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- 저자 : 정문관(Moon Kwan Chun) (검색결과 5 건)
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김춘직(Chun Jik Kim),김상운(Sang Woon Kim),이수정(Soo Jung Lee),김홍진(Hong Jin Kim),심민철(Min Chul Shim),권굉보(Koing Bo Kwun),정문관(Moon Kwan Chung) 대한소화기학회 1994 대한소화기학회지 Vol.26 No.1
N/A Since operative cholangiography was introduced by Mirizzi in 1932, surgeons have used it routinely during cholecystectomy to find silent CBD stones. However, recent developments in preoperative evaluation techniques have led to debates regarding the routine use of operative cholangiography. The purpose of this study is to evaluate the necessity of the routine use of operative cholangiography. Of the 839 patients who underwent cholecystectomy, 625 patients underwent preexp- loratory cholangiography during the period from June 1983 to December 1991, at the Depart- rnent of Surgery, Yeungnam University Hospital. Unsuspected common duct stones were found in 5 out of 149 patients(5.9%) by preexploratoty cholangiography when emergency cholecystectomy was performed. Of the 448 cholangiography in patients without any abnor- mality in the preoperative test and no operative indication for CBD exploratiOn, the incidence of gall stones was only 1.1%. Of the 82 patients with minor abnormality of LFT or ultrasonogram, 38 cases of elective cholecystectomy were carried out without any other test. The incidence of gall stones in these patients was 28%. The ERCP was attempted on 163 pa- tients with one or more of the following abnormalities: LFT, ultrasonogram and past history of jaundice, pancreatitis or cholangitis. In 117 of these patients, CBD stones were found, in 2 of the patients, stricture were found, and in the rernaining 44, no stones were found. The ERCP performed on 35 patients with normal findings of preopeative LFT or ultrasonogram showed no evidence of CBD stone. Of the 79 whose ERCP was judged normal preoperatively, no stones were found at operative cholangiography. Therefore the following points may be concluded: First, operative cholangiography should be performed when emergency cholecystectomy is indicated. Secondly, it should also be done when the confirmatory test, such as ERCP, PTC and CT was not performed or failed in pa- tients with one or more of the following abnormalities such as LFT, ultrasonogram and past history of jaundice, pancreatitis or cholangitis. Finally, it should also be carried out on patients with dilated duct, small stones in the gallbladder and enlarged cystic duct.(Korean J Gastroenterol 1994; 26: 167-174)
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김종명(Jong Myung Kim),조현홍(Hyeon Hong Jo),신동구(Dong Goo Sin),정문관(Moon Kwan Chun),이헌주(Heon Ju Lee),이현우(Hyeon Woo Lee) 대한내과학회 1989 대한내과학회지 Vol.36 No.4
N/A The most common cause of hepatic outflow obstruction in the world is idiopathic membranous obstruction of the inferior vena cava (MOVC), but in Korea only a few articles have reported it. We report here a case of a 19-year old female with MOVC. As with and other cases of MOVC, there was no evidence of chronic or specific symptoms and signs of liver disease except fatigability, abdominal distension, and edema on the lower legs for several months. The early recognition of MOVC can be difficult but its diagnosis is important sincs, in many cases, the obstruction may be surgically corrscted moreover in Korea, MOVC must be ruled out from other various chronic liver disease caused by related with hepatitis B
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소세포폐암에 동반된 Eaton-Lambert Syndrome 1례
이경희,정문관,현명수,정재천,이현우,하정상,변영주 영남대학교 의과대학 1989 Yeungnam University Journal of Medicine Vol.6 No.1
저자들은 영남대학병원에 입원한 52세 남자환자로서 임상소견, 조직소견, 근전도 소견상으로 소세포폐암과 동반된 Eaton-Lambert증후군으로 진단된 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Eaton Lambert syndrome(ELS)is a disorder of neuromuscular transmission. The defect of neuromuscular transmission is due to decrease in the release of acetylcholine guanta from nerve terminal. This syndrome is frequently associated with bronchogenic carcinoma. The diagnosis is established by electromyography, which characteristically shows 1) low amplitude of evoked compound muscle potential to a single supramaximal stimulus on nerve, 2) significant decremental response at low rates of stimulation 3) marked incremental response at high rates of stimulation. Our patient is 52 year old man with dyspnea, coughing and muscle weakness of proximal lower limbs. He has small cell lung cancer and associated with ELS, Superior venacava syndrome and has metastatic lesion on right supraclavicular lymphnode confirmed by pathology. Metastatic mass and SVC syndrome are marked improved following chemotherapy and radiotherapy, however follow up EMG finding dose not improved. We are here reporting one case which considered compatible for ELS, with a few elementary reviewed literatures.
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김시환,이영현,이헌주,정문관,최수봉,김종설,권굉보,황미수,장재천,이태숙 영남대학교 의과대학 1984 Yeungnam University Journal of Medicine Vol.1 No.1
저자 등은 상복부종양을 주소로 영남대학병원 내과에 입원하여 거대 간혈관종으로 진단하여 성공적으로 절제해 낸 1例를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Hepatic hemangioma is a benign neoplastic disease of the liver and characterized by high vascularity and accompanied with bleeding episode. We report a case of giant hepatic cavernous hemangioma and review the literature briefly. A 44-years old female patient was admitted because of palpable abdominal mass, which growing for 15 years. She was diagnosed as hepatic hemangioma by abdominal CT scan and selective celiac angiography. She was performed the left lateral segmentectomy of liver and the pathological report was cavernous hemangioma of the liver.
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이헌주,박종선,이현우,정문관,강중순,이삼범 대한내과학회 1991 대한내과학회지 Vol.41 No.4
Double pylorus is one of the rare anomalies of the lintestinal tract which form an extrapyloric connection between the antrum of the stomach and the duodenal bulb. Some investigators postulate that the doubling of the pyloric channel is a congenital phemomenon, but others believe that it is an acquired lesion. We experienced a case of double-channel pylorus confirmed by follow-up endoscopy in a peptic ulcer patient, and therefore the abnormality was clearly considered to be acquired.
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