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      • SCOPUSKCI등재

        대장결핵과 합병된 대장선암

        성시경(Shi Gyeong Seong),유창수(Chang Soo Ryu),김덕기(Deok Ki Kim),박기현(Kee Hyun Park),조병석(Byoung Seok Cho),최호순(Ho Soon Choi) 대한소화기학회 1996 대한소화기학회지 Vol.28 No.5

        The association of tuberculosis with carcinoma has been reported in most of the organs of the body. The common sites are the skin, larynx, and 1ung, where the development of cancer is a complication of chronic tuberculous ulceration, but the coexistence of these diseases at the same site of the intestine has been reported very rarely. The exact relationship between the abdominal tuberculosis and colon cancer is not evident, but the possibility of of a patho-etiological relationship may exist. We report a case of tuberculosis which had been combined with adenocarcinoma at the same site of the transverse colon. A 60-year-old man who had had intestinal tuberculosis diagnosed by colonoscopic biopsy, had been medicated with antituberculous drugs. The clinical symptoms and signs of him had been improved transiently, but progressed to the worsening course thereafter. We had found adenocarcinoma at the lesion of the tuberculous colitis by colonoscopy, later. (Korean J Gastroenterol 1996;28:738 - 742)

      • SCOPUSKCI등재

        화농성 심낭염, 간농양 및 농흉을 야기한 총담관 거대결석 치유 1예

        박병수,최호순,박강서,최우석,조병석,최덕례,고정희,안진형 대한소화기내시경학회 1994 Clinical Endoscopy Vol.14 No.3

        The complications of bile duct stone are cholangitis, pancreatitis, obstructive jaundice, liver abscess, and secondary biliary cirrhosis. Liver abscess may produce pyothorax, peritonitis, subphrenic abscess, and pyogenic pericarditis. The case studies of pyogenic pericarditis secondary to pyogenic liver abscess are rarely reported. Stones greater than 20mm in diameter are difficult or impossible to remove with a standard basket or balloon after sphincterotomy. There are several nonsurgical treatment options for large bile duct stone: mechanical lithotripsy, endoprosthesis, extracorporeal shock-wave lithotripsy (ESWL), electrohydraulic lithotripsy, contact dissolution therapy, and laser lithotripsy. We experienced a case of large bile duct stone which complicated by pyogenic pericarditis, liver abscess, and pyothorax. He treated with antibiotics, closed thoracostomy, partial pericardiectomy, and removal of bile duct stones by extracorporeal shock-wave and mechanical lithotripsy after endoscopic sphincterotomy and nasobiliary drainage.

      • SCOPUSKCI등재

        내시경적 결찰술에 의한 Dieulafoy 병의 치료 3예

        박성규,박병수,최호순,고정희,박강서,최우석,조병석,최덕례,안진형 대한소화기내시경학회 1994 Clinical Endoscopy Vol.14 No.3

        Dieulafoy lesion is very small and easily overlooked as a course of massive, often recurrent hemorrhage that results from the crosion of a submucosal artery, typically in the gastric cardia or fundus. The clinical picture of Dieulafoy lesion is quite uniform: patients commonly present with massive hemorrhage and melena without any relevant history. The diagnostic procedure of choice in patients with severe gastrointestinal bleeding is emergency endoscopy. The lesion is rare but potentially life threatening source of upper gastrointestinal bleeding. Before the endoscopic era, the prognosis for patients with these lesions was quite poor. However, recent reports have described the success of endoscopic therapy in the management of Dieulafoy lesion. We performed emergency endoscopy in 3 patients who had massive or recurrent episode of upper gastrointestinal bleeding, identified to the Dieulafoy lesion. We tried to Endoscopic $quot;0$quot; band ligation, successfully in hemostasis and prevention of recurrence.

      • KCI등재후보

        체외 충격파 쇄석술과 기계식 쇄석술을 이용한 총담관 거대 결석 치유 5 예

        정경태,박병수,유석준,최호순,고정희,박강서,최우석,조병석,이현상,안진형,최덕례 대한내과학회 1995 대한내과학회지 Vol.48 No.6

        To improve the cost-effectiveness for removal of large common bile duct stones, we have performed ESWL and mechanical lithotripsy in 5 patients who were at high risk for surgery and had large CBD stones. In our cases, combined therapy with ESWL and mechanical lithotripsy was a safe, useful, cost-effective method for removal of lange CBD stones.

      • SCOPUSKCI등재

        식도정맥류 출혈의 내시경적 결찰요법의 임상적고찰

        정경태,박병수,최호순,고정희,박강서,조병석,이현상,최덕례 대한소화기내시경학회 1994 Clinical Endoscopy Vol.14 No.3

        Endoscopic infection sclerotherapy(EIS) has been shown to be the most effective simple method for control of bleeding and eradication of varices. This method has been accepted widely as a standard treatment of bleeding esophageal varices. However, EIS may be associated with undesirable local and systemic complications. Endoscopic variceal ligation(EVL) was first described in 1986 by Stiegmann et al, which consists of mechanical ligation and thrombosis of varices using elastic $quot;0$quot;-ring. EVL has been shown to control active bleeding and to eradicate varices when sessions are repeated. The purpose of this study was to compare with change of esophageal variceal form, with respect to safety, efficacy and complications of EVL in the each sessions. We performed EVL in 43 patients who had recently bled from esophageal varices. Total 679 variceal ligations were performed during 174 separyte EVL sessians. Eighteen(94.7%) of those actively bleeding(19 patients) at initial treatment had bleeding controlled at initial session. During the study period two patients died after 1st and 3rd session, one who died from aggravation of concomitant hepatoma with rebleeding, the other died from early massive rebleeding after 3rd session. Rebleeding, before eradicates varices, occured in 7 patients(16.3%) two patients had bled from varices with aggravation of concomitant hepatoma, other 2 patients had bled from early varices ligation, other 3 patients had bled from re-varices formation in fundus of the stomach. Varices were eradicated or reduced to F₁ in 36 patients(87.8%) of the 41 follow up patients. Each patient received mean 15.8 ligations and 4.1 sessions during the 1st to 6th sessions. Eradication rate of varices(F_0) has increased from the 3rd to the 4th session periods. Improvement rate of varices(F₁) has increased from the 1st to the 3rd session periods. During the 5th or the 6h EVL sessions, eradication and improvement rate of esaphageal varices has been shown to decreased. During or after EVL, there were no major complications, except mild chest discomfort in 6 patients, early bleeding in 2 gatients, mild dysphagia in one patient of 43 patients. According to this study, EVL appears to control active variceal bleeding and eradicate varices with repeat treatments. It is a safe and effective treatment for esophageal varices bleeding. We recommended EVL as an alternative to EIS over the 5th sessions.

      • KCI등재후보

        폐장의 원발성 악성흑색종 1 예

        김홍성,이재원,이경주,이서원,최수임,이석주,김동호,우상민,성시경,김광일,조병석 대한내과학회 1995 대한내과학회지 Vol.49 No.6

        Primary malignant melanoma(PMM) of the lung is a rare neoplasm;to date there have been approximately 20 cases reported in the literature. A case of PMM of the lung in a 60-year-old male presented. A 2.5㎝ solitary mass in the right lower pulmonary lobe was discovered on a chest x-ray done for hemoptysis. The patient underwent right lower lobectomy for cure. Multiple detailed physical examinations did not disclose any primary lesions. We report one of the few cases of apparently PMM documented by both clinical and histological examination.

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