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김용태(Y . T . Kim),유권(K . Yoo),정현채(H . C . Jung),이효석(H . S . Lee),윤용범(Y . B . Yoon),송인성(I . S . Song),최규완(K . W . Choi),김정룡(C . Y . Kim),최병인(B . I . Choi),최상운(S . W . Choi) 대한소화기학회 1990 대한소화기학회지 Vol.22 No.2
N/A To investigate the prevalance of cholelithiasis in liver cirrhosis, a retrospective study using biliary ultrasonography was performed in 222 patients with liver eirrhosis and in 177 controls. Gallstones were found more often in cirrhotic patients (13.5%) than in controls (5.6%) (p<0.05). Their prevalence was the same in both sexes. The prevalence of gallstone increased in decompensated liver cirrhosis (p<0.05). The prevalence was higher in HBs-Ag negative liver cirrhosis than HBs-Ag positive liver cirrhosis (p<0.01). The linear trend of increasing prevalence with increasing age in non cirrhotic group was not observed in patients with liver cirrhosis. This study confirms, by means of sonography, the high prevalence of cholelithiasis in liver cirrhosis in Korean adults.
송인성(I S Song),최규완(K W Choi),김정룡(C Y Kim),정현채(H C Jung),윤용범(Y B Yoon),양석균(S K Yang),임용철(Y C Lim),윤병철(Byung Cheol Kim),노임환(I H Roe),유권(K Yoo) 대한소화기학회 1989 대한소화기학회지 Vol.21 No.4
N/A A total of 486 cases of upper gastrointestinal bleeding admitted to Seoul National University Hospital via emergency room from Jan. 1986 to Jun. 1988 were clinically reviewed and the following results were obtained: 1) The male to female ratio was 4.7:1 and peak incidence was in the 6th and 5th decades. The sex and age had no prognostic value. 2) The causes of bleeding were esophageal varix (35.2%), gastric ulcer (17.7%), duodenal ulcer (13.4%), stomach cancer (6.6%), gastritis (5.15), Mallory-Weiss syndrome (2.7gp), miscellaneous causes (l.0%), and unknown causes (18.3%). Variceal bleeders had the highest mortality rate. 3) There was no past history of bleeding in 61.5% overall, and it had no prognostic value. But variceal bleeders had past history of bleeding in, 50.3% and the first episode of bleeding offered higher mortality rate. 4) Three types of bleeding hefore admission were hematemesis in 27.85, melena in 25.7% and both of them in 46.5%, which had no prognostic value if variceal and nonvariceal bleeders were considered respectively. 5) Systolic blood pressure and pulse rate had some prognostic value, that is, high pulse rate on admission carried higher morthalty rate in variceal bleeders and low systolic blood pressure did in nonvariceal bleeders. 6) The three patterns of bleeding after admission were single bleeding in 63.0%, repeated bleeding in 21.0% and continuous bleeding in 16.0%. The mortality rate of repeated and continuous bleeding was higher than that of single bleeding. 7) The patients who received transfusion were 86.8% and the amount of blood transfused was more than 10 pints in 24.1%. The mortality rate increased as the amount of blood transfused increased. 8) Esophageal varix ivas the cause of the first bleeding in 76.4% of patients with chronic liver disease with esophageal varix. If the cause of the first bleeding was the esophageal varix in patients with chronic liver disease with esophageal varix, the cause of the second bleeding was also esophageal varix in 93.5%.