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상부위장관출혈환자 ( 上部胃腸管出血患者) 157예에 대한 임상적 (臨床的) 관찰
진해웅(Hae Ung Sheen),도사금(Sa Geum Doh),박태중(Tae Jung Park),송문철(Moon Chun Song),배성조(Sung Joe Bae),이상문(Sang Moon Lee) 대한소화기학회 1985 대한소화기학회지 Vol.17 No.1
N/A From July 1982 to June 1984, clinical observations were made at the Daegu Fatima Hospital on 157 patients with upper gastrointestinal bleeding confirmed by gastrofiberscopy, and the following results were obtained. 1) Of 157 cases of upper gastrointestinal bleeding, esophageal varices was presentented in 28.7% gastric ulcer in 24.2%duodenal ulcer in 19.1%, gastritis in 16.6%, Mallory-Weiss syndrome in 4.5%, stomach cancer in 3.8% and unknown origin in 3.2%. The ratio of males to females in the group of 157 patients was 4.6: 1. Mean age was 48.8+-14.2 whole. Mean age in duodenal ulcer and Mallory-weiss syndrome were significantly lower than that of other disease group(p<0. 01). 2) Active bleeding, that is, oozing or pumping blood, was observed in 53 out of 157(33.8% Active bleeding was most frequently observed with Mallory-Weiss syndrome and esophageal varices. 3) Among the 157 patients who were endoscoped, within 24 hours 51.0% Of patients were endoscoped; within 48 hours 70.7%; and within 7 hours 84.1% The admission-to-endoscopy interval appeared to be correlated with bleeding activity. The frequency of finding an active bleeding lesions was observed to decrease gradually as this interval increased. 4) Mean hemoglobin level on admission was in 8. 5 gm/dl that was belonged to moderate bleeding group by Palumbos criteria. 5) In patients with an actively bleeding lesion at endoscopy there was a statistically significant increase administration of more than 5 pints of blood(52.8%) and surgical intervention(34.0%), when compared to the outcome in patients with only a clot or no blood observed on lesions at endoscopy(more than 5 pints transfused 27.9% and surgery 12.5% (p<0.01, and p<0.005). 6) Eighty-two percents of patients were improved with conservative treatment, whereas gg pJ of patients required surgical intervention. 77.4% of the operated cases were improved. 7) The mortality rate during the hospitalization was in 3.8%, and causes of death were due to hepatic encephalopathy, renal failure, and blood loss.
직시하생검으로 (直視下生檢) 확진된 (確診) 위진행암 (胃進行癌) 183예에 대한 임상적 (臨床的) 고찰
진해웅(Hae Ung Sheen),도사금(Sa Geum Doh),배성조(Sung Joe Bae),이상문(Sang Moon Lee),강민구(Min Goo Kang),이대규(Dae Gyu Lee),허경억(Kyung Uk Hur) 대한소화기학회 1986 대한소화기학회지 Vol.18 No.1
From January 1980 to December 1984, clinical evaluation were made at the Daegu Fatima Hospital on 183 patients with advanced cancer proven by endoscopic biopsy, and the following results were obtained. 1) Of total cases with stomach canccr, 113 were rr.ale and 70 were female. The peak incidence was in 4th-6th decades, amounting 79.2% of the total 2) The ratio of the number of the stomach cancer to the total number of patients admitted to internal medicine during the same period was l.7% As a whole and yearly ratio has remained invariably over the last five years. 3) According to the extent of progress of the 1esion in the stomach, the most frequent type of the advanced stomach cancer was Borrmanns type III (62.3%). 4) The most prevalent site of the stomach cancer were in the antrum(44.8%), and followed by the body, body and angle of the stomach in that order. 5) Among the l45 cases of the stomach cancer, diagnostic accuracy rate by radiology was 80.7%. 6) Inspite of recommendation for surgical intervention, only out of 39 cases (21.3%) were undergone.
내시경적생검으로 (內視鏡的生檢) 확진된 (確診) 아메바성 대장염 (大腸炎) 4예
이광열(Kwang Yuel Lee),송문철(Moon Chul Song),진해웅(Hae Ung Sheen),임화섭(Wha Sub Lem),성차경(Cha Kyung sung),도사금(Sa Geum Doh) 대한소화기학회 1984 대한소화기학회지 Vol.16 No.2
we experienced four patients with amebic colitis proven by coloncscopic and sigmoidoscopic biopsy. The results were following. Clinical symptoms, laboratory studies, and radiological findings may not be sufficient for making an accurate diagnosis for amebic colitis. Though the diagnosis of amebic colitis seems to be established easily by identification of amebic trophozoites of Entameba histolytica, it can be difiicult and confusing to differentiate from other forms of colitis if the organisms not be demonstrated. The gross colonoscopic and sigmoidoscopic appearanc as well as the results of its biopsy could be extremely important for arriving at the correct dignosis of amebic colitis.