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RISS 인기검색어
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- 저자 : 임시영(Si Young Lym) (검색결과 3 건)
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장결핵의 조기 진단을 위한 대장 내시경적 검사의 유용성
황기은(Kie Eun Hwang),장남수(Nam Soo Jang),박창영(Chang Young Park),임시영(Si Young Lym),김병익(Byung Ik Kim),전우규(Woo Kyu Jeon),정을순(Eul Soon Jung),이상종(Sang Jong Lee) 대한소화기학회 1997 대한소화기학회지 Vol.29 No.4
N/A Background/Aims: Tuberculosis is a well-known disease as manifested by multi-organ involve- ment. Although the incidence of tuberculosis has reduced recently because of the advance of anti-tuberculosis chemotherapy, improvement of public health, and early diagnosis, it is still higher in developing countries. However, intestinal tuberculosis escapes early diagnosis due to its infrequency, vague manifestation, and difficulty in confirming the disease process. The advent of flexible colonoscopy has provided an opportunity to confirm the diagnosis of intestinal tuberculosis but the biopsy results were frequently false negative. Another difficulty encountered in confirming the diagnosis of intestinal tuberculosis by endoscopy was the frequent failure to Mycobacterium culture from tissue. Therefore, we examined histopathologic feature, acid-fast stain, and Mycobacterium culture with tissue section obtained by co]onoscopy at the same time. Methods: We studied and analyzed 118 cases of intestinal tuberculosis that was suspected by clinica] features and colonoscopic gross findings from January 1, 1991 to December 31,1995. All cases used an acid-fast stain with a tissue section obtained by colonoscopy. Results: We found 37 cases of caseous necrosis or granuloma (42%) and found 58 cases of AFB stain positivity (60%), and 12 cases of Mycobacterium culture positivity (14%) in 93 cases of intestinal tuberculosis. Conclusions: This study suggests that early diagnosis of intestinal tuberculosis will be much improved by histopathologic feature, tissue AFB stain obtained by colonoscopic tissue biopsy. (Korean J Gastroenterol 1997;29:449-456)
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이상종(Sang Jong Lee),이만호(Man Ho Lee),박영철(Young Chul Park),김명숙(Myung Sook Kim),서영주(Young Joo Suh),손호선(Ho Sun Son),임시영(Si Young Lym),송준호(Jun Ho Song) 대한소화기학회 1989 대한소화기학회지 Vol.21 No.1
Mesotheliomas are infrequently encountered tumors that arise from the surfaces of any mesothelial lined body cavity. They are found most often in the pleural cavity, less frequently in the peritioneal cavity, and much less frequer,tly in the pericardial cavity or arising from the tunica vaginalis. The tumors are most often malignant and usually are detected late in their course when they begin to interfere with organ fuction. Recently we experienced three cases with peritoneal mesothelioma who proved by laparoscopi biopsy. The first case had a five-month history of exhaustion, epigastric distress after meal and weight loss which was treated under the impression fo nephritis without improvement by LMD. After abdomial ultrasound and CT examination disclosed an irregular soft tissue mass in the omentum and per- itoneum associated with ascites, he received vincristin, doxorubicn and dacarbazine with transient improvement. The second case in a 74-year-old widow who had noted epigastric discomfort after meal for a few years, and recently increasing girth. Both abdominal ultrasound and computed tomogram showed an irregular soft tissue mass in the omentum, peritoneum and mesentery with a large amount of ascites. The latter patient had selected to receive only supportive therapy. The last case is a 53-year-old farmer who had suffered from abdominal discomfort for a few years. The ]aparoscope showed irregular sized tumor mass in the peritoneum, omentum and pelvic cavity, also there was ascites in the peritoneal cavity. He received chemotherapy including cycophosphamide vincrstin and adriamycin, but expired.
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속립성 결핵환자에서 간문 임파선염에 의해 발생한 식도 정맥류 출혈 치험
이상종(Sang Jong Lee),김명숙(Myung Sook Kim),전우규(Woo Kyu Jeon),임시영(Si Young Lym),박창영(Chang Young Park),김병익(Byung Ik Kim),김기택(Ki Taek Kim),전경홍(Kyung Hong Jun),박해원(Hae Won Park),유종현(Jong Hyun You),정을순(El Soon 대한소화기학회 1997 대한소화기학회지 Vol.29 No.1
Esophageal variceal hleeding is usually caused by portal hypertension associated with liver cirrhosis. However, it might be caused by lymphadenopathy of porta hepatis in noncirrhotic patient. A 19-year-old student was admitted to this hospital because of profuse hematemesis. He had been treated with anti-tuberculosis agents of miliary tuberculosis during past nine months period. On admission, gastroduodenal fiberscopy revealed esophageal variceal bleeding, Abdominal sono- graphy disclosed nothing remarkable except thickened gallbladder wall, but computed tomography showed low attenuated lymphadenopathy in porta hepatis. Further doppler sonography demonstrated lymphadenopathy of porta hepatis with fibrosis and obliteration of rnain portal vein with collateral circulations. Laparoscopic findings suggested tuberculous peritonitis without any evidence of cirrhosis of the liver. We report a very rare case of variceal bleeding caused by lymphadenopathy of porta hepatis during anti-tubereulous treatment. (Korean J Gastroenterol 1997; 29:122-128)
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