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      • KCI등재후보

        제 2 형 당뇨병 환자에서의 Duplex 초음파상

        김병익(Byung Ik Kim),이화영(Hwa Young Lee),김광조(Kwang Cho Kim),전우규(Woo Kyu Jeon),김향(Hyang Kim),이만호(Man Ho Lee),이상종(Sang Jong Lee) 대한내과학회 1992 대한내과학회지 Vol.43 No.3

        N/A Baekgroua: Doppler and high-resolution B-mode ultrasonography are enjoying widespread use for detection of cervical carotid atheromatous diseases in indivisuals at risk for cerebral infarction or carotid occlusive disease of Diabetes Mellitus, Purpose and Methods: This experimental study was performed to evaluate the correlation between the stenosis of common carotid artery and the change of velocity wave form in 119 patients with non-insulindependnet diabetes mellitus (NIDDM), who were admitted to Internal Medicine Service at Koryo General Hospital from March 1989 to July 1991, and control group of 93 non-diabetic group. Results: Peak systolic velocity and peak diastolic velocity in diabetic group and non-diabetic group were 0.58±0.19 Vs 0.53±0.19m/sec and 0.27±0.16 Vs 0.20±0.18 m/sec respectively. Peak systolic velocity ratio and peak diastolic velocity ratio was 0.85±0.38 Vs 0. 81±0.34m/sec and 1.39±0.48 Vs 1.02±0.41m/sec respectively, There was no significant difference between diabetic group and non diabetic group. Atheromatous plaques were detected in 16cases of 93 non-diabetic group and 52cases of 119diabetic group respectively. Between non-diabetic grovp and diabetic group, atheromatous plaques were developed 12 Vs 38 in the common carotid artery, 11 Vs 34 in the internal carotid artery and 8 Vs 32 in the external carotid artery. There was no significant difference of plaque numbers between three vessels. Conclusion: Duplex sonography can be an useful technique to detect atheromatous plaques and to assess carotid occlusive disease in diabetes mellitus patients.

      • SCOPUSKCI등재

        내시경하 경화요법에 의한 Dieulafoy씨 궤양 치험

        정을순(Eul Soon Chung),이상종(Sang Jong Lee),김향(Hyang Kim),김광조(Kwang Cho Kim),이준우(Joon Woo Lee),박영철(Young Cheol Park) 대한소화기학회 1991 대한소화기학회지 Vol.23 No.2

        Dieulafoy ulcer is a distinctive arteriovenous malformation of gastric fundus, which presents with massive or recurrent gastrointestinal bleeding. The lesion is very small and easily overlooked even at laparotomy, and can only be correctly diagnosed by endoscopy or arteriography if the patient is actively bleeding. A 61-year-old man was admitted as emergency to this hospital because of repetitive hematemesis and melena. A history of gastric or hepatic disease was absent. There was no relevant family history, excessive alcohol or NSAIDS including aspirin administraion but a pack of cigaret per day. No telangiectasia or other abnormalities was found on physical examination, but he had obvious anemia and melena. He was found to have hemoglobin 7.1 lg/dl, hematocrit 22%, and a normal platelet count. Two pints of blood were transfused. Emergency gastrofiberscopy was performed during the active phase. A small spurtion blood vessel close to the esophago-gastric junction surround by gastric ulcer on the lesser curvature side of the stomach was identified. Sclerotherapy was done successfully by the multiple local injections of 95% ethanol. After this management, follow up gastrofiberscopy revealed much improvement of the lesion. The long term follow up of his course could not be done.

      • SCOPUSKCI등재
      • SCOPUSKCI등재
      • SCOPUSKCI등재

        교원질성 대장염 1예

        이만호,정재용,김광조,이상종,김병익,김명숙,전유규 대한소화기내시경학회 1993 Clinical Endoscopy Vol.13 No.3

        Collagenous colitis was first deacribed by Lindstrom(1976). This disorder is now a recognized disease of colon associated with chronic watery diarrhea which shows the typical histologic findings of a thickened subepithelial collagenous band. A few cases with such disease has been reported in this country. We have recently observed a 52-year-old businessman with chronic watery diarrhea without abdominal and intermittent mucobloody stool for several years. He has lost about 4 kg of his body weight for these 6 months period. Physical examination, laboratory and radiological studis were unremarkable. Colonoscopy disclosed no gross abnormalities through the entire colon including the terminal ileum but found the pronounced thiekening(about 10um) of intercryptal subepithelial collagen and chronic inflammation in the lamina propria in the histologic examination.

      • SCOPUSKCI등재

        복강내 악성질환에 있어서의 복수 Carcinoembryonic Antigen 측정의 진단적 의의

        박창영,이만호,김광조,이상종,전승준,유영석 대한소화기학회 1991 대한소화기학회지 Vol.23 No.1

        Ascites may be caused by various benign and malignant diseases but it is sometimes difficult to determine whether the ascites is caused by benign or malinant diseases. Various diagnostic methods such as ascitic level and ascites/serum ratio of protein and LDH, cytology and peritonioscopy have been used in differentiating between benign and malignant ascites. Carcinoembryonic antigen (CEA) level in pleural effusion is known to be useful bo make the diagnosis of malignant disease in thoracic cavity. Lowenstein et al. (1978) reported that CEA level in ascites was many-fold higher than in serum in patients with malignant disease and ascites. In order to determine whether ascites CEA is of help to make diagnosis of malignant diseases in abdominal cavity, both ascites CEA and serum CEA were measured and analyzed in 49 patients with ascites who were admitted to this hospital from June 1988 to December 1990. The results are as follows: 1) The mean value of CEA level in ascites and serum in benign ascites group was 1.47 ng/㎖, 2. 40 ng/㎖, respectively. The upper limit of ascites and serum CEA in benign ascites group was 3. 37 ng/㎖, 5.56 ng/㎖, respectively. 2) The CEA level of malignant ascites group was significantly higher than that of the benign ascites group in ascites (p$lt;0.05) and in serum (p$lt;0.05). 3) Ascites CEA level was higher than 3.37 ng/㎖ in 10 of 25 patients with malignant ascites (40%), and 1 of 24 patients with benign ascites. (4%) In 4 patients, ascites CEA level was higher than 100 ng/㎖, all of them have malignant diseases in abdominal cavity. 4) Serum CEA level was higher than 5.56 ㎎/㎖ in 10 of 25 patients with malignant ascites (40%), and 3 of 24 patients with benign ascites (12%). In 4 patients, serum CEA level was higher than 100 ng/㎖, all of them have malignant diseases in abdominal cavity. 5) The specificity of ascites CEA for malignant disease in abdominal cavity was 96.0% positive predictability 91.0%, sensitivity 40.0%, and negative predictability 60.0%. 6) The specificity of serum CEA for malignant disease in abdominal cavity was 88.0%, positive predictability 77%, sensitivity 40.0% and negative predictability 58.0% 7) The cases of which ascites CEA level was greater than 3.37 ng/㎖ was divided into hepatoma group (27%) and nonhepatoma group (73.0%), each mean value was 18.45 ng/㎖, and 33. 57 ng/㎖, respectively. In summary, the measurement of ascites CEA level is useful in differentiating the existence of malignant diseases in abdominal cavity.

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