http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
정을순(Eul Soon Chung),이상종(Sang Jong Lee),전우규(Woo Kyu Jeon),김병익(Byung Ik Kim),박정로(Jung Ro Park),김천중(Cheon Jung Kim),권중혁(Joong Hyuck Kwon),유영석(Young Suk Yoo) 대한소화기학회 1993 대한소화기학회지 Vol.25 No.4
One of the well-recognizecl complications of peptic ulcer is perforation into the adjacent organs. A classic example is gastrocolic fistula. Despite predilection of both the stomach and duodenum for peptic ulcer disease, however, the development of a fistula between these two organs is unusual. We report a paitient in whom the fistuious communication of the gastric antrum and the duodenal bulb rnanifested as an accessory pyloric channel.
활동성 궤양성 대장염 환자에 있어서 도플러 초음파의 유용성
정수석(Soo Suk Jung),조용균(Yong Kyun Cho),박정식(Jeong Sik Park),김시영(Si Young Kim),김창섭(Chang Seop Kim),손정일(Chung Il Sohn),박창영(Chang Young Park),김병익(Byung Ik Kim),정을순(Eul Soon Jung),박해원(Hae Won Park),전우규(Woo K 대한소화기학회 2002 대한소화기학회지 Vol.39 No.3
Background/Aims : An increase in splanchnic blood flow in both artery and vein has been observed in activeulcerative colitis (UC). Doppler ultrasonography (US) is a non-invasive evaluation method of splanchnic arterialinflow in superior mesenteric artery (SMA). This study was undertaken to assess the usefulness of Doppler Usin detecting changes of the hemodynamic variables in patients with UC. Methods: Twenty-two patients with UC(14, active UC; 8, inactive UC) were studied, and compared with 14 matched healthy subj ects. Flow velocity,resistance index (RI), and pulsatile index (PI) of the SMA were evaluated by Doppler US. Results: Peaksystolic velocity was significantly higher in patients with active UC than in patients with inactive UC and control (178±53 m/sec vs. 117±15 m/ sec, 111±24 m/ sec; p<0.05). The PI of SMA was significantly lower inpatients with active and inactive UC than in control (1.58±0.53, 1.7±0.52 vs. 2.9±0.44; p<0.05). Minimaldiastolic velocity and RI of the SMA were not significantly different among three groups. Conclusions: Peaksystolic velocity of SMA reflects the activity of the disease in patients with UC. Doppler US in patients with UC is an important non-invasive, readily available method to evaluate the activity of the disease and predict itsrecurrence. (Korean J Gastroenterol 2002;39 :192-197)
위장관 ( 胃腸管 ) : 원발성 위악성 임파종의 임상적 관찰
이상종(Sang Jong Lee),박영철(Young Chul Park),이승세(Seung Sei Lee),정을순(Eul Soon Jung),권순호(Soon Ho Kwon),이화영(Hwa Young Lee) 대한소화기학회 1990 대한소화기학회지 Vol.22 No.3
N/A Primary gastric lymphoma represents 1 to 6% of all gastric cancer and anatomically is the most common type of extranodal lymphoma. We present the clinicopathologic findings in 9 patients with primary gastric lymphoma between Jaunary 1984 and March 1990 in the this hospital. 1) The mean age of patients was 46.0 years with a male to female ratio 3.5:l. 2) The most common initial symptom was epigastric pain among these patients. 3) Fiberoptic gastroscopy was performed in 9 patients, who revealed ulceroinfiltrative lesion in 4 cases, ulcerative lesion in 3 cases, infiltrative lesion in 2 cases, respectively. Pathologic findings of biopsy specimens elicited gastric lymphoma in 8 cases and adenocarcinom in 1 case respectively. 4) All were non-Hodgkins lymphoma, and histologic classification by the Rappaport system was possible in all cases including 4 cases of diffuse histiocytic type, 3 cases of diffuse mixed histiocytic and lymphocytic, 2 cases of diffuse lymphocytic poorly differeatiated type respectively. 5) According to modified TMN staging system, 3 cases were stage I, 2 cases stage II, 2 cases stage III and 2 cases unknown in our series. 6) Surgical resection was done on 7 patients, of whom 5 patients received chemotherapy and 2 patients both combined chemotherapy and radiotheyapy. The 2-years survival rate of our seriea was 55.6%.
빈번한 위장관 출혈을 동반한 Peutz - Jeghers 증후군
이상종(Sang Jong Lee),이만호(Man Ho Lee),박영철(Young Chul Park),김명숙(Myung Sook Kim),정을순(Eul Soon Jung),박창영(Chang Young Park),김경중(Gyoung jung Kim) 대한소화기학회 1989 대한소화기학회지 Vol.21 No.3
Peutz-Jeghers Syndrome is an autosoma] dominant syndrome consisting of mucocutaneous pigmentation and intestinal polyposis. It is characterized by harmartomatous gastrointestinal polyps and pigmentation of oral mucosa, skin of mouth, eyes, nostril, fingers, toes, and soles. A previously healthy 15-yer-old school boy was admitted to this hospital because of intermittent abdominal pain and melena during the past three years. His condition was diagnosed as chronic gastroenteritis by LMDS without any improvement. Pale tan cutaneous pigmentation on the perioral and periorbital areas, lips, face, and digits. The similar macules on the oral mucosa was observed. Endoscopic examination of the upper and lower gastrointestinal tract including the radiological studies of the small bowel revea1ed the numerous polyps through the whole gut. Scanty rectal bleeding from the polypous mass was demonstrated. Polypectomy of the two regions of the stomach and the rectum, successfully. Histologically, the polyps were harmartomatous. There was no known family history of mucocutaneous pigmentation or melanoma. The medical conservative treatment including two pints of whole blood transfusion was done with improvement.
지방간에 대한 혈청 r-glutamyl transferase ( GGT ) 의 진단적 유용성 및 다른 인자와의 상관관계
최권(Kwon Choi),김병익(Byung Ik Kim),조용균(Yong Kyun Cho),박창영(Chang Young Park),손정일(Jung Il Sohn),전우규(Woo Kyu Jeon),김향(Hyang Kim),정을순(Eul Soon Chung),금동극(Dong Geuk Keum),이화영(Hwa Young Lee),이상종(Sang Jong Lee) 대한내과학회 1999 대한내과학회지 Vol.57 No.6
N/A Background : Gamma-glutamyl transferase(GGT) has found wide application as a diagnostic test in hepatobiliary disease, and has been used as the best single marker of alcohol intake. In spite of the wide use of GGT in clinical practice, knowledge concerning the distribution and the determinants of this risk factor in the normal population is spared in Korea. We tried to obtain a better evaluation of specificity of serum GGT by analysis of a large population of health examination. Methods : GGT was measured in 17,140 males aged 17-86 years and 12,125 females aged 18-90 years screened in a health survey program. Results : In multiple regression analyses, serum GGT level showed strong positive association with fatty liver, body mass index, serum levels of AST, ALT triglyceride, uric acid, alkaline phosphatase, systolic blood pressure, and diastolic blood pressure, and weakly positive association with serum levels of creatinine, total cholesterol, and fasting blood sugar. In females, menopause were positively associated with GGT. Conclusions : An elevated serum GGT levels is a strong indicator of hepatobiliary dysfunction or fatty liver. However, proper interpretation of a serum GGT elevation should be carefully considered in correlation with clinical data and laboratory findings. (Korean J Med 57:1006-1013, 1999)
상부 위장관 질환에 있어 Campylobacter Pyloridis 에 대한 연구
이상종(Sang Jong Lee),이만호(Man Ho Lee),박영철(Young Chul Park),강진호(Jin Ho Kang),정을순(Eul Soon Jung),홍미재(Mi Jae Hong),김유경(You Kyoung Kim) 대한소화기학회 1989 대한소화기학회지 Vol.21 No.1
N/A Since the first description of an unidentified curved bicillus that was called campylobacter pyloridis and isolated from gastric mucosa by Warren and Marshall in 1983 the campylobacter pyloridis has been implicated as a bacteriologic agent for the etiology of gastritis and peptic ulcer. 171 patients with upper gastrointestinal symptoms referred to endoscopic study in our clinic between December 1987 and December 1988, 19 asymtomatic individuals were considered for study. By culture of Warthin-Starry silver stain and gram stain or both, we found that overall 73% (124/171) of patients were positive for compylobacter pyloridis. In other endoscopic groups, the following positive incidence were found: severe superficial gastritis, 76% (67/88): chronic superficial gastritis, 67 %(33/49); gastric ulcer, 81%(9/11): duodenal ulcer, 83%(5j6): gastric cancer 59%(10/17). In various histologic groups, we found the organism in 75%(81/108) of patients among severe superficial gastritis and 59%(10/17) of patients among gastric adenocarcinoma. But in the control group of 19 asymptomatic individuals, the organisms were found from only 5 cases (26%). In its antimicrobial sensitivity test, cephalosporin, chloramphenicol, erythromycin, carbenicillin, kanamycin and tetracycline have the sensitivity of 100%. Amikin, ampicillin and tobramycin were sensitive in 71% to 80% and gentamycin was sensitive in 50%, but colistin was resistant. 12 campylobacter pyloridis positive patients were treated by various therapeutic regimens for 4 weeks (ranitidines, sucralfate: colloidal bismuth substrate: antibiotics). Among the patients, the patients, the histologic improvement was in the group treated with colloidal bismuth substrate. These results support the hypothesis that campylobacter pyloridis might be etiologically related to gastritis and peptic ulcer.