http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
자가폐동맥판막을 이용한 대동맥근부치환술의 단기 추적관찰 성적
신은석(Eun Sug Shin),홍석근(Suk Keun Hong),황흥곤(Hweung Kon Hwang) 대한내과학회 2001 대한내과학회지 Vol.60 No.4
Background: Ross procedure is the pulmonary valve autograft in the aortic valve disease, and its use trends to increase after introduced by Ross in 1967, firstly. The most import ant point is that it is a permanent valve replacement. It is to be ideal method to the young patient because the graft is a viable tissue to be able to grow, and hemodynamically, most similar to the normal aortic valve, and doesn`t need to do anticoagulation therapy due to not having the thromboembolism, but not popular because it has a lot of technical problem and doesn`t have the long-term follow-up Methods: The patient s were 8 admitted between October 1997 and October 1998, the age from 15 t o 39 ; 6 males and 2 females. The causes of disease were 4 patients of rheumatic disease, 1 of a infective endocarditis with the aortic annular abscess, 1 of recurred severe aortic insufficiency 2 years after replacement. Two patients used the homograft and 6 patients switched a diseased aortic valve with the pulmonary autograft. Results: There were no death and the preoperative dyspnea nearly disappeared (NYHA FC III- IV - > I-II). The diastolic diameter of left ventricle decreased significantly when we compared to the previous echocardiography 1 month after the operation, and we observed the mild aortic valve insufficiency in 3 patients, severe in 4, mild pulmonary valve insufficiency in 4, severe in 1, and mild pulmonary valve stenosis in 4. Conclusion : The operative death rate of Ross procedure in the aortic valve disease was not higher than the artificial valve replacement. Therefore, if we find the appropriate indication of operation, we can expect better results and think that we should have the long- term follow-up furthermore.(Korean J Med 60:368- 372, 2001)
특이한 췌관 조영술 소견을 보인 췌장 편평상피 선암 (Adenosquamous carcinoma) 1예
김해경,박진희,김명환,이성구,서동완,민영일,최재원,명승재,김연석,신은석 대한소화기내시경학회 1998 Clinical Endoscopy Vol.18 No.1
Adenosquamous carcinoma of the pancreas is a rare form of pancreatic cancer. Its biological behavior and clinical features are known to be similar to the much more common ductal adenocarcinoma or to pure squamous cell carcinoma, another rare form of pancreatic malignancy. However, the unusual manifestations of cancer, including cystic degeneration and extravasation of contrast to the mass, have also been reported. A 64-year-old man was admitted complaining of abdominal pain. An abdomial CT scan demonstrated an ovoid and cyst-like lesion in the pancreatic head and endoscopic retrograde balloon pancreatography showed segmental narrowing of the main pancreatic duct associated with extravasation of contrast into the cyst-like lesion. Under the impression of pancreatic pseudocyst with chronic pancreatitis, medical therapy including pancreatic stent insertion was given to the patient for four weeks. Finally, a laparotomy was performed due to persistent abdominal pain and a poorly demarcated mass with cystic cavity was resected. Histologic findings were consistent with adenosquamous carcinoma of the pancreas. The unusual features of this rare malignancy which led us to an errorneous initial diagnosis were emphasized.
김해경,김명환,서동완,윤광희,유병무,민영일,공경엽,이재균,최재원,김연석,명승재,송병철,신은석 대한소화기내시경학회 1998 Clinical Endoscopy Vol.18 No.1
Biliary Papillomatosis is an extremely rare pathologic entity. Only about 40 cases of intrahepatic or diffuse intra- and extrahepatic papillomatosis have been described since the first report in 1959 by Caroli. Although this is a histologically benign lesion, its course is unfavaurable because of its tendency to extend to the entire biliary tract, high recurrence rate following local excision and the probability of progression to malignancy. We described herein a case of biliary papillomatosis associated with diffuse bile duct dilatation. The patient, a 59-year-old male, was admitted to our hospital because of right upper abdominal pain and weight loss. Cholangiogram revealed multiple round filling defects in common hepatic duct with intrahepatic bile duct dilatation. The patient underwent Whipple's operation with right lobectomy. Grossly, multiple small pin-head sized polypoid masses were seen in common bile duct, common hepatic duct and right intrahepatic duct. Microscapically, papillary epithelial hyperplasia with moderate cellular atypia was seen and there was no evidence of stromal invasion. He is healthy with a follow-up for 7 months.
식도Takayasu 동맥염 환자에서 동반된 크론병 1예
김해경,홍원선,민영일,정훈용,김해련,하현권,양석균,이재균,최재원,심기남,신은석 대한소화기내시경학회 1997 Clinical Endoscopy Vol.17 No.6
Vascular manifestations as extraintestinal symptoms of inflammatory bowel diseases have rarely been reported, More than 10 case reports in the worldwide literature have suggested that Takayasu's arteritis be one of the rare vascular complications in inflammatory bowel diseases. We describe herein a 33-year-old woman with Takayasu's arteritis who was subsequently found to have Crohn's disease. Aortic arch angiogram showed typical findings of Takayasu's arteritis, and the diagnosis of Crohn's disease was made by colonoscopic and radiologic findings, clinical course, and the response to medical therapy. To our knowledge, this is the first case report in Korea.
부유두내 스텐트 삽입으로 호전된 재발성 췌장염을 동반한 분할 췌 1예
김현숙,김명환,장혜숙,서동완,민영일,정시정,김연석,명승재,나주옥,김해경,신은석 대한소화기내시경학회 1997 Clinical Endoscopy Vol.17 No.3
A 50-year-old woman presented with recurrent pancreatitis and pancreas divisum. Minor papilla sphincterotomy and endoscopic stent placement were done for the drainage of dorsal pancreatic duct. After stenting of the minor papilla, abdominal pain has disappeared and pancreatitis has not developed during 9 month follow-up.