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식도 (食道) 정맥류 (靜脈瘤) 출혈에 있어서 내시경적 (內視鏡的) 경화요법의 (硬化療法) 치료효과
신현성(H S Shin),이동후(D H Lee),기춘석(Chun Suk Ki),박경남(K N Park),황흥곤(H C Hwang),주상언(S U Joo),최일영(I Y Choi) 대한소화기학회 1983 대한소화기학회지 Vol.15 No.1
N/A Bleeding from esophageal varices is the most, severe complication in patients with cinhosis of the liver and portal hyrpertension. There has never been a uniform concept of emergency management of variceal bleeding because of pitfalls in the medical as well as the surgical therapeutic technics. Endoscopic injection sclerotherapy of esophageal varices is being reevaluated by many physicians because of increasing dissatisfaction with shunting procedures. This is to report the result of the EIS of 12 patients with esophageal varix. Who have been admitted to the department of internal medicine at Han Yang Universitv Hospital. The results are as follows: 1. 12 patients with liver cirrhosis who were proven to have esophaveal varices by esophagoscope were treated by EIS. There were 10 males and 2 females in the age range of 37 to 58 years. 2, Severity of liver cirrhosis was classified by Child method revealed cases in grade II and 7 cases in grade III, The varices were classified by the Sesoko method, revealed cases in moderate (B) and 8 cases in severe (C). Intravenous vasopressin was injected within 10 to 12 hours before EIS and b!ood transfusion was performed, if needed. 5.Solution of 5% sodium morrhuate was iniected into varices and Bovine thrombin was spraid around varices. 11 patients with active bleeding had control of their hemorrhage: 7 cases with first shooting, 3cases with second shooting, 1 case with third shooting. In the one patient without bleeding, esophageal varix was significantly decreased in size after EIS. 7. EIS has advantages such as simple, safe, inexpensive, low complication. 8. EIS is proposed as the emergency treatment of choice for patients with proven bleeding Esophageal varices who do not stop bleeding on conservative treatment.
십이지장 (十二指腸) 질환의 내시경적 (內視鏡的) 소견과 임상적 (臨床的) 고찰
윤성현(S H Yoon),신현성(H S Shin),이민호(M H Lee),이동후(D H Lee),박경남(K N Park),기춘석(C. S. Kee) 대한소화기학회 1982 대한소화기학회지 Vol.14 No.1
N/A The duodenum located at the center of the abdomen, is apparently the most important site for digestion, anatomically, physiologically and in chemical basis and so more abundant and advanced study would be needed. 1, 006 patients with endoscopicallv diagnosed duodenal diseases from 1973 to 1981, were analyzed in various view in this study. The results were as follows; I. The incidence of duodenal ulcer and duodenitis was 6.5% and 8.1% each of total endoscoped patients. 2. Male to female ratio in duodenal ulcer was 4. 3: 1, whereas the ratio in duodenitis was 1.2: 1; The occurrence ratio was highest among thirties in both diseases. 3. The most common type of ducdenal ulcer was round(65.2%), medium sized(63.4%) one that is located at the side of greater curvature(52.8%) within ducdenal bulb. 4. Duodenitis consisted Of nonspecific duodenitis (70. 4%), erosive duodenitis (27. 6%) and hemorrhagic duodenitis(2.0%). 5. In total 274 cases having a concomitant upper gastrointestinal X-ray study, endoscopic and x-ray diagnosis agreed in 69.6% of 136 cases with endoscopically proven duodenal ulcer, wheras only 9.6% of 138 cases with endoscopically proven duodenitis revealed the same result of X-ray. From these points, it is suggested that the initial diagnosis of duodenitis, decision of ulcer activity and detection of bleeding focus would have to be made by endoscopic examination. In bleeding conditions from duodenal pathology, melena to hematemesis ratio was l. 2:1 in duodenal ulcer and 1: 1. 2 in duodenitis. 7. Stormach conditions in 443 ducdenal ulcers were normal(44.6%), gastric ulccr(19.6%), acute erosive gastritis(16.7%) and chronic superficial gastritis(15.8%) in order of frequency.; It is suggested that duodenal ulcer might be related to normal or hyperchlorhydric state of stomach. 8. Stomach conditions associatcd with duodenitis were chronic superficial gastritis(44.2,%), acute erosive gastritis(23.8%), and gastric ulcer(15.3%) in order of frequency, whereas normal stomach states were only 9. 4%. From these findings, it is suggested that duodenitis would be a secondary change reflecting pathology of stomach or other neighboring organs. 9. Other main diseases associated with duodenal pathology were hepatopathy, hypertension, colitis, and chronic obstructive pulmonary diseases in order of frequency. 10. Patients with blood type 0 were 38.1% in duodenal ulcer group and 32.5% in duoden it is, comparing with 29. 0% in generat population in Korea. Ll. Smoker to non-smoker ratio was 1.7: 1 in duodenal ulcer and 1: 2. 7 in ducdenitis; epidemiological study of alcohol, coffee and taste did not show any diffence between duodenal ulcer and duodenitis . More detail study is necessary to know relationship between duodenitis and duodenal ulcer and pathogenesis of duodenitis secondary to pathologic conditions of neighbor organ or gastro intestinal hormones,