1.5 Years' Evaluation of 'the Separation of Prescribing and Dispensing Roles' Policy on Medical Institutions.
Journal of the Korean Medical Association 2006;49(2):96-97
No abstract available.
2.Combination of Surgical Thrombectomy and Direct Thrombolysis in Acute Abdomen with Portal and Superior Mesenteric Vein Thrombosis.
Vascular Specialist International 2014;30(4):155-158
Portal vein (PV) thrombosis (PVT) is a rare condition with development of thrombosis in the PV and its branches. Further extension to the splenic and superior mesenteric vein (SMV) causes intestinal infarction, with a reported mortality of up to 50%. A variety of treatments for PVT exist including anticoagulation, thrombolysis, surgical thrombectomy, insertion of shunts, bypass surgery, and liver transplantation. We experienced a case of successfully treated by surgical thrombectomy with direct thrombolysis into the thrombosed-PV and SMV. A 31-year-old male presented worsening abdominal pain for one week. Preoperative contrast enhanced computed tomography scan revealed complete PVT extending to splenic vein and SMV. The PV was accessed surgically and opened by thrombectomy; visual inspection confirmed proximal and distal flow. Urokinase was administered directly into the inferior mesenteric vein with successful decrease in thrombus burden. The complete angiography showed complete dissolution of thrombosis in PV and SMV.
Abdomen, Acute*
;
Abdominal Pain
;
Adult
;
Angiography
;
Humans
;
Infarction
;
Liver Transplantation
;
Male
;
Mesenteric Veins*
;
Mortality
;
Portal Vein
;
Splenic Vein
;
Thrombectomy*
;
Thrombosis*
;
Urokinase-Type Plasminogen Activator
;
Venous Thrombosis
3.Clinical benefits of serum BNP measurement in patients with chronic kidney disease.
Korean Journal of Medicine 2005;69(2):123-125
No abstract available.
Humans
;
Renal Insufficiency, Chronic*
4.Surgical Experience for Recurrence of Hepatocellular Carcinoma.
Korean Journal of Hepato-Biliary-Pancreatic Surgery 1998;2(1):13-18
No abstract available.
Carcinoma, Hepatocellular*
;
Recurrence*
5.Hybrid Treatment of Coexisting Renal Artery Aneurysm and Abdominal Aortic Aneurysm in a Gallbladder Cancer Patient.
Vascular Specialist International 2014;30(2):68-71
Renal artery aneurysm (RAA) is uncommon, and the coexistence of an abdominal aortic aneurysm (AAA) is an extremely rare condition with potentially high life-threatening mortality in case of rupture. Aneurysms can be treated by endovascular intervention or open surgery. Although most of aneurysms are treated by endovascular intervention, open surgery is often necessary for RAAs associated with the proximal renal bifurcation or the branches in the distal renal arteries. We report a rare case of coexisting RAA with AAA treated by hybrid method, consisting of endovascular aneurysm repair for AAA and open surgery for RAA located adjacent to the distal branches of the renal artery.
Aneurysm*
;
Aortic Aneurysm, Abdominal*
;
Gallbladder Neoplasms*
;
Humans
;
Mortality
;
Renal Artery*
;
Rupture
6.Radial displacement of clinical target volume in node negative head and neck cancer.
Wan JEON ; Hong Gyun WU ; Sang Hyuk SONG ; Jung In KIM
Radiation Oncology Journal 2012;30(1):36-42
PURPOSE: To evaluate the radial displacement of clinical target volume in the patients with node negative head and neck (H&N) cancer and to quantify the relative positional changes compared to that of normal healthy volunteers. MATERIALS AND METHODS: Three node-negative H&N cancer patients and five healthy volunteers were enrolled in this study. For setup accuracy, neck thermoplastic masks and laser alignment were used in each of the acquired computed tomography (CT) images. Both groups had total three sequential CT images in every two weeks. The lymph node (LN) level of the neck was delineated based on the Radiation Therapy Oncology Group (RTOG) consensus guideline by one physician. We use the second cervical vertebra body as a reference point to match each CT image set. Each of the sequential CT images and delineated neck LN levels were fused with the primary image, then maximal radial displacement was measured at 1.5 cm intervals from skull base (SB) to caudal margin of LN level V, and the volume differences at each node level were quantified. RESULTS: The mean radial displacements were 2.26 (+/-1.03) mm in the control group and 3.05 (+/-1.97) in the H&N cancer patients. There was a statistically significant difference between the groups in terms of the mean radial displacement (p = 0.03). In addition, the mean radial displacement increased with the distance from SB. As for the mean volume differences, there was no statistical significance between the two groups. CONCLUSION: This study suggests that a more generous radial margin should be applied to the lower part of the neck LN for better clinical target coverage and dose delivery.
Consensus
;
Displacement (Psychology)
;
Head
;
Head and Neck Neoplasms
;
Humans
;
Lymph Nodes
;
Masks
;
Neck
;
Skull Base
;
Spine
7.Neuroendocrine immunoperoxidase markers to predict chemotherapy response in lung cancer patients.
Hyuk JUNG ; Sang Jae LEE ; Un Sub PARK
Journal of the Korean Cancer Association 1993;25(5):664-672
No abstract available.
Drug Therapy*
;
Humans
;
Lung Neoplasms*
;
Lung*
8.Five cases of abdominal sacral colpopexy for the vaginal vault prolapse after total hysterectomy.
Sang Joon CHOI ; Kyung LEE ; Young Gyul KIM ; Hyuk JUNG
Korean Journal of Obstetrics and Gynecology 1999;42(10):2377-2381
A rate com;lication of hysterectomy is complete prolapse and inversion of vagina. This can occur whether the hysterectomy was abdominal or vaginal and cystocele and/or enterocele is often associated with this condition. Traditionally, prolapse has been treated by surgery, the types of operation for prolapse are generally but not always, carried out through the vaginal rather than through the abdominal surgical route. We experienced five cases who had repair of posthysterectomy vaginal vault prolapse by transabdominal sacral colpopexy and report with brief review of literatures.
Cystocele
;
Hernia
;
Hysterectomy*
;
Pelvic Organ Prolapse*
;
Prolapse
;
Vagina
9.Analysis of charges per case by hospital characteristics: In regard to acute appendicitis and NSVD.
Sang Hyuk JUNG ; Seung Hum YU ; Han Joong KIM
Korean Journal of Preventive Medicine 1990;23(2):216-223
To identify the factors influencing the charges per case of acute appendicitis and normal spontaneous vaginal delivery (NSVD), the personal data-base files and hospital-characteristics-reporting data files of Korea Medical Insurance Corporation were analyzed. One hundred and twenty-nine institutions were selected. The results of this study were as follows: 1. The differences of charges per case with respect to hospital ownership, location, and equipment levels were statistically significant. 2. The results of multiple regression analysis revealed that bed capacity was the most significant variable in both diseases. 3. Ownership was significant variable in acute appendicitis. In NSVD, ownership and hospital equipment level were statistically significant. In conclusion, bed capacity was statistically the most significant variable in the analysis of charges per case. And we thought that the results of this study would influence the policy of the hospital bed supply.
Appendicitis*
;
Information Storage and Retrieval
;
Equipment and Supplies, Hospital
;
Humans
;
Insurance
;
Korea
;
Ownership
10.The Application of Endoscopic Mucosectomy in Various Mucosal Lesioss of Upper Gastrointestinal Tract.
Jung Myung CHUNG ; Sang Hyuk LEE ; Youn Jae LEE ; Sang Young SEOL ; Hye Kyoung YOON
Korean Journal of Gastrointestinal Endoscopy 1996;16(3):429-434
In case of submucosal tumor, adenoma and atypism, we can't frequently use the snare polypectomy for treatment of them. Adenoma and atypism are premalignant, so other therapeutic modalities are necessary for resection of them. We have perfortned endoscopic mueosectomy such as strip biopsy, and "O"ring ligation on various mucosal lesions of upper GI tract in 23 patients(11 men, l2 women) from June 1993 to December l994. Fourteen patients wbo had adenoma were followed up endoscopically for 6 months to 24 months(mean: 14 months). The results were as follows: 23 patients(27 lesions) were enrolled in this study. Mean age was 50.3(range 32-74 years). The method of mucosectomy was strip biopsy in 19 cases(21 lesions), and "O"ring ligation in 4 cases(6 lesions). The rate of complete resection was 88.9%. If adenomas were resected incompletely, we added a laser therapy. There was no recurrence except a case in which carcinoma was detected on the other site during follow-up. No serious compication occurred such as massive bleeding or perforation. Based on the above results, the endoscopic mucosectomy is considered to be a safe and effective modality in the treatment of the flat polyps of upper GI tract and could be used for prevention of gastric cancer.
Adenoma
;
Biopsy
;
Follow-Up Studies
;
Hemorrhage
;
Humans
;
Laser Therapy
;
Ligation
;
Male
;
Polyps
;
Recurrence
;
SNARE Proteins
;
Stomach Neoplasms
;
Upper Gastrointestinal Tract*