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이경식(Kyong Sik Lee),김충배(Choong Bai Kim),이경포(Kyung Po Lee),이상훈(Sang Hoon Lee) 대한소화기학회 1987 대한소화기학회지 Vol.19 No.2
Intussusception in adults is relatively rare and usually occurs secondary to tumors or other underlying causes. It appears that the incidence of associated malignancy is increasing compare to the past. The characteristics of adult intussusception is multiple attacks of partial intestinal obstruction and its chronic course. However, preoperative diagnosis is often difficult due to its vague and variable clinical picutres. The treatment principle is operative intervention to its causative lesion. During the past 20 years, from Jan. 1967 to Aug. 1987, 38 adult patients had documented adult intussusception at Yonsei Medical Center; 24 instances of intussusception originating in the small intestine and 14 instances originating in the colon. The etiologic factors were found in 27 cases (71%). Of the 14 colon intussusception, 3 cases were associated with malignancy and 6 out of 24 small bowel intussusception were result from the malignancy. The most common malignancy found was malignant lymphoma. Surgical intervention was carried out in all of these 38 cases; 26 cases underwent surgical resection and remainder was reduced manually after surgical exploration.
국내외 외과전공의 수련교육제도 비교 - 수련목표와 교육과정을 중심으로 -
정철운(Chul-Woon Chung),이경포(Kyung Po Lee) 한국의학교육학회 2002 Korean journal of medical education Vol.14 No.1
Purpose: The role of graduate medical education (GME) has become more important at the flood of knowledge and technical development. The korean board system in general surgery has a short history and has been developed mostly by the executive authorities rather than by autonomous civil organizations which is the case in america and europe. The aim and curriculum of our residency education is not yet well established, so that there requires the need to evaluate and analyze the training system of other well-established countries. Methods: The structures of residency education and their characteristics in U.S.A., England and Germany were reviewed from the literatures and internet sites in terms of aims and objects of learning during the training period. The korean system was compared to these characteristics. Results: Comparing the residency training programmes of U.S.A., Germany and England to our system there found some characteristic points as following that would be recommendable to be adopted for the renewal of our training programme. 1) Autonomous civil organizations endeavor for the regulations of educational goal, requirements and their accreditation. 2) The understanding of basic sciences that provide the fundamental principles of surgery was emphasized during the education. 3) Modern surgical techniques as a part of minimal invasive surgery can be easily acquired during the training course. 4) Participation in emergency medicine and intensive medicine was almost mandatory. 5) Interdisciplinary training and effective rotation schedule were highly recommended. All these characteristics could be actively integrated into our education, if we elaborate more well-established educational goal and curriculum for the residentship.
한상문(Sang Moon Han),김원우(Won Woo Kim),정철운(Chul Woon Chung),이경포(Kyung Po Lee),이경식(Kyung Sik Lee) 대한외과학회 2007 Annals of Surgical Treatment and Research(ASRT) Vol.72 No.6
Adult onset Still"s disease (AOSD) is a rare systemic inflammatory disorder of an unknown etiology, and its major clinical manifestations include high spiking fever, polyarthralgia, salmon-colored evanescent rash and neutrophilic leukocytosis. We describe here a 41 year old woman with AOSD who presented with non-remitting high fever, polyarthralgia, sore throat, skin rash, splenomegaly, thrombocytopenia, neutrophilic leukocytosis, hyperferritinemia and coagulopathy with disseminated intravascular coagulation (DIC). The patient had a history of laparoscopic cholecystectomy due to acalculous cholecystitis prior to admission. We suspected sepsis due to bile peritonitis after the previous laparoscopic cholecystectomy. Yet we could not detect infectious organisms on the cultures or serologic studies. Finally, we suspected AOSD-associated hemophagocytic syndrome (HS). So, intravenous immunoglobulin and pulse methylprednisolone treatment brought about transient improvement of the fever and the neutrophilic leukocytosis, but the disease progressed and the patient expired due to acute renal failure. HS is a fatal cause of AOSD. If a patient has DIC and sepsis and these fail to respond to conservative treatment, then AOSD should be added to the differential diagnosis of sepsis and DIC.
민진식(Jin Sik Min),손승국(Seing Kook Sohn),김명욱(Myung Wook Kim),이경포(Kyung Po Lee),양승춘(Seung Choon Yang) 대한소화기학회 1987 대한소화기학회지 Vol.19 No.2
Colonic diverticular diseae is one of the most common disease in the geriatric patients in Western countries. Most of diverticular disease in Western countries occur in the left colon, especially around the Sigmoid. In contrast, majority of diverticular disease found in Korea occurs in the right colon, especially in the ceucum. The cecal diverticulitis is very difficult to differentiate from the acute appendicitis due to their similar signs and symptoms. This report is collective analysis of 44 cases of diverticular disease including 21 cases managed surgically at the department of Surgery, Yonsei University College of Medicine from January, 1976 to December, 1985 and 23 cases reported in JKSS between the period of April, 1968 to March, 1985. The results obtained were as follows; 1) There were 36 males and 8 females with the ratio of 4.5:1, significantly higher in males. 2) Mean age was 41.3 years, ranged between 8 to 83 years, and most prevalent in the 5th decade (36.4%) 3) 41 cases (93.2%) were located in thr right colon and 3 (6.8%) were in the left colon. Of these, 33 cases (75%) were found in the cecum. 4) There were 4 cases of associated malignancy with the incidence of 9.1%. 5) The most common preoperative diagnosis of right colonic diverticulitis was acute appendicitis. 6) The operative procedures performed in 39 of 41 right colonic diverticular disease consist of right hemicolectomy in 25 cases, appendectomy and diverticulectomy in 5, diverticulectomy in 3, ileocecal resection in 2, appendectomy and inversion of diverticulum in 2, appenectomy in 1 and exploratory lapartomy and drainage in 1 case. Staged operations were performed for the left colonic diverticular disease with two 2-stage operations and one 3-stage operation.