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이인수,문창훈,김경진,김의경,석윤철,이중건 대한내분비학회 1989 Endocrinology and metabolism Vol.4 No.1
Primary aldosteronism is a syndrome result from the autonomous or relatively autonomous secretion of aldosterone. Primary aldosteroism probably accounts for 0.5%~1.0% of the hypertensive population, making it a fairly uncommon cause of high blood pressure. A Case of primary aldosteronism is presented with some literatural review. We report a case of primary aldosteroism due to adrenal cortical adenoma, which was diagnosed by clinical data and abdominal computed tomographic scan. This case of primary aldosteroism complicated with nephrosclerosis due to hypertension. Clinical symptoms and laboratory data returned to subnormal except BUN, Creatinine after surgical adrenalectomy. (J Kor Soc Endocrinol 4:59-65, 1989)
내시경적 " O "-형 밴드 결찰술로 제거된 식도 과립세포종 1예
이효진,박종욱,이재동,오인택,곽현철,석윤철,홍상인,박흥진,곽성진 대한소화기내시경학회 1996 Clinical Endoscopy Vol.16 No.1
The first case report of granular cell tumor was by Abrikossoff in 1926, the tumor has been named with more than 20 different synonyms. It is found usually in the tongue, oral cavity, and the skin. It occurs rarely in the esophagus. Esophageal granular cell tumor is a benign lesion which can be diagnosed by endoscopic biopsy. Large symptomatic lesion can be removed by polypectomy. A 29-year-old female visited our hospital for intermittent epigastric pain and anterior chest discomfort. Endoscopy showed a 0.6 *0.4 cm whitish yellow nodule in the mid-esophagus, 25 cm from the incisor teeth. Endoscopic polypectomy was performed with $quot;O$quot;-type rubber band for endoscopic variceal ligation(EVL). A case of esophageal granular cell tumor conformed by S-100 protein stain is reported with the review of literature.
정재일,장희종,이상훈,조동식,김시우,차성철,조유진,석윤철,구진회,강행지 대한소화기내시경학회 2006 Clinical Endoscopy Vol.33 No.4
Duodenal abscess is a rarely reported disease throughout the entire world. Duodenal abscesses are developed mostly from the complication of duodenal ulcer perforation, and only small percentage of duodenal abscesses are the result of cholecysto-duodenal fistula which was made by gall bladder perforation. We report a 84-year-old male patient who presented to the emergency department with severe anorexia and generalized weakness for 2 weeks. The upper gastrointestinal endoscopy done and revealed a protruding mass at the lesser curvature of the duodenal bulb. As soon as the mass was punched with a biopsy forceps, a large amount of abscess began to pour out into the intestinal lumen. Abdominal CT scan demonstrated the presence of an air-fluid level the in gall bladder and also abscess in the porta hepatitis which was located between the gall bladder and the duodenum. Because the patient refused any surgical intervention, we treated him conservatively with intravenous antibiotics. Patient's symptom of anorexia was slowly resolved, and patient was discharged 10 days later. (Korean J Gastrointest Endosc 2006;33:235-238) 십이지장 농양은 십이지장 궤양의 천공으로 발생하거나 담낭염으로 인한 간 문맥 주위 농양의 십이지장과의 누공형성으로 파급되어 발생하는 것으로 알려져 있으며 전 세계적으로도 드문 질환이다. 일반적인 급성 궤양성 천공이나 담낭염과 다른 비 특이적 증상및 방사선 소견을 보이는 경우가 많아 진단이 늦어지기도 하며 치료는 배농술을 포함한 수술적 처치를 주로 시행한다. 저자 등은 심한 전신쇠약과 식욕부진을 주소로 내원한 환자에게서 담낭염으로 인하여 발생한 것으로 추정되는 간 문맥 주위 농양에서 파급된 속발성 십이지장 구부 농양을 상부 위장관 내시경 검사를 통해 확인하고 수술 치료를 할수 없는 상황에서 내시경 배액술 및 항생제 정주를 통해서 임상경과의 호전을 경험하였기에 보고하는 바이다.
김경진(Kyung Jin Kim),이재동(Jae Dong Lee),석윤철(Yoon Chul Suk),문창훈(Chang Hoon Moon),김선민(Sun Min Kim),마상인(Sang In Ma),박경식(Kyung Sik Park),이중건(Choong Kun Lee) 대한소화기학회 1990 대한소화기학회지 Vol.22 No.4
N/A Clinical studies were carried out on 581 cases who had taken gastrofiberscopic examination because of upper gastrointestinal syptms from July, 1989 to April, 1990 in Seoul Adventist Hospital. The result about esophageal hiatal hernia were as follows; 1) Of total 581 cases, 310 were male, and 271 were female. Of total 581 cases, 73 were averweight group, 207 were drinkmg group, and 18~8 emoki~ng group. 2) Of total 58I cases, 48 were esophageal hiatal hernia group. The incidence of hernia was 8.2%. Of 48 hernia casea, 38 were male, and 10 were female. Of 48 hernia cases, 30 were over aged 40, and 18 were under 40. 3) In overweight group, 19 were hernia cases (26%), and non-overweight group, 29 were hernia cases (5.7%) 4) In drinking group, 30 were hernia caees (14.5%), and non-dringking group, 18 were hernia cases (4.8%). 5) In smoking group, 27 were hernia cases (14.4%) and in non-smoking group, 21 were hernia cases (5.3%) 6) In conclusion, in overweight, drinking, and smoking group, the incidence of esophageal hiatal hernia were significantly higher than non-overweight, non-drinking, and non-smoking group, respectively.
문창훈(Chang Hoon Moon),김남성(Nam Sung Kim),김경진(Kyung Jin Kim),석윤철(Yun Chul Suk),권용만(Yong Man Kwon),문창현(Chang Hyun Moon),이인수(In Soo Lee),이중건(Chung Keun Lee) 대한내과학회 1991 대한내과학회지 Vol.40 No.4
Out of 1,500 elderly patients who visited Seoul Adventist Hospital from July, 1988 to 30th June 30, 1989 hed anemia. We have determined the relation of the hemoglobin value and the causative diseases in every patient with anemia. In this study, anemia was defined as follows: less than 6 gm% hemoglobin as severe; greater than or equal to 6 gm% hemoglobin and less than 9 gm% hemoglobin in men, less than 12 gm% in women as mild. The results were as follows: 1) The total incidence of anemia was about 50.5% of the 1500 patients, and those were 55.2% in men, and 45. 4% in women. 2) The of male to female ratio patients with anemia was 1.3:1, and most of them of a were mild degree. 3) The most frequent cause of anemia in these patients was acute infections, Malignancies. chronic infections, GI tract diseases, and hepatobiliary diseases followed that in order. 4) The diseases which accompanied severe degrees of anemia were GI tract diseases with bleding, hematologic disorders, and malignancies. Acute and chronic infections were mainly accompanied by mild anemia. 5) Kidney disease, in which chronic renal failure was the most prominent entity along with malignancies a showed relatively higher percentage of a moderate degree of anemia. 6) Patients with hemorrhage and those with malignancy with distant metastasis showed a relatively lower hemoglobin value than those without them. 7) Among acute infections, infections of the respiratory tract wes the leading cause, and patients with tuberculosis were the majority of those with chronic infections.
김경진(Kyung Jin Kim),김남성(Nam Sung Kim),문창훈(Chang Hoon Moon),석윤철(Yoon Chul Seok),권용만(Young Man Kwon),문창현(Chang Hyun Moon),이인화(Lin Wha Lee),이중건(Jung Kun Lee) 대한내과학회 1991 대한내과학회지 Vol.40 No.6
The following results have been obtained from 182 cases confirmed of what by flexible bronchoscopic examination. 1) Among the 178 bronchoscopic examinations, 57 cases were mass lesion, which was the most common. Of these, 71.9ro of mass lesions were bronchogenic carcinoma, which included squamous cell cancer (26.3%, 15/57), adenocarcinoma (10.5%, 6/57), small cell cancer (14.0%, 8/57), large cell cancer (5.0%, 3/57), and undifferentiated cancer (15.8%, 9/57). 2) Single and multiple noncircumscribed lesions included pulmonary tuberculosis (43.1%, 19/44) and bronchogenic cancer (38.6%. 17/44). The common types of bronchogenic cancer were squamous cell cancer and adenocarcinom. 3) The hilar enlargement included bronchogenic cancer (57.4%, 27/47) and pulmonary tuberculosis (36.1%, 17/47). The most common type of bronchogenic cancer which had was shown hilar enlargement was the small cell cancer and was related to the early metastasis, but the adenocarcinoma was represented ty only 2 cases. 4) The cases showing atelectasis were bronchogenic cancer (53.3%, 16/30) and pulmonary tuberculosis (36.7%, 11/30). The most common form of bronchogenic carcinoma showing atelectasis was squamous cell cancer (62.5%, 10/16). 5) The 3 cases of the diffuse interstitial pattern had shown lymphangitic carcinomatosis. The 2 cases of squamous cell cancer had been involved with lymphatic metastasis contralaterally and also ipsilaterally, while 1 case had been involved with lymphatic metastasis from stomach cancer to the respiratory system. 6) According to a radiological-morphologic classification of the 178 cases, there were few exomples, except some X-ray patterns. Because of having more than 2 kinds of racdiological-morphologic patterns, the main lesions were not easy to find. There are different opinions about the lediological-morphologic classification. Therefore, it is nessary that many cases be analyzed, and a limited field of opinion is needed among X-ray interpretors.
장희종,정재일,김명찬,조동휘,조동식,이상훈,김시우,차성철,조유진,석윤철,기승석,강행지 대한소화기내시경학회 2005 Clinical Endoscopy Vol.31 No.6
Enteritis cystica profunda (ECP) is characterized by mucin-filled cystic spaces that are partially lined by non-neoplastic columnar epithelium, and these are found in the wall of the small bowel. This is a very rare disease compared to cystica profunda involving the stomach or colon. The cause of ECP is still unclear. Most ECP is related to or it may accompany other intestinal diseases. We encountered one case of ECP of the duodenal bulb that presented as polyp, and this was not related to adenocarcinoma or any other intestinal diseases like Crohn's disease or ulcerative colitis. Endoscopic polypectomy was done and the ECP was later confirmed through histological evaluation. 심재성 낭종성 장염(enteritis cystica profunda, ECP)은 매우 드문 질환으로 성숙된 선상피가 점막하층까지 침윤하여 낭종을 형성하며 대부분 동반질환이 있는 것으로 알려졌다. 저자들은 고혈압 외에 특별한 질병 없이 건강히 지내던 환자에서 우연히 발견된, 십이지장 구부에 용종 형태로 발병한 ECP 1예를 경험하였기에 보고하는 바이다.