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      • SCOPUSKCI등재

        조기위암의 임상적 고찰

        송훤택(Hwun Taig Song),김창덕(Chang Duck Kim),류호상(Ho Sang Ryu),현진해(Jin Hae Hyun) 대한소화기학회 1994 대한소화기학회지 Vol.26 No.5

        N/A Gastric cancer is the leading cause of cancer death in Korea. The high mortality rate of gas- tric cancer is partly attributed to its late detection and the perfomance of surgery at an advanced stage of disease. So, its early detection and treatment of gastric carcinoma will im- prove the current unfavourable prognosis of gastric cancer. Progress in diagnostic endoscopy has made it possible to detect the early gastric cancer which has excellent postoperative out- come because of its high curability. In this retrospective study, 181 cases of early gastric cancer which have been resected at the Korea University Anam Hospital from January, 1982 to December 1992 were reviewed with emphasis on incidence, macroscopic classification, clinical significance, and prognosis in order to elucidate the clincal picture of early gastric cancer. The proportion of early gastric cancer was 8.1% of all gastric cancer and 0.29% of total patients who underwent gastrofiberscopy. The ratio of male to female was 1.8: 1, and the peak age of incidence was 6th decade(35.4%). The lesion was most commonly found in antrum(51.1%) and lesser cur- vature side(73.1%). EGC type II< was the most common macroscopic type(31.3%). The size of lesion was mostly less than 3cm(68.1%) and the larger lesions showed the higher rate of in- vasion to submucosa and lymph node metastasis. The percentage of lymph node metastasis was much higher in lesion infiltrating to submucosa(20.0%) than mucosa confined cancer. According to cancer cell type, tubular adenocarcinoma was most common(74.8%). There was no correlation between cancer cell type and the incidence of lymph node metastasis. The diag- nostic accuracy by gastrofiberscopic observation was 83.5%. The 5 year survival rate of total early gastric cancer patient was 94.2%.(Korean J Gastroenterol 1994; 26: 789 799)

      • SCOPUSKCI등재

        하부대장 과형성 용종의 의의

        김종극(Jong Guk Kim),이창홍(Chang Hong Lee),박영태(Young Tae Bak),김진호(Jin Ho Kim),김재선(Jae Seon Kim),변관수(Kwan Soo byun),지종대(Jong Dae Ji),송훤택(Hwun Taig Song) 대한소화기학회 1993 대한소화기학회지 Vol.25 No.4

        N/A Adenomatous polyps are known to be precursors for cancer, and identifying of persons with adenomatous polyps is practically important because these individuals should constitute a disproportionate percentage of persons destined to have colorectal cancer. There is enough reason to believe that regclar endoscopic screening of persons with adenomatous polyps and removal of these polyps can reduce the incidence of colorectal cancer. But hyperplastic colonic polyps are generally regarded as being of little or no clinical consequence. Recentlyl, however, controversy has not been settled down on the significance of distal colonic hyperplastic polyp as a marker for proximal colonic adenomatous polyp (s). To establish the prevalence of proximal neoplasms in subjects with or without hyperplastic polyps in distal colon and to determine whether the presence of hypcrplastic polyps in the distal colon could serve as a market for proximal synchronous adenomatous colonic polyps, we prospectively analyzed 895 consecutive subjects who were examined with colcnoscopy between March 1990 and October l992. 191 of 895 subjects (21.4%) had one or more colonic polyps. The prevalence of adenomatous polyps alone was 10.2% hyperplastic polyps 8.4%, and both 1.9%. The proportion of subjects with both proximal adenomatous polyp and distal hyperplastic polyps (6.0%) was not significantly different from the proportion of those without distal hyperplistic polyps(5.1%), But subjects with distal adenomatous polyps (s) were si!nificantly more likely to have proximal adenomatous polyp (s) than those without distal adenomatous polyp (s). The result of this study suggests that hyperplastir. polyps of distal colon do not serve as a marker for neoplastic polyps of proximai colon.

      • KCI등재후보

        대량 토혈을 동반한 CMV 식도염 1 예

        현진해,송훤택,전훈재 대한내과학회 1994 대한내과학회지 Vol.46 No.6

        Cytomegalovirus (CMV) infections are a major cause of morbidity and mortality among immunocompromised patients, especially organ transplant recipients and those suffering from the acquired immunodeficiency syndrome (AIDS). The CMV has been associated with gastric and enteric ulcerations, but infrequently with esophageal infection. CMV induced esophagitis has not previously been reported in Korea. Recently we have experienced one case of CMV induced esophagitis. A 47 year old man was admitted because of prolonged fever and massive hematemesis. He was undergone kidney transplantation 6 month ago and received immunosuppressive agents. Endoscopic examination revealed diffuse honey-comb like erosions and ulcerative lesions in lower esophagus and endoscopic biopsy specimens demonstrated innumerable typical CMV with light microscopy, electron microscopy and in situ hybridization. Esophageal lesions improved after gancyclovir therapy, but he was died due to DIC and systemic bleeding tendency.

      • SCOPUSKCI등재

        십이지장 구부로 분리 개구한 췌담도관 2예

        김재선,김창덕,류호상,현진해,송훤택,이구 대한소화기내시경학회 1991 Clinical Endoscopy Vol.11 No.2

        The pancreatobiliary ductal system is one of the most frequent areas of anatomic variations. Rcently despite the improvement in diagnosis and management of pancreatobiliary lesion, a lack of s more through knowledge and understanding of these variations is undoubtedly reaponsible for many problems of medical and surgical management. Especially, drainage of the common bile duct and the pancreatic duct at sites other than the second portion of the duodenum is an anotomical curiosity. We report two cases of anomalous termination of the common bile duct and the pancreatic duct into the duodenal bulb diagnosed by ERCP and Gastroscopy.

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