi),서동룡(Dong Ryong Seo) 대한소화기학회 1986 대한소화기학회지 Vol.18 No.1
N/A We report 3 cases of acute hepatitis following halothane anesthesia. Case 1 is a 30 year old woman who had a subtotal gastrectomy under halothane anesthesia. Ten days after anesthesia she became febrile without evidence of infection. Jaundice was noticed 14 days after anesthesia and the serum transaminase levels were markedly elevated. The serologic tests for viral hepatitis were all negative. After treatment with corticosteroids the hepatic function had improved. Case 2 is a 47 year old man who underwent a subtotal gastrectomy under halothane znesthesia. Fever appeared 10 days after anesthesia and jvndice was noticed 3 days later. The serum transaminase levels were high and prothrombin time was greatly prolonged. Despite steroid therapy he died of hepatic failure 18 days after anestheia. A liver biopsy was performed and the specimen showed extensive hepatic necrosis and cholestasis. Case 3 is a 29 year old man who underwent osteotomy and bone graft under halothane anesthesia. Nine days after anesthesia he became febrile and his whole body was covered by a rash. The serum bilirubin and transaminase levels were high. He was treated with corticosteroids under the diagnosis of halothane hepatitis and the hepatic funiction had I mproved.
양성질환 및 악성종양에서 혈청 CA19 - 9 와 CEA 의 비교
허용진(Yong Jin Huh),장덕기(Duck Key Jang),이상팔(Sang Pal Lee),최재철(Jae Chul Choi),김호균(Ho Kyun Kim),서동룡(Dong Ryong Seo) 대한내과학회 1989 대한내과학회지 Vol.36 No.5
N/A To analyze the sensitivity and specificity of CA19-9 and carcinoembryonic antigen (CEA) in benign and malignant disease, we performed a study to measure the concentration of both tumor markers among the patients admitted in Maryknoll Hospital between October 1987 and October 1988. The results were as follows: 1) The concentrations of serum CA19-9 and CEA were significantly higher in malignant tumor than benign disease. 2) At a cutoff of CA19-9 37 U/ml and CEA 5 ng/ml, CA19-9 had higher sensitivity than CEA in stomach cancer, hepatocellular carcinoma, colon cancer, especially in pancreatic carcinoma and cholangiocarcinoma. 3) There were no significant differences in concentration of CA19-9 and CEA among the stages of stomach cancer. 4) Pancreatic carcinoma with hepatic metastasis had higher concentrations of CA19-9 and CEA than without hepatic metastasis. In conclusion, CA19-9 is not specific for certain malignant tumors, but is more sensitive than CEA in gastrointestinal cancers.
이상팔,정영기,서동룡,장덕기,허용진,원대식,박두복 대한소화기내시경학회 1988 Clinical Endoscopy Vol.8 No.2
In 1960 Martin and his associates described another type of tumor of the stomach derived from the smooth muscle, which they named myoid tumor in a study of six patients. In 1962 Stout applied the term "lelomyoblastoma" to this interesting entity in a report of a collected series of 69 patients. Tumor cells are round or polygonal epithelioid cells, which contain perinuclear vacuole or clear zone. A 58 year-old female was admitted to this hospital because of epigastric discomfort for three months. At Upper gastrointestinal series and gastrofiberscope, a round hemispherical submucosal tumor was noted at posterior wall near the lesser curvature of gastric antrum. After subtotal gastrectomy, the submucosal tumor was diagnosed as leiomyoblastoma. Because leiomyoblastoma are rare and easily misdiagnosed as leiomyoma or leiomyosarcoma, careful histologic study is recommended.
간 경변증을 동반한 간세포암 환자에서 혈청 보체의 진단적 의의
이정규,김호균,옥종한,서동룡 대한내과학회 1990 대한내과학회지 Vol.38 No.3
To evaluate the usefulness of serum complements level for diagnosis of Hepatocellular carcinoma(HCC), the serum levels of C₃, C₄ and alpha-fetoprotein(AFP) were studied in 23 clinicopathologically proven cirrhotic patients and 20 HCC patients with cirrhosis at Maryknoll Hospital. The results were as follows: 1) Serum C₃, C₄ levels in cirrhotic patients were significantly lower than those of the control group, and serum C₃, C₄, levels in patients with HCC combined with cirrhosis showed a significantly higher level than in patients with cirrhosis. 2) Serum C₃, C₄ levels decreased with the severity of the cirrhosis. 3) Serum C₃, C₄ had a tendency to increase in HCC patients with serum AFP level lower than 400㎎/㎖. 4) The serum C₃:74㎎/㎗ and C₄:26㎎/㎗ were selected as cutoff value. The combination of C₃ and C₄ showed positive predictive value of 92.3%, negative predictive value of 73.3% and accuracy of 79.1%. The results suggest that the serum complement test is a useful diagnostic tool for the detection of HCC in patients with cirrhosis.
도플러 심초음파도를 이용한 요독증 환자의 투석전후 좌심실 이완기능
최춘한,이정규,박영명,김원,최재철,서동룡 대한내과학회 1990 대한내과학회지 Vol.38 No.3
To investigate the acute effects of hemodialysis on the left ventricular function of dialysis patients, M-mode and Doppler echocardiographic studies were performed in 17 patients undergoing maintenance hemodialysis using acetate buffered dialysis solution. The results were as follows: 1) Blood urea nitrogen, creatinine, potassium, body weight, left ventricular end diastolic volume, left ventricular end systolic volume, sroke volume and cardiac index showed significant decreases after hemodialysis. 2) There was no change in sodium, heart rate, ejection fraction and fractional shortening. 3) Peak E velocity and peak A velocity were decreased significantly after hemodialysis and the E/A ratio was increased significantly. In conclusion, hemodialysis improves the left ventricular diastolic function in patients with chronic renal failure, and Doppler echocardiography is one of the useful tools for non-invasive and repeated evaluation of left ventricular diastolic function.