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총수담관결석의 내시경적 치료성적에 미치는 요인 예측에 관한 연구
송태진(Tae Jin Song),이홍식(Hong Sik Lee),김창덕(Chang Duck Kim),진윤태(Yoon Tae Jeen),엄순호(Soon Ho Um),류호상(Ho Sang Ryu),현진해(Jin Hai Hyun) 대한소화기학회 1996 대한소화기학회지 Vol.28 No.4
N/A Background/Aims: With advanced endoscopic techniques and lithotripsy devices, virtually all patients with common bile duct(CBD) stones can be successfully managed endoscopically. Nevertheless several factors are believed to make the endoscopic removal of CBD stones more difficult. Our intent was to evaluate the success rate of endoscopic removal of CBD stones and to determine which factors significantly influence the success rate. Methods: We retrospectively reviewed 232 patients who were submitted to endoscopic treatment (including mechanical lithotripsy and electrohydraulic lithotripsy) for removal of CBD stone during a recents 3 years period. Success was defined as complete stone removal within 3 endoscopic sessions considering the endoscopic techniques, patients compliances and cost effectiveness. Predictive factors such as size and number of stones, Billroth II operation, periampullary diverticulum, and the presence of cholangitis or pancreatitis were evaluated. Statistic analysis was performed by logistic discriminant analysis and CHAID methods. Results: The overall success rate in all 232 patients was 93.5%. Complete stone c1earance from the bile duct was achieved after a single session in 155 patients(66.8%) and after two sessions in 43 patients(18.5%), while 19 patients(8.2%) required three sessions. Only the size of stones and Billroth II operation were identified as significant predictors of failure of endoscopic stone removal. The numbers and sizes of stones, and Billroth II operation had an increasing effect on the frequency of endoscopic sessions required for complete stone removal. Complications were related mainly to endoscopic sphincterotomy, such as bleeding in 14(6.0%), one of whom required operation for hemostasis. Pancreatitis developed in 3 patients(1.3%). There were no death. Conclusions: Endoscopic stone removal should be recommended as first-line therapy because of its safety and effectiveness. Consideration about the predictive factors such as size, number and Billroth II operation for the outcomes of endoscopic stone removal may be useful in deciding treatrnent options for CBD stones. (Korean J Gastroenterol 1996; 28:537 - 548)
진윤태(Yoon Tae Jeen),송치욱(Chi Wook song),엄순호(Soon Ho Um),김창덕(Chang Duck Kim),류호상(Ho Sang Ryu),현진해(Jin Hae Hyun) 대한소화기학회 1996 대한소화기학회지 Vol.28 No.4
Priary cricopharyngeal dysfunction is a rare motility disease of the esophagus having a prominent cricopharyngeal bar on barium study in patient with oropharyngeal dysphagia. Abnormal findings of esophageal manometry such as hypertensive upper esophageal sphincter, or failure of relaxation are detectable in only minority of patients suggestive of cricopharyngeal dysfunction. We used radionuclide oropharyngeal transit study which has been proposed as a diagnostic tool for esophageal motility disorder recently. Drug therapy or cricopharyngeal myotomy has been used to treat primary cricopharyngeal dysfunction, We report a case of a 61-year-old woman who presented with oropharyngeal dysphagia and prominent cricopharyngeal bar on barium study. Manometric finding shows a markedly increased pressure of upper esophageal sphinter in the anterior and posterior direction. Radionuclide oropharyngeal transit study shows delayed transit of radioisotope in the oropharynx(Korean J Gastroenterol 1996; 28:602-604.
현진해(Jin Hai Hyun),김열홍(Yeul Hong Kim),송태진(Tae Jin Song),진윤태(Yoon Tae Jeen),박현철(Hyun Chul Park),김재선(Jae Seon Kim),박종재(Jong Jae Park) 대한소화기학회 1991 대한소화기학회지 Vol.23 No.1
Behcet's disease is a multisystem disorder presenting with recurrent oral and genital ulceration as well as uveitis often leading to blindness. While intestinal Behcets disease most commonly affects the ileocecal region, esophageal involvement is v ry uncommon. A 42-year-old male patient was admitted to Haewha hospital because of dysphagia. There was a history of recurrent aphthous stomatitis and genital ulcers. Irregularly marginated ulcer surrounded with hyperermic edematous mucosa was found at mid esophagus in the gastrofiberscopic examination. The pathologic finding was chronic ulcerative inflammation with vasculitis. So he was diagnosed to have Behcet's disease and treated with steroid. We report a case of esophageal Behcet's disease which had been diagnosed by gastrofiberscopy and reviewed literature briefly.
윤진영 ( Jin Young Yoon ),차재명 ( Jae Myung Cha ),진윤태 ( Yoon Tae Jeen ) 대한소화기학회 2018 대한소화기학회지 Vol.71 No.1
Colonoscopy is currently regarded as the gold standard and preferred method of screening for colorectal cancer (CRC). However, the benefit of colonoscopy screening may be blunted by low participation rate in population-based screening program. Harmful effects of population-based colonoscopy screening may include complications induced by colonoscopy itself and by sedation, psychosocial distress, potential over-diagnosis and socioeconomic burden. In addition, harmful effect of colonoscopy may increase with age and comorbidity. As the adverse event risk in population-based colonoscopy screening may offset benefit of the screening colonoscopy, the adverse events associated with screening colonoscopy should be well managed and monitored. To adopt population-based colonoscopy screening, consensus for the risk and benefits of screening colonoscopy should be formed for its potential harms, patient preference, socioeconomic considerations, quality improvement of colonoscopy as well as its efficacy for CRC prevention. As the suboptimal colonoscopy quality is a major pitfall of population-based colonoscopy screening, adequate training and provider regulation for screening colonoscopists should be the first step to minimize the variation of quality between colonoscopists. Gastroenterologists should lead quality improvement, auditing, and training associated with colonoscopy in a population-based colonoscopy screening program. (Korean J Gastroenterol 2018;71:3-9)
위장관 ( 胃腸管 ) : 소화성 궤양에서 H2 차단제와 정온제 투여가 위내산도에 미치는 영향
현진해(Jin Hai Hyun),진윤태(Yoon Tae Jeen) 대한소화기학회 1991 대한소화기학회지 Vol.23 No.1
N/A Ambulatory long term pH monitoring is a suitable method to assess the physiologic pattern of gastric acidity and the effect of antisecretory drugs. Twenty four patients with peptic ulcer under- went continuous intraluminal pH monitoring for three days to compare the effects on 24-h intragas- tric acidity of standard meal only (1st day), standard meal, famotidine 20 mg (2nd day), standard meal, famotidine 20 mg and tranxene 10 mg (3rd day). The purpose of this study is to evaluate the effects of combined therapy of H2 antagonist and tranquilizer on gastric acidity in peptic ulcer patients. The results were as follows: 1) Gastric pH was 1.73 +- 0.15 during daytime and 1.57 +- 0.18 during noghttime on the 1st day. 2) Gastric pH was 2.37 +- 0.28 during daytime and 4.54 +- 2.26 during nighttime on the 2nd day. 3) Gastric pH was 2.17 +- 0.23 during daytime and 4.76 +- 2.46 during nighttime on the 3rd day. 4) In conclusion, the administration of famotidine at night caused remarkable elevation of gastric pH for a long time continuously, and there was more elevation of gastric pH observed when applied in combination with tranquillizer. So more studies are still needed about the effects of increaing dosage of H, antagonists tranquilizer, and timing of administration of tranquilizer.
정태시(Tae See Chung),배지연(Ji Youn Bae),진윤태(Yoon Tae Jin),박현철(Hyun Chul Park),김열홍(Youl Hong Kim),류호상(Ho Sang Ryu),현진해(Jin Hae Hyun) 대한내과학회 1991 대한내과학회지 Vol.41 No.1
The most common type of biliary-enteric fistula is the cholecystoduodenal form. Cholecystoduodenal fistulas are mainly caused by gallstones, whereas peptic ulcers cause most choledochoduodenal fistula. Most of the biliary-enteric fistula are found in a completely formed state and mostly in patients with gallstone ileus or obstruction or incidentially in investigations of other diseases. In our report, we present a case of choledochoduodenal bulb fistula associated with polyphoid granulomas caused by gallstone.
대장암 환자에서 C-Reactive Protein의 임상적 의의
박성철 ( Sung Chul Park ),진윤태 ( Yoon Tae Jeen ),이광균 ( Kwang Gyun Lee ),김주형 ( Juhyung Kim ),현종진 ( Jong Jin Hyun ),김은선 ( Eun Sun Kim ),박상훈 ( Sanghoon Park ),금보라 ( Bora Keum ),서연석 ( Yeon Seok Seo ),김용식 ( Yo 대한장연구학회 2009 Intestinal Research Vol.7 No.2
Background/Aims: C-reactive protein (CRP) is a general marker of inflammation and increased CRP level is reported in several cancers. It has been reported that CRP is an independent factor predicting survival in colorectal cancer patients, although this claim is still under debate. The aim of this study was to investigate the association between CRP and the characteristics of colorectal cancer patients. Methods: One hundred eighty-four patients diagnosed with colorectal cancer between January 2007 and January 2009 were included. The patients with active infectious diseases, other tumors, cardiovascular disease, or inflammatory bowel disease were excluded. The CRP levels of colorectal cancer patients were compared with the control group comprised of 175 healthy adults with a normal colonoscopy. Results: The median CRP in the colorectal cancer patients (3.36 mg/L) was higher than the control group (0.48 mg/L). There was a significant correlation between CRP and the stage of colorectal cancer (p<0.001). CRP was increased significantly in Dukes’ stage D. CRP had a significant correlations with the CEA and CA 19-9 levels, the ESR, and the white blood cell count, and an inverse correlation with albumin. The CRP level in colon cancer patients was higher than rectal cancer patients (p=0.032). There were no significant difference in the CRP according to metastatic sites, such as the liver and peritoneum. Conclusions: Serum CRP levels were higher in patients with colorectal cancer and high CRP level is a predictor of advanced disease. (Intest Res 2009;7:93-99)