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위전절제후 루프식도 공장문합술시 유입부루프결찰이 식도역류에 미치는 효과
김진복(Jin Pok Kim),이명철(Myung chul Lee),김경국(Kyung Koom Kim),김병식(Byung Sik Kim),김선희(Sun Whe Kim),이건욱(Kun Uk Lee),정준기(June Key Chung) 대한소화기학회 1988 대한소화기학회지 Vol.20 No.2
N/A Reflux esophagitis is a poor prognostic factor by worsening nutritional derangement of gastric cancer patients with total gastrectomy. To evaluate the effect of ligation of proximal loop for prevention of reflux esophagitis in gastric cancer patients with total gastrectomy and loop esophagojejunostomy and distal enteroenterostomy, we carried out the experiment on 9 patients with ligation of proximal loop as study group, 5 patients without ligation of proximal loop as control group. The extent of esophageal reflux was measured quantitatively after infusion of 99m Tc-pertechnetate into jejunum. When the abdomen was pressed with 0 mmHg 50 mmHg and 100 mmHg 30 min after infusion, esophageal reflux was significantly lower in study group than in control group, respectively. So, the technique of ligation of proximal loop in loop esophagojejunostomy and distal enteroenterostomy can be employed for prevention of esophageal reflux. But, we suggest that the role of loop as gastric reservoir, transit time of loop and the change of peristalsis after ligation of proximal loop be studied to evaluate the definitive effect of ligation of proximal loop for prevention of esophageal reflux.
윤용범(Yong Bum Yoon),김정룡(Chung Yong Kim),박용현(Yong Hyun Park),김용일(Yong Il Kim),김우호(Woo Ho Kim),김선희(Sun Whe Kim),김재규(Jae Gyu Kim),한준구(Joon Koo Han) 대한소화기학회 1997 대한소화기학회지 Vol.30 No.4
Cystic lesions of the pancreas can be histologically classified into several distinct categories including pseudocyst, congenital true cyst, acquired true cyst, and cystic neoplasm. A lymphoepithelial cyst of the pancreas is a distinctive lesion characterized by the presence of mature, keratinizing squamous lining surrounded by lymphoid tissue and is reported mostly as a single case. We report the first case of a lymphoepithelial cyst of the pancreas proven histologically in Korea. A 60-year-old woman presented a pancreatic mass. Six months ago, a 5 to 10 mm multiple papular skin rash developed and was associated with fever and pruritus. Thereafter, jaundice, fatigue, and anorexia developed. These symptoms and signs resolved spontaneously 20 days later. At that time, ultrasonography of the abdomen demonstrated a 4.5 cm predominantly cystic mass arising from the body of the pancreas. Her past medical history indicated no alcohol intake, gallbladder disease or previous pancreatitis. On admission, physical examination of the abdomen was unremarkable. Serum amylase and the liver function test were also unremarkable. Serum CEA was 9.2 ng/mL. Computed tomography of the abdomen showed a 4.5 c cystic low attenuation mass in the body of the pancreas. Fine needle aspiration was performed. The CEA was 1252 ng/mL and amylase was 2840 U/dL. The cytologic examination revealed some degenerated epithelial cells and lymphocytes. At laparotomy, a smooth, encapsulated, well-circumscribed mass was found in the body of the pancreas. The mass did not invade the pancreas or other adjacent structures. The mass was completely excised. The specimen consisted of a 4 cm thin walled cyst filled with yellowish fluid. The lining was smooth and trabecular in part. Microscopically, the cyst was lined by a squamous epithelium and the epithelial lining was surrounded by lymphoid tissues with scattered germinal centers. (Korean J Gastroenterol 1997; 30:559-563)