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윤광수 ( Kwang Soo Yoon ),임경수 ( Kyung Soo Lim ),김대성 ( Dae Sung Kim ),유수영 ( Soo Young Yoo ) 대한외상학회 1988 大韓外傷學會誌 Vol.1 No.2
During the periord of 7 years from July 1981 to July 1988, the records of 35 patients with duodenal injury who were admitted and treated at Wonju Christian Hospital, Yonsei University Wonju College of Medicine. The reseults were follow: The ratio of male to female was 10:1. The most prevalent age group was in 4th decade. The most frequent clinical manifestation were abdominal pain, tenderness and rebound lender-ness, rigidity. The shorter the time from injury to operation, the lower the rate of complication & mortality after operation. The most common site of injury was the 2nd & 3rd portion (10 case. 28.6 %), followed by 1st portion and 4th portion. The type of duodenal injury were perforation (47.7 %), rupture (31.4 %), transection (22.8%). The 30 cases (85 %) were associated with other injuries. The most frequently associated injured organ was pancreas & Rt. . kidney, (each other 18.7 %). followed by large bowel. liver, biliary and small bowel. Operatire treatment was performed. The method of operative treatment was variable; primary closure & jejunal patch graft, primary closure & tube decompression, segmental resection and anastomosis, pyloric exclusion, duodenal diverticulization, Whipple``s operation, subtotal gastrectomy. Complications developed in 12 cases of the 35 patients (37.5 %) The most frequent complica-tion was wound infection and the other were enterocutaneous fistula, intraperitoneal or retr-operitoneal abscess and intestinal obstuction. The mortality rate was 17.1 %(6 cases of total 35 cases) and the most frequent causes of death was sepiticemia due to enterocutaneous fistula.
윤광수(Kwang Soo Yoon),노병선(Byung Seon Rhoe),임경수(Kyoung Soo Lim) 대한소화기학회 1989 대한소화기학회지 Vol.21 No.3
Most lipomas less than 2 cm in diameter of small bowel are clinically asymptomatic. Complications like bleeding, intussusception and perforation are rarely seen. The present case report describes a small intestinal lipoma with 2 cm in diameter formed intussus- ception, perforation and abscess. The preoperative diagnosis was small bowel cancer with central necrosis by abdominal CT scan and small bowel series. At surgery, a large abscess cavity with perforation and intussusception was identified in proximal ileum and after manual reduction of intussuseception, small lipoma was found and ileal resection was performed.
윤광수 ( Kwang Soo Yoon ),임경수 ( Kyung Soo Lim ),강성준 ( Seong Joon Kang ),김수용 ( Soo Yong Kim ) 대한외상학회 1988 大韓外傷學會誌 Vol.1 No.2
Pedestrian and Vehicle accidents are serious public health problem today. Prevention of pedestrian and vehicle injury can be approached through changes in the host, agent, environ-ment. or in their interaction with one another. Mortality rate from traffic accident victims have been shown 10 be significantly improved by rapid access 10 definitive care, but affected during initial phase of care. During the Iwo years from 1st. January. 1986 to 31 th. December. 1987, this report is a review and clinical analysis of 2,753 patients with traffic accident victims who were vistited the emergency room Wonju College of Medicine, Wonju christian Hospital.
윤광수(Kwang Soo Yoon),김수용(soo Yong Kim),노병선(Byung Seon Rhoe),박덕훈(Duk Hoon Park),유수영(Soo Young Too) 대한소화기학회 1988 대한소화기학회지 Vol.20 No.2
N/A In contrast to ordinary cholelithiasis, intrahepatic stones present serious many problems in treat- ment. The management of primary intrahepatic stones is complex and unsatisfactory at times. The clinical analysis of intrahepatic stones are important for understanding of cause and treatment. We studied 55 cases of intrahepatic stones from 321 patients with hepatobiliary stones and the the results as follows. 1) Among the 321 patients with hepatobiliary stones, intrahepatic stones were 55 cases (17.1%) 2) The most common age group was 2nd decade and male to female ratio was 1:3 3) The chief symptoms and signs were RUQ pain (78.1%) and tenderness (63.6%), epigastric discomfort and pain (50.9%) 4) At laboratory findings, serum bilirubin (72.7%) and alkaline phosphatase (56.3%) were increased. Among diagnostic radiologic studies, ultrasonogram, PTC and ERCP were most dffective and reliable than other radiologic studies. 6) Operative procedures were as follows. (1) CBD exploration and T-tube choledochostomy, (2) Choledochoduodenostomy, (3) Roux-en - Y- hepaticojejunostomy (Lt. duct aproach) was considered to be more effective than other procedures. I) Post-operative complications were 11 cases (20%) and residual stones were 22 cases (10%).
위십이지장 경계부위에 발생한 충돌종양 ( Carcinoma - Carcinoid ) 의 치험
노병선(Byoung Seon Rhoe),윤광수(Kwang Soo Yoon),조남천(Nam Cheon Cho) 대한소화기학회 1991 대한소화기학회지 Vol.23 No.1
Carcinoid tumors display wider histologic spectrums than those we have previously known. Furthermore, an increasing number of tumors which contain an admixture of neoplastic endocrine and nonendocrine epithelial cells has been recently discribed. We report a case with collision tumor of the gastroduodenal junction composed of a gastric adenocarcinoma and duodenal carcinoid tumor which is extremely rare. The tumor mass was histologically diagnosed with carcinoid tumor by gastroscopic biopsy before operation. Whipples operation was performed after 6 cycles of chemotherapy with 5-FU, Adriamycin and Cisplatin. The operative specimen grossly disclosed two different types of tumor and was histologically identified as concurrent occurrence of carcinoid tumor adjacent gastric carcinoma.