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조중현(Joong Hyeon Cho),이정희(Jung Hee Lee),고경혁(Gyung Hyuck Ko),이호용(Ho Yong Lee),김현주(Hyun Ju Kim) 대한소화기학회 1997 대한소화기학회지 Vol.30 No.1
N/A Background/Aims: Gastric carcinoma is the mnost common tumor in Korea and is known to be associated with intestinal metaplasia. By the way, the intestinal metaplasia is classified into subtypes in recent years. This study is to see the relationship between the subtypes of intestinal metaplasia and gastric carcinoma. Methods: This study involved 850 patients with various gastric disorders. After diagnosis with hematoxlin-eosin stain, alcian blue pH 2.5/Periodic acid-Schiff and high iron diamine/alcian blue pH2.5 stains were performed to classify the intestinal metaplasia. Results: The, intestinal metaplasia was found in 465 patients(54.7 %): the prevalence of type I, II, and III intestinal metaplasia were 88.2%, 66.2%, and 22.4%, respectively. There are no difference in the prevalence of type I and II intestinal metaplasia among the various gastric disorders(p 0.05). But, type III was strongly associated with intestinal-type gastric carcinoma as compared to either benign gastric disorders(p(0.01) or diffuse-type gastric carcinoma(p(0.01). Conclusions: This results suggest that the type III intestinal metaplasia may play a special role in the histogenesis of intestinal-type carcinoma. (Korean J Gastroenterol 1997; 30:1 - 8)
최진학(Jin Hak Choi),조중현(Joong Hyeon Cho),김영채(Young Chai Kim),정기문(Ki Mun Jung),심상군(Sang Gun Sim),우성경(Sung Kyeong Woo),도문홍(Moon Hong Doh) 대한소화기학회 1990 대한소화기학회지 Vol.22 No.2
Salmonella infection have long been known to lead to diffuse organ involvement, including such organs as thyroid, bone, heart, pericardium but has rarely been reported acute pancreatitis as a complication. Earlier reports of confirmed or probable acute pancreatitis associated with typhoid fever were published in the Korean literature. We describe a patient with typhoid fever who developed acute pancreatitis proved by laboratory and radiologic findings. His blood and stool grew Salmonella typhi. At the end of 2 weeks, body temperature and amylase level in the blood came down. In this point of views, acute pancreatitis with prolonged fever despite of treatment may be related to typhoid fever. Thus, proper diagnosis and effective treatment produced patients good outcome.
문한규(Han Kyu Moon),조중현(Joong Hyeon Cho),김영훈(Young Hoon Kim),한상영(Sang Yeoung Han),김치호(Chi Ho Kim) 대한소화기학회 1987 대한소화기학회지 Vol.19 No.1
N/A The serum ferritin levels were measured by radioimmunoassay in 25 normal subjects and 88 patients with various liver diseases, and compared with serum transaminase activity and with alpha-fetoprotein in liver cirrhosis and primary liver cancer. The results were as follows; 1) The serum ferritin levels in 25 normal subjects were in a range of 27.2 191.0 ng/ml, and the mean value was 88.3+-39.4ng/ml. 2) The serum ferritin levels in various liver diseases were as follows: 500.7+-422.8 ng/ml in acute viral hepatitis, 73.6+64.5 ng/ml in chronic persistent hepatitis, 281.4+-214.7 ng/ml in chronic active hepatitis, 317+- 368.7 ng,'ml in liver cirrhosis, 703.2+-509.7 ng/ml in primary liver cancer with cirrhosis, 383.2+-475.9 ng/ml primary liver cancer without cirrhosis, 734.0+-320.0 ng/ml in cancer metastasis to liver, 252.7+-89.1 ng/ml in obstructive jaundice, 289.3+-117.7 ng/ml in liver abscess. Serum ferritin levels of each disease group were significantly higher than normal control (p<0.01) except chronic persistent hepatitis, and good correlation existed between serum ferritin and serum transaminase activity which suggested that the elevation of the serum ferritin level was due to leakage of storage ferritin by hepatocellular damage. 3) In acute viral hepatitis, on following, the decrease in serum ferritin accompanied with the decreasing of SGPT during recovery stage. 4) In the differential diagnosis between liver cirrhosis and primary liver cancer, measurement of the serum ferritin did not show more significant value than alpha-fetoprotein.
공간점유간병소 및 췌병소에 대한 초음파 유도하 세침흡입 세포진에 관한 연구
양웅석(Ung Suk Yang),조중현(Joong Hyeon Cho),김영훈(Young Hoon Kim),강영진(Young Jin Kang),이강희(kang Hee Lee),허윤(Yun Huh),문한규(Han Kiu Moon),유방현(Bang Hyeon Liu) 대한소화기학회 1987 대한소화기학회지 Vol.19 No.1
N/A Liver biopsy by Menghini technique has a relatively low sensitivity and high risk in diagnosing space occupying lesions of the liver. Moreover, any biopsy method except exploratory laparotomy has not been useful in pancreatic lesions. Recently ultrasonically guided percutaneous fine needle aspiration cytodiagnosis is widely used in evaluating space occupying lesions of the liver and deep-seated organ, such as pancrea, because of its high sensitivity, safety and simplicity. Ultrasonically guided percutaneous fine needle aspiration cytodiagnosis was carried out to evaluating its diagnostic performance in 20 patients with space occupying lesions of the liver and in 3 patients with pancreatic lesions who were admitted to the Pusan National University Hospital from Oct. 1985 to Jan. 1986. The results were as follows: 1) Clinically diagnosis before ultrasonically guided percutaneous fine needle aspiration cytodiagnosis were primary hepatoma in 16 patients, liver abscess in 2 patients, hepatic cyst in 2 pateints, pancreatic cancer in 2 patients. 2) The cytodiagnosis in space occupying lesions of liver were as follows: The 14 patients of the 16 patients with clinically primary hepatoma were positive. All of the 2 patients with suspected liver abscess were confirmed. And all of the 2 patients with suspected heaptic cyst were same as clinical diagnosis. 3) The cytodiagnosis of the pancreatic lesions were as follows: Of the two patients with suspected pancreatic cancer one was positive and the negative patient were confirmed pancreatic cancer by the exploratory laparotomy. One patient with clinically pancreatic cyst was revealed as pancreatic cyst by the cytodiagnosis. 4) There was no complication in performing ultrasonically guided percutaneous fine needle aspiration cytodiagnosis.
유방현(Bang Hyun Liu),양웅석(Ung Suk Yang),이강희(Kang Hi Lee),조중현(Joong Hyeon Cho),백대근(Dae Kun Baik),김성은(Seong Eun Kim) 대한소화기학회 1987 대한소화기학회지 Vol.19 No.1
N/A A clinical study on 71 cases of chronic hepatitis, proven by liver biopsy, and its contrasting feature according to HBsAg positivity was performed at Pusan National University Hospial from Mar. 1983 to Dec. 1986. The results were as follows; 1) Of the total 71 cases, involving 45 cases of chronic active hepatitis and 26 cases of chronic persistent hepatitis, male to female ratio was 5.5:1. The mean age of chronic active hepatitis with HBsAg was significantly lower than that of chronic acive hepatitis without HBsAg (p<0.001). 2) The incidence of HBsAg was 80.0% in chronic active hepatitis and 65.4% in chronic persistent hepatitis. 3) On admission, the chief complaints were fatigue, indigestion, epigastric and RUQ discomfortness, hepatomegaly, jaundice, and splenomegaly in order of frequency respectively. 4) On chemical liver function studies, chronic active hepatitis with HBsAg showed more increased value of serum AST, ALT than that of chronic hepatitis without HBsAg (p<0.05). 5) On radioisotope liver scan, hypertrophic pattern of liver and mild spleen visualization was the most common findings. 6) Liver biopsy findings showed the increased incidence of piecemeal necrosis and concomitant fibrosis in chronic active hepatitis than chronic persistent hepatitis, but no significant difference was found between HBsAg positive and negative chronic hepatitis.
유방현(Bang Hyun Liu),문한규(Han Kyu Moon),허윤(Yoon Huh),양웅석(Ung Suk Yang),이강희(Kang Hi Lee),조중현(Joong Hyeon Cho),백대근(Dae Geun Baek),김무현(Moo Hyung Kim) 대한소화기학회 1987 대한소화기학회지 Vol.19 No.1
In cases of Gastointestinal Vascular Malfomnation, which involve the mucosa and submucosa of the gastrointestinal tract, Dieulafoys erosion consists of abnormally large gastric submucosal artery, and ruptures into the stomach. They cause massive or recurrent intragastric bleeding. The lesion is very small and easily overlooked even at laparotomy and can only be correctly diagnosed by endoscopy or arteriography when the patient is actively bleeding. The authers recently observed a case of Dieulafoys disease, this 41-year old man presented an episode of severe melena, but endoscopy and barium enema were all unremarkable. There was history of analgesic abuse because of spondylolisthesis of L4-5. The physical examination was unremarkable except for grossly melenic stools. The hemoglobin was 4.8g/dl. Repeated endoscopy by a more experienced endoscopist demonstrated a vascular malformation at the posterior wall of upper body of stomach with coated blood clot. An angiography including superior mesenteric artery studies, reveal vascular malformation of the left gastroepiploic artery. A total of 30 units of blood had been replaced prior to gastrectomy. Postoperatively, he had no further bleeding. Pathologic examination of the stomach showed dilated prominent blood vessels in the submucosa with focally ectatic capillaries in the lamina propria. Two weeks after operation, the hemoglobin showed 14.0g/dl, and he discharged after improvement.
췌장암과 염증성 췌장질환의 감별진단에 있어서 혈청 CA 19 - 9 의 진단적 가치
정기문(Ki Mun Jung),장세호(Se Ho Chang),심상군(Sang Gun Sim),우성경(Sung Kyung Woo),이재구(Jae Gu Lee),조중현(Joong Hyeon Cho),김영채(Young Chai Kim),최진학(Jin Hak Choi) 대한내과학회 1990 대한내과학회지 Vol.39 No.3
N/A To evaluate the diagnostic value of CA 19-9 in pancreatic cancer, serum levels of 19 subjects with pancreatic cancer and 15 subjects with inflammatory pancreatic diseases were measured by sandwiched radioim-munometric assay. We also studied the influence of serum alkaline phos-phatase and serum bilirubin to CA 19-9 levels in the same subjects. The results were as follows; 1) With a recommended reference cut off value of 37 U/ml, serum CA 19-9 differentiate pancreatic cancer from inflammatory pancreatic diseases with 84%. sensitivity, 67% specificity, and 67% negative predictive value. With a higher cut off value of 100 U/ml, the diagnostic specificity was increased up to 89%, 2) A significant linear correlation was observed between serum bilirubin and serum CA 19-9 (r=0.3764, p<0.05), between serum alkaline phrosphatase, and serum CA 19-9 (r=0.6531, p<0.0001). We concluded that the measurement of serum CA 19 -9 was a simple and useful method in differential diagnosis of pancreatic cancer, and by increasing the cut-off value up to 100 U/ml, its diagnostic specificity was markedly increased. Our study also revealed that there was a significant correlation bewteen serum CA 19-9 and serum bilirubin and serum alkaline phosphatase.