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정을순(Eul Soon Chung),이상종(Sang Jong Lee),이만호(Man Ho Lee),오동주(Dong Joo Oh),안현택(Hyun Taek Ahn),주영만(Young Man Joo),김명석(Myung Sook Kim) 대한소화기학회 1986 대한소화기학회지 Vol.18 No.1
In 1960 Matein first described an unusual type of smooth muscle tumor of the stomach and 1962 Stout found the each tumor microscopically consisted of round or polygonal cells frequently containing of perinuclear vacuole or clear zone instead of the usual spindle cells as seen in the common leiomyoma and addressed this intramural tumor as a leiomyoblastoma. Since Stout reported a series of 69 cases, many clinical studies on this tumor have been published. In Korea Oh et al first reported a case of leiomyoblastoma of stomach in 1973 and thereafter two cases have been reported to date. 43-year-old housewife was admitted to this hospital because of dull pain on epigastrium and left upper abdomen with duration of two days last october 1985. Her condition was suspected as mesenteric cyst probably arising between stomach and pancreas. Whereas, surgery of the mass proved as epitheloid leiomyoma of stomach. As leiomyoblastoma has different clinical behavior and prognosis from leiomyosarcoma, special attention should be paid to this relatively rare tumor.
간 및 위 , 장관을 침범한 특발성 과호산구 증후군 치험
정을순(Eul Soon Chung),이상종(Sang Jong Lee),김향(Hyang Kim),김병익(Byung Ik Kim),황기은(Kie Eun Hwang),성기철(Ki Chul Sung),조용균(Yong Kyun Cho),이희무(Hee Moo Lee),금주섭(Joo Seob Keum) 대한소화기학회 1997 대한소화기학회지 Vol.30 No.3
Marked eosinophilia is found in many kinds of disease state, It usually occur in allergic and parasitic conditions and occ assionally in autoimmune disease, blood dyscrasias, or certain malignancics. Idio- pathic hypereosinophilic syndrome is characterized by markedly elevated peripheral blood eosinophil count without explainable etiology. Eosinophilopoiesis is related with T-lymphocyte activation and cytokine cascade controlling eosinophilic production. It shows tissue infiltration in many organs including endomyocardium, lung, liver, gastrointestinal tract. We have recently experienced a case with idiopathic hypereosinophilic syndrome of a 65-year-old woman who had of complained anorexia, weight loss and diarrhea during the past month and half. Persistantly increased eosinophil count was shown in her peripheral blood, the count averaging 3480/mm'(41% in differential count). Abdominal computer tomography disclosed multiple small relatively ill-defined hypoechoic lesions in the liver. Microscopically, the needle biopsy of the liver revealed heavy infiltration by eosinophilis especially in the portal tracts. On reviewing, previously perfomed endoscopic biopsies from the stomach and terminal ileum also had mild to moderate eosinophilic infiltration, respectively. No evidence of parasitic infection was present on the clinical history and laboratory test. Corticosteroid was administered ard brought marked improvement of clinical manifestations including both hematologic and radiologic abnormalities. (Korean J Gastroenterol 1997; 30:397- 403)
복부초음파로 (腹部超音波) 의심된 간낭종의 (肝囊腫) 임상적 (臨床的) 관찰
정을순(Eul Soon Chung),이상종(Sang Jong Lee),이만호(Man Ho Lee),김향(Hyang Kim),박영철(Young Chul Park),제종찬(Jong Chan Chae),김영희(Young Hee Kim) 대한소화기학회 1987 대한소화기학회지 Vol.19 No.1
N/A Not all hepatic cystic diseases cause sypmtoms or signs. Hepatic cyst may remain silent during life to be found incidentally during the course of routine postmortem examination in the past time. The recently wide applications of abdominal sonography seems to be found relatively high incidence of the hepatic cyst. Herein is reported observation on 184 cases suspecting of hepatic cyst among the total of 31,412 subjects received the abdominal sonography for the purpose of the mediscreen testing or the diagnostic approach of the patients in this hospital from January 1982 to December 1986. 1. The incidence of the hepatic cyst among the all subjects received the abdominal sonography was 0.585 percent. 2. The rate of the hepatic cyst in the male group was 0.446 percent, but 0.773 percent in the female. The peak age group of this observation was sixth decade (63 percent). 3. The solitary cyst was 90.2 percent in our observation, but polycyst was only 9.8 percent. Cases having below of the 3.0 cm diameter in the size of hepatic cyst was 87.5 percent but only 2.7 percent above 5.0 cm in diameter of it. 4. Concomittent occurrence of the renal cyst was 5.4 percent in this series. 5. Most cases with the hepatic cyst was asymptomatic except someone complaining abdominal pain or fatigue and so on. Liver function tests disclosed usually within normal limits except slightly elevated sGPT, sGOT, or TTT in some cases. 6. All uncomplicated cases in this series have remained well to the present date without any management.
내시경하 경화요법에 의한 Dieulafoy씨 궤양 치험
정을순(Eul Soon Chung),이상종(Sang Jong Lee),김향(Hyang Kim),김광조(Kwang Cho Kim),이준우(Joon Woo Lee),박영철(Young Cheol Park) 대한소화기학회 1991 대한소화기학회지 Vol.23 No.2
Dieulafoy ulcer is a distinctive arteriovenous malformation of gastric fundus, which presents with massive or recurrent gastrointestinal bleeding. The lesion is very small and easily overlooked even at laparotomy, and can only be correctly diagnosed by endoscopy or arteriography if the patient is actively bleeding. A 61-year-old man was admitted as emergency to this hospital because of repetitive hematemesis and melena. A history of gastric or hepatic disease was absent. There was no relevant family history, excessive alcohol or NSAIDS including aspirin administraion but a pack of cigaret per day. No telangiectasia or other abnormalities was found on physical examination, but he had obvious anemia and melena. He was found to have hemoglobin 7.1 lg/dl, hematocrit 22%, and a normal platelet count. Two pints of blood were transfused. Emergency gastrofiberscopy was performed during the active phase. A small spurtion blood vessel close to the esophago-gastric junction surround by gastric ulcer on the lesser curvature side of the stomach was identified. Sclerotherapy was done successfully by the multiple local injections of 95% ethanol. After this management, follow up gastrofiberscopy revealed much improvement of the lesion. The long term follow up of his course could not be done.
정을순(Eul Soon Chung),이상종(Sang Jong Lee),이만호(Man Ho Lee),오동주(Dong Joo Oh),이성훈(Sung Hoon Lee),김명숙(Myung Sook Kim),정인교(In Kyo Chung) 대한소화기학회 1986 대한소화기학회지 Vol.18 No.2
Gastric adenoma is a benign polypoid growth called borderline epithelial lesion, atypical epithelial lesion or flat adenoma. Some authors suggest that it may be a precancerous lesion and its frequent association with gastric carcinoma raises a possibility of its malignant potentiality although unclarified. In this context, we assessed 15 cases with gastric adenoma who visited Koryo General Hospital from 1981 to 1986 and obtained following results. 1) The most patients were in the seventh decade followed by the sixth decade, mean age being 61. 9. The ratio of male to female was 1:1.1. 2) The common clinical symptoms with which patients presented were indigestion (80.0%), epigastric pain and loss of appetite. Epigastric tenderness was observed in 40% of patients on physical examination. 3) UGI series taken in 9 patients showed findings compatible with malignant tumor in 3 cases, peptic ulcer in 3 cases and normal finding in 3 cases. 4) Gastroscopic findings of adenomas were pedunculated polypoid mass in 4 cases, elevated lesion in 2 cases, and multiple small nodules in 1 case. In remaining 8 cases, only nonspecific findings such as superficial ulcers or chronic inflammation were observed. 5) In most cases (13 of 15 cases), gastric adenoma was located in the pyloric antrum as a single in numher. 6) Histologically, only one case was associated adenocarcinoma and two cases showed cellular atypism suspected of malignant change although there was no evidence of malignant cell. 7) 12 cases showed symptomatic improvement with medical treatment and 3 cases who were suspected or confirmed as malignancy by endoscopic biopsy took surgery,
급성 (急性) 바이러스성 간염에서 (肝炎) 혈청 (血淸 ) HBsAg / IgM 결합체의 (結合體) 임상적 (臨床的) 의의
정을순(Eul Soon Chung),이상종(Sang Jong Lee),이만호(Man Ho Lee),정인교(In Kyo Chung),김병호(Byoung Ho Kim),전우규(Woo Kyu Jeon),이승세(Seung Sei Lee) 대한소화기학회 1987 대한소화기학회지 Vol.19 No.1
N/A Circulating immune complexes are frequently found in the blood of patients with acute or chronic hepatitis type B. Recently, Palla and coworkers reported the apparent presence of HBsAg/IgMspecific anti-HBs complexes in acute and chronic hepatitis B and indicated that the presence of these immune complexes may function as prognostic indicators of chronic evolution. Therefore, we observed for the detection of HBsAg/IgM complexes and studied the significance of their presence in acute and chronic type B hepatitis. A total of 155 HBsAg-positive patients were carried out for this study from Mar, 1980 to Feb. 1986 in this hospital. They were included as 28 patients with asymptomatic hepatitis B carriers, 77 patients with acute hepatitis B, and 50 patients with chronic hepatitis B, respectively. The following results in this study were obtained: 1) Circulating HBsAg/IgM complexes were found in 15 out of 28 (54%) asymptomatic hepatitis B carriers, in 26 out of 77 (34%) acute hepatitis B patients, and in 26 out of 50 (52%) chronic hepatitis B patients, respectively. 2) Circulating HBsAg/IgM Complexes in patients with acute B hepatitis were either absent from the initial hospital day or disappeared from four weeks hospitalization, and recovered clinically within two months. 3) The acute hepatitis B patients, being detectable circulating HBsAg/IgM complexes, had persistent elevation of serum alanine transaminase at least six months period. It is suggested that circulating HBsAg/IgM complexes seem to be of important prognostic and diagnostic value in acute and chronic hepatitis B.
몇가지 간질환에 있어 혈중 Neopterin 치의 의의
정을순(Eul Soon Chung),이상종(Sang Jong Lee),김향(Hyang Kim),손호선(Ho Sun Son),김병익(Byoung Ik Kim),백문철(Moon Chul Baek),이승세(Seung Se Lee) 대한소화기학회 1989 대한소화기학회지 Vol.21 No.2
N/A It was recently observed that the hyperimmune response in vitro as in vivo was always accompanied by high levels of neopterin. Indeed in vitro, the stimulation of lymphocytes or macrophages either with viral alloantigens or with chemically modified autologous cells induces a remarkable release of this substance by means of the gamma interferon induction. In the viral infections the increased levels of neopterin could be due to the direct stimulation by the virus on the nucleic acid of the hosts cell (wacher et al ; 1957) Our aim was to verify if during fatty liver or hepatitis, and in cirrhosis of the liver there could be significant variation of serum neopterin levels. We studied 75 patients suffering from hepatic diseases, ranging between 22 and 84 year (mean age 48.96+14.2) and 20 healthy controls homogeneous for sex and age to our patients. The mean values of serum neopterin were 2.17+0.94 ng/ml in patients and 1.59+0.35 ng/ml in the control group. These data was correlated with the mean values of both SGOT and SGPT that were 152.25+278.61 IU/L, 204+405.94 IU/ respectively, and the statistical study showed positive but low correlation coefficient (SGOT:r = 0.28, p<0.05; SGPT:r = 0.30, p<0,05). There was no significant difference of serum neopterin levels between patients with fatty liver and control group (t = 1.057, p>0.05). However, the statistical study showed a significant difference between hepatitis, cirhosis of the liver and the normal control group(p<0.05). Serum neopterin levels and triglycerides were shown to be the best variables for discriminating between the hepatitis and fatty liver patients, neopterin being the more specific of the two. No significant correlation of serum neopterin levels between B hepatitis and non B hepatopathies could be found.
정을순(Eul Soon Chung),이상종(Sang Jong Lee),전우규(Woo Kyu Jeon),김병익(Byung Ik Kim),박정로(Jung Ro Park),김천중(Cheon Jung Kim),권중혁(Joong Hyuck Kwon),유영석(Young Suk Yoo) 대한소화기학회 1993 대한소화기학회지 Vol.25 No.4
One of the well-recognizecl complications of peptic ulcer is perforation into the adjacent organs. A classic example is gastrocolic fistula. Despite predilection of both the stomach and duodenum for peptic ulcer disease, however, the development of a fistula between these two organs is unusual. We report a paitient in whom the fistuious communication of the gastric antrum and the duodenal bulb rnanifested as an accessory pyloric channel.