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이진호(Jin Ho Lee),김나영(Na Young Kim),윤한두(Han Doo Yoon),유권(Kwon Yoo),정영화(Young Hwa Chung),이효석(Hyo Suk Lee),정현채(Hyun Chae Jung),윤영범(Yong Bum Yoon),송인성(In Sung Song),김정룡(Chung Yong Kim) 대한내과학회 1989 대한내과학회지 Vol.36 No.2
N/A The gastrointestinal polyp is a premalignant lesion, especially villous or large adenoma in the colorectum, which should be removed. Polyps in the gastrointestinal tract can be removed by surgical excision, cryotherapy, electrocoagulation, or contact radiotherapy with some limitations. So, the usefullness, efficacy and safety of endoscopic laser therapy were investigated prospectively in 41 patients. We treated 29 cases of gastric polyps in 24 patients and 23 cases of colorectal polyps in 17 patients with the Nd: YAG laser from May 1986 to July 1988. The patients were analyzed by grouping those with gastric polyps and those with colorectal polyps. The patients with gastric polyp were most frequenty in the 6th decade and the majority were in female. But, in the case of colorectal polyps, 7th decade and male respectively. Gastric polyps were most frequently found in the gastric body and as Yanada type III. Colorectal polyps were found evenly in the rectum, sigmoid colon, descending colon, and Yamada type I were most fre- quent. The size of gastric and colorectal polyps was generally less than 1 cm in diameter. Histologically, gastric polyps were more frequently hyperplastic than adenomatous but colorectal polyps were more adenomatoous than hyperplastic. We irradiated the Nd: YAG laser along a flexible waveguide through the endoscope. The energy required to remove the polyps was increased according to their size; in gastric polyps, 458 J±303 (mean±S.D) for less than 0.5cm, 1336S605 for greater than 0,5 cm and less than 1.0 cm, and 2170±266 for greater than 1.0 cm; in colorectal polyps, 366±303 for less than 0.5 cm, 935±456 for greater than 0.5 cm and less than 1.0 cm, and 2099707 for greater than 1.0 cm. A patients were followed-up in 1-4 weeks by endoscopy. The post-laser therapy ulceraton developc4 in 10 cases of gastric polyp patients (59%) and in 5 cases of colorectal polyp patients (42%) without major complications such as perforation, hemorrhage or stricture. The polyps were removed completely within two sessions of laser irradiation. Thus, we concluded that laser therapy can be very effective and saft in the removal of gastrointestinal polyps in terms of the number of sessions and complications respectively. A long term follow-up may be needed for changes around the area of laser injured tissues.
한국인에서의 만성적 궤양을 동반하는 대장염에 대한 임상적 고찰
이풍렬,윤한두,김나영,정숙향,유권,정현채,이효석,윤용범,송인성,최규완,김정룡,최상운 대한내과학회 1990 대한내과학회지 Vol.38 No.3
The purpose of this study is to compare the differences of the symptoms, signs and laboratory findings among colitis with chronic ulceration, such as ulcerative colitis, Behcet's colitis, tuberculous colitis and Crohn's disease in Korea. Were studied in Seoul National University Hospital from August 1982 to Oocober 1988. Forty-two cases of ulcerative colitis, 23 cases of Behcet's colitis, 53 cases of tuberoulous colitis and four cases of Crohn's disease were analyzed in terms of age, sex, symptomatology, laboratory findings and consequence of treatment. 1) The sex ratio of ulcerative colitis, Behcet's, colitis tuberculous colitis and Crohn's disease was 1 : 1.63, 4.74 : 1, 1 : 1. 30, and 3 : 1, respectively, and the mean age was 36.1, 34.3, 33.4, 22.5 years, respectively. 2) The duration of symptoms in tuberculous colitis was significantly shorter than in other diseases. 3) The items of symptoms and signs showed that significant differences were rectal bleeding, diarrhea, weight loss, tenesmus, oral ulcer, skin lesion and genital ulcer. 4) The items of laboratory findings revealed that significant differences were anemia, increased ESR, hypoalbuminemia and the evidenoe of tuberculous lesion on chest X-ray. 5) In view of the anatomical distribution of the lesions, the rectums of all the cases were involved in ulcerative colitis. In most cases of Behcet's colitis and tubercuious colitis, the right colon, including the cecum and the ileum, was involved. In Crohn's disease, the ileum and the jejumum were frequently involved. 6) From a discriminant analysis, we could find several items that differentiated the four diseases. There were rectal bleeding, diarrhea, oral ulcer, hypoalbuminemia and evidence of tuberculosis on chest X ray.