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내시경적 역행성담도조영술의 담낭천공에 대한 진단적 가치
이진호(Jin Ho Lee),함희용(Hee Yong Hahm),전수영(Soo Young Jeon),최원충(Won Choong Choi),신원창(Won Chang Shin),정운태(Woon Tae Jeong),김관엽(Kwan Yeob Kim) 대한소화기학회 1993 대한소화기학회지 Vol.25 No.6
N/A The gallbladder perforation was found in patients of cholecystitis with alarmingly high mortality rate. These high morbidity and mortality rates were caused by the delay in diagnosis. Therefore early dianosis and early operative intervention can decrease the confirmatively by demonstration of extravasated contrast media from the lumen of the gallbladder into loculated spaces around it. The purposes of our study are to review the clinical manifestations and values of endoscopic retrograde cholangiography in diagnosis of perforation of the gallbladder.
이진호(Jin Ho Lee),함희용(Hee Yong Hahm),전수영(Soo Young chun),조병렬(Byung Ryul Cho),김관엽(Kwan Yop Kim) 대한소화기학회 1990 대한소화기학회지 Vol.22 No.4
A 38 year-old female was diagnosed as the splenic abscesses due to Aeromo sobria infection of the enlarged spleen which complicated to portal hypertension because of postnecrotic liver cirrhoeis by hepatitic B virus and cured by canventional combination therapy of broad spectrum antibiotics with ultraeonographic follow-up for 2 mont,hs.
위암 조직에서 Helicobacter Pylori 검출에 대한 연구
이진호(Jin Ho Lee),전수영(Su Yung Jeon),함희용(Hee Yong Hahm),윤진일(Jin Il Yoon),황성보(Sung Bo Whang),정운태(Woon Tae Jeong),신원창(Won Chang Shin),김관엽(Kwan Yop Kim) 대한내과학회 1993 대한내과학회지 Vol.45 No.2
N/A Background: Helicobacter pylori infection is closely associated with chronic active gastritis and peptic ulcer. Recently, presence of H. pylori in gastric mucosa could play a role in the pathogenesis of gastric cancer. Method: We compared the positivity of CLO test between 41 cases of gastric cancer group and 54 cases of normal control group according to age and sex. Results: 1) There was no difference between positivity and negativity according to age and sex. 2) Total concordance rate of CLO test on the normal tissue was 73.2% in the gastric cancer group, 83.3% in the normal control group, according to the distribution in the stomach. There was no significant difference between the two groups. 3) Concordance rate between cancer tissue and surrounding normal tissue was 91.6% in upper stomach cancer and 75.8% in lower stomach cancer, total concordance rate was 80.5%. 4) Total concordance rate between cancer tissue and whole stomach was 73.2%. Conclusion: Our results suggest that Helicobacter pylori could play a significant role in the development of gastric cancer.
기관지 협착 환자에서 풍선카테터를 이용한 기도확장 1례 보고
정운태,정의태,윤진일,함희용,황성보,전수영,최수전 인제대학교 1994 仁濟醫學 Vol.15 No.1
기관지 협착증은 호흡곤란, 기침 및 객담, 반복성 폐렴, 협착 원위부에 기관지 확장증, 그리고 심한 경우 급성 호흡부전 등의 원인이 되므로 협착부위의 제거 또는 확장 등의 근본적인 치료가 요구되는 질환이다. 저자들은 기관지 결핵의 합병증으로 기관 및 좌측 주기관지 기시부 협착증이 발생한 40세 여자 환자에서 혈관성형술용 풍선 카테터를 이용하여 기관지 확장술을 시행한 1례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다. In tracheobronchial stenosis, as any cause, productive cough, dyspnea, recurrent pneumonia, bronchiectasis and acute respiratory failure in serious case can be developed, so that the resection or dilatation of the stenotic regions are required. Various modalities of therapy Include surgical methods-resection and anastomosis, tracheal prostheses, tracheoplasty, bronchoscopic curettage, laser photoresection and cryotherapy, etc. -and non-surgical methods using bougies, expandable metallic stenos and balloon catheters etc. Mervyn D. Cohen has firstly described balloon dilatation in 31-month-old girl with narrowing of the upper part of the trachea and the origin of both right and left main-stem bronchi after resection of congenitally stenotic airway segments. We experienced a case of balloon catheter dilatation in tracheal and left main-stem bronchial stenosis complicating endobronchial tuberculosis. This procedure can be performed safty and effectively to alleviate the symptoms associated with bronchial stenosis, thus further studies should be accomplished.
갑상선기능항진증과 동반된 원발성 부갑상선기능항진증 1 예
박태준,정운태,김홍주,김홍용,고경수,이영수,이병두,함희용,전수영,윤진일,조혜제,황성보 대한내과학회 1994 대한내과학회지 Vol.46 No.3
Hypercalcemia secondary to hyperthyroidism is common, but hypercalcemia due to concomitant hyperthyroidism and hyperparathyroidism after medical treatment of hyperthyroidism is relatively uncommon. We experienced a patient who presented with primary hyperthyroidism [triiodothyronine 5.9 nmol/L (1.2~3.4), total thyroxine 276.7 nmol/L (64.4~180.2), and TSH 0.7 mU/L (2.0~8.0)] and hypercalcemia [3.6 mmol/L (2.1~2.6)]. In spite of the treatment of hyperthyroidism, hypercalcemia persisted and hypercalcemic crisis developed. The radioimmunoassay for parathyroid hormone showed high values [2.49, 3.93, 3.48 μg/L, (C-terminal 0~0.5)]. We performed subtotal thyroidectomy and parathyroid exploration, and confirmed right inferior parathyroid adenoma as the cause of persistent hypercalcemia. The patient is healthy without any medication after operation. While there are no clinical features which can make the differentiation easy between two groups: one with hyperthyroidism with secondary hypercalcemia and one with concomitant hyperthyroidism and hyperparathyroidism, in patients with hyperthyroidism and possible hyperparathyroidism, serum parathyroid hormone levels should be measured and surgical therapy should be considered.