1.Comparison and correlation of carcinoembryonic antigen levels betwwen peripheral blood and inferior mesenteric vein blood, and gallbladder bile, and rectal secretion.
Byung Soo DO ; Yon Woong CHUNG ; Sang Woon KIM ; Jae Hwang KIM ; Min Chul SHIM ; Koing Bo KWUN
Journal of the Korean Society of Coloproctology 1991;7(2):105-111
No abstract available.
Bile*
;
Carcinoembryonic Antigen*
;
Gallbladder*
;
Mesenteric Veins*
2.Generalized Primary Amyloidosis with Malabsorption Syndrome.
Moon Ho LEE ; Won Do PARK ; Byung Ho KIM ; Jung Il LEE ; Young Woon CHANG ; Rin CHANG ; Young Il MIN
Korean Journal of Gastrointestinal Endoscopy 1987;7(1):91-96
A case of generalized primary amyloidosis with a reveiw of the literatures is reported. The 38 year old patient suffered from malabsorption syndrome for a year and was presented chronic renal failure with renal enlargment, myxedema and hemorrhagic gastritis. Biopsy of kidney and stomach revealed characteristic findings of amyloidosis by congo red stain and electronmicroscopy.
Adult
;
Amyloidosis*
;
Biopsy
;
Congo Red
;
Gastritis
;
Humans
;
Kidney
;
Kidney Failure, Chronic
;
Malabsorption Syndromes*
;
Myxedema
;
Stomach
3.Effect of Endoscopic Ethanol Injection in Upper G-I Bleeding.
Hak Rhim CHOI ; Byung Woog LEE ; Jung Il LEE ; Young Woon CHANG ; Rin CHANG ; Young Il MIN
Korean Journal of Gastrointestinal Endoscopy 1986;6(1):1-4
Upper G-I bleeding is a dangerous situation and effeetive control method without surgery is desirable. A hemostatic technique utilizing the dehydrating and fixative properties of pure ethanol was developed in Japan. This technique was performed through an endoscopic injector, in divided dose of 0,1 ~ 0.2 ml into several spots in the area surrounding the bleeding vessel in patients upper G-I bleeding excluding esophageal varies. We applieii this technique in treatment of 11 cases showing active bleeding of fresh blood clots. Rebleeding occurred in 2 cases(20%) and complete hemostasis was achieved in 9 cases(80%). We think this technique is safe and simple as an endoscopic hemostatic measure.
Ethanol*
;
Hemorrhage*
;
Hemostasis
;
Hemostatic Techniques
;
Humans
;
Japan
4.A Case of Ancient Schwannoma of the Lingual Nerve.
Tae Woon KIM ; Cheol Ha GO ; Byung Uk SONG ; Cheol Min YANG
Korean Journal of Otolaryngology - Head and Neck Surgery 2000;43(5):559-561
Schwannomas are neurogenic tumors that arise from Schwann cells of the neural sheath. They are most often benign and solitary. Ancient schwannoma is a rare variant of schwannoma with a typical characteristics of a slow growing benign tumor. A case of ancient schwannoma which originated from the lingual nerve has not been reported in the literature yet. The clinical and histological aspects of this tumor are discussed and the literature regarding this rare entity is reviewed.
Lingual Nerve*
;
Neurilemmoma*
;
Schwann Cells
5.3 Cases of Focal Pancreatic Masses Demonstrated a Inflammation: Problems in differentiating focal pancreatitis from carinoma.
Jae Hyung AHN ; Byung Ho KIM ; Young Woon CHANG ; Jung Il LEE ; Rin CHANG ; Young Il MIN
Korean Journal of Gastrointestinal Endoscopy 1988;8(1):63-69
When ultrasound or computed tomographic (CT) scans demonstrate a focal mass within the pancreas, the radiologist or gastroenterologist assumes that it is carcinoma. Statistically this is the correct diagnosis. However, distinguishing pancreatitis from carcinoma by ultrasound and CT is occassionally impossible. Similarly, abnormalities seen on ERCP, such as simultaneous obstruction of both the common bile duct and adjacent pancreatic duct (double duct sign), has been shown to occur in pancreatitis as well as in the more commonly diagnosed pancreatic carcinoma. We experienced 3 cases af focal pancreatic masses that mistaken a carcinoma. And so, knowledge that such a mass can be benign in a clinical setting sbould result in an organiged approach to the correct diagnosis and avoidance of any unnecessary operations.
Cholangiopancreatography, Endoscopic Retrograde
;
Common Bile Duct
;
Diagnosis
;
Inflammation*
;
Pancreas
;
Pancreatic Ducts
;
Pancreatitis*
;
Ultrasonography
6.Acute fatty liver of pregnancy: A case report.
Min A SEO ; Chang Woon KIM ; Min Jung KWON ; Byung Ju JI ; Kyung Do PARK
Korean Journal of Obstetrics and Gynecology 2010;53(5):428-433
Acute fatty liver of pregnancy are relatively rare but extremely dangerous, because they may quickly develop into a fulminant disease and become a serious life-threatening disorder for mother and fetus in the third trimester. Therefore, early diagnosis, prompt delivery and intensive supportive care the cornerstones in the management of acute fatty liver of pregnancy. Clinical findings in acute fatty liver of pregnancy vary because it may occur with varying degrees of clinical severity and in conjunction with other third trimester symptoms, making early diagnosis difficult. However, careful history and physical examination, in conjunction with compatible laboratory and imaging results, are often sufficient to make the diagnosis, and liver biopsy is rarely indicated. We have experienced a case of acute fatty liver of pregnancy presenting as early hepatic encephalopathy, renal failure which developed during the third trimester. We diagnosed acute fatty liver of pregnancy based on clinical presentation and laboratory abnormalities. Despite of prompt delivery and adequate supportive care management, this severe complication of pregnancy has had an adverse outcome for mother.
Biopsy
;
Early Diagnosis
;
Fatty Liver
;
Female
;
Fetus
;
Hepatic Encephalopathy
;
Humans
;
Liver
;
Mothers
;
Physical Examination
;
Pregnancy
;
Pregnancy Complications
;
Pregnancy Trimester, Third
;
Renal Insufficiency
7.The Effect of Functional Electrical Stimulation on Hemiplegic Shoulder Subluxation.
Kee Kyung KIM ; Min Joung KANG ; Oh Soo SHIN ; Min Sik IM ; Kyeong Hwan LEE ; Si Woon PARK ; Byung Sik KIM
Journal of the Korean Academy of Rehabilitation Medicine 2000;24(3):402-409
OBJECTIVE: The purpose of this study is to evaluate the effect of functional electrical stimulation (FES) on hemiplegic shoulder subluxation in post-acute stroke patients. METHOD: Forty-four patients who had shoulder subluxation as a consequence of their first stroke were included and randomly assigned to either a control group (22 subjects) or a study group (22 subjects). Patients in both groups received physiotherapy and used an arm sling. The study group received, FES therapy to shoulder muscles (supraspinatus and posterior deltoid) for 30 minutes, five days a week for 6 weeks. The effect of FES therapy was evaluated by assessment of the severity of subluxation using radiologic measurements before and after treatment. RESULTS: 1) The severity of subluxation was significantly increased after 6 weeks (p<0.05) in the control group. In the study group, it was reduced but the difference was not statistically significant (p>0.05). 2) In the group of patients with early treatment (onset duration, less than 6 months), the control group showed a significant increase in subluxation (p<0.05), but the study group showed significantly reduced (p<0.05) shoulder subluxation after treatment period. 3) In the group of patients with mild shoulder subluxation before treatment (less than 1 finger breadth), the control group showed a significant increase in subluxation (p<0.05), but the study group showed significantly reduced (p<0.05) shoulder subluxation after treatment period. CONCLUSION: The FES therapy is effective in preventing and reducing the severity of hemiplegic shoulder subluxation in post-acute stroke patients, especially if duration since stroke onset was less than six months and the severity of subluxation before treatment was mild.
Arm
;
Electric Stimulation*
;
Fingers
;
Humans
;
Muscles
;
Shoulder*
;
Stroke
8.A Comparison of Intravaginal Misoprostol with Oral Dinoprostone for Labor induction at Term.
Hyun Ju NOH ; Byung Cheol KIM ; Yeon Ju LIM ; Cheol Woo LEE ; Jung Ki MIN ; En Young YANG ; Woon Jeong HWANG ; Yong Duk SHIN ; Dong Jin KIM
Korean Journal of Obstetrics and Gynecology 1999;42(9):2001-2007
OBJECTIVE: To compare the safety and efficacy of intravaginal misoprostol versus oral dinoprostone for labor induction at term. METHODS: One hundred of patients at term were randomized to receive either 50microgram of misoprostol vaginally every 4 hours or dinoprostone 0.5mg orally every 1 hour for the maximum of six doses. Intravenous infusion of oxytocin was administered under such circumferences as the patient did not go into active labor after maximum dose, SROM was developed without an adequate contraction pattern, or the patient had arrest of dilatation(no change in cervical dilatation for 2 hours). We compared the frequency of oxytocin augmentation, administration to delivery interval, vaginal delivery rate within 12 hours and 24 hours, intrapartum complications, induction failure, mode of delivery, neonatal outcomes, and maternal complications between two groups. RESULTS: The average interval from administration to delivery was shorter in the misoprostol group(739.4+/-372.4min vs 1087.7+/-765.1min, p<0.05), but the interval from administration to vaginal delivery of each group was similar(724.3+/-375.4min vs 800.3+/-697.0min). Regarding the frequency of vaginal delivery within 24 hours, however, misoprostol group was higher than dinoprostone group(88% vs 56%, p<0.001). And oxytocin augmentation of labor occurred less commonly in misoprostol group than in dinoprostone group(20% vs 76%, p<0.05). Any statistically significant difference in intrapartum complications, mode of delivery, and neonatal or maternal adverse outcome was not appeared between these two group. CONCLUSION: Vaginal misoprostol is as effective and safe as oral dinoprostone for cervical ripening and induction of labor at term. In addition, vaginal misoprostol contributes the curtailment of labor induction expenditure due to its moderate price; misoprostol costs 100 won per 50microgram.
Cervical Ripening
;
Dinoprostone*
;
Female
;
Health Expenditures
;
Humans
;
Infusions, Intravenous
;
Labor Stage, First
;
Misoprostol*
;
Oxytocin
;
Pregnancy
9.Natural Evolution of Grafted Anterior Cruciate Ligament of the Knee: Prospective Follow-up MR Studies.
Dong Won PARK ; Jae Hyun CHO ; Yon Kwon IHN ; Yong Woon SHIM ; Jin Seok SUH ; Byung Heum MIN ; Jung Ho SUH
Journal of the Korean Radiological Society 1998;38(1):151-157
PURPOSE: To described the MR findings in the periodic changes of the size and signal intensity ofreconstructed anterior cruciate ligament (ACL) of the knee and the efficacy of oblique axial imaging in patientswho underwent arthroscopic ACL reconstruction using autogenous patellar tendon. MATERIALS AND METHODS: Twenty-onepatients who had undergone ACL reconstruction were evaluated by follow-up MRI at postoperative 1 week, 1, 2, 3 and6 months, and 1 year, Conventional Fast-Spin-Echo (FSE) sagittal and coronal images and oblique axial images(proton density and T2-WI; VEMP TR/TE, 2000/20/70) were obtained perpendicular to the ligament, and using an ROIcurve in the intra-articular area, periodic changes in the cross-sectional area were evaluated by proton densityimaging and signal intensity by T2WI imaging. Cross-sectional morphology was categorized as either smooth, andround or notch-shaped and periodic changes in configuration were observed. In three cases, we evaluated the retearof reconstructed ACL by comparing the oblique axizl image obtained by conventional sagittal and coronal imaging. RESULTS: The cross-sectional area and signal intensity of grafted ACL increased significantly (p<0.05) after 3months and at 1 year, respectively. Cross-sectional morphology was smooth and round in 86% of cases, and notchedin 14%, and during follow-up MR studies, no periodic changes were seen. Notch-shaped ACL and decreased perigraftsignal intensity, as seen on sagittal images, could lead to a misdiagnosis of partial tear ; on oblique axialimages, ACL and perigraft signal intensity were found to be normal. CONCLUSION: During the natural evolution ofgrafted ACL, cross-sectional area and signal intensity increased significantly after 3 months and at 1 year,respectively ; on follow-up MR studies, cross-sectional morphology did not change, however. Oblique axial imagingprovides important information for evaluating whether the reconstructed ACL is torn or not.
Anterior Cruciate Ligament*
;
Cross-Sectional Studies
;
Diagnostic Errors
;
Follow-Up Studies*
;
Knee*
;
Ligaments
;
Magnetic Resonance Imaging
;
Patellar Ligament
;
Prospective Studies*
;
Protons
;
Transplants*
10.Primary hepatocellular carcinoma in extrahepatic bile duct.
Seok Tae JEONG ; Soo Youn HAM ; Cheol Min PARK ; Jung Hyuk KIM ; In Ho CHA ; Kyoo Byung CHUNG ; Woon Hyuck SUH ; Chang Hong LEE
Journal of the Korean Radiological Society 1991;27(2):267-270
No abstract available.
Bile Ducts, Extrahepatic*
;
Carcinoma, Hepatocellular*