http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
간장 및 담도 : 내시경적 역행성 담췌관 조영술 200예에 대한 임상적 고찰
나산균(S.G. Rha),윤명순(M.S. Yoon),정주섭(J.S. Chung),박병엽(B.Y. Park),양웅석(U.S. Yang),허 윤(Y. Huh),문한규(H.G. Moon),유방현(B.H. Liu) 대한소화기학회 1986 대한소화기학회지 Vol.18 No.1
N/A ERCP is known as the most useful diagnostic and therapeutic tool in the management of biliary and pancreatic disease. We analyzed 200 cases of ERCP which were performed at the Dept. of Int. Med, Pusan National University Hospital during 5 years from May 1980 to February 1986 The results were as follow; 1) Diagnostic success rate, including endoscopic diagonsis, by ERCP was 91.0. of the cases 2) The morphology of the orifice of duodenal papilla was classified by method of oi. The most frequent shape of orifice of the duodenal papilla was villous type(27.8%) and followed by granular type, lacerated type, splitted type and hard hole type in order. 3) Of the biliary tract diseases, diagnosed by ERCP, biliary tract stone(34.5%) was most common. Other biliary diseases were biliary cancer clonorchiasis and choledochal cyst in order. Of the pancreatic diseases, diagnosed by ERCP, pancreatic cancer(59.5%Y) and chronic pancreatitis(37.8%) were the most common. 4) The accuracy of ERCP dia.gnoses, compaired with operative diagnoses was 81.8% that showed higher accuracy rate in the diagnosis of biliary tract stone, biliary tract cancer and pancreatic cancer but showed lower accuracy rate in the diagnosis of clonorchiasis. 5) The most common causative disease of postcholecystectomy syndromes, which were diagnosed by ERCP, was bile duct stone(52. 0%).
간흡충 감염가토의 간내담관 병변에 대한 조직학적 및 미세구조학적 연구
나산균(San Gyun Na),양웅석(Ung Suk Yang) 대한내과학회 1995 대한내과학회지 Vol.49 No.4
N/A Objectives: It is well known that heavy infestation of Clonorchis sinensis(CS) in human might induce the cholangiocarcinoma. The authors studied the morphological changes of the intrahepatic bile ducts after heavy infestation of CS in experimentally infested rabbits. Methods: The adult rabbits were infested by eggs of CS and sacrificed after 2 years of infestation The pathological changes of bile ducts were studied by light microscopy, histochemistry, and electron microscopy. Results: The results were as follows: 1) Papillary proliferation, adenomatous hyperplsia, periductal fibrosis, goblet cell metaplasia, and mucinous metaplasia were identified in the intrahepaic bile ducts. 2) Mucin production was identified in the goblet cells and mucous glands cells, And mucin histochemistry revealed that the mucin of the goblet cell was mostly sulphated mucin and that of mucous gland mostly class III mucin. 3) Electron microscopic examination revealed that proliferated ductal cells were arranged in sheets or tubular pattern and invested with basal lamina Some areas of the proliferated ductal cells had pleomorphic nuclei with irregular chromatin clumping and cytoplasms showed increased glycogen granules, decreased mitochondrial cristae, and proliferated and enlarged smooth endoplasmic reticulum. Cytoplasmic protrusion with edematous appearance into the biliary canaliculi and decreased microvilli with morphologic distorsion also noted in some areas. Conclusion: Evidence of precancerous changes in intrahepatic biliary system were identified in the rabbit with CS infestation, but definite evidence of anaplastic changes was not identified in the rabbits used in this experiment. Therefore, it is postulatecl that longer period of infestation is needed for the study of evidence of anaplastic changes in CS-infested rabbits.
Young Adult 의 직장에 발생된 광범위한 혈관이형성증과 그로 인한 대량 출혈 1 예
이상인,김종훈,최익수,나산균,조성락,변상준,지정희,최세식,배무현,정미혜,김천환,구호성 대한내과학회 1995 대한내과학회지 Vol.48 No.2
Angiodysplasia as a cause of gastrointestinal bleeding is increasingly recognized with the advancement of diagnostic technique. Most cases of angiodysplasia occur in old age and their sizes rarely exceed a few millimeters in diameter. We experienced a case of bleeding angiodysplasia in the rectum of 22-year old woman. The lesion was located at the submucosa of nearly all the rectum. This patient had a history of repeated hematochezia for several years. Diagnosis could be done easily by the colonoscopy with biopsy only. This report summarized our case and review of literature.
이상인,문성수,허갑도,나산균,조성락,김순관,최태룡,변상준,최세식 대한내과학회 1992 대한내과학회지 Vol.43 No.1
Choledochal cyst is a rare congenital malformation of the pancreaticobiliary system. Cystic dilatation of the biliary tree has been reported in many forms. The etiology is multifaceted and evidence of the existence of both acquired and congenital cyst is presented. The anomalous pancreaticobiliary ductal union (APBD) has received attention because of its importance in pathogenesis of the pancreaticobiliary disease. APBD is associated with congenital cystic dilatation of common bile duct and carcinoma of gall bladder. We report two cases of choledochal cyst combined with anomalous pancreaticobiliary ductal union.
조성락(Sung Rag Cho),나산균(San Gyun Rha),문성수(Seong Soo Moon),한규호(Kyu Ho Han),박인철(In Cheol Park),김순관(Soon Kwan Kim),양만석(Man Seok Yang),허갑도(Gap Do Hur),최태룡(Tae Lyong Choi) 대한소화기학회 1991 대한소화기학회지 Vol.23 No.1
Unilobular atrophy or hypoplasia involving the hepatic lobes is not uncommon on the left side. It is distinctly uncommon on the right, where it probably represents an developmental anomaly if no other etiological factor is demonstrable. So we report a case of hypoplasia of right hepatic lobe.