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간장 ( 肝腸 ) 및 담도 ( 膽道 ) : 담도 내시경을 이용한 담관결석의 제거 - 10예의 임상적 고찰 -
유재영(Jae Young Yoo),이경용(Kyung Yong Lee),박충기(Choong Kee Park),임규성(Kyu Sung Rim),신도영(Do Young Shin),김우중(Woo Joong Kim) 대한소화기학회 1990 대한소화기학회지 Vol.22 No.3
N/A Endoscopic examination of bile ducts is performed for accurate diagnosis and extraction of foreign bodies such as calculi, indications that are essentially the same as in other endoscopic examinations of the gastrointestinal tract. We performed 10 cases of T-tube tract choledochofiberscopy for the removal of bile duct stones including common bile duct and intrahepatic stones. The results are as follows: 1) The age distribution varied from 19 years to 71 years of age. The ratio between male and female was 1:1. 2) Indications for T-tube tract choledochoscopy were 5 cases of postoperative retained common bile duct and intrahepatic stones and 3 cases of retained intrahepatic stones and 2 cases of retained common bile duct stones. 3) Most of extracted stones were less than 2.0cm in diameter, but one patient required concomittant papillotomy to remove the stone of more than 2.0 cm in diameter. 4) The average number of sessions for removal of stones from extrahepatic bile duct was one and two for intrahepatic stones. 5) The bile ducts were cleared of stones in 9 cases (90%) after choledochoscopy via T-tube tract. 6) Among patients treated by T-tube choledochoscopy, 3 patients (30%) complained of mild to moderate abdominal discomfort during the procedure and 1 patient(10%) developed transient fever.
임규성(Kyu Sung Rim),신도영(Do Young Shin),박충기(Chung Ki Park),박병섭(Byung Sub Park),임현석(Hyun Suk Rim),김우중(Yoo Joong Kim) 대한소화기학회 1987 대한소화기학회지 Vol.19 No.1
The authors encountered two male patients with Gilberts syndrome, confirmed by calory deprivation test, light and electron microscopy. Liver biopsy specimens, obtained from all patients, revealed followings. Hepatocytic architectures are altered and there is a varing degree of smooth endoplasmic reticulum increase as with vescular dilatation. The electron dense irregularlly shaped granules resembling lipofuscin granules are scattered. The canaliculi are not dilated and microvilli are preserved.
상부 소화관 이물질의 내시경적 적출에 관한 임상적 고찰
임규성(Kyu Sung Rim),임현석(Hyun Suk Lim),신도영(Do Young Shin),임태희(Tae Hee Rim),김우중(Woo Joong Kim),박충기(Chung Ki Park) 대한소화기학회 1987 대한소화기학회지 Vol.19 No.1
N/A The clinical review was done on 9 cases with the foreign body in the upper gastrointestinal tract who visited and underwent endoscopic removal of foreign body at Kangnam Sacred Heart Hospital from Dec. 1980 to Aug. 1986. The results were as follow: 1) The age distribution varies from 3 months to 52 years of age, being most prevalent under 5 yrs of age. The ratio between male and female was 2:1, more prevalent in male. 2) The incidence of foreign body in order of frequency was coin, ring, peanut and keyring. Among 9 cases, 7 cases (77.8%) were lodged in the stomach and 2 cases (22.2%) were lodged in the esophagus. 3) In clinical symptom, asymptomatic cases (77.8%) were more common than symptomatic cases (22.2%). 7 cases of foreign body (77.8%) were removed out after 72 hours and 2 cases of foreign body (22.2 %) were removed out within 72 hours.
이경용(Kyung Yong Lee),임규성(Kyu Sung Rim),신도영(Do Young Shin),김우중(Woo Joong Kim),김정완(Jung Wan Kim),이서우(Seo Woo Lee) 대한소화기학회 1990 대한소화기학회지 Vol.22 No.1
One patient with hemochromatosis which is rare in this country has been clinically studied. A fifty-two year old male was admitted to our hospital with complaints of general weakness, fatigue, epistaxis and abdominal distention. There was a family history of liver cirrhosis, but patient denied any previous blood trasfusion or an ingestion of iron-preparation. Physical examination revealed typical brown-colored skin on face, neck and hands, mild icterus on sclera, many spider angioma over anterior chest wall and marked palmar erythema. Laboratory examination disclosed mild hyperglycemia, moderate impairment of liver function tests and moderately increased the serum iron level and markedly elevated the serum ferritin level. There was evidence of hemosiderin pigment on the specimen of liver biopsy. The treatment was chiefly aimed to the control of frequent impending hepatic coma, ascites and spontaneous bacterial peritonitis, but the patient died of worsening the general conditions during follow-up.
김진한,김우중,이경용,임규성,신도영,장웅기,조근태 대한소화기내시경학회 1989 Clinical Endoscopy Vol.9 No.1
Authors analysed 42 cases of gastric xanthoma, confirmed by gatroscopic biopsy, at Kangnam Sacred Heart Hospital, College of Medicine, Hallym University from March 1986 to December 1988 The results were as follows; 1) The prevalence of gastric xanthome was 0.9% in 7699 consecutive gastroacopies. 2) The prevalence of gastric xanthoma increased with age. 3) The frequent locations of gastric xanthoma were the antrum (56%) and the lower bady (29%). 4) The most frequent gastroduodenal lesion associated with gastric xanthoma was chronic superficial gastritis (77%). 5) The average level of cholosterol was 169.9 mg/dl, triglyceride was 102.6 mg/dl, and no conelation existed between the serum cholesterol or triglyceride level and the presence of gastric xanthoma.