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체외 충격파 쇄석술 및 내시경적 유두 괄약근 절개술로 제거된 총담관 거대 담석 2예
민영일(Young Il Min),이영상(Young Sang Lee),김해련(Hae Ryun Kim),김명환(Myung Hwan Kim),정영화(Young Hwa Joung),민병철(Pyung Chul Min),양석균(Suk Kyun Yang),임채만(Chai Man Lim),이승규(Sung Kyu Lee),조경석(Kyung Shik Cho) 대한소화기학회 1990 대한소화기학회지 Vol.22 No.3
We have performed extracorporeal shock-wave lithotripsy for fragmentation in the two patients with 3 cm sized single common bile duct stone, who had been cholecystectomized previously. After ESWL, multiple stone fragments were completely removed by endoscopic papillotomy and balloon extraction.
민영일(Young Il Min),이영상(Young Sang Lee),김해련(Hae Ryun Kim),김명환(Myung Hwan Kim),두영철(Young Cheoul Doo),김상위(Sang We Kim),정영화(Young Hwa Joung),이승규(Sung Gyu Lee),박건춘(Kun Choon Park),민병철(Pyung Chul Min),유은실(Eu 대한소화기학회 1990 대한소화기학회지 Vol.22 No.2
We experienced 2 cases of angiodysplasia in duodenal bulb and stomach. The patients had a history of repeated upper gastrointestinal bleeding, and were diagnosed as a angiodysplasia by gastroscopy and angiography. they were treated with surgery due to large lesional involement.
민영일(Young Il Min),이영상(Young Sang Lee),김명환(Myung Hwan Kim),이승규(Sung Gyu Lee),민병철(Pyung Chul Min),유은실(Eun Sil Yu),정영화(Yong Hwa Chung),오용호(Young Ho Oh) 대한소화기학회 1993 대한소화기학회지 Vol.25 No.5
Hepatocellular carcinoma arising in the caudate lobe is rare and its prognosis is generally poor. Most of lesions already show multiple metastases and are inoperable at the time of presentation, because tumor cells may spread readily through its short portal and hepatic vein branches into the main portal vein and the inferior vena cava early in the disease. We report a case of hepatocellular carcinoma arising in the caudate lobe which was successfully resected through the combined upper midline incision and median sternotomy 43 months ago
위장관 ( 胃腸管 ) : 상부 위장관 내시경 검사시 동맥혈 산소 포화도의 변화에 관한 연구
민영일(Young Il Min),이영상(Young Sang Lee),김해련(Hae Ryun Kim),고윤석(Youn Suck Koh),김명환(Myung Hwan Kim),두영철(Young Cheoul Doo),정영화(Young Hwa Joung),양석균(Suk Kyun Yang),김우성(Woo Sung Kim),김원동(Won Dong Kim) 대한소화기학회 1990 대한소화기학회지 Vol.22 No.3
N/A Gastrointestinal endoscopy is one of the most frequent procedures, but relatively little is known about its pulmonary effects. Pulse oximeter is a convenient and non-invasive methods which monitors SaO2 and pluse rate. So, we studied the change of SaO2 and pluse rates during esophagogas-troduodenoscopy in the patients with impaired plumonary function and normal controls by pluse oximeter. In conclusion, the drop in SaO2 during endoscopy could occur in the pulmonary disease patients with mild to moderate imparied pulmonary function, but this change was transient and recovered rapidly during examination. So, we suppese that specific therapy such as O2 supply may not be requried durging endoscopy in these patients.
송락종,김선필,민영돈,Song, Rack-Jong,Kim, Sun-Pil,Min, Young-Don 대한위암학회 2007 대한위암학회지 Vol.7 No.2
목적: 약년자와 고령자에서 발생하는 위암의 차이점에 관한 연구는 이전부터 있어왔지만, 최근 한국인의 평균 수명이 연장되면서 이에 따른 약년자 군과 고령자 군을 새롭게 분류해야할 필요가 제기되었다. 약년자에서 발생하는 위암은 진단 시 간파되기 쉽고, 고령자 위암의 경우 동반질환으로 인해 수술 전후의 위험도를 증가시키는 것으로 알려져 왔다. 저자들은 약년자 군과 고령자 군에서 발생한 위암에서 각각의 임상병리학적 특성과 예후에 관하여 알아보고자 하였다. 대상 및 방법: 위암 환자를 나이에 따라 35세 이하의 약년자 군 31명과 75세 이상의 고령자 군 49명으로 분류하고 성비, 발생위치, 조직학적 분류, 병기, 수술방법, 평균생존율 등의 임상병리학적 특성을 비교하였다. 결과: 약년자 군에서 미분화 선암과 미만형의 발생률이 가장 높았으며, 고령자 군에서는 미분화와 중등도 분화 선암, 장형의 발생률이 가장 높은 것으로 관찰되었다. 그 외 두 군 간의 수술 방법의 차이나 술 후 합병증 및 수술 전후의 사망률 등의 의미있는 임상적 차이는 관찰되지 않았다. 또한, 두 군 간의 생존율 차이도 관찰되지 않았다. 결론: 약령자와 고령자 두 군 간에 임상병리학적이나 생존율의 차이를 보이지 않았고, 두 군 간 수술방법과 근치도에서 차이가 없는 수술이 시도된 결과 고령자 군에서 약년자 군에 비해 생존율 저하를 보이지 많았다. 따라서 고령 환자에서 발생한 위암의 치료 시 보다 적극적 수술 치료가 필요할 것으로 생각된다. Purpose: There have been several comparative studies that have focused on elderly groups of patients with gastric cancer. However, new criteria are needed for this elderly group because of the longer life span of Korean people. The diagnosis of gastric cancer has sometimes been missed in the young age group. The perioperative risk is high in the elderly age group because of their combined diseases. This study was designed to determine the differences of the clinicopathologic features and the prognosis between young and elderly patients with gastric cancer. Materials and Methods: Eighty patients were divided in two groups and these patients were selected for making comparison between young and elderly groups of patients with gastric cancer. The young age group consisted of 31 patients who were aged 35 years old or less. The elderly age group was made up of 49 patients who were aged 75 years old or above. Results: For the clinicopathologic features, the young age group was characterized by a high incidence of the poorly differentiated type of adenocarcinoma and the diffuse type too, according to the Lauren classification. On the other hand, the elderly group was characterized by a high incidence of poorly to moderate differentiated adenocarcinoma and also the intestinal type according to the Lauren classification. The other clinical differences were unremarkable. Additionally, there was no survival advantage in the young age group compared to the elderly group. Conclusion: There were no clinicopathologic and prognostic differences between both extreme age groups. So, active surgical treatment is recommended even for the elderly patients group.
민영목(Young-Mok Min),백준영(Joon-Young Paik),조은선(Eun-Sun Cho) 한국정보기술학회 2012 한국정보기술학회논문지 Vol.10 No.2
In computer systems, a “conflict” occurs when a single resource is shared by multiple tasks. Recently, in applications of rule based context aware systems, a conflict may also occur in cases different rules are supposed to be fired under the same context, which is likely to cause more conflicts than in traditional programs. For proper conflicts resolution in this case, it is important to consider the causes of conflicts and the goal of the application program. So conflict handling systems cannot be made fully automatic, but require domain knowledge from the humans familiar with the applications, like program developers. In this paper, we suggest a rule based context aware programming language so that program developers can describe conflict resolution methods in their codes. The major advantage of this approach is that it gives us opportunity to resolve conflicts according to the domain knowledge from application developers.
간장 ( 肝臟 ) , 담도 ( 膽道 ) 및 췌장 ( 膵臟 ) : Expandable Metallic Stent를 이용한 담도 협착의 치료
민영일(Young Il Min),이성구(Sung Koo Lee),김명환(Myung Hwan Kim),이승규(Sung Gyu Lee),전용철(Yong Cheol Jeon),성규보(Kyu Bo Seong),민병철(Pyung Cheol Min) 대한소화기학회 1991 대한소화기학회지 Vol.23 No.3
N/A Expandable metallic stents were implanted in 9 patients with malignant (4 patients) or benign (5 patients) biliary stenoses. Five patients with benign strictures (intrahepatic stones with intrahepatic strictures, n=4; intrahepatic and extrahepatic stones with common bile duct stricture, n= 1) and four with malignant biliary strictures (cholangiocarcinoma, n=4) were treated with expandable metallic stents via percutaneous or transpapillary route. The patients with benign disease had failed treatment with surgical reconstruction and transhepatic balloon dilatation. In the three of the four patients with cholangiocarcinoma, relief of jaundice was observed. Patients with benign strictures have done very well. Our experience shows that expandable metallic stents can be inserted with little discomfort for the patients and with relatively few complications. They will provide good palliation in patients with malignant obstructive jaundice and benign strictures.
민영일(Young Il Min),장린(Rin Chang),김병호(Byung Ho Kim),장영운(Young Woon Chang),이정일(Jung Il Lee) 대한소화기학회 1988 대한소화기학회지 Vol.20 No.1
N/A Since the introduction of percutaneous endoscopic gastrostomy (PEG) by Ponsky in 1980, PEG has accepted as the choice for enteral feeding method in patients unable to swallow. Recently ready-made PEG Kit was introduced and this easy-to-use system designed to make gastrostomy procedure safe, simple and rapid. We performed percutaneous endoscopic gastrostomy in 19 patients with ready-made gastrostomy kit. The results were as follows: 1) The success rate of PEG by ready-made gastrostomy kit was 100%. 2) The mean operative time was 22.2 minutes (ranging from 13 minutes to 50 minutes). 3) Preoperative complications associated with Levin tube was completely disappeared after PEG. 4) Complications associated with PEG was developed in 5 cases, but major complications that caused removal of feeding tube were absent. 5) In the follow-up of 19 patients, feeding tube was removed in 3 patients because of improvement of swallowing ability, and 6 patients could be discharged with unremoved state of feeding tube. These results suggest that, PEG using ready-made gastrostomy kit is simple, rapid and safe method. So it may become the choice for the procedure of enteral feeding in patients with swallowing difficulty and intact gastrointestinal tract.