1.A case of primary squamous cell carcinoma of vagina.
Kyung Bok LEE ; Won Jae LEE ; Chan Eung LEE ; Yong Bong KIM ; Eung Soo LEE ; Sung Kwan PARK
Korean Journal of Obstetrics and Gynecology 1992;35(3):442-445
No abstract available.
Carcinoma, Squamous Cell*
;
Vagina*
3.Clinical survey on total abdominal hysterectomy.
Chan Eung LEE ; Tae Hwan YOO ; Gyung Bok LEE ; Won Jae LEE ; Yong Bong KIM ; Eung Soo LEE ; Sung Kwan PARK
Korean Journal of Obstetrics and Gynecology 1991;34(4):488-493
No abstract available.
Hysterectomy*
4.Endoscopic Application of Tannenbaum Stent with OASISTM.
Sung Won CHO ; Chan Sup SHIM ; Joon Seong LEE ; Jong Tae LEE ; Moon Sung LEE ; Chan Wook PARK ; Dong Hwa SONG ; Tae Eung PARK ; Young Hong LEE
Korean Journal of Gastrointestinal Endoscopy 1995;15(2):203-211
Endoscopic biliary drainage has been established as the palliative treatment of choice for malignant obstructive jaundice. But the clogging of biliary endoprosthesis has been a persistent problem faced by endoscopists over many years. Different materials, sizes, and designs have been used in efforts to overcome this problem. Recently, there are some reports that incorporating sideholes increases the risk of stent clogging, and prostheses without sideholes had significantly lower clogging compared to those with sideholes. And then Soehendra and his colleagues introduced a new design Teflon straight stent without sideholes, designated "Tan-nenbaum" (TB) stents, and reported that TB stent had significantly longer patency than Teflon pigtail stent with sideholes. When placing the TB stent, we used OASIS (One Action Stent Introduction System). This introducer enables the stent to be pre-loaded onto the distal tip of the guiding catheter and placed endoscopically in one step. By using OASIS, we reduced the duration of placing the stent in narrowed bile duct and the patients were more tolerable. Now, we report our experience of endoscopic retrograde biliary drainage by use of TB stent and OASIS" in 12 patients with obstructive jaundice due to malignancy.
Bile Ducts
;
Catheters
;
Drainage
;
Humans
;
Jaundice, Obstructive
;
Palliative Care
;
Polytetrafluoroethylene
;
Prostheses and Implants
;
Stents*
5.Effect of Age on Glucose Metabolism of Skeletal Muscle in Rats.
Eung Chan JANG ; Woon Ki YOUN ; Suck Kang LEE
Yeungnam University Journal of Medicine 2001;18(1):94-100
BACKGROUND: It is doubtful that aging causes deteriorated glucose metabolism and insulin resistance of skeletal muscle. Some researchers had different results about it. So we have studied the mechanism responsible for the abnormal glucose tolerance associated with aging in rapidly growing and matured rats. MATERIALS AND METHODS: Animals were used S.D. rats. Growing rats were 7 weeks old (BW: 160-190 gm) and matured rats were 28 weeks old (BW: 420-525 gm). RESULTS: Fasting blood glucose and plasma insulin levels were significantly elevated in matured rat compared with growing rats. And during oral glucose tolerance test the glucose level was also significantly elevated in matured rats. These results confirmed an insulin resistant state of aging. Insulin levels at 30 minutes of oral glucose tolerance test was significantly elevated in growing rat. But at 120 minutes it was maintained at higher level in matured rats than in growing rats. It suggested the possibility of increased insulin secretion by initial stimulation of beta-cells in growing rats, and increased secretion and decreased catabolic rate of insulin in matured rats. Glucose uptake rate of soleus muscle in matured rats was lower than that of growing rats, but the difference was not statistically significant. The dose(insulin)- responsive (glucose uptake) curve of soleus muscle was only slightly deviated to the right side. CONCLUSION: Glucose metabolism of rat skeletal muscle was worsened by aging. The data of glucose uptake experiments suggested the possibility of insulin resistance of skeletal muscle in matured rats, but the mechanism of insulin resistance of skeletal muscle need further studies.
Aging
;
Animals
;
Blood Glucose
;
Fasting
;
Glucose Tolerance Test
;
Glucose*
;
Insulin
;
Insulin Resistance
;
Metabolism*
;
Muscle, Skeletal*
;
Plasma
;
Rats*
6.Endoscopic Ultrasonography in Gallstone Pancreatitis.
Jin Kook KIM ; Tae Eung PARK ; Sung Kyon PARK ; Joon Seong LEE ; Moon Sung LEE ; Jin Hong KIM ; Sung Won CHO ; Chan Sup SHIM
Korean Journal of Gastrointestinal Endoscopy 1993;13(4):733-737
Gallstone pancreatitis is caused by migration of gallstones through the common bile duct and ampulla of Vater, where ohetruction or impaction may occur. Early detection and endoscopic treatment of impacted gallstones are very important for the amelieration of pancreatitis. Pancreatic imagings, such as conventional ultrasonography, computerised tomography(CT) and endoscopic retrograde cholangiypancreatography(ERCP) have beea used for the diagnosis of gallstone pancreatitis. But these imaging net are often unsatisfactory fordetection of the impacted gallstones in the common bile duct ampulla of Vater. Especially ERCP has been contraindicated in acute pancreatitis. Endoscopic ultrasonography(EUS), which was recently developed, has been known as highly accurate diagnostic tool in the diagnosis of biliary and pancreatic disease. The high resolution of EUS is capable of showing unique morphological detail in gallstone pancreatitis. We report 3 cases of gallstone pancreatitis which Was accurately diagnosed by EUS and successfully treated by endoscopic treatment.
Ampulla of Vater
;
Cholangiopancreatography, Endoscopic Retrograde
;
Common Bile Duct
;
Diagnosis
;
Endosonography*
;
Gallstones*
;
Pancreatic Diseases
;
Pancreatitis*
;
Ultrasonography
7.Initial Experience with Bariatric Surgery in Korea: 120 Cases (LRYGB and LAGB).
In Soo PARK ; Hong Chan LEE ; Sang Kuon LEE ; Eung Kook KIM
Journal of the Korean Society of Endoscopic & Laparoscopic Surgeons 2009;12(1):5-13
PURPOSE: Obesity has become a global epidemic disease, and bariatric surgery is now being increasingly performed in Korea as well as in western countries. Bariatric surgery has been performed in Korea since 2003. However, there is no data on cases of Korean bariatric surgery regarding the weight loss as well as the factors associated with the surgical outcome. METHODS: 120 total cases of bariatric surgery [LRYGB=48, LAGB=72] were done at St. Mary's Hospital. We retrospectively reviewed the series of bariatric cases and we analyzed the surgical outcome, the complications and the clinical factors associated with the surgical outcomes. RESULTS: There were no significant differences in age, BMI and pre-existing comorbidities for both procedures. The percentage of excess weight loss (%EWL) of the LRYGB at 6, 12 and 24 months was 63.8%, 73.7% and 87.5%, respectively, and the %EWL of the LAGB was 33.4%, 44.7% and 43.8%, respectively. Factors such age and gender were not associated with the surgical outcome. Yet the initial BMI tended to affect the surgical outcome. CONCLUSION: The results of our study indicate that LRYGB and LAGB are technically feasible and safe procedures. Both are quite satisfactory and promising procedures for loosing a significant amount of weight.
Bariatric Surgery
;
Comorbidity
;
Korea
;
Obesity
;
Obesity, Morbid
;
Retrospective Studies
;
Weight Loss
9.Quality of life in the diabetic patients.
Sang Man KIM ; Yung Hwan JO ; Eung Soo KIM ; Yung Chan KANG ; Hong Soo LEE ; Ki Woo KWAK ; Bang Bu YOUN
Journal of the Korean Academy of Family Medicine 1991;12(12):25-31
No abstract available.
Humans
;
Quality of Life*
10.Laparoscopic Hiatal Hernia Repair during Laparoscopic Roux-en-Y Gastric Bypass (LRYGB).
Hong Chan LEE ; In Soo PARK ; Eung Kook KIM
Journal of the Korean Society of Endoscopic & Laparoscopic Surgeons 2009;12(2):147-149
Obesity is one of the most significant causes of GERD. Nissen fundoplication is a surgical procedure that's performed world widely for treating patients with GERD and a hiatal hernia and who are intractable to medical therapy. However, Nissen fundoplication may have technical difficulties in morbidly obese patients due to the huge perigastric, intraabdominal fat tissue and hepatomegaly. During the laparoscopic Roux-en-Y Gastric Bypass (LRYGB) procedure, the stomach was divided into the gastric pouch and the remnant stomach by vertiacally stapling at the angle of His. The posterior gastric wall and hiatus were easily exposed even when there was huge deposits of perigatric and intraabdominal fat tissue. We report here on a case of concomitant hiatal hernia repair with LRYGB in a morbidly obese patient.
Fundoplication
;
Gastric Bypass
;
Gastric Stump
;
Gastroesophageal Reflux
;
Hepatomegaly
;
Hernia, Hiatal
;
Humans
;
Obesity
;
Obesity, Morbid
;
Stomach