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        상부소화관 증상환자의 상부소화관 X - 선조영과 내시경 검사성적의 비교 관찰

        박은미(Eun Mi Park),박세진(Se Jin Park),조인식(In Sik Cho),이재동(Jae Dong Lee),이중건(Chung Kun Lee),박균철(Kyun Chul Park) 대한내과학회 1987 대한내과학회지 Vol.34 No.1

        N/A The endoscopy and barium meal study were used frequently in primary diagnostic purpose of upper gastrointestinal tract diseases, today. We studied the comparison between result of endoscopy and barium meal study in 300 patients with upper gastrointestinal symptoms. The followings are the results. 1) Abnormal barium mea1 lesions were 19.0% and abnormal endoscopic lesions were 26.9%. 2) In barium meal study, false positive lesions were 9.8%, false negative lesions were 31.4%. In endoscopy, false negative lesions were 1.2%. 3) Abnormal endoscopic lesions in normal barium meal study were 11.7%. In these, esophagus 3.7%, stomach 20.7%, duodenum 14.0%. 4) Different endoscopic lesions in abnormal barium meal study were 12.3%. In these, esophagus 50.0%, stomach 13.4%, duodenum 8.6%. It suggested that endoscopy was better than barium meal study in diagnostic accuracy and clinical uses. However, we concluded that both studies were important all for diagnose the early gastric cancer and diagnostic accuracy.

      • SCOPUSKCI등재

        복수내 Cholesterol , CEA 및 CA19 - 9의 진단적 가치에 관한 연구

        박경식,이재동,김선민,문창현,마상인,이중건 대한소화기학회 1991 대한소화기학회지 Vol.23 No.1

        In order to evalute the diagnostic value of ascitic fluid cholesterol, CEA and CA 19-9 analysis in differentiation between malignant from cirrhotic ascites, the. authors studied 37 cases of malignant ascites patients and 42 cases of cirrhotic ascites patients and analyzed the levels of the cholesterol, CEA and CA 19-9 of those cases from April, 1989 to October, 1990 in Seoul Adventist Hospital. The results were as follows; 1) The median and mean values of cholesterol and CEA were significantly higher in malignant ascites compared to cirrhotic ascites(p$lt;0.01). 2) There was no significant difference in CA 19-9 levels betsveen cirrhotic ascites and malignant ascites. 3) The discrimination value for cholesterol was 45 ㎎/㎗. We defined the upper limit of normal value for CEA and CA 19-9 as 5 ng/㎖ and 37 U/㎖, respectively. 4) The diagnostic efficiency was 89% for cholesterol, 90% for CEA and 81%. for CA 19-9. 5) There was a significant positive correlation between cholesterol and CA 19-9 (r=0.41, p$lt;0.01), CEA and CA 19-9 (r=0.67, p$lt;0.01), respectively. It was concluded that the measurement of ascitic fluid cholesterol and CEA levels is useful in differential diagnosis between malignant from cirrhotic ascites.

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