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양측성 신혈관근지방종과 폐 침윤이 동반된 결절성 경화증 1 예
홍세용(Sae Yong Hong),양동호(Dong Ho Yang),송동화(Dong Hwa Song),김기원(Kee Won Kim),이종석(Jong Seok Lee),이경수(Kyung Soo Lee) 대한내과학회 1992 대한내과학회지 Vol.43 No.3
We experienced one ease of tuberous sclerosis in 54-year-old female patient. She had bilateral renal an- giomyolipomas and diffuse nodular pulmonary infiltration, who also had some symptom according to tuberous sclerosis which were adenoma sebaceum, seizures in the past history, shagreen patch and ventricular calcification in brain C-T. So, we presented the case with the brief review of the literatures.
차상우(Sang Woo Cha),천갑진(Gab Jin Chun),박용순(Yong Soon Park),송동화(Dong Hwa Song),조영덕(Young Deok Cho),김진오(Jin Oh Kim),봉형근(Hyung Keun Bong),조주영(Joo Young Cho),김연수(Yun Soo Kim),이준성(Joon Seong Lee),이문성(Moon Sun 대한소화기학회 1996 대한소화기학회지 Vol.28 No.2
N/A Background/Aims: Gallstone is uncommon before adolescence, and its incidence increases v:ith age. In elderly patients, one of the important characteristics of the ga]lstone disease is that they often have bile duct stones causing acute obstructive cholangitis. Another is that they could be accompained by other diseases. Methods: We analyzed 2,154 patients surgical]y or radiologically proven gallstone patients at the Soon Chun Hyang University Hospita] from l984 to 1994 and compared the clinical characteristics of elderly patients group(over 60 years) with younger patients group(under 60 years). Results: The peak incidence of gallstone (fisease wos noted in the 6th decade and the mean age was 55 years. Elderly patients group were 40.6%(874 cases) and younger patients group were 59.4%(l,280 cases'). Male to female ratio of eler]y patients vras I:1.IO. The location of stones was gallbladder(GB) in l,395 cases(64.9%), multiple sites in 416 cases(19.3%), common bile duct(CBD) in 214 cases(9.9%) and intrahepatic duct(IHD) in 129 cases(5.9%). In elderly patients group, the ]ocation of stones was multiple sites in l86 cases(2l.3%)and CBD in 120 cases(l3.7%). Frequency of stones in multiple sites and GB was significontly higher in elderly patients group than younger patients group(pO.OJ). The prominent clinical manifestations were right upper quadrant abdominal pain(24.5%), epigastric pain(19.4%), and no symptoms(l0.8%). In elderly patients group, chilling and jaundice were significantly higher than younger patients group(p 0.01). The associated diseases were cardiac diseases(l3.7%), diabetes me]litus(8.1%), malignancy (7.3%), liver cirrhosis(6.4%), and hepatitis(5.2%). Cardiac diseases, respiratory diseases, diabetes rnellitus and malignancy were more frequently associated in elder]y patients group than in younger group(p0.01). The incidence of complication was 10.7%(230/2,154)and mortality rate was 1.1% (24/2,154). In elderly patients group, the incidence of complication* and mortality* was signifi- cantly higher than younger patients group(*: p0.01; **: p0.05). Conclusions: The incidence of stones in CBD and mutiple sites, complication and morta]ity rate were higher, and chilling and jaundice were more frequently noted in elderly patients group than younger patients group. Our results suggest that ear]y diagnosis and proper treatment migbt be necessary in elderly patients with the gallstone disease. (Korean J Gastroenterol 1996; 28:260-266)
경피경간 담낭내시경술에 의한 Mirizzi 증후군 내시경적 치료
이은학(Eun Hag Lee),김주호(Ju Ho Kim),박찬욱(Chan Wook Park),송동화(Dong Hwa Song),이문성(Moon Sung Lee),조성원(Sung Won Cho),심찬섭(Chan Sup Shim) 대한소화기학회 1995 대한소화기학회지 Vol.27 No.3
The Mirizzi syndrome is commonly defined as common hepatic duct obstruction caused by extrinsic compression from an impacted stone in the cystic duct. The treatment of the Mirizzi syndrome has traditionally been surgica1. Some cases of endoscopic treatment of this syndrome with electrohydraulic lithotripsy(EHL) has been recently reported. We experienced a case of the Mirizzi syndrome successfully treated endoscopically with EHL under cholecystoscopic guidance, so report it with a review of the literature. (Korean J Gastroenterol 1995;27:369-374)
복강경하 담낭절제술 시술예정 환자에서 총담관결석의 진단에 대한 내시경적 초음파단층촬영술의 유용성
주재학(Jae Hak Joo),박찬욱(Chan Wook Park),송동화(Dong Hwa Song),이준성(Joon Seong Lee),이문성(Moon Sung Lee),조성원(Sung Won Cho),심찬섭(Chan Sup Shim) 대한소화기학회 1994 대한소화기학회지 Vol.26 No.4
N/A One hundred thirty two patients with symptomatic cholelithiasis were evaluated using endo- scopic ultrasonography(EUS), standard abdominal ultrasonography(US) and endoscopic retro- grade cholangiopancreatography(ERCP) for the detection of choledocholithiasis prior to laparoscopic cholecystectomy. Twenty eight patients(21.2% ) had choledocholithiasis and 21.4 % of patients with common bile duct stones had normal sized ducts in US. Whole common bile duct was successfully examined in all patients by EUS, but only 65.9% of patients by US and 94.7% of patienCS by ERCP. EUS det,ect,ed choledocholithiasis in 22 of 28 patientS(89.3% ), compared to 19 of 28 patients(67.9%) detected by US and 26 of 28 patients(92.9%) detected by ERCP. While no compliactions as a result of EUS encountered, complications resulting from ERCP occurred in 7 patients (5.3%), including cholecystitis in 2 patients, cholangitis in 3 patients and pancreatitis in 2 patients. These results suggest that EUS is more sensitive than standard abdominal ultrasonog..aphy and as sensitive as ERCP in the detection of choledocholithiasis. In view of complication and failure rates, EUS appears to offer significant advantages over ERCP. We concluded that EUS is safe and effective imaging technique in the diagnosis of choledocholithiasis prior to laparoscopic cholecystectomy.(Korean J Qastroenterol 1994; 26: 690 696)
수술후 잔류담석에 대한 경피적 담도내시경적 제거술의 성적
허경발(Kyung Bal Hur),조성원(Sung Won Cho),심찬섭(Chan Sup Shim),송영식(Young Sik Song),김진홍(Jin Hong Kim),이문성(Moon Sung Lee),문종호(Jong Ho Moon),송동화(Dong Hwa Song),박찬욱(Chan Wook Park),이준성(Joon Sung Lee) 대한소화기학회 1993 대한소화기학회지 Vol.25 No.5
N/A Intrahepatic duct stones are frequent, and provide a quite different spectrum of problems to surgeons in the eastern hemisphere. Gallstones in both lobe of intrahepatic ducts may be more troublesome because sometimes they cannot be completely removed by conventional surgical procedures of stone extraction. The use of a flexible fiberoptic cholangioscope under fluoroscopic guidance combined with electrohydraulic lithotripter makes it possible to remove intrahepatic stones completely in the majority of cases. 59 patients with postoperative retained gallstones (intrahepatic stones in 52, extrahepatic stones in 4, intra and extrahepatic stones in 3) were treated with postoperative cholangioscopy and electrohydraulic lithotripter via T-tube tract. Complete extraction of stones were achieved in 55 of total 59 patients (93.2%), and in 51 of 55 patients with intrahepatic stones (92.7%). The numher of sessions of choledochoscopy required for complete removal of retained gallstones was from 1. to 9 (mean: 2.7), Failure of complete removal of retained gallstones were attributed to a the combination of stenosis and acute angulation in 3 patients with intrahepatic duct stones, and only acute angulation in 1 patient with intrahepatic duct stones. Complications occurred in 6 of 161 sessions (hemobilia in 4, bile duct perforation in 1, and loss of tract in 1), but no mortality related to this procedure occurred in any of the patients. The postoperative cholangioscopy combined with electrohydraulic lithotripter is considered to be a safe and satisfactory method for the treatment of retained gallstones, especially intrahepatic stones.
이은학(Eun Hag Lee),주재학(Jae Hak Joo),이명렬(Myung Lyel Lee),박찬욱(Chan Wook Park),송동화(Dong Hwa Song),이준성(Joon Seong Lee),이문성(Moon Sung Lee),조성원(Sung Won Cho),심찬섭(Chan Sup Shim) 대한소화기학회 1995 대한소화기학회지 Vol.27 No.1
Primary sclerosing cholangitis characterized by inflammation and fibrosis of the biliary tree with diffuse multifocal stricture formation is a chronic cholestatic liver disease that often progresses to cirrhosis and premature death from liver failure. Because histologic findings are not diagnostic in the majority of patients, the gold standard for diagnosis of primary sclerosing cholangitis is cholangiography. We present two cases of primary sclerosing cholangitis diagnosed by typical cholangiographic findings through the endoscopic retrograde cholangiography(ERC). (Korean J Gastroenterol 1995;27:138-143)
내시경적 식도정맥류 결찰요법 ( EVL ) 이 식도운동에 미치는 영향 - 식도내압검사를 중심으로
김영석(Young Seok Kim),권강호(Kwang Ho Kwun),정일권(Il Kwun Jung),이은학(Eun Hag Lee),봉형근(Hyung Keun Bong),송동화(Dong Hwa Song),박찬욱(Chan Wook Park),이준성(Joon Seong Lee),이문성(Moon Sung Lee),조성원(Sung Won Cho),심찬섭(Chan 대한소화기학회 1995 대한소화기학회지 Vol.27 No.1
N/A Background/Aims: For treating and eradicating bleeding esophageal varices, endoscopic variceal ligation(EVL) is currently acceptable practiced method, however esophageal motility change associated with endoscopic variceal ligation is uncertain. Although Longterm follow-up for rebleeding rate, recurrence rate, complication and survival rate after endoscopic variceal ligation are reported, there is a few report of esophageal motility change after endoscopic variceal ligation. To assess the effect of endoscopic variceal ligation on esophageal function prospectively, parameters measured by pneumohydraulic capillary infusion system, included lower esophageal sphincter(LES) pressure, % LES relaxation, amplitude, duration, velocity and progression of peristaltic waves and dysmotility, were compaired hetween before and after endoscopic variceal ligation in 12 patients with csophngeal varix. Results: Endoscopic variceal ligation has no impact on lower Esophageal sphincter(LES) tone. However, a significant increase in the amplitude of peristaltic waves was observed in the patients at'ter endoscopic variceal ligation in the mid-esophagus(8cm above lower esophageal sphincter: 57.2 ' 19.4 versus 65.7 ' 20.3, l3cm above lower esophageal sphincter; 5S,7 ' 23.8 versus 62.l ' 2I.S). There was no modification of duration, velocity and progression of peristaltic waves or dysmotility. Conclusions: Endoscopic variceal ligation is associated with a increasing esophageal body pressure without the other esophageal motility change. (Korean J Gastroenterol 1995;27:9 -17)
송영식,김진홍,이준성,이문성,조성원,최재동,심찬섭,송동화,문종호,박찬욱 대한소화기내시경학회 1993 Clinical Endoscopy Vol.13 No.1
Mirizzi syndrome is a so-called functional hepatic syndrome with obstruction of the common hepatic duct secondary to pressure from an impacted stone, either in the cystic duct or the neck of the gallbladder. Mirizzi syndrome is classified into two types based on endoscopic retrograde cholangio-pancreatographic findings. Type I involves external compression of the common hepatic duct by a large stone impacted in the cystic duct or Hartmann's pouch. In type II, a chole-cystocholedochal fistul is present, caused by a calculus which has eroded partly or completely into the common bile duct. Gallstone obstruction of the cystic duct with resulting repeated attacks of inflammation and pressure necrosis leads to the formation of cholecystocholedochal fistulas. We experienced a 70-year-old female patient with Mirizzi syndrome type II, who complained of abdominal discomfort. ERCP revealed multiple filling defects in contracted gallbladder, which compressed lateral wall of common hepatic duct. Peroral cholangioscopy revealed an impacted stone at the neck of the gallbladder with neighboring mucosal erosions. She was treated under the diagnosis of Mirzzi syndrome type II by endoscopic biliary drainage and surgical operation.
이준성,이문성,심찬섭,송동화,박성규,차상우,봉형근,박찬욱,이세영,박태응 대한소화기내시경학회 1995 Clinical Endoscopy Vol.15 No.4
Lymphangioma of the large bowel is a rare benign tumor which is composed of numerous small or large thin-walled lymphatie spaces contained fibrous tissue, smooth muscle and aggregates of lymphoid tissue. Lymphangioma never demonstrated any potential for malignant degeneration. There are three types; ①. simple capillary lymphangioma, ② cavernous lymphangioma and ③ cystic lymphangioma. Endoscopically, lymphangioma appears as a compressible smooth, round, or oval submucosal tumor covered with pale intact mucosa. The surfaces is smooth and the superficial color is the same as the surrouding mucosa or slightly more yellowish. There are change of dimension and shape during propagation of the peristaltic wave and on compression. Recently, authors experienced 4 cases of lymphangioma of large intestine which has been revealed by typical colonoscopic findings and/or endoscopic ultrasound, and confirmed by surgical resection and colonscopic snare polypectomy. 3 of 4 cases show cystic lymphangioma and one case shows carvenous lymphangiomna. We report these cases with review of literatures.