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김대성,노병선,조남천,김익용,권순범,배금석,노광수 대한소화기학회 2000 대한소화기학회지 Vol.36 No.4
Background/Aims : Pancreatic pseudocyst is the most common cystic lesion in the pancreas. There are several treatment methods with variable results. The objectives of this study were to compare each treatment method and to suggest the appropriate treatment option for improving its prognosis. Methods : The clinical records of 78 patients with pancreatic pseudocysts treated from 1987 to 1997 were reviewed retrospectively. Incidence, etiology, treatment methods of pancreatic pseudocysts were analyzed. Results: Among 45 cases of the cysts less than 5 cm in diameter, 26 (57.8%) cases were managed conservatively. In 15 cases of cysts between 5 cm and 10 cm, operation was performed in 11 (73.4%) cases. In 15 cases of cysts larger than 10 cm in diameter, operation was performed in 12 (80%) cases. Percutaneous drainage performed in 8 cases revealed good result without recurrence. Six recurrent pseudocysts occurred after conservative management (2), internal drainage (2), and resection (2). Conclusions: The results of our study showed that size of pseudocyst was a main factor in selecting treatment modalities. Percutaneous drainage was an excellent procedure in the cases in which operation was not proper. All treatment modalities showed similar results in recurrence rate.
간장 ( 肝臟 ) 및 담도 ( 膽道 ) : 간내 담석증의 임상적 고찰
노병선(Byoung Seon Rhoe),윤광수(Kwang Soo Yoon),조남천(Nam Cheon Cho),오진환(Jin Hwan Oh) 대한소화기학회 1991 대한소화기학회지 Vol.23 No.2
N/A There were many preblems in the treatment of intrahepatic stones compared with other biliary stones. The management of primary intrahepatic stones is complex and the results are often unsatisfactory. The pathgenic mechanism of the intrahepatic stones is still obscure byr manu authors have believe that the bile stasts with secandary infection primarly makes soines in intrahepatic ducts. We experienced 448 patients with hepatobiliary stones during the period from January 1982 to September 1989. Among them, 87 pateents with intrahepatic stones were analysed for prevalent sites, pathogenic organism, histologic changes and operative precedures.We obtained following results; 1) Intrahepatic stones occurred more frequently in left side (50.6%) than right side (9.2%) 40.2% of the patients had stones in both hepatic ducts. Common bile stones were combined with intrahepatic stones in 62.1%.2) Bacterial cultrer disclosed positive result 72.5 and the most common orgainsm was E.coli cultures in 30.3% Parasitic infestation rate was 5.8%.3) Histologically, mucin production (85.7%) atypical epithelial huperpalsia (42.9%) and proliferation of endocrine cells (66.7) were noted in the epithelium of intrahepatic ducts.4) 33 of total 87 cases underwent hepatic resection and 54 cases underwent by-pass procedures without hepatic resection. 5) The postoperative complication rate was 6.9% in the group with hepatic resections and 18.4% in the group without hepatic resection. 6) The residual stones were in 5 cases (5.7%) with hepatic resection and in 24cases (27.6%) without hepatic resection. 7) If stones were localized to the left side of the liver, left lateral segmentectomy with TouX-en-Y hepaticojejunostomy or tith T-tube choledochostomy was more effective procedure than other procedures for minimal resedual stones after operation.
위십이지장 경계부위에 발생한 충돌종양 ( Carcinoma - Carcinoid ) 의 치험
노병선(Byoung Seon Rhoe),윤광수(Kwang Soo Yoon),조남천(Nam Cheon Cho) 대한소화기학회 1991 대한소화기학회지 Vol.23 No.1
Carcinoid tumors display wider histologic spectrums than those we have previously known. Furthermore, an increasing number of tumors which contain an admixture of neoplastic endocrine and nonendocrine epithelial cells has been recently discribed. We report a case with collision tumor of the gastroduodenal junction composed of a gastric adenocarcinoma and duodenal carcinoid tumor which is extremely rare. The tumor mass was histologically diagnosed with carcinoid tumor by gastroscopic biopsy before operation. Whipples operation was performed after 6 cycles of chemotherapy with 5-FU, Adriamycin and Cisplatin. The operative specimen grossly disclosed two different types of tumor and was histologically identified as concurrent occurrence of carcinoid tumor adjacent gastric carcinoma.
노덕삼 ( Duk Sam Rhoe ) 대한내과학회 1969 대한내과학회지 Vol.12 No.4
1. I would like to touch of the family plan, birth control, population study on the problem of the repeating induced abortions for the interruption of their own pregnancy instead of therapeutic abortion. 2. I have been observing of the repeating induced ab