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정인식,서정민,정규원,김부성,선희식,정진우,임계순,백남종 대한소화기학회 1989 대한소화기학회지 Vol.21 No.1
Leukoplakia means a white or yellow-white plaque lesion. It can involve skin, oral cavity and esophagus. It is grossly thickened mucosa. Micropopic examination reveals a hyperkeratosis and varing amounts of sumucosal chronic inflammatory infiltration. We experienced three cases of esophageal leukoplakia recently and report here with the review of the literature.
조현미,정인식,김부성,박두호,이창돈,강무일,정진우,임계순 대한소화기내시경학회 1986 Clinical Endoscopy Vol.6 No.1
Leiomyoma is the most common benign tumor of the esophagus, but it still occurs rarely, as compared with the incidence of cacinoma. There are no geographic or racial differences and manifestations are unusual and inconsistent. About 97% of the esophageal leiomyoma may oecur in intramural type and 1 of the tumor may be polypoid type. Considerable diagnostic problems may arise as well as problems of proper surgical management. We experienced a case of a 47-year old female with esophageal leiomyoma in the mid- point of the esophagus. The patient complained of substernal discomfort for 1 month and routine examinatian and gastrofiberscope were performed. The gastrofiberscopic finding was asmoothly protruded, round bean-sized polypoid mass in the midpoint of the esophagus which was removed by polypectomy. There were no other complications. So we reported this case with review of literature.
이봉수,양진모,안병민,정규원,김부성,한준열,선희식,임계순,백남종,정인식 대한소화기내시경학회 1993 Clinical Endoscopy Vol.13 No.1
The Endascopic Injection Sclerotherapy(EIS) has been widely adopted as a primary treatment for acute hemorrhage from esophageal varices. The long term repeated EIS could achieve esophageal variceal obliteration which has laeen regarded as the endpoint of sclerotherapy by many authors. Several studies showed that repeated EIS improved the 1ot18-term survival, and reduced the bleeding episodes. However, in recent prospective randomized trials, the frequency of bleeding was not reduced and even increasd without improvement of survival in patients undergoing prophylactic sclerotherapy. However, after stabilization of acute bleeding soma patients underwent inital sclerotherapy refuse further sclerotherapy mainly due to severe chest pain and several minor complications related to sclerotherapy. Those patients usually undergo sclerotherapy when the eaophaBeal variceral bleeding recur. The aim of this study was to evaluate whether long term repeated sclerotherapy of planned regimen(EP) is superior to episodic sclerosis in regard to the prevention of rebleeding, and improvement in survival. We enrolled 255 patients with an acute variceal bleeding episode within 3 days at the time of admission in this study from Jan 20th 1987 to Aug 20th 1992 in Dae-jeon St. Mary's Hospital. Among 255 patients, 122 patients were excluded from the study because of combined severe illness at the time of initial sclerosis in I6, lost to follows up in 70, inability to classify due to early death in 4, and small varices(below grade 3 by CMC criteria) in 32. Of the total 133 patients, $quot;r5 patients had received endoscopic sclerotherapy by planned regimen(EP) and 58 patients by episodic sclerotherapy on bleeding(EE). Mean follow up was similar in both groups(EP. 23.3±○ months: EE, 25.5±14.2 months). The sclerotherapy of planned reginten reduced rebleeding(EP, 2.01±1.35; EE, 3.90±2.54) and increased overall obliteration rate(EP, 67%; EE, 14%) during the observation period. Cumulative life table analysis revealed no difference in survival between EP and EE. However, in regared to bleeding as a single cause of death, there was a significant difference in survival(P$lt;0.0001). Complication rate was not different between the two groups(EP, 15%; EE, 9%). There was no death related to sclerotherapy in all patients. Esophageal stricture was most frequent complication in two groups, but it was easily treated by TTS ballon dilatation in all cases. At the end of stady there was no difference in hepatic reserve function between the two groups. We conclude that sclerotherapy of planned regaen is more effective to obliterate esophageal varices, to prevent rebleeding than that of episodic method, thus it can reduce the mortality from rebleeding.
용종절제술로 진단된 십이지장 Brunner`s Gland 선종 5예
선희식(Hee Sik Sun),김부성(Boo Sung Kim),정인식(In Sik Chung),정진우(Jin Wu Jeong),임계순(Kae Soon Im),조현미(Hyun Mi Cho),백남종(Nam Jong Baeg),강석진(Seok Jin Kang),김선무(Sun Moo Kim) 대한소화기학회 1987 대한소화기학회지 Vol.19 No.1
Benign tumors of the duodenum are relatively infrequent and are not easy to discover because of nonspecific symptoms. The polypoid lesions of the doudenum have a propensity for causing occult gastrointestinal bleeding, obstruction and intussusception and do have some possibility of being malignant. Therefore, when possible, these lesions should be removed and examined histologically. We experienced five cases of Brunners gland adenoma in the duodenal bulb. The patients complained of epigastric discomfort, nausea, vomiting and tarry stool. The upper gastrointestinal radiography and endoscopy revealed round to oval shaped pedunculated polyp in the duodenum in all cases. We did endoscopic duodenal polypectomy without complications.