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담석제거수술직후 (膽石除去手術直後) 거대천담석의 (巨大淺膽石) 유두부절개술 (乳頭部切開術) 요법
박홍배(Hong Bae Park),여향순(Hyang Sun Yeo),조석형(Seok Hyeng Cho),최종범(Jong Bum cho),전병철(Byung Chul Jun) 대한소화기학회 1985 대한소화기학회지 Vol.17 No.2
N/A We performed 1618 cases of ERCP since 1976 and also performed 108 cases of EST from Dec. 1981 to Aug. 1984, 8 cases among the 108 cases of EST were diagnosed as retained stones after biliary stone surgery. So EST was done and following results were obtained. 34 cases among the performed 108 cases of EST had biliary surgery history and 8 cases among these cases were patients having retained CBD stone after biliary surgery. 1 case was diagnosed by ERCP, 7 cases were diagnosed by T-tube Cholangiogram and ERCP. Duration of T-tube drainage was from 2 month to 4 month. 2) 7 cases of 8 cases were performed EST and succeeded. Stones were eliminated through stool and confirmed by ERCP and T-tube cholangiogram. 1 case were surgically treated due to periampullary diverticulum. 3) SGOT and serum bilirubin were normal except 1 case, but alkaline phosphatase was elevated except 2 cases and ERCP showed chronic pancreatitis pattern on 2 cases. So we think that biliary stone induce chronic pancreatitis. 4) Our report showed a defect of the operative cholangiogram. So a reform measure of the operative cholangiogram is required. And ERCP etc. were required for site and number of biliary stones. 5) Complications of EST were noted in 2 cases. It were temporal increase of amylase after EST. These cases were improved by medical treatment,
간 , 담도 및 췌장 : 내시경적 (內視鏡的) 유두절개술의 (乳頭切開術) 문제점과 예후 (豫後)
박홍배(Hong Bae Park),명재일(Jae Il Myung),여향순(Hyang Soon Yeo),박순희(Sun Hi Park),이한기(Han Ki Lee),강명원(Myung Weon Kang),김정호(Jeong Ho Kim) 대한소화기학회 1987 대한소화기학회지 Vol.19 No.2
N/A Since 1976, 2185 cases of ERCP were performed at the Kwangju Christian Hosptial. From December 1981 to August 1986, 194 cases of endoscopic sphincteropapillotomy (EST) were performed. Following results were obtained: 1) In 194 cases of EST, CBD stones were noted in 168 cases, ascaris in common bile duct in 16 cases, clonorchiasis in 4 cases, fibrotic stenosis of a periampullary choledocho-duodenal fistula in 1 case, and pancreatic duct stones in 4 cases. 2) Results of EST; 5 cases of stones were removed by Dormia basket under direct visualization, 61 cases were passed in stool, 66 cases were confirmed at ERCP or T-tube cholangiogrphy. In 46 cases, stones were not removed but symptoms and laboratory findings showed improvement. 3) Complication of EST; 4 cases of bleeding and 1 case of peritonitis were treated by operation, 1 case of acute pancreatitis with pancreatic pseudocyst was treated by medication, 1 case of sepsis due to cholangitis was expired. And 5 cases of recurrent cholangitis, and 2 cases of recurrent pancreatitis were noted. 4) With technical improvement in EST, we could control bleeding and acute pancreatitis with a pancreatic pseudocyst due to an impacted stone and perform EST successfully in the cases with periampullary diverticula. 5) At last, although we could follow up only for 2 years, would expect that we use more EST for recurrent CBD stones.
담남수술후 (膽囊手術後) 잔담석 (殘膽石) 및 재발담석 환자의 내시경적 (內視鏡的) 유두부절개술 (乳頭部切開術)
박홍배(Hong Bae Park),박영(Young Park),김종수(Jong Su Kim),최종범(Jong Bum Choi),여향순(Hyang Sun Yeo) 대한소화기학회 1984 대한소화기학회지 Vol.16 No.1
N/A We performed 1, 345 cases of ERCP since 1976 and also performed 71 cases of EST from Dec 1981 to Aug. 1983. Twenty-one cases among the 71 cases of EST were diagnosad as retained recurrent stones after biliary stone surgery. So, EST was done, following results were obtained: 1)21 cases among the performed 71 cases of EST had biliary surgery history. 15 cases were diagnosed by ERCP, 6 cases were diagnosed by T-tube cholangiogram and EST was done in 19 cases. 19 cases of 21 cases were performed EST and successed. But only symptom was improved in 4 cases. 2 cases were surgically treated due to periampullary fibrosis. 2) Complications of EST were noted in 2 cases: 1 case of acute pancreatitis and 1 case of cholangitis. These caes were improved by medical treatment.
임동명(Dong Myung Lim),김훤(Hueon Kim),위대철(Dae Chel Wee),윤철승(Cheol Seung Yun),임연근(Yun Geun Lim),여향순(Hyang Sun Yeo),박홍배(Hong Bae Park) 대한소화기학회 1994 대한소화기학회지 Vol.26 No.3
Pyogenic liver abscess has been a serious illness with a uniformly fetal outcorne if left un- treated. Recently, there has been a steady rise in cornplications of pyogenic abscess with the irnprovement of diagnosis and management. Rupture into the peritoneum is second most fre- quent complication next to extention into the thorax. Rupture into the stomach and bowel is extremely rare. We report a case of hepatocolic fistula associated with ruptured multiple pyo- genic abscess in 59 years old female with the review of literatures.(Korean J Gastroenterol 1994; 26: S96%00)
이상운(Sang Yoon Lee),이한기(Han Ki Lee),김정호(Jeong Ho Kim),강명원(Myung Weon Kang),박순희(Sun Hi Park),여향순(Hyang Soon Yeo),정판기(Pan Ki Jeoung),박홍배(Hong Bae Park) 대한내과학회 1987 대한내과학회지 Vol.32 No.6
N/A Hemorrhage from esophageal varices is a difficult problem for which there is no completely solution, Sixty-three patients (eight-five cases) have been treated with endoscopic injection sclerotherapy (EIS). All patients had documented variceal hemorrhage and underwent EIS while bleeding or shortly thereafter. The observed results are summarized as follows: 1) The duration of EIS from onset of hematmesis and/or melena was within 72 hours mostly, and the frequency of EIS was one to six times. 2) There were no noticable changes in Hemoglobin, SGOT, Serum bilirubin and serum albumin before and after EIS. 3) The amounts of blood transfusion was decreased significantly after EIS. 4) There were mild complications after EIS, but were serious complication or death relate to EIS. 5) The mortality rate was 13% in follow up period. Based on these results, we concluded that EIS is recommanded for managing variceal hemorrhage with- out serious complication.
박홍배,김종수,여향순,전병철,고정미,조진행,조석형 대한소화기내시경학회 1984 Clinical Endoscopy Vol.4 No.1
In 1,345 patients suspected of having pancreatic or biliary tract disease, 23 patients were shown to have biliary ascariasis demonstrated by endseopic retrograded cholangiopancreatog raphy, at Kwang Ju Christian Hospital from Sep. 1976 to Aug. 1983. Authors report the clinical study and ERCP finding of 23 cases of biliary ascariasis. The result were as follows. 1) Out of 1,345 cases of ERCP, biliary ascariasis were 28 cases, The ascaris were found in CHD & IHD in 21 cases, and 2 casee were found in Ampulla of Vater. 2) There was no specifia age incidence and male to female ratio was 1: 1.9. 3) The disease was more prevalent in spring & summer, and more prevalent in rural area than urban area. 4) The chief eomplaints were RUQ and epigastric abdominal pain. The cases which were admitetted within 2weeks of onset were 16 cases. 5) Ascaris in biliary tract were removed by operation in 14 cases, and EST were performed in 5 cases. Two cases werere moved by DORMIA basket under the endoscopic direct visualization. 6) We report E.S.T. as a new therapeutic method of biliary ascariasis.
이승민,박홍배,이상철,여향순,이상운,박순희,오원주,최병인 대한소화기내시경학회 1988 Clinical Endoscopy Vol.8 No.1
A fifty-five year old male was admitted because of fever and chill for one month. He complained of upper abdominal pain, malaise, anorexia and weight loss. So diagnostic procedures were performed: stool exam., bload chemistry testing, ultrasonography, radionuclide scintigraphy. ERCP, abdominal CT, and sonoguided liver aspiration, which revealed intrahepatic cholangiocarcinoma associated with clonorchiasis.