上部 消化管 出血을 同伴한 食道結核 1 例

정배기,박용주,김영철,윤중근,이성주,설상영 인제대학교 1990 仁濟醫學 Vol.11 No.4

We have experienced a case of tuberculosis of esophagus with UGI bleeding. The diagnosis was confirmed by histologic finding of biopsy specimen obtained from the site of ulceration. A brief review of related literature was made.

전주한옥마을 숙박업의 선택속성이 관광객의 만족도 및 행동의도에 미치는 영향 : IPA 연구 중심으로

배기철,최효,정총화 관광경영학회 2018 관광경영연구 Vol.84 No.-

This study of Jeonju Hanok Village, famous for its cultural attractions, was selected as a tourist attraction in Korea and a traditional Korean city in 2010. Jeonju Hanok Village can be regarded as one of Korea's representative cultural and touristic areas with about 700 Korean Traditional houses, Hanji, Korean cuisine and various cultural attractions. The city itself is an excellent tourist destination, an important place where tourism activities take place, is based on natural resources, and has a variety of tourism resources. Therefore, the city has a great potential as a tourism resource in that it can effectively utilize its facilities and resources. There are many researches related to Jeonju Hanok Village and tourists in Jeonju Hanok Village. However, there are not many studies on the effects of lodging selection attribute, tourist satisfaction and behavioral intention in Jeonju Hanok Village. Therefore, it is necessary to clarify the influence of the selection of lodging in Jeonju Hanok Village and the tourist satisfaction and behavioral intention of Jeonju Hanok Village.

대학교의 교육서비스품질이 유학생의 자아존중감, 전공만족, 충성도에 미치는 영향

정총화,배기철 관광경영학회 2020 관광경영연구 Vol.97 No.-

The current education market has rapidly reduced the number of students admitted to high school from high school due to various problems in Korea. Due to the influx of foreign education market, the supply and demand of education has not been able to balance supply and demand, and this has changed from a supply-oriented market to a market centered on demand. Self-esteem and major satisfaction can be major variables affecting the loyalty of major students. Therefore, it is necessary to identify and improve key variables that can be developed and changed to improve the quality of education service, self-esteem, major satisfaction, and loyalty of international students. For the demonstration of this study, international students attending three schools in Jeollabuk-do (Jeonju University, Wondae University, Woosuk University), which are judged to have similar school size, external evaluation level, and admissions procedure for new students It was selected as a study subject. From March 15 to April 30, 2020, a questionnaire was conducted using the convenience sampling method through the international student community due to Corona 19, and a total of 230 copies of the questionnaire were distributed, excluding 20 copies that could not be used as analytical data. 210 parts were used as data for analysis of the results. The results of this study are as follows. First, in order to understand the degree of influence of educational service quality on the self-esteem of international students, factors of education service quality were analyzed and regression analysis was conducted. As a result, all factors of educational service quality were responsive, confident, reliable, and empathetic. It was found that there was no significant effect on self-esteem. Second, in order to understand the degree of impact of educational service quality on major satisfaction, a factor analysis of each item of educational service quality was conducted to perform regression analysis. As a result, all factors of educational service quality responsiveness, confidence, reliability, and empathy were satisfied. It appeared to have a significant effect on. Third, in order to understand the degree of the impact of educational service quality on loyalty, a regression analysis was performed by analyzing each item of educational service quality. As a result, it was found that only factor response and reliability of educational service quality affect loyalty (preference). Fourth, as a result of conducting a regression analysis by analyzing each item of education service quality in order to understand the degree of the impact of education service quality on loyalty, all factors of education service quality are responsiveness, reliability, reliability, and empathy. Fifth, in order to understand the degree of self-esteem affecting major satisfaction, it was found that the factors of self-esteem were analyzed and regression analysis was performed, indicating that the major satisfaction was not significant. Sixth, in order to understand the degree of the effect of self-esteem on loyalty, a regression analysis was performed by analyzing the factors of self-esteem, and the results showed a significant result only in the preference of loyalty.

건강 무증상인에서 상부 위장관 내시경 소견

이재준,오성웅,정배기,윤중근,김종인,이성주,설상영 인제대학교 1989 仁濟醫學 Vol.10 No.4

건강 신체검사를 위해 내원한 73례의 무증상 건강인에서 상부 위장관 내시경검사를 실시하여 23례에서 이상 소견을 관찰하였기에 문헌 고찰과 함께 보고한다. In a prospective study, 73 asymptomatic healthy persons, who were received routine physical examination, 18 to 60 years of age, were screened by esophagogastroduodenoscopy. Twenty-three (31.5%) showed abnormal endoscopic findings. Some volunteers had more than one of lesion or more than one grade of lesion in each anatomic location. In 6 (8.2%) of these subjects the esophagus was a site of lesion, while in 20 (27.4%) the stomach was involved, and in 15 (20.5%) the duodenum was involved. Endoscopic diagnosis of these asymptomatic subjects were 5.5% for erosive esophagitis, 17.8% for erosive gastritis, 1.4% for gastric ulcer, 12.3% for duodenitis and 2.7% for duodenal ulcer.

내시경적 유두괄약근 절개술을 이용한 간외담관결석 제거 후 결석 재발에 영향을 미치는 인자

이진헌,강진경,박인서,문영명,정재복,정재연,송시영,김형길,정배기 대한소화기내시경학회 1999 Clinical Endoscopy Vol.19 No.4

Background/Aims: Long term results of an endoscopic sphincterotomy (EST) have still been poorly estimated. The aim of this study was to assess late complications of EST. Methods: The rate of late complications were retrospectively evaluated in with 91 patients (mean age, 59.1 years; range, 28∼86 years; M:F, 44:47), who underwent EST for choledocholithiasis. Results: Forty six patients (50.5%) had their gallbladder in situ, and 45 patients (49.5%) underwent cholecystectomy. Early complications (<30 days) such as hemorrhage, pancreatitis, and perforation occurred in 7 patients (7.7%). During a mean period of 53.4 months (range, 24∼134 months), 26 patients (28.0%) developed late complications, including a recurrence of CBD stones in 20 patients (22.0%) (8-gallbladder in situ, 12-cholecystectomized). An univariate analysis of risk factors for stone recurrence revealed dilated ducts, stone sizes, and stone numbers which were not related with stone recurrence. The history of choledocholithotomy with cholecyste was significantly related to stone recurrence. Conclusions: After EST for bile duct stones, late complications occurred in a significant proportion of patients and it was determined that a history of choledocholithotomy with cholecystectomy was significantly correlated with stone recurrence.

간외 담관암에서 경유듀 조직생검과 담즙세포진 병합검사의 유용성

박승우,강진경,박인서,문영명,정재복,송시영,정배기 대한소화기내시경학회 1999 Clinical Endoscopy Vol.19 No.4

Background/Aims: In the management of patients with extrahepatic bile duct carcinoma, histologic diagnosis is crucial to determine therapeutic modalities, to predict their outcomes, and to avoid an unnecessary operation. Though various methods were developed, none of them yielded satisfactory results. A combination of those methods was reported to yield superior sensitivity and specificity to a single method. To evaluate the diagnostic efficacy, endoscopic transpapillary biopsy (ETPB) and exfoliative bile aspiration cytology (BAC) was performed in 40 patients with extrahepatic bile duct carcinoma. Methods: After visualization of the biliary tree and the lesion by endoscopic retrograde cholangiopancreatography (ERCP), ETPB (n=40) and BAC (n=28) was done in one session with or without endoscopic sphincterotomy (EST) and the results of two methods were analyzed. Results: The final diagnoses were made by surgical pathology and by clinical follow-ups of more than a year. The locations of the 40 bile duct carcinomas were in the upper area in 25, the middle in 14 and the lower in 1. ETPB was performed in all patients and BAC in 28 patients. The overall sensitivity of the ETPB was 65.0% (26/40). According to the morphology and location, the sensitivity of ETPB was 65.6% (11/32) for sclerotic, 60.0% (3/5) for papillary, and 66.7% (2/3) for the protruding type, and 68.0% (17/25) for the upper bile duct lesion, 64.3% (9/14) for the middle, and 0% (0/1) for the lower. The overall sensitivity of the BAC was 71.4% (20/28). According to the morphology and location, the sensitivity of BAC was 80.0% (16/20) for sclerotic, 20% (1/5) for papillary, and 100% (3/3) for the protruding type, and 82.4% (14/17) for the upper bile duct lesion and 54.5% (6/11) for the middle bile duct lesion. When the two tests were combined, the sensitivity rose to 96.4% (27/28). Conclusions: A combination of ETPB and BAC is useful in making a histologic diagnosis in patients with bile duct carcinoma.

Difference in Tumor Area as a Predictor of a Pathological Complete Response for Patients With Locally Advanced Rectal Cancer

송지형,박요한,서상혁,이안복,김광희,안민성,배기범,홍관희,황진원,김지현,정현석,안기정 대한대장항문학회 2017 Annals of Coloproctolgy Vol.33 No.6

Purpose: This study was conducted to discover the clinical factors that can predict pathologically complete remission (pCR) after neoadjuvant chemoradiotherapy (CRT), so that those factors may help in deciding on a treatment program for patients with locally advanced rectal cancer. Methods: A total of 137 patients with locally advanced rectal cancer were retrospectively enrolled in this study, and data were collected retrospectively. The patients had undergone a total mesorectal excision after neoadjuvant CRT. Histologic response was categorized as pCR vs. non-pCR. The tumor area was defined as (tumor length) × (maximum tumor depth). The difference in tumor area was defined as pre-CRT tumor area – post-CRT tumor area. Univariate and multivariate logistic regression analyses were conducted to find the factors affecting pCR. A P-value < 0.05 was considered significant. Results: Twenty-three patients (16.8%) achieved pCR. On the univariate analysis, endoscopic tumor circumferential rate <50%, low pre-CRT T & N stage, low post-CRT T & N stage, small pretreatment tumor area, and large difference in tumor area before and after neoadjuvant CRT were predictive factors of pCR. A multivariate analysis found that only the difference in tumor area before and after neoadjuvant CRT was an independent predictor of pCR (P < 0.001). Conclusion: The difference in tumor area, as determined using radiologic tools, before and after neoadjuvant CRT may be important predictor of pCR. This clinical factor may help surgeons to determine which patients who received neoadjuvant CRT for locally advanced rectal cancer should undergo surgery.

대장의 점막하 혈종과 출혈을 동반한 전신성 유전분증 1예

조용석,박인서,문영명,유효민,김원호,정배기 대한소화기내시경학회 1999 Clinical Endoscopy Vol.19 No.5

A case of systemic amyloidosis involving the upper and lower gastrointestinal tract is presented. The initial manifestation of this case was bloody diarrhea. On colonoscopy, multiple submucosal hematomas and irregular ulcerations of the sigmoid and descending colon were found. The pathologic diagnosis was confirmed by an endoscopic mucosal biopsy of the gastrointestinal tract and the specimen revealed massive amyloid deposits in the wall of the upper and lower intestinal tract. With intensive medical treatment, the submucosal hematoma disappeared and the ulcerations decreased in size. However, on the 29th day, the patient was expired due to unexpected sepsis.