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Volume 13(2); June 1993
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자연소실된 원발성 식도 악성 림프종 1예 ( Spontaneous Regression of Primary Malignant Lymphoma of the Esophagus )
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Korean J Gastrointest Endosc 1993;13(2):335-339. Published online November 30, 1992
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- Gastrointestinal involvement has been reported to occur in about 5 to l0% of patients with lymphoma. The most common gastrointestinal site for a lymphoma is the stomach, followed by the small intestine and ileocecal region. When lymphoma is found in the esap us, generally it is with contiguous involvement of the gastric fundus, the cervical node, secondary to mediastinal lymph node compression, or a late manifestation of advanced desease. Such cases cannot be labeled as primary esophageal lymphoma. A search of the literature reveals that there have been about 20 or more published cases classified as esophageal lymphoma. However, more than ten cases are indistingishable from the case of distal esophageal involvement by gastric lymphoma. In 1935, Chiolero described a case of midesophageal stricture, which at autopsy was consistent with Hodgkin's disease for the first time. Berman reported an authentic case of primary histiocytic lymphoma confined to the lower esophagus. Only six or more cases were reported in literature until the present time. Here, a 30-year-old man with substernal discomfort was shown to have a mass lesion on the esophagus. The mass was proved to be malignant lymphoma on the histologic examination. This may be the first report dealing with spontaneous regression of maligant lymphoma of the esophagus possibly associated with the use of cimetidine.
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내시경직시하 세침흡인세포진검사로 진단된 상부위장관종양 ( Endoscopic Fine Needle Aspiration Cytology in the Diagnosis of Upper Gastrointestinal Malignancies )
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Korean J Gastrointest Endosc 1993;13(2):341-345. Published online November 30, 1992
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- The endoscopic fine needle aspiration cytology may add to the diagnostic accuracy of endoscopic biopsy and brush cytology. It is also of particular value in submucosal, infiltrative and ulceronecrotic tumors. Endoscopic fine needle aspiration cytology was done with sclerotherapy needle(23 gauge) in. the 17 patients with submucosal tumor(18 cases), extrinsic compression(2 cases), infiltrative gastric cancer(one case) and cancer of the ampulla of Vater(one case) on the upper gastrointestinal endoscopy. Endoscopic fine needle aspiration cytology established the diagnosis in 6 cases(submucosal tumor of the stomach; 2 cases, submucosal tumor of the duodenum; one case, extrinsic mass of the duodenum; one case, infiltrative cancer of the stomach; one case, and the cancer of ampulla of Vater; one case) of 17 cases. There were negative results for malignancy in 7 cases and material insufficiency in 4 cases. Five cases of the positive results with endoscopic fine needle aspiration cytology were not diagnosed with endoscopic forceps biopsies. There was no complication. We conclude that endoscopic fine needle aspiration cytology is a simple and safe technique and is of particular value in submucosal tumor, extrinsic compression of the upper gastrointestinal tract by tumor, and infiltrative gastric cancer.
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자동차제조회사 근로자 1865명에 대한 위내시경적 집단검진 소견 ( Mass Screening for Stomach Cancer by Gastrofiberscopy in 1865 Employees of a Car Manufacturing Company )
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Korean J Gastrointest Endosc 1993;13(2):347-352. Published online November 30, 1992
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- Background
Stomach cancer is the most commonly diagnosed malignant tumor in Korea. Early detection by mass screening very important to increase survival rate of stomach cancer, because the prognosis of early gastric cancer is excellent, and specific symptoms and physical findings are rare with early gastric cancer. Methed: 1865 car manufacturing company employees were examinined by gastrofiberscopy at a dispensary of the company from May 6, l992 to July 13, 1992. Results: 1. Number of cases with normal finding was 1262(67.7%), gastritis 422(22.6%), gastric ulcer 47(2.5%), gasrtric cancer 4(0.2%), duodenitis 39(2.1%), duodenal ulcer 63(3.4%), combined ulcer(gastric & duodenal) 2(0.1%,), post operative state 6(0.3%), and others 4(0.3%) in total 1865 examinees. 2. Of 422 cases with gastritis, cases with superficial gastritis were 171 (9.2%), atrophic gastritis 138(7.4%), erosive gastritis 94(5.0%) and hemorrhagic gastritis 19(1.0%). 3. Of 4 cases with stomach cancer, 1 case was advanced stomach cancer and 3 cases were early gastric cancer(two cases of IIc and one case of IIc+III) by macroscopic classification. Conclusion: Mass screening provides an excellent opportunity to detect gastric cancer in populations without symytoms or with nonspecific symptoms. It should be recommended to undergo screening exam for high risk group of stomach cancer.
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위의 염증성 섬유양 용종 4예 - 내시경적 초음파단층촬영술 소견을 중심으로 - ( 4 Cases of Inflammatory Fibroid Polyp of the Stomach - The findings of endoscopic ultrasonography - )
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Korean J Gastrointest Endosc 1993;13(2):353-362. Published online November 30, 1992
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- Inflammatory fibroid polyp is a relatively rare, benign lesion of gastrointestinal wall which is composed of fibrous connective tissue, blood vessels, and infiltration of eosinophils, These occur mainly in two sites, the distal stomach and the distal ileum. The gastric lesions are almost always situated in the antral region, frequently adjacent to the pyloric sphincter. they have been found in patients from the third through the ninth decades with a medial age in the midsixth decade. There seems to be a sligbt male predominance. The majority of inflammatory fibroid polyps had been reported with pathologic specimen in stomach. These reveal polypoid masses originated mainly in the submucosa of the stomach, As to the diagnosis of submucosal tumor of the stomach, a newly developed diagnostic modality of endoscopic ultrasonography allows us to visualize the structures underlying the gasointestinal wall in a noninvasive manner, and has the great advantage over the conventional modalities such as endoscopy and X-ray examination. We report 4 cases of inflammatory fibroid polyp in ithe stomach, which was diagnosed by the gastrofiberscopy and endoscopic ultrasonography, and treated by surgical operation in 1 case and endoscopic resections in 3 cases, These lesions were demonstrated as hypoechic tumors mainly in the third layer of the gastrie wall with irregular margin and unclear bouadary by endoscopic ultrasonqgraphy. The findings of endoscopic ultrasonography are discussed with the review of the literature.
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중복유문 1예 ( Double Pylorus , A Case Report )
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Korean J Gastrointest Endosc 1993;13(2):363-365. Published online November 30, 1992
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- Double pylorus is a rare condition consisting of a double communication between gastric antrum and duodenal bulb; in most cases it is a complication of penetrating ulcer, and sometimes it is a congenital abnormality. The prevalence of this rare anomaly ranges from 0.02% to 0.13%; the male: female ratio is about 2: 1. A case of double pylorus, in 41 year-old male, was diagnosed by gastrofiberscopy and UGIS. Two ovoid and crescent pits of the pyloric canal divided by smooth thickened septum were observed endoscopically. The upper GI series showed gastroduodenal fistula connecting the leeser curve of distal antrum with the duodenal bulb. The relevant literatures on the subject were reviewed.
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중복유문 1예 보고 ( Double Pylorus - A Case report - )
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Korean J Gastrointest Endosc 1993;13(2):367-369. Published online November 30, 1992
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- A Case of double pylorus, in 56 year old man, was diagnosed by fiberoptic gastroscopy and upper gastrointestinal series. Two ovoid large openings of pyloric canal divided by smooth thickened septum were observed endoscopically And the relevant literatures on tihe subject were reviewed.
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Replacement Balloon Gastrostomy Tube 착용후 발생한 심한 위궤양 출혈 1예 ( A Case of Severe Gastric Ulcer Bleeding after Exchange for Replacement Balloon Gastrostomy Tube in Percutaneous Endoscopic Gastrostomy )
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Korean J Gastrointest Endosc 1993;13(2):371-374. Published online November 30, 1992
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- PEG is a simple, safe and rapid method for the placement of feeding gastrostomy tube because of its low morbidity and mortality. Also, exchange of gastrostomy tube can be easily performed because several types of exchange tube, suich as replacement balloon gastrostomy tube are available. But, less has been known about complications of exchange tube. The authors experienced a case of severe gastric ulcer bleeding in seventy one years old male patient who had been suffered from melena after exchange of old PEG tube for replacement balloon gastrostomy tube. Gastroscopy showed bleeding from acute, large and deep ulcer on the body of stomach, and replacement tube tip directed to the center of ulcer. Bleeding was thought to be caused by gastric ulcer due to replacement balloon gastrostomy tube, After removal of tube and conservative management with H2 receptor antagonist, bleeding ceased
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가성장폐색을 동반한 전신성 Amyloidosis 1예 ( A Case of Systemic Amyloidosis with Intestinal Pseudoobstruction )
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Korean J Gastrointest Endosc 1993;13(2):375-379. Published online November 30, 1992
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- Deposition of amyloid in ststemic amyloidosis may cause widespread dysfunction of the entire gastrointestinal tract, Intestinal pseudoobstruction is an uncommon but well-recognized complication of systemic amyloidosis, and its prognosis is poor and conventional treatment is ineffective. We report a case of intestinal pseudoobstruction secondary to systemic amyloidosis diagnosed by endoscopic mucosal biopsy in a patient with multiple myeloma.
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내시경적 위장관 용종 절제술 60예의 임상적 고찰 ( Clinical Observation of Endoscopic Gastrointestinal Polypectomies )
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Korean J Gastrointest Endosc 1993;13(2):381-388. Published online November 30, 1992
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- Advances in fiberoptic endoscopy have improved diagnostic capabilities and management in piatients with gastrointestinal polyps. The gastrointestinal polyp is a premalignant lesion in varying degrees, according to size, pathology, and location. Endoscopic polypectomy has long been considered as a safe and effective method for removal of polyps. Sixty endoscopic gastrointestinal polypectomies were done in 53 patients who visited Hanyang University Hospital from 1984 to l990, and the clinical characteristics including histopathalogy were evaluated. (continue...)
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대장 용종에서 겸자생검과 용종절제술 사이의 병리조직 소견의 비교 ( The Comparison of Pathologic Findings of Colonic Polyps between Forceps Biopsy and Polypectomy )
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Korean J Gastrointest Endosc 1993;13(2):389-393. Published online November 30, 1992
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- Colonic palyps are one of the most risky factors for colon cancer. The pathology of the specimen obtained by forceps biopsy does not represent the whole specimen of the polyp obtained by polypectomy or surgery in some cases. To evaluate these pathologic differences. we analysed the 39 patients with colonic polyps who underwent forceps biopsy and polypectomy. (continue...)
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가족성 다발성 대장용종증 3예 ( Familial Polyposis Coli )
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Korean J Gastrointest Endosc 1993;13(2):395-399. Published online November 30, 1992
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- Familial adenomatous polyposis(FAP) is the most oommon of the polyposis syndromes. It is characterized by multiple colorectal adenoma and a high occurrence rate of associated colonic adenocarcinoma in all untreated cases. FPC is inherited as antosomal dominant trait. During 20 years after diagnosis, adenocarcinoma occurs in more than 50% of patients. Clinically, surgical resection should be advised at the time of diagnosis in almost all cases, and acquainted with the potential risks to their children and advised to seek genetic counselling. we report three cases with familial adenomatous polyposis in family.
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내시경적 용종절제술로 제거한 대장 림프관종 1예 ( A Case of Lymphangioma of the Large Intestine Removed by Colonoscopic Polypectomy )
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Korean J Gastrointest Endosc 1993;13(2):401-404. Published online November 30, 1992
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- Lymphangioma occuring in the gastrointestinal tract is a rare benign tumor, which is composed of lymphatic vessels of various size. A sharply demarcated smooth, soft, cystic submucosal tumor which is easily compressible and covered with normal mucosa is a characteristic eadoscapic feature. Recently, we experienced a case of lymphangioma in ascendmg colon and removed it successfully by colonoscopic snare polypectomy.
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교원성 대장염 ( Collagenous colitis ) 1예 ( A Case of Collagenous colitis ) 1예 ( A Case of Collagenous Colitis )
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Korean J Gastrointest Endosc 1993;13(2):405-409. Published online November 30, 1992
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- Collagenous colitis is an uncommon condition charaeterized clinically by diarrhea and weight loss and histologically by thickening of the subepithelial collagen band with chromic inflammation. Laboratory tests of blood, urine and stool, and colonscopic findings are usually normal. The etiology of collagenous colitis is unknown. We report a case of collagenous colitis improved after treatment with sulfasalazine with review of literatures.
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직장으로 전이된 악성 흑색종 1예 ( A Case of Metastatic Melanoma of the Rectum )
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Korean J Gastrointest Endosc 1993;13(2):411-413. Published online November 30, 1992
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- A 42-year-old woman preseated with intermittent rectal bleeding of a week's duration. A large polypoid mass with pigmented, ulcerated, nodular surface was seen in the rectum at 3cm from the anal verge during flexible sigmoidoscopy. A histologic diagnosis of metastatic melanoma wae made on light microscopic examination of biopsies obtained at sigmoidoscopy. The presence of metastatic melanoma at sites other than the rectum was found at the skin, pleura and lung. We report a case of metastatic malignant melanoma of the rectum with the review of the literature.
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경구적 담관내시경검사로 진단된 총간관내 원발성간암의 종양색전에 의한 폐쇄성 황달 1예 ( Obstructive Jaundice Caused by the Fragment of Hepatocellular Carcinoma in the Common Hepatic Duct Confirmed by Peroral Choledochoscopy )
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Korean J Gastrointest Endosc 1993;13(2):415-418. Published online November 30, 1992
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- The causes of jaundice in patients with hepatocellular carcinoma are usually attributed to the underlying liver diseases or extensive hepatic destruction by tumor. Obstructive jaundice by the intraluminal tumor fragment of intrahepatic and/or extrahepatic bile duct in hepatocellular carcinoma is exceedingly rare and usually diagnosed by operation or autopsy. Recently, we observed a patient in whom the fragment of tumor from the primary hepatocellular carclnoma obstructed the common hepatic duct, which was confirmed by peroral choledochoscopy. Using peroral choledochoscopy. we could see the mass located at the common hepatic duct and diagnose histologically by cytologic examination of aspirated material of common bile duct. We describe here this rare case with review the literature on primary hepatocellular carcinoma with jaundice caused by biliary obstruction.
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혈액응괴에 의한 폐쇄성황달을 동반한 간내담관암 1예 ( A Case of Hemobilia Developing Obstructive Jaundice by Blood Clots in a Patient with Cholangiocarcinoma )
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Korean J Gastrointest Endosc 1993;13(2):419-423. Published online November 30, 1992
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- Cholangiocarcinoma is a rare tumor among all populations of the world and accounts for less than 2% of cancers found at autopsy and between 10% and 20% of all primary liver cancers. The tumor originates either from the intrahepatic small duct radicles(peripheral type) or the major hepatic ducts at or near the junction of the right and left hepatic ducts(hilar type). Included in the latter are the small intraduct carcinomas arising at the bifurcation of the hepatic ducts. (continue...)
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개인용 컴퓨터를 이용한 내시경소견의 기록과 관리시스템의 개발 ( Development of a Computer - assited Documentation System for Gastrointestinal Endoscopy )
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Korean J Gastrointest Endosc 1993;13(2):425-431. Published online November 30, 1992
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- The authors developed a computerized documentation system to record and store all the data pertaining to an endoscopic examination of the upper digestive tract. The system was programmed using the database management system Clipper Version 5.01. It is easy and convenient to use due to advanced deaign of input screen using menu bars and pull down menu and windows. The system was designed to permit the easy storage and retrieval of data by personnel who lack computer skills and who may only have limited typing ability. Today this system has been in daily use for 1 year at the endoscopic units of 8 different branch hospitals of Catholic university,medical college. Overall the experience in these centers has been positive, with excelient or good participation. Characteristics of this system are a menu-driven system, data input by predefined list, instantaneous report generation, on line access to previous examination, late entry of yathologic regerts. and record retrieval, listing according to different criteria. For the description of endoscopic findings and diagnosis, structured input is maintained. All of the findings are chosen from predefined list using pop-up screen and also free text typing is allowed. Therefore time effort was not increased compared to conventional documentation. Structured input and the resulting categorical data affer several advantages.
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식도정맥류 결찰요법 ( EVL) 용 고무밴드를 이용한 흡인결찰 용종절제술에 의한 위 편평선종 ( Flat adennoma ) 의 진단 및 치료
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Korean J Gastrointest Endosc 1993;13(2):433-435. Published online November 30, 1992
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월례집담회 : 식도근내 혈종을 합병한 식도 중복 낭종
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Korean J Gastrointest Endosc 1993;13(2):436-438. Published online November 30, 1992
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월례집담회 : 식도암 환자에서의 경피하 내시경적 위삽관술
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Korean J Gastrointest Endosc 1993;13(2):439-441. Published online November 30, 1992
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월례집담회 : 거대한 위선종 1예
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Korean J Gastrointest Endosc 1993;13(2):442-443. Published online November 30, 1992
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월례집담회 : 면역기능저하환자에서 CMV 에 의한 위궤양 1예
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Korean J Gastrointest Endosc 1993;13(2):444-445. Published online November 30, 1992
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제34회 대한소화기내시경학회 학술대회 / 구연 : 위에 발생한 조기 악성임파종
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Korean J Gastrointest Endosc 1993;13(2):453-454. Published online November 30, 1992
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제34회 대한소화기내시경학회 학술대회 / 구연 : 조기위암 Type IIc
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Korean J Gastrointest Endosc 1993;13(2):453-453. Published online November 30, 1992
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제34회 대한소화기내시경학회 학술대회 / 구연 : 조직학적으로 확진된 Dieulafoy's Vascular Malformation 1예
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Korean J Gastrointest Endosc 1993;13(2):455-456. Published online November 30, 1992
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제34회 대한소화기내시경학회 학술대회 / 구연 : GI Amyloidosis with Intestinal Pseudoobstruction
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Korean J Gastrointest Endosc 1993;13(2):456-457. Published online November 30, 1992
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제34회 대한소화기내시경학회 학술대회 / 구연 : 위 출혈을 동반한 아나사키스증
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Korean J Gastrointest Endosc 1993;13(2):456-456. Published online November 30, 1992
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제34회 대한소화기내시경학회 학술대회 / 구연 : 직장질루를 동반한 대장결핵
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Korean J Gastrointest Endosc 1993;13(2):457-458. Published online November 30, 1992
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