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위장관 ( 胃腸管 ) : 상부 위장관 내시경 검사시 동맥혈 산소 포화도의 변화에 관한 연구
민영일(Young Il Min),이영상(Young Sang Lee),김해련(Hae Ryun Kim),고윤석(Youn Suck Koh),김명환(Myung Hwan Kim),두영철(Young Cheoul Doo),정영화(Young Hwa Joung),양석균(Suk Kyun Yang),김우성(Woo Sung Kim),김원동(Won Dong Kim) 대한소화기학회 1990 대한소화기학회지 Vol.22 No.3
N/A Gastrointestinal endoscopy is one of the most frequent procedures, but relatively little is known about its pulmonary effects. Pulse oximeter is a convenient and non-invasive methods which monitors SaO2 and pluse rate. So, we studied the change of SaO2 and pluse rates during esophagogas-troduodenoscopy in the patients with impaired plumonary function and normal controls by pluse oximeter. In conclusion, the drop in SaO2 during endoscopy could occur in the pulmonary disease patients with mild to moderate imparied pulmonary function, but this change was transient and recovered rapidly during examination. So, we suppese that specific therapy such as O2 supply may not be requried durging endoscopy in these patients.
민영일(Young Il Min),이영상(Young Sang Lee),김해련(Hae Ryun Kim),김명환(Myung Hwan Kim),두영철(Young Cheoul Doo),김상위(Sang We Kim),정영화(Young Hwa Joung),이승규(Sung Gyu Lee),박건춘(Kun Choon Park),민병철(Pyung Chul Min),유은실(Eu 대한소화기학회 1990 대한소화기학회지 Vol.22 No.2
We experienced 2 cases of angiodysplasia in duodenal bulb and stomach. The patients had a history of repeated upper gastrointestinal bleeding, and were diagnosed as a angiodysplasia by gastroscopy and angiography. they were treated with surgery due to large lesional involement.
체외 충격파 쇄석술 및 내시경적 유두 괄약근 절개술로 제거된 총담관 거대 담석 2예
민영일(Young Il Min),이영상(Young Sang Lee),김해련(Hae Ryun Kim),김명환(Myung Hwan Kim),정영화(Young Hwa Joung),민병철(Pyung Chul Min),양석균(Suk Kyun Yang),임채만(Chai Man Lim),이승규(Sung Kyu Lee),조경석(Kyung Shik Cho) 대한소화기학회 1990 대한소화기학회지 Vol.22 No.3
We have performed extracorporeal shock-wave lithotripsy for fragmentation in the two patients with 3 cm sized single common bile duct stone, who had been cholecystectomized previously. After ESWL, multiple stone fragments were completely removed by endoscopic papillotomy and balloon extraction.
Cytomegalovirus감염이 동반된 Crohn대장염
민영일(Young Il Min),이영상(Young Sang Lee),김해련(Hae Ryun Kim),김명환(Myung Hwan Kim),정영화(Young Hwa Joung),김상위(Sang Wi Kim),김진천(Jin Chun Kim),이인철(In Chul Lee) 대한소화기학회 1990 대한소화기학회지 Vol.22 No.2
Crohn's colitis, a variety of chronic nospecific inflammatory bowel disease is a rare disease of unknown cause in Korea. Cytomegalovirus may cause primary boyrel inflammation mostly in immune-compromised host, and may aggravate the course of thd chronic imflmatory bowel disease. A 53 year old female, referred due to abdominal pain and diarrhea, had the evidence of cytomegalovirus infection in the ulcerated colonic mucosa, which was confirmed later as Crohn's disease of colon, pathologically. Case history was presented and reviewed.
경구 Nitrate 제재 투여로 호전된 Biliary Dyskinesia
민영일(Young Il Min),이영상(Yung Sang Lee),김해련(Hae Ryun Kim),이성구(Sung Koo Lee),김명환(Myung Hwan Kim),정영화(Young Hwa Joung),양석균(Suk Kyun Yang),전용철(Yong Cheol Jeon) 대한소화기학회 1991 대한소화기학회지 Vol.23 No.2
Biliary dyskinesia is a functional disorder of the biliary tracts, especially spasm of the sphincter of Oddi (SO). It is sometimes impossible to differentiate patients with true biliary dyskinesia from those patients with papillay stenosis, which is a structual narrowing of SO segment. We report a case of biliary dyskinesia diagnosed and treated by nitrates. The paitent has suffered from chronic liver disease and admitted to our hospital due to biliary pain and aggravated liver function. On biliary manometry, the basal pressure of SO phasic contractions and common bile duct pressure were increased. Also tachyoddia and increased retrograde propagation of phasic contractions were observed. After intravenous injection of nitrate, the basal pressure of SO were decreased and phasic contractions disappeared within 30 seconds. She was diagnosed as biliary dyskinesia and treated by long acting oral nitrates. And then, her symptoms were disappeared and liver function was improved.
3형제에서 발현된 Caroli병을 동반한 선천성 간 섬유화증 3예
이인철 ( In Chul Lee ),이영상 ( Young Sang Lee ),김명환 ( Myung Hwan Kim ),유은실 ( Eun Sil Yu ),민영일 ( Young Il Min ),류진숙 ( Jin Sook Ryu ),김해련 ( Hae Ryun Kim ),정영화 ( Young Hwa Joung ) 대한소화기학회 1990 대한소화기학회지 Vol.22 No.2
We have experienced 3 cases of congenital hepatic fibrosis with Caroli's disease in 3 siblings, whose clinical manifestations were diverse such as repeated cholangitis or variceal hemorrhage. They also had multiple renal cysts, so we suppose that the clinical entities of these patients are in the spectrum of fibropolycystic disease of liver and kidney.
대량 출혈을 일으킨 원발성 위 Carcinoid 종양 1예
이영상,김명환,민영일,김해련,정영화,임채만 대한소화기내시경학회 1990 Clinical Endoscopy Vol.10 No.1
We experienced a case of gastric carcinoid with melena and syncope, which had a metastasis to regional lymph nodes. The gastric carcinoid tumor with massive upper gastrointestinal bleeding, which required transfusion, is very rare disease. So we report a case of gastric carcinoid with massive upper gastrointestinal bleeding with a review of relevant literature.