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충청지역에서 발생한 Rickettsia 감염 40 예에 대한 임상적고찰
이종민(Jong Min Lee),강진형(Jin Hyoung Kang),박석영(Suk Young Park),김석영(Suk Young Kim),박준철(Jun Chul Park),임계순(Kae Soon Im),백남종(Nam Jong Baeg),김영우(Young Woo Kim),정희영(Hee Young Chung),주용구(Young Kyu Chu),이호왕(Ho W 대한내과학회 1988 대한내과학회지 Vol.34 No.5
N/A In Korea, there has been an increasing concern on rickettsiosis as a possible cause of unknown febrile illness since Tsutsugamushi disease among Koreans were first reported m 1986. We experienced 40cases of rickettsiosis occuring in Choong-chung-do area during the period October-November, 1986. 30cases were confirmed as Tsutsugmushi disease by indirect immunofluorescent antibody test. 10cases were positive to Weil-Felix test but negative to indirect immunofluorescent antibody test. The clinical illness was chracferized by abrupt onset of fever, chill and skin rash. Lymphadenopathy, headache and myalgia were not uncommon. Eschar was also detected in several cases and intersitial pneumonitis, pulmonary edema were appeared in 3cases, In our study, Tsutsugamushi disease was an mild to moderate febrile illness of 2 to 3 weeks duration.
출혈성 식도정맥류 내시경적 경화요법후의 전산화단층촬영 소견
김현,노희정,강시원,박용휘,백남종,Kim, Hyun,Ro, Hee-Jeong,Kang, Si-Won,Bahk, Yong-Whee,Baeg, Nam-Jong 대한영상의학회 1990 대한영상의학회지 Vol.26 No.3
Endoscopic esophageal sclerotherapy(EES) has been widely accepted for management of bleeding esophageal varices. Authors reviewed CT indings of mediastinal and pleural changes before and after EES for the evaluation of the effect and complication. The mediastinal and pleural changes within 3 days (n=20) after EES were esophageal thickening(80%), esophageal lamination(40%), paraesophageal gas collection 935%), paraesophageal mediastinal effusion 980%), and pleural effusion 950%). After 2 months (n=5), all these findings were disappeared, except for mild residual esophageal thickening. The knowledge of CT findings after EES appeared essential for CT scan images performed in the patients suspected of having severe postprocedural complications and for the differential diagnosis.
임계순(Kae Soon Im),백남종(Nam Jong Baeg),한준열(Joon Yeol Han),안병민(Byung Min Ahn),유석환(Suk Hwan Yu),윤종일(Jong Il Yoon),이봉수(Bong Soo Lee) 대한소화기학회 1990 대한소화기학회지 Vol.22 No.4
Tapeworm produce ordinarily no serious damage or grave manifestation, but at times it causes vague abdominal discomfort, junger pain, chronic indigestion, persistent or alternating diarrhea and constipation. In rare cases the scolex may perforate the intestinal wall and initiate peritonitis. We removed endoscpically a tapeworm sityated in stomach and duodenum with a biopsy forcep.
간장 및 담도 : 내시경적 경화요법으로 소실된 식도정맥류 47예에 대한 고찰
임계순(Kae Soon Im),백남종(Nam Jong Baeg),한준열(Joon Yeol Han) 대한소화기학회 1990 대한소화기학회지 Vol.22 No.1
N/A One hundred seventy five patients with bleeding esophageal varices were treated with endoscopic variceal sclerotherapy from November 1986 to December 1989. Forty seven patients, whose varices were obliterated, were analysed. Forty seven patients underwent 253 sessions of endoscopic sclerotherapy. The mean number of sessions for obliteration was 5.4 (range; 2~9), and the mean volume of sclerosant used for obliteration was 103.9 (range; 36~187) ml. The mean volume of sclerosant per injection was 2.5 (range; 1~4.0) ml. The complications associated with endoscopic sclerotherapy were chest pain in 183 cases (72.8%), esophageal ulcer in 81 cases (32.0%), fever in 39 cases (15.4%), dysphagia in 19 cases (7.5%), esophageal stricture in 9 cases (3.6%) and pseudotumor of esophagus in 1 case (0. 4%). Twenty three (48.9%) of the forty seven patients had episodes of hemorrhage during the period of treatment, but in only four (8.5%) did variceal bleeding occur after the varices had been obliterated. Four patients (8.5%) died after obliteration of the varices. Causes of death were hepatic failure in three (6.4%) and advanced gastric cancer in one. None of these patients died because of variceal bleeding. This study indicates that endoscopic sclerotherapy is a safe and effective treatment for prevention of recurrent varicceal bleeding.
김영건(Young Kun Kim),이형호(Hyung Ho Lee),백남종(Nam Jong Baeg),장병환(Byeng Hwan Jang),김성철(Sung Chul Kim),박헌진(Hun Jin Park) 대한소화기학회 1987 대한소화기학회지 Vol.19 No.2
Stomach cancer is the most common malignant neoplasm in Korea, and the 5-year survival rate of early cancer is excellent in comparison with advanced cancer. Therefore, tremedous efforts would be made for the early detection of gastric cancer. We clinically reviewed our cases and the literatures of early gastric cancer (EGC). During the recent 7 years from Jan. 1981 to Aug. 1987, 82 cases of EGC were collected from Chungnam National University Hosptial, Daejeon St. Marie Hospital and Daejeon Eulji Hospital. The resuls were summerized as follows, 1) The incidence of EGC among gastric resection due to gastric cancer was 14.2% (51 cases among the 358 cases). 2) The overall male to female sex ratio was 1.6: 1, and the peak age incidence was 6th decade. 3) Symptoms and signs, in order of frquency, were as follows; epigastric pain (58.5%), epigastric discomfort (26.8%), indigestion (25.6%). 4) The most frequent macrotype of EGC was IIc (28%), and its combined type (46.3%). 5) The major locations of EGC were pylorus & antrum (52.4%) and angle (30.5%). 6) 28 cases among 82 EGC were confined to mucosa (34.1%), and metastasis to regional lymph node was found in 5 cases (6.1%). 7) The size of EGC was variable, but average 2.0 cm in diameter. 8) The most common microscopic tissue type of EGC was adenocarcinoma, poorly differentiated (63.4%). 9) Preoperative endoscopic gross finding was as follows; advanced cancer (48.6%), EGC (32.9%), benign lesion (18.6%). 10) 29 cases among 30 cases of follw-up were lived recently.
위장관 ( 胃腸管 ) : 말기 식도암의 치료로 내시경적 레이저 치료술 , 화학요법 , 경피 내시경하 위수술을 이용한 2예
김부성(Boo Sung Kim),임계순(Kae Soon Im),백남종(Nam Jong Baeg),한준열(Joon Yeol Han),안병민(Byung Min Ahn),김현응(Hyeon Eung Kim) 대한소화기학회 1991 대한소화기학회지 Vol.23 No.4
N/A Chemotherapy and palliative treatment techniques for advanced esophageal carcinoma using endoscopic Nd-YAG laser and percutaneous endoscopic gastrostomy were performed in two patients for whom curative therapy was not possible. They were not able to eat solid food and were severely undernourished. After successful endoscopic laser therapy and balloon dilation the size of the mass decreased and endoscope passed freely. Because there were many risks and difficulties in esophageal endoprosthesis, we performed percutaneous endoscopic gastostomy. We were able to give adequate nutritional support through it. The endoscopic laser therapy and percutaneous endoscopic gastrostomy will be one of the modalities for palliative treatment of advanced esophageal carcinoma.
김부성(Boo Sung Kim),박석영(Suk Young Park),임계순(Kae Soon Im),김영우(Young Woo Kim),백남종(Nam Jong Baeg),한준열(Joon Yeol Han),김석영(Suk Young Kim),박준철(Jun Chul Park) 대한소화기학회 1987 대한소화기학회지 Vol.19 No.2
A palliative treatment technique for esophageal carcinoma using endoscopic Nd - YAG laser therapy is described in 10 patients for whom no curative therapy is possible. Tumors ranged in length frorn 5 to 9 cm with a mean 7.2 cm and luminal diameter ranged from 1 to 5 mm with a mean of 2 mm. The mean number of treatments required to remove obstruction was 5.9 (range 3-12) and the time required to archieve successful luminal opening ranged from 6 to 28 days (mean 13.1 days). The mean total energy required was 33601 Joules. In 10 of 11 cases of treatment, clinical, endoscopic, radiographic improvement was noted. One relapse of dyspnea was successfully managed by the same procedure. Tracheoesophageal fistula occurred in 1 of 11 cases of endoscopic laser therapy. The overall results show that the endoscopic laser therapy relieve dysphagia, the most frequent symptom, rapidly and effectively. Endoscopic laser therapy will be an important palliative treatment of esophageal carcinoma.
김부성(Boo Sung Kim),박석영(Suk Young Park),임계순(Kae Soon Im),김영우(Young Woo Kim),백남종(Nam Jong Baeg),박준철(Jun Chul Park),신호균(Ho Kyun shin),김석영(Suk Yong Kim) 대한소화기학회 1987 대한소화기학회지 Vol.19 No.2
Adenomatous polyps of the stomach have a well-defined risk for malignancy. As lesions become increasingly seesile and of increasing size, the risk of cancer increases. Recently most peduncleated or small sessile polyps can be removed with an electrocautery snare during gastroscopy. But endos- copic removal of larger sessile polyps or those with abroad pedicle may cause severe bleeding, so such lesions should be removed surgically. We experienced a flat carpet type adenomatous polyp of the stomach. A'e did endoscopic Nd-YAG laser therapy without complications.
용종절제술로 진단된 십이지장 Brunner`s Gland 선종 5예
선희식(Hee Sik Sun),김부성(Boo Sung Kim),정인식(In Sik Chung),정진우(Jin Wu Jeong),임계순(Kae Soon Im),조현미(Hyun Mi Cho),백남종(Nam Jong Baeg),강석진(Seok Jin Kang),김선무(Sun Moo Kim) 대한소화기학회 1987 대한소화기학회지 Vol.19 No.1
Benign tumors of the duodenum are relatively infrequent and are not easy to discover because of nonspecific symptoms. The polypoid lesions of the doudenum have a propensity for causing occult gastrointestinal bleeding, obstruction and intussusception and do have some possibility of being malignant. Therefore, when possible, these lesions should be removed and examined histologically. We experienced five cases of Brunners gland adenoma in the duodenal bulb. The patients complained of epigastric discomfort, nausea, vomiting and tarry stool. The upper gastrointestinal radiography and endoscopy revealed round to oval shaped pedunculated polyp in the duodenum in all cases. We did endoscopic duodenal polypectomy without complications.
궤양성 대장염의 Antineutrophil Cytoplasmic Antibody ( ANCA ) 발현율
한상원(Sang Won Hang),오수혁(Soo Hyuk Oh),정현(Hyun Jung),양영상(Young Sang Yang),채현석(Hyun Seok Chae),이봉수(Bong Soo Lee),서정민(Jung Min Suh),김재광(Jae Kwang Kim),백남종(Nam Jong Baeg),최규용(Kyu Yong Choi),정인식(In Sik Jung) 대한소화기학회 1994 대한소화기학회지 Vol.26 No.3
N/A Antineutrophil cytoplasmic antibodies (ANCA) are autoantibodies against various antigens present in the cytoplasmic primary granules of neutrophils detected by standard indirect immunofluorescent technique fixing the neutrophil with alcohol. There are two types of ANCA characterized by immunoreactivity, perinuclear type AACA(P-ANCA) and cytoplasmic type ANCA(C-ANCA). ANCA was demonstrated in the sera of patients with inflammatory bowel disease. We have evaluated the reactivity against human neutrophils of sera from 44 patients with ulcerative colitis, 4 Crohns disease, 3 tuberculous colitis, 2 Behqets disease, 10 simple co- litis and 25 healthy controls. 26/44 (59.1%) sera from patients with ulcerative colitis con- tained ANCA compared with 2/4 (50.0%) from Crohns disease, 1/2 (50.0%) from Behqets disease and 2/25 (8%) from control sera. All ten from patients with simple colitis and all three sera from tuberculous colitis were negative. The presence or titer of ANCA was not cor- related with activity of treatment of ulcerative colitis. The predominant pattern of ANCA was cytoplasmic (30/31) and only one serum gave a perinucleatr pattern. In conclusion, ANCA occurred more commonly in ulcerative colitis than tuberculous colitis or simple colitis.(Korean J Gastroenterol 1994;26: 451 457)