http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
선희식(Hee Sik Sun),김부성(Boo Sung Kim),정인식(In Sik Chung),한준열(Joon Yeol Han),채현석(Hyun Suk Chae),최재경(Jae Kyung Choi),박수헌(Soo Heon Park),정일건(Il Gun Chung),안중현(Joong Hyun Ahn),정규원(Kyu Weon chung) 대한소화기학회 1993 대한소화기학회지 Vol.25 No.5
Lipoma of the upper gastrointestinal tract is a rare benign tumor. Usually lipomas look like submucosal tumor with yellow, smooth surface. We present 2 cases of gastric lipoma and duodenal lipma with review of literatures. These were diagnosed by means of the fibroptic endoscopy. The gastric lipoma is located in the anterior wall of antrum and causes intermittent gastric outlet obstruction. The duodenal lipoma is located in the greater curvature of duodenal bulb. Those lesions were successfully removed by endoscopic polypectomy without complications.
총수담관 결석을 동반한 담도 회충미입증의 내시경적 치료 1예
정인식,김성훈,김재광,김승준,오기원,정일건,김창섭 대한소화기내시경학회 1993 Clinical Endoscopy Vol.13 No.3
Biliary ascariasis is a rare complication of intestinal ascaris infestation. Retrograde migration of the adult worm through the papilla of Vater causes biliary colic, and may give rise to pancreatic and biliary obstruction, choledocholithiasis, cholecystitis, cholangitis, hemobilia, and if the worm lodges in intrahepatic bile ducts, to liver absceases. In the past, treatment of biliary ascariasis has usually involved the direct removal of ascaris throagh a surgical choledochatomy and subsequent saline lavage of the common duct through an indwelling T tube. Recently, the worm in the bile duct can be seen by ERCP and it can be removed during the endoscopic procedure. A 55-year-old woman with intermittent colicky right upper quadrant abdominal pain was admitted to out hospital. Abdominai sonogram disclosed an echogenic structure within a mildly dilated common bile duct and a high ehogenic structure with acoustic shadowing in the distal common bile duct(CBD), which suggests a CBD stone. ERCP after obtaining the sonogram revealed a thick, long, linear, smooth filling defect in the CBD with a distal CBD stone. A distal CBD stone was removed by sphinctetotomy and lithotripsy, then we directly extracted ascaris with a tripod forcep without any complication.
이종욱,김성훈,이은정,정인식,김재광,민창기,김승남,김부성,선희식,정일건,전해명 대한소화기학회 1992 대한소화기학회지 Vol.24 No.5
Microcystic adenoma (serous cystadenoma) is unusual, slow-growing tumor and has a benign nature in clinical course, in contrast to mucinous cystadenoma, which has a definite malignant potential and should be performed with radical resection. The average age at diagnosis is ranged from 60 to 70 years and occur predominantly in woman. Immunochemical and electron-microscopic studies suggest that the pancreatic centroacinar cell is the cell of origin. These tumors are usually discovered by chance during investigation for chronic abdominal pain. In some cases the cysts compress adjacent structures and a palpable mass is one of frequent findings. The diagnosis may be suspected on ultrasonography, computed tomography, angiography and endoscopic retrograde choloangiopancreaticography. Especially, CT scan showes a characteristic image of microcystic adenoma of pancreas, which should then be confirmed by a percutaneous biopsy. The patients with microcystic adenoma can be treated surgically with total excision of tumors. But if asymptomatic or poor surgical risk, it is reasonable to rely on result of biopsy and follow the patient rather than operate. Authors report one case of microcystic adenoma of pancreatic body and tail in 72-years-old female with a review of literatures.