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장결핵 (腸結核 ) 34예에 대한 임상적 (臨床的) 고찰
김상준,김우길,이수석,라성균,장선택 ( Sang Jhoon Kim,Woo Kil Kim,Su Suk Lee,Rha Sung Kyun,Sun Taik Chang ) 대한소화기학회 1974 대한소화기학회지 Vol.6 No.2
Levy and Granmark had introduced double contrast study in 1896 for the first time. Since Daval and Beclere had human experiment of double contrast air study, so many methods for diagnosis of ge.stric diseases are discovered and improved. 'Aiain valuable purpcses for double contrast study of stomach and duodenum are early diagncsis of stomach cBilcer and differectial diagncsis of ulcer forming malignancy frcm benigncy. In ='d ticn to t4ese, differentiation of gastroauoe.al defects, intrin-ic or extrins!c, is also v'orthwlii!e by tl;e metho3 of doub!e cc,ntrast air study of stomach and duodenum. Hvpotonic duodenography is exclusive of misinterpretation of duocenal non lesion in conventi,.nal barium study, as it attributes in cor firmation of nature, extention of lesion, and differer..iation betv;een intrinsic or extrinsic, cr duodenal or papillary lesion in origin, Hypotonic 3uodenogrzphy is helpful in carly diagnosis of disease and avoid misleading unneccessary fv.rther study or explorat- ory laparotomy.
김상준(Sang Jhoon Kim),신준호(Juhn Ho Shin),장인택(In Taik Chang) 대한소화기학회 1993 대한소화기학회지 Vol.25 No.5
N/A Residual stones after biliary tract surgery were a formidable task for surgeons. So several nonoperative procedures have developed for the management of this problem. Among these procedures. extraction of residual stones using Dormia Basket was increased more and more because of the low morbidity and high success rates. This report is an analysis of 60 patients who underwent residual stone extraction using Dormia Basket from February 1989 through August 1992. There were 23 men and 37 female, whose age ranged from 29 to 74 years. The incidence was 12 cases at the 6th decade, 9 cases at the 5th decade in order of frequency. The most common symptom was RUQ pain (96.7%). Stone extraction using Dormia Basket was performed 110 time. Mean interval between the operation and the stone extraction was 51.8 days. Thc mean interval between each procedure was 11.7 days. Biliary stenosis was detected in 33 patients and dilatation was detected in 51 patients. Success rates of stone extraction was 83.3% The major causes of faiIure were impacted stones in 14 cases, ductal stenosis in 14 cases and large stone in 5 cases and the complications were RUQ pain in 16 cases and diarrhea in 14 cases but they improved progressively.
김상준(Sang Jhoon Kim),장인택(In Taik Chang),하동수(Dong Su Ha),지경천(Kyung Chun Chi),이정효(Jung Hyo Lee) 대한소화기학회 1993 대한소화기학회지 Vol.25 No.5
Anomalous positions of thc gallbladder are infrequent radiographic and surgical findings. The left-sided gallbladder in the absence of situs inversus is one of the rarest anomaly of this organ. The pre-operative diagnosis may be difficult to establish radiographically because unusual gallbladder orientations are not common and the relationship to the liver is often indeterminable. The authors experienced a case of left sided gallbladder and present the case with brief review of the literatures.
상부위장관출혈에 (上部胃腸管出血) 관한 임상적 (臨床的) 고찰
임현묵,박인태,김상준,장선택 ( Hyun Muck Lim,Intae Bahk,Sang Jhoon Kim,Sun Tack Chang ) 대한소화기학회 1974 대한소화기학회지 Vol.6 No.1
celes of upper gastrointestinal tiact bleeding have been obs-rved from Jur.e l9(jH to June I!)g,''', The authors have reviewed and discussed a number of facr.ors including the age, sex, i3istri- bulion of diseases, hematemesis, episocles of bleeding, severity of bleeding, duration of blec.ding, cq> r, tive procedures, medical treatment. Pcstoperative complications and mortality. Si<:nificant conculsions drawn from this s'.udy were as follows; I, T'he hleeding of upper gastrointesti.,al tract may be s en in any age group, but it affev.ts more olt<-: iifth decade; incidence of 22. 8 p. rcnt. Thiere was a predominance of mele patient in 3, ; times than female patient. There was diagncstic distril>ut.on of upper gastrointest!nal bleeding as follows; duodenal ulcev: gastric ulcer; Z2. 8%, gsstric cancer; 2J. 8 y, esophageal varices, 17. L,o, gastritis; 11 3i,, Cui!irig ulcer; l,y, and unknovvn oriy,in: -! 5, The most of cases was first ettacl:. Of upper gas'.rointestinal tract bleeding prior to admission. Severity of upper gastrointestinal tr;! T b!eeding were tabulated as follows; Massive bleeding moderate bleeding 28. C>I and mild hleeding 2y g. In the peptic ulcer and gastri(is, subo..t gastrectomy with vagotomy seemed to be signific,intly better than other procedures advo;ate. Predominating postoperative complications svere pulmonary disease, rebleeding and wound inf::.-tion in order of decreasing fiequen.-y. The over all mortality in this obs=rvat!ons was 2. 8:, that is 3 cleaths in 105 cases. The mniality rates were high in esc>phage:il v,rices.