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상부 소화관 이물질의 내시경적 적출에 관한 임상적 고찰
임규성(Kyu Sung Rim),임현석(Hyun Suk Lim),신도영(Do Young Shin),임태희(Tae Hee Rim),김우중(Woo Joong Kim),박충기(Chung Ki Park) 대한소화기학회 1987 대한소화기학회지 Vol.19 No.1
N/A The clinical review was done on 9 cases with the foreign body in the upper gastrointestinal tract who visited and underwent endoscopic removal of foreign body at Kangnam Sacred Heart Hospital from Dec. 1980 to Aug. 1986. The results were as follow: 1) The age distribution varies from 3 months to 52 years of age, being most prevalent under 5 yrs of age. The ratio between male and female was 2:1, more prevalent in male. 2) The incidence of foreign body in order of frequency was coin, ring, peanut and keyring. Among 9 cases, 7 cases (77.8%) were lodged in the stomach and 2 cases (22.2%) were lodged in the esophagus. 3) In clinical symptom, asymptomatic cases (77.8%) were more common than symptomatic cases (22.2%). 7 cases of foreign body (77.8%) were removed out after 72 hours and 2 cases of foreign body (22.2 %) were removed out within 72 hours.
임규성(Kyu Sung Rim),김우중(Woo Joong Kim),이서우(Su Woo Lee),전성국(sung Guk Jun),유성태(Sung Tae Yoo),이재현(Jae Hyeon Lee),이명석(Myung Seok Lee),안혜경(Hae Kyung Ahn) 대한소화기학회 1990 대한소화기학회지 Vol.22 No.4
Squmous cell carcinoma of gall bladder is a rare disease which is characterized by a well-localized growth and a rarity or lack of metastasis. We recently experienced a case of squamous cell carcinoma of liver and duodenum which is thought to be originated from gall bladder. Gastroscopy, abdommal sonography, abdominal computed tomography and peritoneoscopic, liver biopsy finding were ronsistent with a metastatic squmous cell carcinoma of gall blader.
임규성(Kyu Sung Rim),신도영(Do Young Shin),박충기(Chung Ki Park),박병섭(Byung Sub Park),임현석(Hyun Suk Rim),김우중(Yoo Joong Kim) 대한소화기학회 1987 대한소화기학회지 Vol.19 No.1
The authors encountered two male patients with Gilberts syndrome, confirmed by calory deprivation test, light and electron microscopy. Liver biopsy specimens, obtained from all patients, revealed followings. Hepatocytic architectures are altered and there is a varing degree of smooth endoplasmic reticulum increase as with vescular dilatation. The electron dense irregularlly shaped granules resembling lipofuscin granules are scattered. The canaliculi are not dilated and microvilli are preserved.
임규성(Kyu Sung Rim),김우중(Woo Joong Kim),최종도(Jong do Choi) 대한소화기학회 1988 대한소화기학회지 Vol.20 No.2
N/A Retrograde cholangiopancreatography has been reported to result in a temporary rise of total serum amylase activity in 20-70% of cases. These high serum amylase activities are sometimes due to a rise of salivary isoamylase, suggesting that the origin of hyperamylasemia could be extrapancreatic. The aim of our study was to evaluate the prevalence of hyperamylasemia after upper gastrointestinal endoscopy without ampullary cannulation. The prevalence and nature of hyperamylasemia 2 hr and 24 hr after upper G-I endoscopy without attempts tn cannulate the ampulla of Vater was prospectively studied in 52 consecutive patients. In the 2-hr sample, hyperamylasemia was observed in 20 patients (37.7%), Two of the 20 patients still had an increased serum amylase 24 hr after endoscopy. Hyperamylasemia was not related to the age, sex, premedication or duration of endoscopy. These high serum amylase activities are probably due to hypersalivation after endoscopy. In conclusion, upper gastrointestinal endoscopy without attempt to cannulate the ampulla of Vater can result in a ternporary rise of serum amylase. This phenomenon must be known hy physicians to avoid diagnostic mistake of acute pancreatitis in patients with abdominal pain.
임규성(Kyu Sung Rim),김우중(Woo Joong Kim),노정우(Jung Woo Noh),서정은(Jung Eun suh),박충기(choong Ki Park) 대한소화기학회 1987 대한소화기학회지 Vol.19 No.2
Benign tumors of esophagus are rare pathologic conditions. Among them, squamous cell papilloma of esophagus is a distinctly rare disorder which is reported with increasing frequency recently. Usually it is found by accident as a small mass without developing symptoms during gastrofibers- copic examination. Squamous cell papillorna of esophagus is small polypoid tumor with benign nature. Pathologically surface epithelium composed of finger like projections is lined by increased numbers of squamous cells and there are fibrovascular cores. Squamus cell papilloma of esophagus is known to be found more in frequency in men than in women and in lower esophagus than in upper esophagus but our cases revealed reversed pattern. More cases should be examined for evaluation in detail. Recently we had the opportunity to observe 3 cases of pathologically demonstrated squamous cell papilloma of esophagus. Our purpose here is to report these cases and to review the literatures.
장게실염에 병발한 간문맥과 장관막정맥 내 가스 및 혈전증
이준성(June Sung Lee),홍창권(Chang Kwon Hong),김경철(Kyung Chul Kim),홍성표(Sung Pyo Hong),황성규(Seong Gyu Hwang),박필원(Pil Won Park),임규성(Kyu Sung Rim),김종우(Jong Woo Kim),김희진(Hee Jin Kim) 대한소화기학회 2000 대한소화기학회지 Vol.36 No.3
The diagnosis of acute colonic diverticulitis and the assessment of its severity may be difficult. Especially, in the elderly patients with it, immediate diagnosis and initiation of therapy greatly influence the outcome. Pericolonic abscess and fistula formation, perforation, luminal obstruction, and peritonitis are well- known complications of diverticulitis. Rarely, the inflammatory process can extend into the venous drainage of the affected portion of the colon. Ultrasonography is a newly used imaging modality in patients under the suspicion of acute colonic diverticulitis and its complications. We experienced a case of colonic diverticulitis of which delayed diagnosis resulted in the development of portal and mesenteric vein gas and thrombosis. The literature on portal and mesenteric venous gas associated with colonic diverticulitis is reviewed, and the usefulness of ultrasound as a rapid, noninvasive tool to diagnose this rare condition is discussed. (Kor J Gastroenterol 2000;36:408 - 412)
만성 간질환 환자에 대한 고덱스 캅셀의 유효성.안정성에 관한 다기관, 무작위할당, 이중맹검 3상 비교임상시험
박문승,강주섭,전재윤,백승운,임규성,곽민정,전용철,이민호,Park, Moon-Seung,Kang, Ju-Seop,Chon, Chae-Yoon,Paik, Seung-Woon,Rim, Kyu-Sung,Kwak, Min-Jung,Jeon, Yong-Cheol,Lee, Min-Ho 대한임상약리학회 2001 臨床藥理學會誌 Vol.9 No.2
Background/Aims : Godex is a mixture of PMC(diphenyl-dimethyl-dicarboxylate) and Hepadif, each of which has been used for managing chronic liver disease in Korea and other countries. The purpose of this study was to evaluate the efficacy and safety of Godex in Korean patients with chronic liver disease. Methods : In this study, 154 patients with chronic hepatitis, who showed increased level of serum alanine aminotransferase(ALT), were randomly allocated into three groups. Fifty-two patients were administered 100mg/day of PMC, 48 patients were administered low dose of Godex(PMC 100mg+hepadif 600mg/day) and 53 patients were administered high dose of Godex(PMC 150mg+hepadif 900mg/day) orally for 8 weeks. To evaluate the efficacy and safety of Godex capsule, we considered primary variable as the proportion of patients who showed normal ALT blood level after treatment for 8 weeks and second variable as a proportion of patient who showed normal ALT at 4 weeks, the degree of difference of serum ALT level between 0 and 8 weeks, and incidence of adverse events during treatment period. Results : The percentage of subjects whose serum ALT levels decreased below upper normal level in control, low-dose and high-dose group were 64.54%, 67.35%, 81.13% after 8 weeks-treatment(p=0.0407) and 59.62%, 63.27%, 81.13% after 4 weeks-treatment of Godex(p=0.0790) using ITT analysis. There were no significant difference in incidence of adverse events among three groups. Conclusions : Response rate of high-dose group was significantly higher than those of low-dose group and control group. It is suggested that Godex 6 capsules per day(PMC 150mg+hepadif 900mg/day) is optimal dose for Korean patients with chronic liver disease who show elevated serum alanine aminotransferase(ALT) level.
이경용(Kyung Yong Lee),임규성(Kyu Sung Rim),임태희(Tae Hee Rim),김우중(Woo Joong Kim),최종도(Jong do Choi),조근태(Kun Tae Cho) 대한소화기학회 1988 대한소화기학회지 Vol.20 No.2
N/A The gastrofiherscopy is now considered to be one of the essential diagnostic method of gastric disease. We have ohserved clinically with personal computer analysis on stomach disease. A clinical analysis was carried out on 16,473 patient taken gastrofiberscopy who were considered to have somc stomach disease clincally from February 1980 to July 1987 in dept of internal medicine, Kang Nam Sacred Heart Hospital. Thereafter, the following results were obtained.1) Of 16,473 patient taken gastrofiberscopy, patients who diagnosed having gastric ulcer, cancer, polyp were 2,025 patients. 2) This 2,025 patients revealed that gastric ulcer is the highest frequency (61.3%), the next was gastric cancer (31.6%), and gastric polyp (7.1%) in order. 3) The most prevalent sites of 2.025 patients were body with rate of 36% and next came angle, antrum in order. 4) Viewing the stomach laterally, lesser curvature was most prevalent site and next carne anterior portion, posterior portion, circular portion, greater curvature in order. 5) The most prevalent site of stomach ulcer was angle with the rate of 36.4% and next came body and antrum while lesser curvature was most prevalent site viewing the stomach laterally. 6) The most prevalent site of early stomach cancer was antrum with the rate of 41.6% and next carne body and angle, while lesser curvature was most prevalent site viewing the stomach laterally. 7) The most prevalent site of advanced cancer was antrum with the rate of 47.2% and next came body while lesser curvature was most prevalent site viewing the stomach laterally. 8) The most prevalent site of gastric polyp was antrum with the rate of 58.0% while posterior wall was most prevalent site viewing the stomach laterally.