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RISS 인기검색어
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- 저자 : 서동룡(Dong Yong Suh) (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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김남호(Nam Ho Kim),박해일(Hae Il Park),이중희(Jung Hee Lee),이동길(Dong Kil Lee),정영기(Young Ki Chung),서동룡(Dong Yong Suh) 대한소화기학회 1985 대한소화기학회지 Vol.17 No.1
N/A A clinical analysis was carried out 57 cases of silent peptic ulcer who were confirmed by double contrast UGI series among 4,933 person who visited the Health Checking Center of Maryknoll Hospital from March, 1982 to February, 1984. The results obtained were as follows; 1) The incidence of silent peptic ulcer was 1.16%, consisted of 18 cases of gastric ulcer (0.36% ) and 39 cases of duodenal ulcer(0.79%). 340 cases of peptic ulcer were detected by double contrast UGI series, which were consisted of 188 cases of gastric ulcer and 152 cases ef duodenal ulcer. In gastric ulcer, silent cases were 18(9.6%) and in duodenal ulcer, silent cases were 39(25.7%). Therefore the ratio between silent gastric ulcer & silent duodenal ucer was 1:2.16. 2)The sex ratio in silent peptic ulcer was 3.07: 1 in male to female. The age incidence in silent peptic ulcer showed that the fourth decade occupied the most numbers, 21 cases (36.8%). Silent gastric ulcers were most frequently observed in the sixth decade and silent duodenal ulcers were so in the fourth decade. 3) The most common site of silent gastric ulcer was angular & antral portion of stomach (83.2%), in silent duodenal ulcer, all were bulbar portion. 4) From the ABO blood type point of view, 19 cases(33.3% ) occurred in blood group B, smoker and alcohol drinker showed much higher frequency in silent peptic ulcer than any others, 35 cases of silent peptic ulcer had other illness in coexistence of combination. They were in order of frequency, diabetes mellitus(25.7%), pulmonary tuberculosis(25.7%), chronic bronchitis(14.3%) and bronchial asthma(14 g%)
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김남호(Nam Ho Kim),박해일(Hae Il Park),이중희(Jung Hee Lee),이동길(Dong Kil Lee),정영기(Young Ki Chung),서동룡(Dong Yong Suh) 대한소화기학회 1984 대한소화기학회지 Vol.16 No.2
N/A Clinical analysis was made of 120 cases of combined gastric and duodenal ulcer who were diagnosed benign peptic ulcer by gastrofiberscopy in Maryknoll Hospital, during 2 years and 5 months from January 1982 to May 1984. We analysed them in terms of age and sex distribution, clinical symptoms, predilicting site of ulcer, associated diseases, complications and histopathologic findings of ulcer. We got the followings as a result; 1) The sex distribution was 5:1 (Male:Female) and we recognized that male patients predominated in number. 2) The age distribution showed that most of male patients were in 40s while female in 50s. 3) The most predilicting sites of ulcer were the angle site in stomach and bulbar portion in duodenum. 4) Most common symptom was epigastric pain. 5) We found out associated diseases liver cirrhosis, pulmonary tuberculosis, diabetes mellitus, hypertension, renal stone and etc. 6) Complications were, in frequency of order, hemorrhage(70%), pyloric stenosis or obstr- uction(26.7%) and perforation(3.3%). Hemorrhage occurred in duodenum(71.4%) frequently. 7) Histopathologic findings revealed that chronic peptic ulcer(67.9%) was more than chronic gastritis(32.1%) But we could not meet with gastric cancer.
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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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