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RISS 인기검색어
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- 저자 : 조문숙 ( Moon Suk Jo ) (검색결과 5 건)
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조문숙,김형준,김동규,원정일,천종호,신원창,이진호,최원충,김관엽 인제대학교 1996 仁濟醫學 Vol.17 No.4
대장질환은 지역과 인종에 따라 다소 차이가 있지만 과거에 비해 진단기술의 발달과 더불어 증가하고 있고, 특히 우리나라에서는 대장암의 발생이 현저히 늘고 있다. 이에 필연적인 검사 또한 기기의 발달 및 삽입기술의 향상, 대장암을 조기에 발견할 수 있는 장점으로 인해 많이 이용되고 있다. 저자들은 1990년 3월부터 1996년 2월까지 인제대학교 의과대학 부속 상계백병원에 입원 및 외래를 통하여 시행한 대장내시경 검사 505 예를 후향적 의부기록 분석을 통하여 다음과 같은 결과를 얻었다. 1.30대와 40대가 전체의 38.4%로 가장 많았고 다음으로 60대가 18.2%로 많았다. 남녀비는 1.01:1이었다. 2.환자의 주소는 복통 36.5%, 혈변 18.0%, 설사 17.2%, 복부팽만감 7.5%, 배변습관의 변화 6.7% 순이었다. 3.대장질환은 대장염 26.1%, 대장암 14.8%, 용종 8.3%, 치핵 4.3%. 정상 38.8%였다. 4.용종은 42예로 18예(39.0%)에서 내시경으로 절제하였고 조직검사 결과 관상 선종이 54%로 가장 많았고 2예에서 용종내에 암이 내재되어 있었다. 5.전대장 삽입의 성공률은 대상환자의 95.6%, 실패원인은 불충분한 대장 정결 및 통증이었다. In this report, we analysed the clinical findings of 505 cases that undertook total colonoscopic examination from March, 1990 to March, 1996. The results were followings ; 1) The most common age groups were 30's and 40's which were 38.4% of tonal patients. The sex ratio of male to female was close to one. 2) The patients' chief complaints were abdominal pain(36.5%), bloody stool(18%), diarrhea(17.2%), abdominal bloating(7.5%), bowel habit change(6.7%) in order. 3) Among the 505 cases of total colonoscopic findings, colitis was found in 132 cases(27.1%), colon cancer in 75 cases(14.8%), polyps in 42 cases(8.3%), hemorrhoid in 22 cases(4.3%) and normal in 196 cases(38.8%) . 4) Among the 42 cases of polyps, gastroscopic polypectomy was done in 18 cases(39.0% ). The most common histologic type was tubular adenoma which included 25 cases(54.0%). Two cases out of 25 cases in tubular were colorectal cancer with polyp remnant. 5) The success rate of total colonoscopy was 95.6% with failure in 4.4%. The causes for the failure of total colonoscopic examination turned out to be poor preparation in 12 cases(54.5%) and pain in 9 cases(40.9%).
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박원도,신상민,조문숙 대한내과학회 1997 대한내과학회지 Vol.52 No.5
Acute pancreatitis is an uncommon complication of CAPD. The clinical diagnosis of acute pancreatitis is difficult, since the presenting features are similar to those of dialysis associated peritonitis, and a high index of suspicion is necessary. Serum amylase values three times greater than the upper limit of normal and effluent amylase greater than 100U/L are helpful in diagnosing acute pancreatitis in CAPD patients. We report a case of pancreatitis in a patient on CAPD in whom diagnosis was made by serum amylase, effluent amylase, abdominal sonogram.
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김동규,이진호,원정일,신원창,김관엽,최원충,천종호,김형준,조문숙 대한소화기내시경학회 1997 Clinical Endoscopy Vol.17 No.6
Background: Periampullary diverticulum has been commonly discovered during endoscopic retrograde cholangiopancreatography(ERCP) in patients with various pancreaticobiliary diseases such as cholelithiasis and its clinical significance has been noted. Recently, periampullary diverticulum is known to be associated with choledocholithiasis, various pancreatobiliary diseases and intestinal symptoms. Our aims of study was to investigate characteristics of periampullary diverticulum and to determinate the positive relationship between periampullary diverticulum and choledocholithiasis, and to determinate whether periampullary diverticulum influences on the cannulation rate and complication performing ERCP and endoscopic sphincterotomy(EST). Methods: We reviewed 162 of 594 cases, which had periampullary diverticulums on ERCP during the past 6 years, and investigated size, location and number of periampullary diverticulums with special reference to the location of cholelithiasis. We also compared success rate and complication rate of ERCP and EST in cases with or without periamullary diverticulum. Results: The incidence of periampullary diverticulum was 27.3%(male 48.1%, female 51.9%). and increased after 50 years old. In anatomical characteristics of perampullary diverticulum, most of the diverticulum was single(90.1%). Size was usually smaller than lcm(48.8%) and was seperated from ampulla of Vater, type III(59.2%). Choledocholithiasis was more frequently found in patients with periampullary diverticulum(5~8.9% ) than in patients without diverticulum(43.1%), especially in type II(attatching type). Failure rate of ERCP was 14.8% with periampullary diverticulum and was 14.6% without it. Bleeding, one of serious complications of EST, was noted in 4 patients with periampullary diverticulum, and one patient was operated to control the bleeding. Conclusions: Periampullary diverticulum might be related with choledocholithiasis, but usually does not interfere with procedure of ERCP.
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