1.Two cases of congenital sacrococcygeal teratomas.
Dong Hoon KO ; Hyoung Chong LIM ; Bong Seok CHOI ; Young Youn CHOI ; Tai Ju HWANG
Korean Journal of Perinatology 1993;4(4):622-630
No abstract available.
Teratoma*
2.Experience in High Speed Rotational Coronary Atherectomy.
Eak Kyun SHIN ; Tae Hoon AHN ; Jae Woong CHOI ; In Seok CHOI
Korean Circulation Journal 1992;22(4):557-562
BACKGROUND: Balloon PTCA for the distal, long, eccentric coronary artery stenosis will be at high risk for severe dissection or acute occlusion during or after procedure. METHODS AND RESULTS: High Speed Rotational Atherectomy followd by low pressure balloon angioplasty due to distal, long, eccentric coronary artery stenosis. Rotational coronary atherectomy debulked the lesion quickly without difficulty. Rotational Coronary Atherectomy with adjuctive low pressure balloon inflation was successful without event. CONCLUSIONS: This case illustrates the point that complementary deployment of devices may not only improve success of percutaneous coronary intervention, but also may extend its scope.
Angioplasty, Balloon
;
Atherectomy, Coronary*
;
Coronary Stenosis
;
Inflation, Economic
;
Percutaneous Coronary Intervention
3.4 cases of 46,XY pure conadal dysgenesis.
Wan Young KIM ; Sang Seok SHIM ; Doo Seok CHOI ; Do Young HWANG ; Jong Hoon KIM ; Jin Yong LEE
Korean Journal of Obstetrics and Gynecology 1992;35(8):1242-1252
No abstract available.
4.Kasai Operation for Extrahepatic Biliary Atresia - Survival and Prognostic Factors.
Chan Seok YOON ; Seok Joo HAN ; Young Nyun PARK ; Ki Sup CHUNG ; Jung tak OH ; Seung Hoon CHOI
Journal of the Korean Association of Pediatric Surgeons 2006;12(2):202-212
The prognostic factors for extrahepatic biliary atresia (EHBA) after Kasai portoenterostomy include the patient's age at portoenterostomy (age), size of bile duct in theporta hepatis (size), clearance of jaundice after operation (clearance) and the surgeon's experience. The aim of this study is to examine the most significant prognostic factor of EHBA after Kasai portoenterostomy. This retrospective study was done in 51 cases of EHBA that received Kasai portoenterostomy by one pediatric surgeon. For the statistical analysis, Kaplan-Meier method, Logrank test and Cox regression test were used. A p value of less than 0.05 was considered to be significant. Fifteen patients were regarded as dead in this study, including nine cases of liver transplantation. There was no significant difference of survival to age. The age is also not a significant risk factor for survival in this study (Cox Regression test; p = 0.63). There was no significant difference in survival in relation to the size of bile duct. However, bile duct size was a significant risk factor for survival (Cox Regression test; p = 0.002). There was a significant difference in relation to survival and clearance (Kaplan-Meier method; p = 0.02). The clearing was also a significant risk factor for survival (Cox Regression test; p = 0.001). The clearance of jaundice is the most significant prognostic factor of EHBA after Kasai portoenterostomy.
Bile Ducts
;
Biliary Atresia*
;
Humans
;
Jaundice
;
Kaplan-Meier Estimate
;
Liver Transplantation
;
Prognosis
;
Retrospective Studies
;
Risk Factors
5.Arthroscopic Assisted Management of Displaced Intraartieular Calcaneal Fractures.
Hoon KIM ; Seung Seok SEO ; Woo Dong NAM ; Ki Chan AHN ; Young Chang KIM ; Jang Seok CHOI
The Journal of the Korean Orthopaedic Association 1998;33(7):1782-1789
Although the management of fractures of the calcaneus still remains controversial, open reduction and internal fixation is gaining in popularity as the method of choice for the treatment of displaced intraarticular calcaneal fractures. However, open methods can make several complications such as neurovascular injury and infection. Thus we have performed the new technique of arthroscopic reduction and minimal internal fixation for displaced intraarticular calcaneal fractures in 5 cases. The results were evaluated between 12 and 16 months after surgery. A Bohler angle was restored to 25degrees-40degrees in all cases. Anatomical reduction of articular surface were obtained from 4 cases out of 5. No complications were found except 1 peroneal tendinitis. The clinical results by Creighton-Nebraska health foundation assessment for fractures of the calcaneus were 3 excellent, 1 good and 1 fair. Even though this was a few case and a short term follow-up study, the arthroscopic assisted management of displaced intraarticular calcaneal fracture induced a little complications and satisfactory results.
Calcaneus
;
Follow-Up Studies
;
Tendinopathy
6.Natural History of Unilateral Ureteropelvic Junciton Obstructed Kidney : Five Cases of High Grade Hydronephrosis.
Ky Hyun CHUNG ; Jeong Seok HWA ; Sang Hoon PAIK ; Jin Soo PAK ; Jin Kyu LIM ; Jae Hoon CHOI
Journal of the Korean Society of Pediatric Nephrology 2000;4(1):57-62
To evaluate the sensitivity and specificity of transthoracic fine needle aspiration cytology(TFNAC) in the preoperative diagnosis of pulmonary nodules, a retrospective analysis was carried out on a consecutive series of 200 TFNACs. They included 186 primary malignant tumors, 66 squamous cell carcinomas, 65 adenocarcinomas, 36 small cell carcinomas, 7 large cell carcinomas, 4 carcinoids, 8 others, 9 metastatic tumors, and 5 benign tumors. On cytohistologic correlation of malignant pulmonary tumors, the pro- cedure had a sensitivity of 97.3% and a specificity of 100%. A 86.6% correct correlation between the cytologic and histologic diagnoses was achieved. Five out of the 7 undifferentiated large cell carcinomas, 10 out of the 65 adenocarcinomas, 2 out of the 36 small cell carcinomas, and 2 out of the 66 squamous cell carcinomas were turned out to be mistyped in cytologic diagnosis. We concluded that TFNAC is a highly sensitive and specific preoperative diagnostic procedure in the investigation of patients with discrete pulmonary nodules in whom the specific cell type of the malignant neoplasm has important implications in treatment modality and prognosis.
Adenocarcinoma
;
Bezafibrate
;
Biopsy, Fine-Needle
;
Carcinoid Tumor
;
Carcinoma, Large Cell
;
Carcinoma, Small Cell
;
Carcinoma, Squamous Cell
;
Diagnosis
;
Endometrial Neoplasms
;
Female
;
Humans
;
Hydronephrosis*
;
Kidney*
;
Natural History*
;
Papanicolaou Test
;
Prognosis
;
Retrospective Studies
;
Sensitivity and Specificity
8.A Case of Successful Hepatic Resection after Local Radiotherapy with Combined Transarterial Chemoinfusion in Hepatoblastoma .
Airi HAN ; Jung Tak OH ; Seok Joo HAN ; Seung Hoon CHOI ; Eui Ho HWANG
Journal of the Korean Association of Pediatric Surgeons 2001;7(1):64-67
It has been widely accepted that complete surgical resection of hepatoblastoma is essential for long-term survival. But unfortunately less that 50% of hepatic tumors in children can be totally removed at the time of diagnosis. This report is to present the experience of successful resection of hepatoblastoma after concurrent radiotherapy with transarterial chemoinfusion in a child. We believe this modality of treatment enables complete resection of unresectable hepatoblastoma, which is resistant to the systemic chemotherapy.
Child
;
Diagnosis
;
Drug Therapy
;
Hepatoblastoma*
;
Humans
;
Radiotherapy*
9.Spontaneous Pulmonary Hemorrhage and Adult Respiratory Distress Syndrome after Thrombolytic Therapy for Acute Myocardial Infarction.
Jun Gu LEE ; Dong Hoon CHOI ; Seok Min KANG ; Yang Soo JANG
Korean Circulation Journal 1997;27(5):554-558
We report a cace of 69-year-old man who developed massive pulmonary hemorrhage and subsuquent adult respiratory distress syndrome following intravenous urokinase for acute myocardial infarction. Pulmonary hemorrhage is a rare but a potentially life-threatening complication after thrombolytic therapy and should be considered in the differential diagnosis of pulmonary infiltrates of falling hemoglobin after thrombolytic therapy for acute myocardial infarction with no obvious site of bleeding.
Adult*
;
Aged
;
Diagnosis, Differential
;
Hemorrhage*
;
Humans
;
Myocardial Infarction*
;
Respiratory Distress Syndrome, Adult*
;
Thrombolytic Therapy*
;
Urokinase-Type Plasminogen Activator
10.Dynamic MR Imaging of Hepatic Hemangioma and Hepatocellular: Findings and Differential Diagnosis.
Seon Hee PARK ; Sook Young KIM ; Seok Jin CHOI ; Dong Hoon SONG ; Seong Sook CHA
Journal of the Korean Radiological Society 1994;30(1):141-148
PURPOSE: We performed dynamic MR imaging using GdDTPA to find characteristic enhancement pattern of hepatic hemangioma distinguishing from hepatocellular carcinoma. METHODS AND MATERIALS: 28 hepatic hemangiomas and 10 hepatocellular carcinomas were evaluated. Serial dynamic scans after Gd-DTPA(0.1mmol/kg) intravenous injection were obtained by using 0.5T machine and analyzed contrast-to-noise ratio(CNR) of the lesion and enhancement pattern on each scan. RESULTS: Hepatic hemangiomas had positive CNR from 1-2 minute images, and revealed typical "fill-in phenomenon" on early phase with prolonged enhancement in 26 cases(92.8%), and early homogeneous enhancement with isointensity on delayed phase in 2 cases(7.2%) of small hemangiome~ Hepatocellular carcinomas revealed inhomogeneous enhancement with hypointensity on delayed phase in 10 cases(100%) and 3 cases (30%) of capsular enhancement. CONCLUSION: Hepatic hemangioma can be easily distinguished from hepatocellular carcinoma by using Gd DTPA enhanced dynamic MR imaging according to its typical enhancement pattern of "fill-in phenomenon" and prolonged enhancement.
Carcinoma, Hepatocellular
;
Diagnosis, Differential*
;
Gadolinium DTPA
;
Hemangioma*
;
Injections, Intravenous
;
Magnetic Resonance Imaging*