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이명복(Myung Bog Lee),이민혁(Min Hyuk Lee),허경열(Kyung Yul Hur),송영식(Young Sik Song),허경발(Kyung Bal Hur) 대한소화기학회 1994 대한소화기학회지 Vol.26 No.6
N/A The routine use of operative cystic duct cholangiography(OCDC) has been advocated by nu- merous authors. In these studies, the value of OCDC in the detection of unsuspected small stones of the common bile duct was demonstrated. The procedure also appears to be of value in reducing unnecessary exploration of the common bile duct in patients otherwise having clin- ical indications for such exploration. But opinion is divided as to whether cholangiography should be performed in all cholecystectomies or only in selected cases. To determine the clinical usefulness of routine OCDC, we analyzed 307 patients undergoing cholecystectomy with routine OCDC for gallstone disease were retrospectively screened for the presence of 8 parameters of possible choledocholithiasis. Of the 307 patients studied, 241 pa- tients(78.5%) had a negative OCDC(group I ), 22(7.1%) had false positive findings (group II), two(0.7%) had false negative findings(group III), and 42(13.7%) had findings positive for stones(group IV). In group I, 81 pat.ients(33.6%) had one or more parameter of possible choledocholithiasis. In group II, 16 patients(72.7% ) had one or more parameter. In group III, 2 patients(100%) had one or more parameter. In group IV, 5 patients(11.9%) without any positive parameter had choledocholithiasis. The sensitivity of OCDC was 95.5%, specificity 91. 4%, efficiency 92.2%, predictability of a negative test 99.2%, predictability of a positive test 65.5%, and accuracy 92.8%. Routine OCDC showed unsuspected common bile duct stones in 5 patients(2.9%). Unnecessary common bile duct explorations were avoided in 81 of the 136 pa- tients(59.5%). As a result of these findings, we recommend the use of OCDC routinely in pa- tients undergoing cholecystectomy. (Korean J Gastroenterol 1994; 26: 952 961)
윤창규(Chang Kyu Yoon),이명복(Myung Bog Lee),황경희(Kyung Hee Hwang),김종은(Jong Eun Kim),김동수(dong Su Kim),윤광선(Kwang Sun Yoon),박흠례(Heum Rea Park) 대한소화기학회 1985 대한소화기학회지 Vol.17 No.2
Lymphangiomas are benign tumors, composed of lymphatic spaces and vascular elements, and most commonly found in the neck, axilla and skin. Occaisonally they may occur in the gastrointestinal tract. Recently, we experienced one case of cavernous lymphangioma in mesentery. 53-year old female was admitted due to palpable large abdominal mass and modest weight loss for 7 months. Routine laboratory study, UGI series small bowel series, barium enema, ultrasonography of the hepatobiliary, pancreas and liver scan and IVP were performed. But, they did not revea led concrete origin And characceristics of that mass. Explorative laparatomy was done Pathological study revealed carvenu type lymphangioma.
김동수,황경희,김종은,박규섭,윤창규,이명복 대한내과학회 1986 대한내과학회지 Vol.30 No.3
The gastric diverticulums is a state of the localized protrusion of gastric wall. The gastric diverticulum is not common when compared with diverticulum in other sites of the gastrointestinal tract and it almost always occurs as a single lesion. It is hard to ascribe any clinical feature to this lesion, usually found incidentally and there are no physical findings of importance. There are few reports concerned with the gastric diverticulum in Korea. Recently authors experienced two cases of gastric diverticula in males and one case in female during upper gastrointestinal series and endoscopic examination. The musoca of which was pathologically normal. So we report those cases.