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RISS 인기검색어
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- 저자 : 조은래(Eun Rae Jo) (검색결과 4 건)
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김재선(Jae Seon Kim),조은래(Eun Rae Jo),권소영(So Young Kwon),변관수(Kwan Soo byun),박영태(Young Tae Bak),김진호(Jin Ho Kim),김종극(Jong Guk Kim),이창홍(Chang Hong Lee) 대한소화기학회 1994 대한소화기학회지 Vol.26 No.1
Unexplained chronic and recurrent biliary type abdominal pain, with or without prior histo- ry of cholecystectomy, in the absence of structural changes in pancreatobiliary anatomy is often attributed to an abnormal pressure profile of the sphincter of Oddi. This symptom com- plex is often attributed to the syndrome of sphincter of Oddi dysfunction. The diagnosis of this disorder has been suggested by the symptom compex, exclusion of anatomic biliary tract disease, dilatation of common bile ducts or delayed drainage of contrast media from the bile ducts during the endoscopic retrograde cholangiography. But, more recently developed tech- nique, endoscopic manometry of the sphincter of Oddi, appears to be most sensitive for detect- ing increases in biliary sphincter pressures, even in the presence of nondilated bile ducts. This syndrome may be further subdivided into sphincter of Oddi stenosis that indicates a structual narrowing of the sphincter of Oddi and sphincter of Oddi dyskinesia that is defined as abnormal sphincter of Oddi motor activity. The basal pressure, which is elevated in both stenosis and dyskinesia of the sphincter of Oddi, is the most widely agreedupon abnormality. Administration of smooth muscle relaxants may help to distinguish between the two enti- ties; these agents do not have any effect on a fixed stenosis but may inhibit the elevated sphincter tone in dyskinesia. 3Ve report a case of the sphincter of Oddi stenosis diagnosed by biliary manometry. (Korean J Gastroenterol 1994; 26: 200 205)
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이구(Goo Lee),조은래(Eun Rae Jo),구양서(Yang Suh Koo),이홍식(Hong Sik Lee),이상우(Sang Woo Lee),김창덕(Chang Duck Kim),류호상(Ho Sang Ryu),현진해(Jin Hae Hyun) 대한소화기학회 1994 대한소화기학회지 Vol.26 No.5
Carcinoma of the extrahepatic bile duct,s may be classified as papillary, nodular, scirrhous constricting and diffusely infiltrating types according to their rnacroscopic characteristics. Among these, the papillary carcinomas are polypoid lesions that grow exophytically into the duct lumen and often produce duct obstruction before they invade the wall of the duct. For this reason, they are more favorable than the other forms and offer the greatest chance of cu- rative resection. Hence we report two cases of papillary adenocarcinoma of extrahepatic bile ducts for which curative surgery was performed successfully. (Korean J Gastroenterol 1994; 879 884)
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김진호,김재선,권소영,변관수,이창홍,박영태,김철환,김종극,원남희,조은래 대한소화기내시경학회 1993 Clinical Endoscopy Vol.13 No.4
Many patients of gastroenterology clinics complain symptoms requiring colonic investigations. Radiological examinations may fail to detect early inflammatory bowel diseases and small neoplasms or polyps. And therefore colonoscopies are performed in preference to barium enema. Recently several reports raised a question regarding whether biopsy is necessary in a macroscopically normal colon. To determine what proportion of apparently normal colons is histologically abnormal, to measure the thickness of subepithelial basement membrane(SEBM) in normal colons, and to see whether the thiekness varies according to the different areas of the large bowel we prospectively analyzed 100 consecutive subjects with normal laboratory findings and normal mucosa on colonoscopy. Significant histologic abnormalities were not detected in all 100 cases. Thickness of SEBM (mean+SD) was 1.6+0.4 um at hepatic flexure, 1.6+0.4um at splenic flexure and 1.7+0.4 pm at sigmoid colon. The SEBM was significantly thicker at the sigmoid colon than at the hepatic flexure. Range of thickness of normal SEBM was 0.8 to 2.5 pm(mean+2SD). Maximum thickness of SEBM was 3 pm. The result of this study suggests that doing colonoscopic biopsies in all normal colons do not seem to be essential in Koreans yet.
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김진호,이성준,문홍영,이구,김재선,이창홍,박영태,김종극,원남희,조은래 대한소화기내시경학회 1994 Clinical Endoscopy Vol.14 No.1
Obstructive disorders of the biliary trees include occlusions of the bile duct lumen by stones, intrinsic disorders of the bile ducts, and extrinsic compressions. The most common biliary cause of obstructive jaundice is the presence of stones. Intrinsic disorders of the bile ducts may be inflammatory, infectious, or neoplastic. And significant enlargement of adjacent lymph nodes due to metastatic tumors or lymphoma can occasionally obstruct the extrahepatic bile ducts. But obstructive jaundice produced by periportal tuberculous lymphadenitis with no evidence of pulmonary tuberculosis is very rare. We report a case of tuberculous lymphadenitis causing obstructive jaundice with a mass around mid common bile duct on abdominal sonogram, CT scan and ERCP, and it was confirmed by an exploratory laparotomy.
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