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악성 폐쇄성황달에 대한 각종 내시경적 역행성담관배액법 ( ERBD ) 비교 평가
심찬섭(Chan Sup Shim),조영덕(Young Deok Cho),문종호(Jong Ho Moon),이영홍(Young Hong Lee),김진오(Jin Oh Lee),봉형근(Hyung Keun Bong),조주영(Joo Young Cho),김연수(Yun Soo Kim),이준성(Joon Seong Lee),이문성(Moon Sung Lee) 대한내과학회 1998 대한내과학회지 Vol.54 No.4
Objectives : Endoscopic biliary drainage has been established as the palliative treatment of choice for malignant obstructive jaundice. At present, the major drawback of endoscopic biliary stenting is occlusion of the endoprosthesis with sludge, resulting in recurrence of jaundice or cholangitis. Recently, there are variable stents that have different materials, sizes, and designs have been used in efforts to overcome this problem To determine the success rate of stent insertion, successful drainage rate, duration of patency, complications related to stent insertion, and cause of stent malfunction, plastic endoprosthesis compared to metal stents in palliative treatment of malignant biliary obstruction. Method: We retrospectively evaluated 157 patients (total number of stent insertion: 308 cases) with unresectable malignant biliary obstruction to receive either a plastic stent(group I, 261 cases) or metal stent(group II, 47 cases). The patients who were recieved plastic stent were subdivided to general plastic stents(group Ia, polyethylene, polyurethane, polyvinylchloride, 225 cases) and Tannenbaum stent(group 1b, Teflon, 36 times) group. And the patients who were received metal stent were subdivided to uncovered metal stents(group IIa, Gianturco- Rosch, Wall, Strecker, EndoCoil stent, 26 times) and membrane covered self-expandable metal stent(group Ilb, 21 cases) group. Results 1) There were no statistical difference in successful rate of stent insertion and drainage effect of stent according to the types of stent(p>0.05). 2) Median patency of the stent was significantly prolonged in patients with a metal stent(group II) compared with those with a plastic stent(group I) (249 vs 123 days; p < 0.05). Median patency of the gorup Ib was significantly prolonged than those of group Ia(137 vs 109 days ; P < 0.05), but there was no statistical difference in median patency between group IIa and Ilb(233 vs 267 days; p > 0.05). 3) The rate of early complication related to stent insertion showed no significant difference in plastic and metal stent groups(P > 0.05). 4) Major causes of stent malfunction in plastic and metal stent were sludge(90% vs 21,4%), tumor ingrowth (4.4% vs 71.4%), and dislocation(5.6% vs 7.2%), respectively. Conclusion : Metal stents have a longer patency than plastic stent in patients with malignant biliary obstruction. In plastic stents, Tannenbaum stents have a slighlty longer patency than other plastic stents, but there were no differences in the success rates, drainage effect and complication rates according to types of stents.
간장 ( 肝臟 ) 및 담도 ( 膽道 ) : 간세포암과 간경변증에서 C형 간염바이러스 항체의 측정
조성원(Sung Won Cho),심찬섭(Chan Sup Shim),김진홍(Jin Hong Kim),이문성(Moon Sung Lee),조주영(Joo Young Cho),황성규(Seong Gyu Hwang),이희발(Hi Bahl Lee) 대한소화기학회 1991 대한소화기학회지 Vol.23 No.2
N/A To assess the contribution of hepatitis C virus (HCV) in liver cirrhosis and hepatocellular carcinoma, antibody to HCV (anti-HCV) was studied by enzyme immunoassay in 87 patients with liver cirrhosis and 49 patients with hepatocellular carcinoma and 100 healthy controls. Anti-HCV was detected in 12.2% and 10.3%. of patients with hepatocellular carcinoma and liver cirrhosis, respectively. No significant difference in the prevalence of anti-HCV was found between these two groups. Of the 100 healthy controls, none were anti-HCV positive. HBsAg was detected in 67.3% and 55.1% of patients with hepatocellular carcinoma and liver cirrhosis, respectively, and 4% of healthy controls. Anti-HCV was detected in 1 of 33 (3%) HBsAg-positive patients with hepatocellular carcinoma and 5 of 16 (31.2%) HBsAg-negative patients with hepatocellular carcinoma. In liver cerrhosis, Anti-HCV was detected in 3 of 48 (6.2%) HBsAg-positive patients and 6 of 39 (15.3%) HBsAg-negitive patients. 38%.of patients with liver cirrhosis and 22% of patients with hepatocellular carcinoma were negative for both anti-HCV and HBsAg. In conclusion, hepatitis B virus appears to be a more important cause of hepatocellular carcinoma than HCV. But HCV may have a role in the development of hepatocellular carcinoma in some HBsAg-negative patients.
간장 ( 肝臟 ) · 담도 ( 膽道 ) 및 췌장 ( 膵臟 ) : 만성 췌장염에서의 췌관확장술
조성원(Sung Won Cho),심찬섭(Chan Sup Shim),김진홍(Jin Hong Kim),이문성(Moon Sung Lee),김홍수(Hong Su Kim),조영덕(Young Duk Cho) 대한소화기학회 1991 대한소화기학회지 Vol.23 No.4
N/A We report a case of chronic recurrent pancreatitis accompanied by multiple stenosis of the main pancreatic duct which successfully treated by endoscopic dilatation of pancreatic duct. Chronic pancreatitis with stenosis of pancreatic duct was diagnosed clinically and by endoscopic retrograde cholangiopancreatography. In order to relieve recurrent abdominal pain, we performed endoscopic pancreatic bougination with Soehenda biliary uilatation catheters and balloon dilatation with Rigiflex biliary balloon catheters. No significant complications occurred following pancreatic duct dilatation except mild pancreatitis associated with pancreatic manipulation. We conclude that endoscopic pancreatic duct dilatation as a method to treat chronic pancreatitis is encouraging, but large series and longer term follow-up are necessary before its efficacy can be determined.
1996년도 제35차 대한소화기학회 추계학술대회 / 췌장 가성남종의 내시경적 One-step 내배액술의 임상적 유용성
조영덕(Y . D . Cho),이영홍(Y . H . Lee),봉형근(H . K . Bong),김진오(J . O . Kim),조주영(J . Y . Cho),김연수(Y . S . Kim),이준성(J . S . Lee),이문성(M . S . Lee),심찬섭(C . S . Shim),황성규(S . G . Hwang),전기원(K.W. Jeon),변재호(J.H. By 대한소화기학회 1996 대한소화기학회지 Vol.28 No.1
내시경적 유두괄약근 절개술후 발생한 기종격증 및 피하기종
조영덕(Young Deok Cho),봉형근(Hyung Keun Bong),김진오(Jin Oh Kim),조주영(Joo Young Cho),김연수(Yun Soo Kim),이준성(Joon Seong Lee),이문성(Moon Sung Lee),황성규(Seong Gyu Hwang),심찬섭(Chan Sup Shim) 대한소화기학회 1997 대한소화기학회지 Vol.29 No.3
Perforation, bleeding, cholangitis, and pancreatitis are common complications of endoscopic sphincterorny(EST) that is considered a common effective method for treatment of distal bile duct obstruction and removal of bile duct stones. Perforation of duodenutn complicates endoscopic sphincterotomy in approximately 1% of cases. But, retroperitoneal, mediastinal and subcutaneous emphysema are very rare complications of endoscopic sphincterotomy. A 50-year-old woman was admitted to our hospital due to right upper quadrant abdominal pain for 1 week. An ERCP revealed markdly dilated commom bile duct and rnultiple ductal filling defects. For removal of' stones, EST was performed with pull type papillotome. About 1 hour later after procedure, she complained of chest pressure, shortness of breath and abdominal distension. The chest X-ray film revealed a pneumomediastinum, segmental atelectasis of left lower lung fields and subcutaneous emphysema. The simple abdominal X-ray showed mottled air densities in the right midabdomen and crescentic air densities in the right perirenal space. We report on a rare case of retroperitoneal duodenal perforation, pneumomediastinum and subcutaneous emphyserna following endoscopic sphinctero- tomy, in a patient with common bile duct stones. (Korean J Gastroenterol 1997; 29:399-403)
담관내압 검사로 진단된 Sphincter of Oddi Dysfunction
조성원(Sung Won Cho),심찬섭(Chan Sup Shim),김진홍(Jin Hong Kim),이문성(Moon Sung Lee),조영덕(Young Deok Cho) 대한소화기학회 1990 대한소화기학회지 Vol.22 No.4
Biliary dyskinesia is a functional disorder of the biliary tract, especially spasm of the sphincter of Oddi(SO). It is sometimes impossible to differentiate patients with true biliary dyskinesia from those patients with papillary stenosis, which is a structural narrowing of part or all of the SO segment. Because of the difficutly in clearly separating these two clinical entities, this syndrome have been eailed SO dysfunetion. Classically, the patient with SO dysfunction is frequently a female between 20 and 50 years of age with a history of recurrent biliary-type pain. the discomfort is occasionally associated with nausea, vomiting, eructation and may be exacerbated by food intake. The diagnosi of SO dysfunction has been suggested by the symptom complex, exclusion of anatomic biliary tract disease, and finally by the pharmacologic provocation and relief of pain. Rer.ent developement in recording instrument such as biliary manometry allows the accurate evaluation of the motor activity of. the SO. In the treatrnent of SO dysfunction, endoscopic or surgical sphincterotomy has been used to abolish the sphincter mechanism, and pharmacologic means such as nifedipine may have a possible therapeutic rele. We report a case of biliary II type of SO dysfunction diagnonsed by biliary manornetry. The patient had sufferd from billiary-type pain for 5 years, and had normal liver function tests, delayed drainage of ERCP contrast beyond 45 minutes, and a dilated common bile duct. SO manometric pressure measurement revealed a signifieant elevation of SO basal pressure. The patient was treated by endoscopic sphinctecrotomy with a favorable manometric and symptomatic response.
1996년도 제35차 대한소화기학회 추계학술대회 / 경비담도배액관 및 흉강삽관을 통해 호전된 담즙성 흉수( Bilous pleural effusion ) 1예
조영덕(Y . D . Cho),이영홍(Y . H . Lee),봉형근(H . K . Bong),김진오(J . O . Kim),조주영(J . Y . Cho),이준성(J . S . Lee),이문성(M . S . Lee),심찬섭(C . S . Shim),황성규(S . G . Hwang),전기원(K.W. Jeon),변재호(J.H. Byun),장재영(J.Y. Jang 대한소화기학회 1996 대한소화기학회지 Vol.28 No.1
위장관 ( 胃腸管 ) : 당뇨병성 자율신경 장애증 환자에서 복부 초음파 촬영술을 이용한 위내용물 배출시간 ( Gastric Emptying Time ) 의 측정
조성원(Sung Won Cho),심찬섭(Chan Sup Shim),김진홍(Jin Hong Kim),이문성(Moon Sung Lee),조주영(Joo Young Cho),김대수(Dae Soo Kim) 대한소화기학회 1990 대한소화기학회지 Vol.22 No.3
N/A To determine the validity of the ultrasonographic methods for evaluation of gastric emptying, a total of 41 subjects were examined including 20 normal subjects and 21 patients with diabetic autonomic neuropathy (DAN). Gastric emptying times of liquid meals (500ml isotonic saline contained 37MBq of DTPA marked with 99mTc) were determined in all subjects by three different methods; Method A: measuring the changes in sums of anteroposterior and laterolateral diameters with a single ultrasonographic scan performed at the epigastrium, Method B: measuring the changes in the ultrasonographic cross sectional areas at the same sections, and method C: measuring the changes in gastric isotope counts by scintigraphy. In a subgroup of 16 subjects (9 normal, 7 DAN) gastric emptying times of solid meals (717Kcal contained egg white with 37MBq of sulfur colloid marked with 99m Tc) was considered by the same three methods. The results show that 1) 50%, 80% and 95% gastric emptying of liquid and 50%, 80% emptying of solid meals obtained by Method A, B or C in DAN were significantly prolonged compaired to normal subjects (p<0.01), and 2) the values obtainhd by Method A or B do not differ from the ones obtained by Method C. These suggest that DAN had delayed gastric emptying of the liquid and solid meals, and the determination of gastric diameters or areas in a single section of stomach by ultrasonography is a valid method for evaluating gastric emptying in DAN as well as nomal subjects.
조성원(Sung Won Cho),심찬섭(Chan Sup Shim),황효주(Hyo Joo Whang),함승원(Seung Won Ham),조종근(Jong Geun Cho),김익수(Ik Soo Kim) 대한소화기학회 1987 대한소화기학회지 Vol.19 No.2
Mirizzi syndrome is obstruction of the common hepatic duct secondary to pressure from an impacted stone, either in the cystic duct or the neck of the gallbladder. We experienced of a 61-year-old female patient, whose clinical symptoms v:ere progressive jaun- dice, loss of appetite, pain on right upper quadrant abdomen, and fever with chill and ultrasonogram and ERCP revealed dilatation of common hepatic duct and intrahepatic duct with impacted stone on lateral wall of common hepatic duct.