Clinical Endoscopy

상부소화관의 급성점막성병변 ( The Upper Gastrointestinal Mucosal Lesion ): Korean J Gastrointest Endosc 1984;4(1):1-5. Published online November 30, 1983

Abstract PDF: Clinical and endoscopic features on 86 patients with acute upper gastrointestinal mucosal lesien were evaluated. Males were predaminant about 3 times of female. Most of patients were in 4 th to 6 th decade. The prevalent locations were proximal part of the stomach and dodenal bulb. Most,freqent chief camplaints was epigastric pain. Eeloscopieally aoute ulcers were characterized by shallow in depth, variant size and shape, rather clear ulcer margin without mucosal fold eonvergence and multiple lesions rather than sigle. The inducing factors of the acute mucosal lesiona whiah were noted were alcohol, HCI, analgesics, herb drug, steroid, antibiotlies and orgaaie ipheephorus.

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위내시경을 통한 위선암의 조직학적 연구 ( The Histological Study of Gastric Adenocarcinoma by Gastrofiberscopy ): Korean J Gastrointest Endosc 1984;4(1):6-12. Published online November 30, 1983

Abstract PDF: This report is an analysis of 108 cases of gastric adenocarcinoma diagnosed by gastrofiberscopy among whom the patients were visited or hoiipitalized at the Ewha Womane University Hospital from January, 1982 to March, 1984. The results obtained were summerized as follows. 1) In hiatologic subtypes of gastric adenocarcinoma, mucous cell carcinoma accounted for 67 cases(62%), pylorocardiac gland cell carcinoma 25 cases(23%), intestinal cell carcinoma 9 cases(8%), unclassified 8 cases(7%). 2) The male to female ratio was 1. 8: 1, the pylorocardiac gland cell carcinoma was more male predominant. 3) The peak age incidence was the 7th decade wiith 29%, the 6th decade with 28%, and 5th decade with 17%, The mucous cell carcinoma found at 30th decade but the pylorocardiac gland cell carcinoma and intestinal cell carcinoma were found after 50th deeade. 4) The localization of the gastric adenocarcinoma iin the stomach showed the antrum 55 cases(51%), most frequently and followed by body, cardia. The intestinal cell carcinoma wae not found at the cardia. 5) The macroscopic feature of the advanced gastric adenocarcinoma by gastrofiberscopy showed Borrmann's type III 39 caaea(35%), II and IV 29 cases(27% ) each other. The intestinal cell carcinoma was not formed an infiltrate of the type IV. 6) The marginal mucosa of gastric adenocarcinoma showed intestinal metaplasia(73%), and the intestinal cell carcinnma was more frequent relatively. 7) Alcian blue-PAS staining revealed more common in intestinal cell carcinoma than mucous cell carcinoma and pylorocardiae gland cell carcinoma of gastric adenocarcinoma.

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위절제술후 내시경적 관찰 ( Endoscopic Examination in Patients following Gastrectomy ): Korean J Gastrointest Endosc 1984;4(1):13-19. Published online November 30, 1983

Abstract PDF: It had heen emphasized the necessity for upper gastrointestinal endoscopic examinations in patients. Who has had gastrectomy and presents persisting gastrointestinal symptoms. This study was conducted to evaluate endoscopic findings and clinical symptoms in patients following gastrectomy. (continue...)

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상부 위장관출혈의 임상상과 그 예후에 관한 고찰 ( A Clinical Observation of Upper Gastrointestinal Bleeding , with Special Reference to Factors Influencing the Outcome ): Korean J Gastrointest Endosc 1984;4(1):20-27. Published online November 30, 1983

Abstract PDF: In a study of 460 cases of upper gastrointestinal bleeding admitted in Han Yang University Hospital during the 6 year period 1978-1983 inclusive, the following results were obtained. (continue...)

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소아 대장내시경 검사 ( Pediatric Colonoscopy ): Korean J Gastrointest Endosc 1984;4(1):28-34. Published online November 30, 1983

Abstract PDF: Diagnostic and therapeutic exploration with flexible colonofiberscope has heen developed since last 15 years. During that time some endoscopist has been developing pediatric colonoseopy aind getting good results with the advent of new pediatric colonoscope, PCF, aince 1981. I experienced 25 cases of pediatric colonoscopy at the department of surgery of the Ewha Womane University Hospital during last 10 montha(1984 1-1984 10). Clinical analysis of 25 cases of pediatric colonoscopy were made and with my experienee and review of literatures, technical succees and failure rate, time needed for peciatric colonoscopy and comparison of Colonoscopy and barium enema were presented.

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대장결핵의 내시경적 진단 ( Endoscopic Diagnosis of Colonic Tuberculosis ): Korean J Gastrointest Endosc 1984;4(1):35-39. Published online November 30, 1983

Abstract PDF: Tuberculosia of the colon, beeause of its vague manifestations, continue to be a diagnostic chalenge. Numerous retrospective series even in this country have appeared describing the diffieulty with this diagnosis is made. Most often, patients have undergone Barium Enema studies for non-specfic abdominal pain and have been found constricting leeions or ulcerations which cluld not be further defined without surgical confirmation. I deseribe here in 21 eases of coionic tubereulosis or suspieious colonic tuberculosis by Barium Enema studies I performed colonascopic diagnosis. Clinical analysis of the 21 caees were made and presented the importanee of the calonoscopic diagnosis and its biopsy for the increase of the detection rate for colonic tuberculosis without surgery.

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Peri - vater Diverticulum 환자에 있어서 Endoscopic Retrograde Cholangiopancreatography 검사소견 - 담 (膽) 췌장질환을 (膵臟疾患) 중심으로 - ( ERCP in the Diagnosis of Peri - vater Diverticula Causing Pancreatobiliary Disease ): Korean J Gastrointest Endosc 1984;4(1):40-44. Published online November 30, 1983

Abstract PDF: Peri-vater divertieula may interfere with the normal flow of biliary and pancreatic secretion, thus leading to pancreatobiliary diseasa and the very presence of juxtapapillary diverticulum makes cannulation technically difficult and contributes to the low success rate. In this present series, the relationship between duodenal diverticula and age, sex, and biliary-pancreatic pathology was stud.ied in 1400 patients examined with ERCP. The results are as follows. 1) Duodenal diverticula was demonstrated in 73 of 1400 patients(5, 2%). 2) The incidence of duodenal divertieular increased with age and they were more frequent in men. 3) The cannulation of one or both duct system was suecessful in 69 of the 73 patients, the success rate was 94. 5%. 4) The biliary pathology was found in 41 of the 73 patients and the pancreatic pathology in 6 of the 73 patients. The rnost common finding was biliary calculi which were demonstrated in 35 patients(47. 9%).

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담도내 회충미입의 (蛔蟲迷入) 진단과 치료 ( Diagnosis and Treatment of Biliary Ascariasis ): Korean J Gastrointest Endosc 1984;4(1):45-50. Published online November 30, 1983

Abstract PDF: In 1, 345 patients suspected of having pancreatic or biliary tract disease, 23 patients were shown to have biliary ascariasis demonstrated by endseopic retrograded cholangiopancreatog raphy, at Kwang Ju Christian Hospital from Sep. 1976 to Aug. 1983. Authors report the clinical study and ERCP finding of 23 cases of biliary ascariasis. The result were as follows. 1) Out of 1,345 cases of ERCP, biliary ascariasis were 28 cases, The ascaris were found in CHD & IHD in 21 cases, and 2 casee were found in Ampulla of Vater. 2) There was no specifia age incidence and male to female ratio was 1: 1.9, 3) The disease was more prevalent in spring & summer, and more prevalent in rural area than urban area. 4) The chief eomplaints were RUQ and epigastric abdominal pain. The cases which were admitetted within 2weeks of onset were 16 cases. 5) Ascaris in biliary tract were removed by operation in 14 cases, and EST were performed in 5 cases. Two cases werere moved by DORMIA basket under the endoscopic direct visualization. 6) We report E.S.T. as a new therapeutic method of biliary ascariasis.

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식도궤양을 동반한 식도이물의 내시경적 치료 1예 ( Endoscopic Removal of Esophageal Foreign Body Complicated with Esophageal Ulcer - Case report - ): Korean J Gastrointest Endosc 1984;4(1):51-54. Published online November 30, 1983

Abstract PDF: Any foreign body in the esohagus means an acute danger because of the impending perforation followed by mediastinitis, the impending erosion of bigarteries, and impending aspiration in the care of esorhageal occlusion. Nowadays, foreign body can reliably be removed hy endoscopy, and do not perforate the wall, not changed their form. Complication at the endoscopic extraction of foreign body, that requre surgical intervention are very rare. We presented a case of esophageal foreign body complicated with esophageal ulcer in a 83 years old male.

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십이지장 지방종의 내시경적 치험 1예 ( The Endoscopic Polypectomy in a Case of Duodenal Lipoma ): Korean J Gastrointest Endosc 1984;4(1):55-58. Published online November 30, 1983

Abstract PDF: The duodenal lipoma is infrequent and few reports deseribed its endoscopic features, We recently encountered one case of duodenal lipoma which was large polypoid one in the descending portion of the duodenum. The patient had been suffred from epigastric dull pain and bloating sensatio for 5 months. We did endoscopic polypectomy of the lipoma successfully.

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Mirizzi 증후군 1예 ( Mirizzi Syndrome - A case report - ): Korean J Gastrointest Endosc 1984;4(1):59-63. Published online November 30, 1983

Abstract PDF: Mirizzi syndrome is an uncommon cause of obstructive jaundice. It consists of the following elements: (1) an anatomic arrangement of the cystic duct such that it lies almost parallel to the common hepatic duct, (2) impaction of a gallstone in the cystic duct or neck of the gall bladder, (3) partial mechanical obstruction of the common hepatic duct by the stone itself or the resulting inflammatory reaction, and (4) recurrent cholangitis or ultimately cholangitic cirrhosis due to the partial obstruction. (continue...)

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원발성 대장림프종의 대장내시경 경험 3예 ( Colonoscopic Experience in 3 Cases of Primary Colonic Lymphoma ): Korean J Gastrointest Endosc 1984;4(1):64-68. Published online November 30, 1983

Abstract PDF: Primary colonic lymphoma is a rare disease and open surgical biopsy is usually necessary for hietological confirmation. Despite the submucosal location of the tumors, histological confirmation is frequently made by endoscopic multiple punch biopsies. Recently, three patients were admitted to the hospital with right lower guadrant abdominal pain, mass and abnormalities in the right colon and cecum on the barium enema. We performed colonoscopy and found smooth surfaced polypoid mass with occasional shallow ulcerations without lobulation, so suspected lymphoma endoscopically but failed to confirm histologieal diagnosis by usual punch biopsy. Thereafter, all three cases were undergone to laparntomies, and two were confirmed to be non-Hodgkins lymphoma and the other was Hodgkins disease. Here, we present those three cases of endoscopically found colonic lymphoma with review of literatures.

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관장으로 유발된 궤양을 동반한 장염 ( Enema - induced colitis ) 1예 ( A Case of Enema - Induced Colitis ): Korean J Gastrointest Endosc 1984;4(1):69-72. Published online November 30, 1983

Abstract PDF: Enemas are sometimes used in hospital and domicilliary practice and occasionally by patients themselves without a valid indication. The present repart is one in which enernas were done for 3 months by a patient himself to treat his hemorrhoid and resulted in severe inflamimatory change with large-siaed illdefined shallow ulceration in rectum and sigmoid colon. This patient, a 53 year old male, entered the hospital with the complaint of diarrhea with passage of bloody muct.. Colonoscopic examination revealed severe inflammatory change, friable mucosa and several relatively large-sized ill-defined shallow ulceration in rectum and sigmoid colon. A biopsy was performed and microscapic examination revealed intense infiltrates and plasma cells and crypt abscess with decreased goblet cells in the lamiina propria. The submucosa showed edema with infiltrates of chronic inflammatory cells and neutrophils. Conservative treatment with discontinue of enemas and fluid supply was performed. And his symptoms were improved. After second week, follow-up colonoscopy revealed inflammatory changes were improved.

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Recent Trend in the Morphological Features of Early Gastric Cancer: Korean J Gastrointest Endosc 1984;4(1):74-76. Published online November 30, 1983

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식도 위 십이지장 내시경 ( Esophagogastroduodenoscopy ): Korean J Gastrointest Endosc 1984;4(1):77-82. Published online November 30, 1983

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치료내시경술: Korean J Gastrointest Endosc 1984;4(1):83-85. Published online November 30, 1983

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E.R.C.P. 의 최신지견: Korean J Gastrointest Endosc 1984;4(1):86-90. Published online November 30, 1983

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소화기 내시경의 최신지견 - 대장내시경 -: Korean J Gastrointest Endosc 1984;4(1):91-99. Published online November 30, 1983

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복강경검사 (腹腔鏡檢査) ( Laparoscopy ): Korean J Gastrointest Endosc 1984;4(1):100-105. Published online November 30, 1983

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