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김순호(Soon Ho Kim),이상석(Sang Seok Lee),김종관(Jong Kwan Kim),오필석(Pill Seok Oh),여향순(Hyang Soon Yeo),박홍배(Hong Bae Park),김완(Wan Kim) 대한내과학회 1991 대한내과학회지 Vol.41 No.2
Primary multiple cancer means that more than 2 cancers occur independently in an individual. There have been many reports on primary multiple cancer since Billroth reported it for the first time in 1889. Studies of second primary tumors found in association with esophageal cancer revealed the presence of metachronous and synchronous primary tumors in 9. 5 27%. It seems that the oncogenic environmental factors reponsible for the development of esophageal cancer are also involved in the production of other malignancies Here we report 2cascs of primary multiple cancers assocated with esophageal cancer. One patient was a 60-year-old man with dysphagia and pain in the right upper quadrant. Endoscopy disclosed an ulcerating tumor of the esophagus and a biopsy specimen showed squamous cell cancer, An ultrasonographic examination and a CT scan of thc abdomen disclosed an ovoid mass on the left lobe of the liver. Ultrasound-guided aspiration cytology of the liver demonstrated a hepatocellular carcinoma. The patient died of lung abscess 50days after afmission. The other patient was a 65-year-old man with dysphagia. Endoscopy disclosed multiple esophageal ulcerations with strictures, the biopsy specimen of which showed squamous cell cancer. In addition to the esophageal tumor, endoscopy revealed a nodule on the posterior wall of the gastric corpus with a biopsy specimen showing adenocarcinoma. Supportive treatment has been done without surgical intervention. We recommend endoscopic inspection of the larynx, trachea, bronchi and stomach as well as a follow-up examination after diagnosis of esophogeal cancer because of its frequent association with other primary cancers.
박홍배(Hong Bae Park),김순호(Soon Ho Kim),여향순(Hyang Soon Yeo),오필석(Phill Seok Oh),이상석(Sang Seok Lee),김종관(Jong Kwan Kim) 대한소화기학회 1991 대한소화기학회지 Vol.23 No.3
Double primary cancer is defined as the case of primary multiple tumors of different site origins, which are different histologically in each other. We experienced a 55-year old man who had indigestion for 1 month. On physical examination, soft palate ulcer was detected, so biopsy was done under laryngoscope. Gastrofiberscopy shows nodulo-ulcerative enlarged ampulla of vater and then, biopsy was done. Its result were soft palate squamous cell carcinoma and ampulla of vater adenocarcinoma. For its great rarity, we report this case with view of literature. The absolute number of reported cases of double primary malignant tumors has increased in recent years by means of more developed diagnostic procedure. So, every effort should be made to discover other occult malignancies in patient who is being detected for a tumor and especially panendoscopies (gastrofiberoptic endoscopy, laryn- goscopy, bronchoscopy) in all cases of carcinoma of upper aerodigestive system play a vital part in a complete evaluation of all such cases, especially soft palate carcinoma.
박홍배(Hong Bae Park),김규순(Kyu Soon Kin),양영철(Yeong Chul Yang),여향순(Hyang Soon Yeo) 대한소화기학회 1986 대한소화기학회지 Vol.18 No.2
Carcinoma of the duodenum is an exceedingly rare disease. The autopsy incidence of duodenal carcinoma is between 0.019 and 0.5%. The malignant tumors spreading to the small hovel are also rare, as evidenced by a frequency rate of 1.14%. The most common tumors spreading to the small bowel are melanomas, adenocarcinoma of the breast, and carcinoma of the lung. Tumors with small bowel spread include those originating in the cervix, ovary, kidney, stomach, and colon. Recently we have experienced a case of colon carcinoma invading duodenum directly and then reported with review of literature.
박홍배(Hong Bae Park),임연근(Yeun Keun Lim),여향순(Hyang Soon Yeo),장진형(Jin Hyeong jang),김연종(Yeon Jong Kim),김호동(Hou Dong Kim),윤형신(Heyong Shin Yoon),이윤호(Youn Ho Lee),손장신(Jang Shin Sohn) 대한소화기학회 1993 대한소화기학회지 Vol.25 No.6
A 56-year-old man was admitted to our hospital because of jaundice. His chest radiography revealed a mass lesion in the left upper lung. Bonchoscopic lung biopsy was performed and the pathological diagnosis was small cell carcinoma of the lung. In his clinical course, obstructive jaundice developed during combination chemotherapy. The findings of abdominal ultrasonography, duodenoscopy with biopsy and percutaneous transhepatic cholangiography suggested that jaundice was developed by extrahepatic biliary obstruction with ampulla of vater metastasis. We experienced one case of obstructive jaundice by ampullary metastasis of small cell carcinoma of the lung cancer in 56-year-old man.
간 , 담도 및 췌장 : 내시경적 (內視鏡的) 유두절개술의 (乳頭切開術) 문제점과 예후 (豫後)
박홍배(Hong Bae Park),명재일(Jae Il Myung),여향순(Hyang Soon Yeo),박순희(Sun Hi Park),이한기(Han Ki Lee),강명원(Myung Weon Kang),김정호(Jeong Ho Kim) 대한소화기학회 1987 대한소화기학회지 Vol.19 No.2
N/A Since 1976, 2185 cases of ERCP were performed at the Kwangju Christian Hosptial. From December 1981 to August 1986, 194 cases of endoscopic sphincteropapillotomy (EST) were performed. Following results were obtained: 1) In 194 cases of EST, CBD stones were noted in 168 cases, ascaris in common bile duct in 16 cases, clonorchiasis in 4 cases, fibrotic stenosis of a periampullary choledocho-duodenal fistula in 1 case, and pancreatic duct stones in 4 cases. 2) Results of EST; 5 cases of stones were removed by Dormia basket under direct visualization, 61 cases were passed in stool, 66 cases were confirmed at ERCP or T-tube cholangiogrphy. In 46 cases, stones were not removed but symptoms and laboratory findings showed improvement. 3) Complication of EST; 4 cases of bleeding and 1 case of peritonitis were treated by operation, 1 case of acute pancreatitis with pancreatic pseudocyst was treated by medication, 1 case of sepsis due to cholangitis was expired. And 5 cases of recurrent cholangitis, and 2 cases of recurrent pancreatitis were noted. 4) With technical improvement in EST, we could control bleeding and acute pancreatitis with a pancreatic pseudocyst due to an impacted stone and perform EST successfully in the cases with periampullary diverticula. 5) At last, although we could follow up only for 2 years, would expect that we use more EST for recurrent CBD stones.
양영철(Young Cheol Yang),이상운(Sang Woon Lee),김제원(Je Weon Kim),김규순(Kyu Soon Kim),명재일(Jae Il Myeong),여향순(Hyang Soon Yeo),박홍배(Hong Bae Park) 대한내과학회 1986 대한내과학회지 Vol.30 No.6
N/A Since 1976, 1,856 cases of endoscopic retrograde cholangiopancreatography(ERCP) have been performed at Kwangju Christian Hospital, Kwangju, Korea. From December 1981 to August 1985, 138 cases of endoscopic sphincteropapillotomy(EST) were performed. The results are as following: 1) At ERCP, common bile duct stones were noted in 124 cases, ascaris in common bile duct in 10 cases, clonorchiaais in 3 cases, and fibrotic stenosis of a periampullary choledochoduodenal fistula in 1 case. Endoscopic sphincteropapillotomy (EST) was performed in these 138 cases. 2) In 5 cases stones were extracted under direct visualization, in 47 cases stones passed in stool, and in 43 cases stone extraction was confirmed at ERCP or T-tube cholangiography. In 30 cases, stones were not removed but symptoms showed improvement, 3) As complications following EST, bleeding developed in 4 patients, acute pancreatitis and a pancreatic pseudocyst developed in s patient due to an impacted stone and a patient died of sepsis following cholangitis. Recurrent cholangitis was noted in 5 patients and recurrent pancreatitis, in 2 patients. 4) The cases in which EST becomes difficult or fails easily include periampullary diverticula, fibrotic stenosis of ampulla of Vater, impacted stones in intrahepatic ducts or gallbladder, and so on. 5) With improved technical maneuver in EST, we could obviate bleeding and acute pancreatitis with a pancreatic pseudocyst due to an impacted stone and perform EST successfully in the cases with periampullary diverticula.
김윤아(Yun Ah Kim),이은우(Eun Woo Lee),김도현(Do Hyun Kim),강동구(Dong Goo Kang),박혁(Hyeuk Park),강명원(Myung Won Kang),임연근(Yeun Keun Lim),여향순(Hyang Soon Yeo) 대한내과학회 2000 대한내과학회지 Vol.59 No.4
Neurofibromatosis is characterized by multiple cutaneous neurofibromas, cafe-au-lait spots and a broad spectrum of clinical, pathologic and radiologic finding. The incidence of malignant neoplasms complicating neurofibromatosis has never been satisfactorily estabilished ; estimates range from 3% to 15%. The malignant tumors are usually derived from neural crest tissue. Gastrointestinal involvement appears to be rare and usually consists of neurofibromas, ganglioneuromas and leiomyomas. Hepatobiliary involvement in neurofibromatosis is rare and mostly located at the periampullary region. Most of theses tumors are carcinoids or less frequently neurofibromas. The authors report a case of peripheral cholangiocarcinoma associated with neurofibromatosis type 1.(Korean J Med 59:463-466, 2000)
패쇄성 황달을 동반한 간흡충 감염증에 있어서 내시경적 유두절개술의 의의
윤형신(Hyeong Shin Yoon),김연종(Yeon Jong Kim),김호동(Hou Dong Kim),장진형(JIn Hyeong Jang),임연근(Yeun Keun Lim),여향순(Hyang Soon Yeo),박홍배(Hong Bae Park) 대한내과학회 1992 대한내과학회지 Vol.43 No.6
Background: Clonorchiasis is very common in the Far East, especially southern China, Taiwan, Hong Kong, Japan, and Korea, where raw or undercooked fish has long been considered a delicacy. In Korea, people who live in the vicinity of the major four rivers are most frequently infected. 3ome percentage of infected individuals will develop the symptoms of chronic clonorchiasis, which include inflammation, infection, stones, obstruction, and neoplastic changes in the biliary tree. Methods: To evaluate the effects of EST in clonorchiasis patients with obstructive jaundice, 73 patients underwent EST as a method of biliary drainage after praziquantel therapy between August 1989 and July 1991. All of the patients were diagnosed as having clonorchiasis by the stool examination and ERCP and as having obstructive jaundice according to their blood chemistry findings. Results: (pt.; patient) 1) 73 patients, 54 male (74%) and 19 female (26%), underwent EST 1.14 times in average (from 1 to 3 times). 2) The associated diseases of the patients at presentation were biliary stones (22 pt., 30%), pancreatitis (16 pt., 22%), biliary tumors (8 pt., 11%) and liver cirrhosis (5 pt., 7%). 3) AST, ALT, alkaline phosphatase and direct and total serum bilirubin were significantly improved in 32 patients (44%) within 1 week after EST and 63 patients (86%) within 4 weeks after EST (p<.0.01). 4) 10 patients (14%) with biliary tumors (5 pt., 7%), liver cirrhosis (4 pt., 5%) and CBD stone (1 pt., 1%) were not improved in their blood chemistry. 5) Complications (9 pt., 12%) were acute pancreatitis (6 pt., 8%), major bleeding (2 pt., 3%) and acute cholangitis (1 pt., 1%). Conclusion: EST is the very effective, convenient, safe and non-surgical method of biliary drainage in clonorchiasis patients with obstructive jaundice. But it is of little value in most of the patients with biliary tumors and liver cirrhosis.
박철성(Chul Sung Park),문정식(Jung Sik Mun),김기헌(Ki Hyeon Kim),이재학(Jae Hak Lee),정경헌(Kyeong Heon Jung),강명원(Myeong Won Kang),여향순(Hyang Soon Yeo),박홍배(Hong Bae Park) 대한내과학회 1996 대한내과학회지 Vol.50 No.5
Objectives: This study was undertaken to evaluate the usefulness of EST in patients with common bille duct stones and obstructive jaundice Methods: Since 1975, 5626 cases of endoscopic retrograde cholangiopancreatography(E,R.C.P.) were performed at Kwangju Christian Hospital in Kwangju, Korea. From December, 1981 to June, 1994, 1155cases of endoscopic sphincteropapillotomy (E,S.T.) were perfromed. Results: In 1155cases of E.5.T., we have obtained 849cases of common bile duct stone, other cases of obstructive jaundice due to clonorchiasis, ampulla of Vater cancer, pancreas cancer, comon bile duct cancer, 41cases of stones were removed by Dormia basket and balloon catheter under direct visualization, 278cases were passed in stool, 421cases removed by the confirmation of E,R.C.P. or T-tube cholangiography. In 323cases, stones were not removed but the symptoms and laboratory findings were improved. Complications were happended in 37cases. 27cases of bleeding, 6cases of cholangitis, 2cases of peritonitis, one case of acute pancreatitis, one case of perinephric abscess were happened. 31cases of complication were improved by conservative treatment and operation. In other 6cases, 4cases of bleeding and 2case of cholangitis were expired. In 54cases of 5-year follow up after E.S.T we have obtained 32cases of recurrent common bile duct stones, 17cases of pancreatitis, 3cases of cholangitis. The condition under which E.S.T. become difficulty or did not succeed included periampullary diverticula, fibrotic stenosis of ampulla of Vater and stones in the intrahepatic duct or gall bladder. Conclusion: With improved E.S,T. technical maneuverability, we could diminish the frequency of complication including bleeding, pancreatitis and cholangitis and perform E.S.T. successfully in cases with periampullary diverticula. In cases of stones which did not remove after E.S,T., we think that extracorporeal shockwave lithotripsy, electrohydrauric lithotripsy, mechanical lithntripsy. laser lithotripsy will be proper management.