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식도절제술 환자에서 식도내압 및 위배출시간에 대한 고찰
이철종(Cheol Jong Lee),최석렬(Seok Reyol Choi),지삼룡(Sam Ryong Jee),김광진(Kwang Jin Kim),금동주(Dong Joo Keum),홍기봉(Ki Bong Hong),이종훈(Jong Hun Lee),한상영(Sang Young Han),최필조(Pill Jo Choi) 대한소화기기능성질환·운동학회 2001 Journal of Neurogastroenterology and Motility (JNM Vol.7 No.2
N/A Backgroud/Aims: Resection of the esophagus for malignant disease or a benign stenosis, has a choice not only of palliative surgery, but also of replacement of the esophagus with a transposed stomach, jejunum, or colon. The first-line method is replacement with a tubulized stomach. The purpose of this study was to investigate the association of esophageal motor dysfunction and gastric emptying time with symptoms after esophagectomy. Methods: We performed the esophageal manometry and gastric emptying time after esophagectomy for esophageal cancer in 12 patients and for benign esophageal disease in 2 patients. Results: In manometric studies, a zone of high pressure in the esophago-gastric anastomosis distal to the upper esophageal sphincter was associated with symptoms after esophagectomy. The gastric emptying rate was slowed in 7 out of 14 patients, but not associated with symptoms after esophagectomy. Conclusions: Our data suggest that a high-pressure zone distal to the upper esophageal sphincter was associated with symptoms after esophagectomy in manometric study. The gastric emptying rate was not associated with postoperative symptoms. (Korean Journal of Gastrointestinal Motility 2001;7:197-203)
제5차 대한간학회 춘계학술대회 초록집 : C형 간염 바이러스로 인한 만성 간질환 환자에서 HCV-RNA의 유전자형에 관한 연구
이철종 ( Lee Cheol Jong ),신우원 ( Sin U Won ),안현숙 ( An Hyeon Sug ),이성욱 ( Lee Seong Ug ),노명환 ( No Myeong Hwan ),한상영 ( Han Sang Yeong ),최석렬 ( Choe Seog Lyeol ),정진숙 ( Jeong Jin Sug ) 대한간학회 1999 Clinical and Molecular Hepatology(대한간학회지) Vol.5 No.1(S)
양두현,유희철,이철종 대한외상학회 1997 大韓外傷學會誌 Vol.10 No.1
Recently, the number of trauma patients and subsequent traumatic liver injury cases have been increased due to increased traffic and industrial accidents and violences. The purpose of this study is to analyze the factors that determine the mortality of patients who sustain liver injuries. Seventy seven patients with traumatic liver injury underwent operation from l971 to 1995 at Department of Surgery, Chonbuk National University Hospital. The results obtained were as follows; 1) The peak age was 4th decade, 24 cases(31.2%) and sex ratio of male to female was 5: l. 2) In the causes of injury, blunt abdominal trauma were 71 cases(92.2%) and penetrating abdominal trauma were 6 cases(7.8%). 3) Abdominal tenderness and rebound tenderness were existed in 64 cases(83.1%) and 40 cases(5 l.9%) respectively. Other clinical symptoms were abdominal distention, dyspnea and so on. 4) The degree of injury were classified by AAST(American Association for the Surgical Trauma). There were 7 cases(9.1 %) in type I. 38 cases(49.4%) in type II, 25 cases(32.5%) in type III, 3 cases(3.9%) in type IV, and 4cases(5.2%) in type V. Surgically managed patient were divided two groups, resection and non-resection group, l2 cases(15.6%) and 65 cases(84.4%) respectively. 5) 73 patients had associated injuries(94.8%), and the injury site were 51 cases in other intraabdominal organs.37 cases in retroperitoneal organ, 31 cases in chest, 22 cases in extremities, 2 cases in spine, and 1 case in pelvis. 6) The total complication rate was 44.2%(34 cases), and the most common complication was respiratory failure in 33(42.9%) out of 77 cases. 7) Postoperative mortality rate was 16.9%(13 cases), and compounded causes of death were adult respiratory distress syndrome in 9 cases(69.2%), renal failure in 8 cases(61.5%), sepsis in 7 cases(53.8%), hepatic failure and hypovolemic shock 4 cases(30.8%) each. 8) The several mortality factors were analyzed by use of the Logistic analysis method. Most influencing factor was post traumatic shock(p=0.0001) and the second was liver injury grade (p=0.0192). Therefore accurate recognition of shock and liver injury grade are very important factors causing mortality in traumatic liver injury patients.
폐출혈과 위장관출혈이 합병된 Henoch-Sch nlein Purpura 1예
김광진,한상영,이철종,최석렬,노명환,신우원,이종훈,양두경,허기영 대한소화기학회 2000 대한소화기학회지 Vol.36 No.4
Henoch-Sch nlein purpura is an immunologically mediated systemic vasculitis of small blood vessels that primarily involves the skin, gastrointestinal tracts, joints, and kidneys. Henoch-Sch nlein purpura is a common vasculitic disease of childhood. It is diagnosed by characteristic clinical manifestations: nonthrombocytopenic purpura, arthritis or arthralgia, abdominal pain which may be complicated by gastrointestinal hemorrhage, and urinary sediment changes. Pulmonary hemorrhage is a rare complication which occurred predominantly in adolescent and adult according to previously reported cases. We experienced 34-year-old man with Henoch-Sch nlein purpura in whom gastrointestinal bleeding and bilateral, massive, pulmonary hemorrhage developed. He died of respiratory failure.
각종 폐쇄성 췌담도 질환에 있어서 담즙 내 Fibronectin 역가 발현에 관한 연구
김완수,한상영,박성욱,이철종,최석렬,신우원,이종훈,노명환,한진영 대한소화기학회 2001 대한소화기학회지 Vol.37 No.1
Backgrounds/Aims: We investigated the concentration of fibronectin (FN) in the human bile to differentiate malignant and benign pancreatobiliary tract disorders and evaluate its possibility as tumor marker for the malignant pancreatobiliary tract tumors. Methods: We obtained the biles from 65 patients with various obstucting pancrea- tobiliary tract disorders during the endoscopic retrograde cholangiopancreatography (ERCP) and percutaneous transhepatic cholangiography (PTC). Then, the concentration of FN was determined by turbidimetric immunoassay. Results: The benign group consisted of 12 patients with choledocholithiasis and the malignant group consisted of 35 patients with biliary tract cancer and 18 patients with pancreatic cancer. The median concentration of FN was 16.83 ㎍/mL in the benign group and 29.53 ㎍/mL in the maliganant group (p=0.0002). In the malignant group, 17.77 ㎍/mL in the biliary cancer group and 41.28 ㎍/mL in the pancreatic cancer group (p=0.001). So, the median concentration of FN in malignant group was significantly higher than that of the benign group. In the malignant group, the pancreatic cancer group had significantly a higher concentration of FN than biliary tract cancer group (p$lt;0.05). Conclusions: Our results show that the bile concentration of FN can differentiate the benign and maligant pancreatobiliary obstructing disorders, and it also can differentiate the biliary tract cancer and pancreatic cancer among malignant pancreatobiliary tract disorders. However, further study will be needed to elucidate the mechanism of high expression of FN in pancreatic cancer.