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김동주(Dong-Ju Kim),최한림(Han-Lim Choi),선우영(Woo-Young Sun),류동희(Dong-Hee Ryu),장이찬(Lee-Chan Jang),최재운(Jae-Woon Choi),박진우(Jin-Woo Park) 대한외과학회 2009 Annals of Surgical Treatment and Research(ASRT) Vol.77 No.3
Purpose: Recently, conventional tissue repairs are gradually being replaced by tension-free hernioplasties using meshes (mesh repairs) in hernia surgery. The aim of the present study was to evaluate patterns of recurrent hernias according to the types of previous hernioplasties. Methods: From August 2005 to July 2008, 18 hernioplasties were performed in recurrent cases at Chungbuk National University Hospital. All previous hernioplasties were performed at local hospitals except one case of ventral hernia. We reviewed the medical records and compared clinical features according to the types of previous hernioplasties. Results: Among the 18 recurrent hernias, there were 15 inguinal including 2 pediatric cases, an umbilical, and 2 incisional hernias. Among 13 adult inguinal recurrent cases, 5 occurred after tissue repair (3 indirect, 1 direct, and 1 pantaloon type) and 8 after mesh repairs (direct type in all). Recurrence developed earlier after mesh repairs than tissue repairs (median [min~max]; 24 [0.1~164] vs. 243 [60~360] months, P=0.005). Other types of recurrence developed between 6 to 48 months after previous operations. Recurrent hernias after mesh repairs occurred preferentially along the margin of previous meshes. All cases were treated by mesh repairs except in pediatric cases. Median operation time and hospital stay for recurrent inguinal hernias were not different significantly by previous operations. Postoperative complications were minimal without recurrence during a median 5.5-(1.5~25.5)-month follow-up. Conclusion: Recurrent hernias develop both after tissue repairs and mesh repairs. After mesh repairs, recurrences develop earlier and are more often associated with technical failure compared to tissue repairs.
고혈압·당뇨병 자조모임프로그램 후 지식, 자가관리행위 및 자기효능감의 지속성
김정희 ( Jung Hee Kim ),김건엽 ( Keon Yeop Kim ),이수진 ( Su Jin Lee ),배상근 ( Sang Geun Bae ),류동희 ( Dong Hee Ryu ),이원기 ( Won Kee Lee ) 한국보건정보통계학회 2017 보건정보통계학회지 Vol.42 No.3
Objectives: The present study was conducted to evaluate level of knowledge related to diseases, self-management behaviors, and self-efficacy level of hypertensive and diabetic patients immediately after completion of a self-help group program and about 4 to 9 months after the completion of the program. Methods: A total of 86 individuals (41 hypertensive and 45 diabetic patients) participated in the self-help group program which was a part of the 2015 chronic disease health support services provided by D regional headquarter of National Health Insurance Service. A telephone survey for the participants was conducted from February to April 2016. Results: The level of self-management behavior for hypertensive and diabetic patients showed no significant changes. The level of knowledge related to the diseases and self-efficacy level were decreased significantly. The level of knowledge related to the diseases was significantly decreased in women, low-educated, single or short-term hypertensive or diabetic patients. The level of self-efficacy was significantly decreased in women, elderly, low-educated, or long-term hypertensive or diabetic patients. Conclusions: The results of this study can be used as a basis for the improvement of hypertension·diabetes self-help group program and the establishment of effective follow-up measures. Based on the present study, a systematic approach should be made to minimize the incidence of complications by continuing the follow-up management for the vulnerable cases who are single or with low educational level.
박선미(JSeon Mee Park),류동희(Dong Hee Ryu),이옥준(Ok-Jun Lee),성로현(Rohyun Sung),배일현(Il-Hun Bae),최재운(Jae-Woon Choi) 한국간담췌외과학회 2008 한국간담췌외과학회지 Vol.12 No.1
Patients with early gastric cancer (EGC) may be associated with an increased risk of having a second primary cancer. Metachronous primary malignancies may have an influence on the long term prognosis of these patients. We report here on two cases of bile duct cancer after performing subtotal gastrectomy for EGC. A 59-year-old man underwent pylorus preserving pancreaticoduodenectomy (PPPD) under the diagnosis of bile duct cancer, and this was done 5 years after he had undergone gastrectomy. The pathological specimens were different between the EGC and bile duct cancer according to their morphology and immunohistochemical staining, and this case was determined to be metachronous double cancer. The second case was a 39-year-old man who received PPPD for bile duct cancer 4 years after undergoing gastrectomy. Double primary malignancies of bile duct cancer and gastric cancer are very rare.
박은복 ( Eunbok Park ),류동희 ( Dong Hee Ryu ),감신 ( Sin Kam ) 한국보건정보통계학회 2019 보건정보통계학회지 Vol.44 No.2
Objectives: This study aimed to examine medication adherence in newly diagnosed hypertensive patients and to investigate factors affecting their medication adherence. Methods: The present study used sample cohort database (DB) 2.0 provided by National Health Insurance Service and assessed 7,294 subjects meeting the inclusion criteria. The proportion of medication adherent and 8-year medication possession ratios (MPRs) according to general characteristics of subjects were analyzed. In addition, multiple regression and logistic regression analyses were used to examine relationship between MPR and medication adherence with its associated factors. All statistical analyses were completed with SAS statistical software version 9.4 (SAS Institute Inc., Cary, NC, USA) and p-value <0.05 was considered to indicate statistical significance. Results: The proportion of medication adherent increased from 64.5% in the 1st year to 67.9% in the final follow-up year (maximum in the 7th year, 68.1%). Mean MPRs according to general characteristics of subjects were the lowest in the 2nd-3rd year. Medication adherence in newly diagnosed hypertensive patients was associated with age, complication, and MPR in the 1st year. The regression analyses suggested that MPR in the 1st year explained both the final and overall follow-up medication adherence 12.9% and 37.4%, respectively. In addition, medication adherents in the 1st year were more likely to remain as so in the final year (odds ratio, OR= 3.48). Conclusions: The findings suggested medication adherence in the early year of diagnosis is associated with the final and overall medication adherence in newly diagnosed hypertensive patients. It is necessary for medical institution and community to work together to establish education system for patients with hypertension at the initial stage of diagnosis.
조기위암에서 E-cadherin, VEGF-C, VEGF-D의 발현과 Cytokeratin 18로 면역화학염색 한 림프절 전이와의 연관성
김대훈,윤효영,송영진,류동희,민인철,성노현,이상억,Kim, Dae Hoon,Yun, Hyo Yung,Song, Young Jin,Ryu, Dong Hee,Min, In Choel,Sung, Rohyun,Lee, Sang Eok 대한위암학회 2008 대한위암학회지 Vol.8 No.2
목적: VEGF-C와 VEGF-D는 맥관형성성 인자이고, E-cadherin의 비정상 발현은 위암의 진행에 중요한 역할을 한다. 이 연구의 목적은 조기위암에서 E-cadherin, VEGF-C, -D 그리고 cytokeratin 18번을 이용하여 정확하게 측정된 림프절 전이와의 연관성을 연구하는데 있다. 대상 및 방법: 1997년 3월부터 2002년 12월까지 49명의 조기 위암환자들을 대상으로 E-cadherin, VEGF-C와 VEGF-D 면역화학염색을 시행하였다. 림프절 전이를 정확하게 측정하기 위하여 49명 환자들의 1,562개의 림프절을 cytokertin 18을 사용하여 재검사 하였다. 결과: 11 (0.7%)개의 림프절이 12.2% (n=6)의 환자들로부터 새롭게 발견되었다. 정확한 림프절 전이는 점막암에서 3.6%였고, 점막하암에서 38.1%였다. 병기 이동은 3명(6.1%)의 환자에서 관찰되었다. E-cadherin의 비정상 발현은 36.7%에서 발견되었고, VEGF-C와 VEGF-D의 발현은 각각 16.3%와 36.7%에서 관찰되었다. E-cadherin의 비정상 발현은 종양의 분화도(P<0.0103)와 Lauren 분류(P<0.0001)와 뚜렷한 연관성이 있었다. VEGF-C와 VEGF-D는 조기위암에서 림프절 전이를 포함한 임상병리학적 연관성이 없었다. 그러나 E-cadheirn이 비정상 발현되고 VEGF-C 또는 VEGF-D의 발현이 동반되는 환자들에서 림프절 전이의 빈도가 높았다(P=0.0031). 결론: 본 연구에서 조기위암에서 림프절 전이와 VEGF-C, VEGF-D의 발현과의 관계를 증명할 수 없었다. 하지만 E-cadherin이 비정상 발현을 하면서 VEGF-C 또는 VEGF-D의 발현을 동반할 경우 림프절 전이와 연관성이 있었다. Purpose: VEGF-C and VEGF-D are angiogenetic factors, and abnormal expression of E-cadherin hasa role in the progression of gastric carcinoma. The aim of this study was to evaluate the relationship between the expression of E-cadherin, VEGF-C and VEGF-D with the presence of lymph node metastases (LNM) using cytokeratin 18 in early gastric cancer (EGC). Materials and Methods: Immunohistochemical staining for E-cadherin, VEGF-C and VEGF-D was performed in 49 EGC patients from March 1997 to December 2002. To evaluate the real extent of LNM, 1,562 lymph nodes from 49 patients were re-examined with the use of cytokeratin 18. Results: Eleven (0.7%) LNM were newly found in 12.2% (n=6) of patients. The real LNM rate was 3.6% in mucosal invasive (m) cancer and 38.1% in submucosal invasive (sm). Stage migration was seen in three patients (6.1%). Abnormal expression of E-cadherin was detected in 36.7% of the patients and expression of VEGF-C and VEGF-D was detected in 16.3% and 36.7% of the patients, respectively. Abnormal expression of E-cadherin was significantly correlated with tumor differentiation (P=0.0103) and Lauren classification (P<0.0001). There was no positive relationship of VEGF-C and VEGF-D expression with the clinicopathological findings for EGC including LNM. However, the frequency of lymph node metastases was significantly higher in patients that demonstrated abnormal expression of E-cadherin with positive immunoreactivity of VEGF-C or VEGF-D (P=0.031). Conclusion: In present study, we could not demonstrate a relationship between the presence of LNM and expression of VEGF-C and VEGF-D in EGC. However, VEGF-C or VEGF-D expression, in addition to the abnormal expression of E-cadherin, was correlated with the real extent of LNM in EGC.
민인철(In Chul Min),류동희(Dong Hee Ryu),이옥준(Ok Jun Lee),배일헌(Il-Hun Bae),최재운(Jae-Woon Choi) 대한외과학회 2008 Annals of Surgical Treatment and Research(ASRT) Vol.75 No.6
A case of gallbladder perforation without cholecystitis or trauma is described herein. The patient was a 74-year-old woman who initially presented with right lower quadrant pain of the abdomen. A laparotomy was performed with the impression of an acute appendicitis at a local clinic. However, the appendix was normal and a large amount of bile was noted in the peritoneal cavity. The patient was referred to our hospital. An exploratory laparotomy was performed with the suspicion of a hollow viscous perforation. A pin point perforation of the gallbladder fundus was identified. There were no gallstones or definite inflammation of the gallbladder wall. Although gallbladder perforation without cholecystitis or trauma is rare, gallbladder perforation without cholecystitis should be considered in elderly patients with bile peritonitis of unknown etiology.