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RISS 인기검색어
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- 저자 : 김용인(Yong Inn Kim) (검색결과 4 건)
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십이지장 폐색증을 보인 Choledochocele 1예
정영기(Young Ki Chung),서동룡(Dong Yong Suh),최호수(Ho Soo Choi),김용인(Yong Inn Kim),이우형(Woo Hyoung Lee) 대한소화기학회 1985 대한소화기학회지 Vol.17 No.1
N/A Congenital cystic dilataion of the common bile duct(choledochal cyst) is a relatively rare anomaly. The etiology of this condition is unknown. The locacion, degree, and type of dilatation is variable. Type I anomaly in AlonsoLej classification is most common, and comprises about 80% of cases, The choledochocele(Type III) that we experienced, however, comprises 15% approximately. The classic triad of symptoms of this anomaly are abdominal pain, palpable abdominal mass, and jaundice. But nausea and vomiting are main symptoms in the choledochocele because it involves only the intraduodenal portion of the common bile duct, and causes the obstruction of the duodenal lumen. A intraduodenal mass is easily found by UGI contrast medium study or gastrofiberscopy, and ERCP & abdominal sonogram are helpful in the diagnosis of tbe choledochocele, which is confirmed by a surgical procedure. The choice of the treatment of congenital choledochal cyst is a operation. The choledochocele is treated by transduodenal excision of the cyst wall so as to create a wide opening into the duodenum.
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비흡수성 봉합사에 의한 Marginal Ulcer 의 내시경적 관찰
정영기(Young Ki Chung),최호수(Ho Soo Choi),김용인(Yong Inn Kim),이우형(Woo Hyoung Lee),현명수(Myoung Soo Hyun),서동룡(Kong Yong Suh) 대한소화기학회 1985 대한소화기학회지 Vol.17 No.2
N/A During the last 2 years we observed by gastrofiberscopy 7 cases of marginal ulcers which were thought to be due to nonabsorbable suture material at the Dept. of Int. Med. In the Maryknoll Hospital. 1) The ages of the patients were from the second decade to the sixth decade and all were male. 2) Of the 7 cases of marginal ulcer due to nonabsorbable suture material, 5 cases were developed after duodenal ulcer surgery; 2 cases developed after gastric ulcer surgery. 3) The interval between the initial operation and the detection of the marginal ulcer due to nonabsorbable suture material was from 3 weeks to 8 months, and the average was 4 and a quarter months. 4) The chief complaint was epigastric pain and it seemed to be nonspecific. 5) With a gastrofiberscope we removed the nonabsorbable suture material in 5 cases. Among them follow-up endoscopic observation was possible in 3 cases, and we observed complete healing of the marginal ulcers within 2 months after the removal of nonabsorbable suture material. 6) Our conclusion is that marginal ulcers due to nonabsorbable suture material can be prevented by the use of absorbable suture material in gastric or duodenal ulcer surgery.
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김영조,이상용,정영기,이우형,이병욱,최호수,김용인,최동준,서동룡 대한내과학회 1986 대한내과학회지 Vol.30 No.5
A clincai analysis was carried out on 14 cases of gastric diverticula collected from 10,000 persons who had taken gastrofiberscopic examinations from Jul, 1979 to Jan, 1986 at the Dept. of Int. Med. in the Maryknoll Hospital The results obtained were as follows; 1) The incidence of gastric diverticula was 4, 14%, and the ages of the patients ranged from 27 to 66. Those in the 4th decade(42.9%) was the most frequently observed age group and 78, 6 occurred in individuals over 30 years of age. No case was observed under the age of 20. The sex ratio was 1.8: 1 in female to male. 2) The most common location of the gastric diverticulum was pyloric antrum(71.4%), and the frequency of the other locations were cardia (21. 4%) and body(7.1%) in that order. 1 case had 2 diverticula in the pyloric antrum. 3) 8(57.4%) of 14 patients were found to have other upper gastrointestinal diseases with a gastrofiberscopy. The associated diseases were: gastric ulcer(2 cases), duodenal ulcer(2 cases), chronic superficial gastritis(2 cases), erosive gastritis(1 case) and chronic atrophic gastritis(1 case), 4) The clinical symptoms of our 14 cases were epigastric pain(78,6%), nausea or vomiting(35.7%), indigestion(35.7%) and epigastric fullness (21.4%) in order. 6 cases, who had no associated diseases, had symptoms of epigastric pain(83.3%), indigestion(66.7%), epigastric fullness(50%) and nausea(33.3%). There was no patient who was asymptomatic. 5) The diameters of stomata of diverticula varied from 0.3 cm to 3 cm. The diameter was: below 1 cm in 7 cases, 1-2 cm in 5 cases and 2- 3 cm in 2 cases. The mean diameter was 1.1 cm.
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갑상선 선종, 피로직세종, 종격동 종양양 및 대장선암을 동반한 Gardner 증후군 1 예
정영기,이우형,최호수,김용인 대한내과학회 1986 대한내과학회지 Vol.31 No.3
Gardner Syndrome is a dominantly inberited familial cencer syndrome characterized by intestinal polyposis, hony and various soft tissue tumors. The polyps, especially in colon, almost undergo malignant changes. We experienced a case of Gardner syndrome in 53 years old female who showed gastrointestinal polyposis associated with thyroid adenoma, fibroma of the skin, anterosuperior mediastinal mass, and colonic carcinoma. The relevant literatures on the subject were reviewed.
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