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RISS 인기검색어
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- 저자 : 유선경(Sun Kyung Liu) (검색결과 4 건)
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장결핵 및 결핵성복막염 - 최근 5년간 ( 1989년 - 1994년 ) 의 임상분석
유선경(Sun Kyung Liu),김진천(Jin Cheon Kim),김해련(Hae Ryeon Kim),김우성(Woo Sung Kim),김석구(Suk Ku Kim) 대한소화기학회 1997 대한소화기학회지 Vol.29 No.4
N/A Background/Aims: We must consider intestinal and peritoneal tuberculosis among differential diagnosis of inflammatory bowel disease regardless of pulmonary tuberculosis, The purpose of this study is to characterize the clinical feature of intestinal and peritoneal tuberculsis at the time of decreasing pulmonary tuberculosis. Methods: From June 1989 to December 1994, 130 cases of intestinal and peritoneal tuberculosis were diagnosed at the Asan Medical Center. Chest X-ray, colon study, colonofiberscopy, peritoneoscopy, and biopsy were used as diagnostic tools. Results: The sex ratio was 1:1.4 in favor of females. The peak incidence was among the fourth decade. Chief complaints were abdominal pain in the half of the cases, followed by abdominal distension, diarrhea, abdominal discomfort, abdominal rnass, and indigestion in descending order. The average symptom duration lasted 4.1 months. Fifty-seven percent of the patients had synchronous pulmonary tuberculosis. The sensitivity of barium enema and colonofiberscopy were 84.3% and 89.8% respectively. The ileocecal area was the most frequent location, and then ascending colon, sigmoid colon, transverse colon, rectum, jejunum, and descending colon in descending order. Thirty-two of the patients(23.9%) had an operation. The ileocecal lesion was prone to need surgical intervention than other lesions(P<0.0001). Surgery of intestinal and peritoneal tuberculosis did not affect comp]ication rate. Conclusions: We must consider intestinal or peritoneal tuberculosis in patients with atypical abdominal symptoms because intestinal and peritoneal tuberculosis is frequently met with the decrement of pulmonary tuberculosis. The colonofiberscopy was the most efficient diagnostic tool. Medical treatment must precede surgery and surgical intervention is used as indicated to treat complications. (Korean J Gastroenterol 1997;29:547-564)
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유선경(Sun Kyung Liu),유창식(Chang Sik Yu),김진천(Jin Cheon Kim),정희원(Hee Won Chung),박건춘(Kun Choon Park) 대한소화기학회 1995 대한소화기학회지 Vol.27 No.6
N/A Background/Aims: Colonic cancer can be found concurrently with appendicitis or metachronously in patient without symptomatic improvement after appendectomy due to appendicitis. The purpose of this study was to find whether colonic cancer might be a cause of appendicitis and to consider the situation when colon cancer had to be included in the differential diagnosis of appendicitis. Methods: Nine colorectal cancer(CRC) patients who received appendectomy previously, and 5 patients, whose appendicitis were identified incidentally during colon cancer surgery, were analyzed retrospectively. Results: The anatcomic location of colon canccr were 7 cases at the cecum, 2 cases each at the ascending colon and the rectum, one case each at the hepatic tlexure, the splenic flexure, and the sigmoid colon respectively. Encircling circumference of colon hy the tumor was revealed less than 50% in one case, 50 75;k in five, and more than 7S'k in 8 cases. Among the 9 patients with precedent appendectomy, colon cancer was identified incidentally during appendec- tomy in 3 cases. Another 3 patients complained persistent symptoms, while the other 3 patients had newly developing symptoms or signs. Age distribution in this group showed 2 cases in the fourth decades, 4 cases in the fifth, 2 cases in the sixth, and 1 in the ninth decades. Duration of symptoms were 2days in only 1 case and average in the others were 3.6 months(l 10months). The mean intervals between appendectomy and cancer surgery were 7.8 months(3weeks 18months1. The Ast]er-Collers stages in these patients were B, in 6 cases, C in 1 cases, and D in 2 cases. Conclusions: We must include colon cancer in the differential diagnosis of appendicitis for the fo11owing conditions.: age of the patient in over 40.; Duration of symptoms in longer than 1 month; atypical symtoms and signs are developed after appendectomy. (Korean J Gastroenterol 1995;27: 645 - 650)
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내동정맥루수술에 있어서 자가정맥과 인조혈관(PTFE)의 개존율 비교
유선경,권태원,한덕종,김석구 울산대학교 의과대학 1996 울산의대학술지 Vol.5 No.1
The internal arteriovenous fistula is essential treatment modality of end stage renal disease. The majority of the end stage renal disease patients depend on hemodialysis, including those waiting for kidney transplantation or those suffering from rejection after kidney transplantation to sustain their lives. The long team patency and low complication rate of internal arteriovenous fistula are important for the quality of patient's life. The aim of this study is to compare primary and secondary patency between native vein & polytetrafluoroethylene (PTFE) for internal arteriovenous fistula(AVF) for long - term hemodialysis. The influence of diabetes on the primary and secondary patency of internal arteriovenous fistula is also studied. All native vein & PTFE AVF constructed between June 1989 & December 1994 at Asan Medical Center were retrospectively reviewed. Wilcoxon test was used to compare the primary and secondary patency rates of native vein AVF(n:299) with PTFE AVF(n:154). The ratio of male to female was 318: 210(1.5:1). The diabetes patient was 184cases(34.8%). The primary patency rate of native vien showed no significant difference to that of PTFE AVF(p=0.0539). The secondary patency rate of native vein is superior to that of PTFE AVF(p=0.0428). Both of primary and secondary patency rate in internal arteriovenous fistula for non-DM patients were superior to DM patients(p=0.0008, p=0.0105). In conclusion, we can use the PTFE as an alternative choice of material for internal arteriovenous fistula if there is no suitable native veins. We could expect good patency rate under the appropriate indications. We must try salvage procedure first on the failing graft before making another internal arteriovenous fistula on the any other site, especially on the native vein cases. Diabetes is a negative factor on the primary and secondary patency of internal arteriovenous fistula.
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