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직장 및 결장의 융모성선종에 대한 내시경적 레이저 치료
임계순(Kae Soon Im),엄현석(Hyeon Seok Um),한준열(Joon Yeol Han),안병민(Byung Min Ahn),김부성(Boo Sung Kim) 대한내과학회 1991 대한내과학회지 Vol.41 No.1
Four patients with colorectal villous adenoma considered unsuitable for surgery underwent snare cautery piecemeal resection and endoscopic Nd: YAG laser therapy for palliation of symptoms and tumor eradication. Successful treatment was documented in 2 patients over a 3-to 14-months follow-up period. Tumor recurrence was noted in 2 patients. Severe dysplasia was detected in 1 patient on biopsy specimens obtained during the follow-up period. Initial symptoms were cleared in all patients after the first laser treatment period. Treatment was well tolerated in all patients with no major complications except for transient lower abdominal discomfort, dysuria and anal pain. These results suggest that endocopic laser therapy may be the treatment of choice in patients with colorectal villous adenoma unsuitable for surgery.
임계순(Kae Soon Im),한준열(Joon Yeol Han),안병민(Byung Min Ahn) 대한소화기학회 1990 대한소화기학회지 Vol.22 No.4
Percutaneous endoscopic gastrostomy is commonly used for long-term nutritional support in patients who cannot maintain adequate oral intake. Although this procedure has less morbidity and mortality than surgical gastrostomy, many complications have been reported. We describe a patient in whom the internal bumper and intraluminal end of the tub had migrated into the abdominal wall 1 month after percutaneous endoscopic gastrostomy.
임계순(Kae Soon Im),백남종(Nam Jong Baeg),한준열(Joon Yeol Han),안병민(Byung Min Ahn),유석환(Suk Hwan Yu),윤종일(Jong Il Yoon),이봉수(Bong Soo Lee) 대한소화기학회 1990 대한소화기학회지 Vol.22 No.4
Tapeworm produce ordinarily no serious damage or grave manifestation, but at times it causes vague abdominal discomfort, junger pain, chronic indigestion, persistent or alternating diarrhea and constipation. In rare cases the scolex may perforate the intestinal wall and initiate peritonitis. We removed endoscpically a tapeworm sityated in stomach and duodenum with a biopsy forcep.
간장 및 담도 : 내시경적 경화요법으로 소실된 식도정맥류 47예에 대한 고찰
임계순(Kae Soon Im),백남종(Nam Jong Baeg),한준열(Joon Yeol Han) 대한소화기학회 1990 대한소화기학회지 Vol.22 No.1
N/A One hundred seventy five patients with bleeding esophageal varices were treated with endoscopic variceal sclerotherapy from November 1986 to December 1989. Forty seven patients, whose varices were obliterated, were analysed. Forty seven patients underwent 253 sessions of endoscopic sclerotherapy. The mean number of sessions for obliteration was 5.4 (range; 2~9), and the mean volume of sclerosant used for obliteration was 103.9 (range; 36~187) ml. The mean volume of sclerosant per injection was 2.5 (range; 1~4.0) ml. The complications associated with endoscopic sclerotherapy were chest pain in 183 cases (72.8%), esophageal ulcer in 81 cases (32.0%), fever in 39 cases (15.4%), dysphagia in 19 cases (7.5%), esophageal stricture in 9 cases (3.6%) and pseudotumor of esophagus in 1 case (0. 4%). Twenty three (48.9%) of the forty seven patients had episodes of hemorrhage during the period of treatment, but in only four (8.5%) did variceal bleeding occur after the varices had been obliterated. Four patients (8.5%) died after obliteration of the varices. Causes of death were hepatic failure in three (6.4%) and advanced gastric cancer in one. None of these patients died because of variceal bleeding. This study indicates that endoscopic sclerotherapy is a safe and effective treatment for prevention of recurrent varicceal bleeding.
위장관 ( 胃腸管 ) : 말기 식도암의 치료로 내시경적 레이저 치료술 , 화학요법 , 경피 내시경하 위수술을 이용한 2예
김부성(Boo Sung Kim),임계순(Kae Soon Im),백남종(Nam Jong Baeg),한준열(Joon Yeol Han),안병민(Byung Min Ahn),김현응(Hyeon Eung Kim) 대한소화기학회 1991 대한소화기학회지 Vol.23 No.4
N/A Chemotherapy and palliative treatment techniques for advanced esophageal carcinoma using endoscopic Nd-YAG laser and percutaneous endoscopic gastrostomy were performed in two patients for whom curative therapy was not possible. They were not able to eat solid food and were severely undernourished. After successful endoscopic laser therapy and balloon dilation the size of the mass decreased and endoscope passed freely. Because there were many risks and difficulties in esophageal endoprosthesis, we performed percutaneous endoscopic gastostomy. We were able to give adequate nutritional support through it. The endoscopic laser therapy and percutaneous endoscopic gastrostomy will be one of the modalities for palliative treatment of advanced esophageal carcinoma.
기관선암에 의한 기도 폐쇄의 레이저 Phototherapy 1 예
김치홍(Chi Hong Kim),권순석(Soon Suk Kwon),박석영(Suk Young Park),김석영(Suk Young Kim),임계순(Kae Soon Im),김영우(Young Woo Kim) 대한내과학회 1991 대한내과학회지 Vol.40 No.2
Recently laser photoablation therapy has been applied with increasing frequency to the treatment of malignant obstructions due to lung and esophageal cancer. We experienced a case of laser photoablation therapy of a malignant tracheal obstruction. A 54-year-old woman was admitted to the hospital because of inspiratory dyspnea and diagnosed as adenoid cystic carcinoma by bronchoscopic biopsy. Laser photoablation therapy with Nd-YAG laser was performed at intervals of more than three days, three times a day the tracheal obstruction was relieved completely, and the procedure was very tolerable without toxicity or complication.
이창돈(Chang Don Lee),최상욱(Sang Wook Choi),박영민(Young Min Park),임계순(Kae Soon Im),박두호(Doo Ho Park),김부성(Boo Sung Kim) 대한내과학회 1988 대한내과학회지 Vol.34 No.6
N/A It is now generally accepted that the hpatitis R virus (HBV) is not directly cytopathic and that liver cell necrosis is dependent upon the hosts cellular immune response. To examine the pssible contribution of cellular immune regulatory mechanism to pathogenesis and progression of type B hepatitis in Korea, we evaluated the patterns of natural killer cell mediated cytotoxicity (NKMC) of peripheral blood lymphocyte in normal control subjects (25cases), asymptomatic carrier (AC; 18cases), acute viral hepatitis (AVH; 7cases) chronic active hepatitis (CAH;26cases), liver cirrhosis (LC;15cases) and primary hepatocellular carcinoma (HCC; 9 Cases). NKMC were assessed using 57Cr releasing cytotoxic assay against K562 target cells. The results were as follows: 1) In normal controls, NKMC were 52.8±8.1% (effector cell to target cell ratio; E:T=25:1) and 69.8±7.2% (E:T=50:1), No significant differences between male and female were seen. 2) In asymptomatic carrier, NKMC were 48.6±11.4% (E:T=25:1) and 68.1±7.8 (E:T=50:1). There was no significant difference between subjects with positive and negative hepatitis Be antigen. 3) In AVH and CAH, NKMC were 46.9±7.8%, 49.7±7.4% (E:T=25:1) and 65.4+4.5%, 67.5±6.2% (E:T = 50:1) respectively. There were no significant differences compared to normal controls, asymptomatic carrier, AVH and CAH. In eight cases of CAH combined with cirrhosis, NKMC (63.9±6.2) were significant lower than normal controls at E:T=50:1 (P<0.05). 4) In LC and HCC, NKMC were 37.3±13.1%, 37.2±13.8 (E:T=25:1) and 54.1±11.4%, 54.4±15.3% (E:T=50:1) respectively. They were significantly lower than in normal controls (P<0.01), And there were significant differencts compared to AVH 4 CAH (P<0.05). The NKMC of peripheral blood lymphocytes in asymptomatic HBV carrier and CAH were not significantly different each other. However, in LC and HCC there were significant differences compared to normal controls, 1t is suggested that NKMC was not relevant to the effector system af immunopathogenesis of liver cell injury in type B hepatitis virus infection Otherwise, depressed NKMC in LC might be one of the etiological factors in genesis of HCC in patient with LC.
김부성(Boo Sung Kim),박석영(Suk Young Park),임계순(Kae Soon Im),김영우(Young Woo Kim),백남종(Nam Jong Baeg),박준철(Jun Chul Park),신호균(Ho Kyun shin),김석영(Suk Yong Kim) 대한소화기학회 1987 대한소화기학회지 Vol.19 No.2
Adenomatous polyps of the stomach have a well-defined risk for malignancy. As lesions become increasingly seesile and of increasing size, the risk of cancer increases. Recently most peduncleated or small sessile polyps can be removed with an electrocautery snare during gastroscopy. But endos- copic removal of larger sessile polyps or those with abroad pedicle may cause severe bleeding, so such lesions should be removed surgically. We experienced a flat carpet type adenomatous polyp of the stomach. A'e did endoscopic Nd-YAG laser therapy without complications.
김부성(Boo Sung Kim),박석영(Suk Young Park),임계순(Kae Soon Im),김영우(Young Woo Kim),백남종(Nam Jong Baeg),한준열(Joon Yeol Han),김석영(Suk Young Kim),박준철(Jun Chul Park) 대한소화기학회 1987 대한소화기학회지 Vol.19 No.2
A palliative treatment technique for esophageal carcinoma using endoscopic Nd - YAG laser therapy is described in 10 patients for whom no curative therapy is possible. Tumors ranged in length frorn 5 to 9 cm with a mean 7.2 cm and luminal diameter ranged from 1 to 5 mm with a mean of 2 mm. The mean number of treatments required to remove obstruction was 5.9 (range 3-12) and the time required to archieve successful luminal opening ranged from 6 to 28 days (mean 13.1 days). The mean total energy required was 33601 Joules. In 10 of 11 cases of treatment, clinical, endoscopic, radiographic improvement was noted. One relapse of dyspnea was successfully managed by the same procedure. Tracheoesophageal fistula occurred in 1 of 11 cases of endoscopic laser therapy. The overall results show that the endoscopic laser therapy relieve dysphagia, the most frequent symptom, rapidly and effectively. Endoscopic laser therapy will be an important palliative treatment of esophageal carcinoma.