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Volume 17(3); June 1997
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원저 : 식도 위장관 ; 내시경으로 진단된 Mallory - Weiss 증후군 35예 ( Original Articles : Esophagus , Stomach & Intestine ; Observation of 35 Cases of Mallory - Weiss Syndrome Diagnosed by Endoscopy )
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Korean J Gastrointest Endosc 1997;17(3):329-334. Published online November 30, 1996
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- 35 cases of Mallory-Weiss syndrome among 277 cases of upper gastrointestinal bleeding were ascertained by endoscopy at department of internal medicine St. Columban's hospital. The mean age was 41.6 years. All of 35 cases were found in male. Combined disease were gastritis(15 cases), peptic ulcer(7 cases) and esophageal varix(3 cases). The most common precipitating factor was vomiting, 22 cases among the 28 cases of vomiting(80%) developed after drinking. Endoscopic finding revealed active bleeding in 5 cases, blood clot without active bleeding in 22 cases, and scar change without bleeding evidence in 8 cases. Most cases had had hematemesis after active bleeding but 5 cases had had only melena without hematemesis. The Mallory-Weiss lacerations were located at stomach in 16 cases(46%), at esophagogastric junction in 11 cases(31%) and at esophagus in 8 cases. On the view of gastric direction, 14 cases were on anterior wall side, 9 cases were on posterior wall side, 11 cases were on lesser curvature side and one case was on great curvature side. Single lacerations were more common than multiple lacerations. (Korean J Gastrointest Endosc 17: 329-334, 1997)
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원저 : 식도 위장관 ; 소화성궤양 출혈 환자에서 내시경적 Hemoclip 요법 , Hypertonic Saline Epinephrine ( HSE ) 국소 주입 요법과 병합요법의 치료효과 ( Original Articles : Esophagus , Stomach & Intestine ; Hemostatic Effect of Endoscopic Hemoclip Method , Hypertonic Saline Epinephrine Injection Method and Their Combined Method for Bleeding Peptic Ulcer )
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Korean J Gastrointest Endosc 1997;17(3):335-345. Published online November 30, 1996
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- Background
Bleeding peptic ulcer is the most common cause of upper gastrointestinal bleeding. Various different endoscopic hemostatic methods were introduced to treat bleeding peptic ulcer. Many studies reported the efficacy and comparision of various methods. Endoscopic injection therapy is the most comman method among them because it is inexpensive and easy in use. Complications of injection therapy such as aggravation of bleeding, tissue neerosis and perforation were repoted rarely. Recently endoscopic hemoclipping method is considered to be safe and effective hemostatic method for upper gastrointestinal bleeding, Methods: During the period between January 1993 and August 1996, we have conducted clinical trial and retrospective analysis among 100 patients in whom active bleeding or visible vessel was identified. (Korean J Gastrointest Kndosc 17: 335-345, 1997) (continue...)
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원저 : 식도 위장관 ; 대장내시경검사의 전처치로서 항콜린제 사용에 관한 연구 - 전향적 , 이중맹검법으로 - ( Original Articles : Esophagus , Stomach & Intestine ; A Clinical Usefulness of Premedication with Hyoscine-N- butyl bromide ( Buscopanⓡ ) in Colonoscopy - A Randomized , Double Blinded , Prospective Study - )
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Korean J Gastrointest Endosc 1997;17(3):346-350. Published online November 30, 1996
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- Background
Use of antispasmodic medication prior to colonoscopy is controversial but someone believes antispasmodic may improve visualization of colonic mucosa and ease colonoscope insertion. So, we designed a study to assess the effect of premedication with the antispasmodic, hyoscine-N-butyl bromide(Buscopan') on the performance of colonoscopy. Methods: This study was prospective, double blinded, randomized, controlled study, One hundred three consecutive patients were randomized to receive intravenous buscopan lml(n=52) or placebo(n=51) combined with our standard initial medication(me- peridine 50 mg and midazolam 2 mg). Insertion of colonoscopy was timed, and 100 mm visual analogue scales (VAS) were used for asscssing difficulty of procedure, colonic motility, frequency of positional change, frequency of external compression, difficulty of assistance and degree of discomfort experienced by the patients. Results: There were no significant differences of intubation time between buscopan group(mean time, 7.23 min., range 2~15) and placebo group(7.07 min., range 3-25), (p=0.83) and withdrawal time between buscopan group (6.46 min., range 2-22) and placebo group(6.76 min., range 2 25), (p=0.69). Also, there was no significant differences in intubation time between males and females(buscopan; males 7.00 min., females 7.60 min., p=0.34, placebo; males 7.0~5 min., females 7.08 min., p 0.44). The VAS scores checked by endoscopist(p=0.29), assistant(p=0.32) and patient (p=0.15) were not significantly different in both groups. There were no significant differences in intubation time, VAS scores nf endoscopist, assistant, and patients. Conclusion: Premedication with intravenous bu.opan has no advantage on colonoscopy procedure. Use of antispasmodic medication prior to colonoscopy was not considered as recommendable agent, (Korean J Gastrointest Kndosc 17: 346-350, 1997)
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원저 : 담도 췌장 ; 내시경적 역행성 담관 조영술에 의한 담낭관 - 간외담관 접합부의 변형과 기형에 관한 연구 ( Original Articles : Biliary Tract & Pancreas ; Clinical Significances of Variants and Anomalies of Cystico - Hepatic Junction by Endoscopic Retrograde Cholangiography )
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Korean J Gastrointest Endosc 1997;17(3):351-361. Published online November 30, 1996
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/Aims: The biliary tract often shows various morphologic abnormalities. Thus various anomalies and variations of the cystic duct have been extensively studied via cadeveric or intraoperative dissections and operative cholangiograms. The knowledge of the junction of cystic and common hepatic duct is essential for endoscopic management of biliary tract disease. But no large series identifying this critical cystico-hepatic junction(CHJ) by duodenoscopy has been reported, Methods: To know the anomaly and variant of CHJ and to evaluate its clinical significence, we retrospectively reviewed 434 cases of endoscopic retrograde cholangiography performed at Korea University Hospital from 1992 through 1993. The CHJ was categorized as lateral or medial only for unequivocal angulation in that direction, and spiral when there is overlap of the CHJ with the bile duct in the posteroanterior view. The CHJ was further modified as parallel if the course of the two ducts was closely adherent for 1 cm or more. In addition to identifying the radial takeoff, the level of the CHJ along the length of the extrahepatic biliary tree was determined. The distance from the ampulla to the junction was divided by the distance from the ampulla to the bifurcation and expressed as proximal, middle, distal, respectively. (Korean J Gastrointest Endosc 17: 351-361, 1997) (continue)
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원저 : 담도 췌장 ; 비노출형 유두부암 ( Original Articles : Biliary Tract & Pancreas ; Unexposed Ampullary Cancer )
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Korean J Gastrointest Endosc 1997;17(3):362-369. Published online November 30, 1996
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Ampullary cancer is a malignant lesion in the pancreatobiliary system with a relatively good prognosis because of its slow growth, early appearance of symptoms and high resectability. Hndoscopic retrograde cholangiopancreaticography(ERCP) is an important and useful method in the diagnosis of ampullary cancer because it identifies the location of lesions endoseopically and by opacification of the bilio-pancreatic ducts and allows confirmation by biopsy, But the diagnostic accuracy of endoscopic forcep biopsy was variable according to the macroscopic appearance of ampullary cancer. In unexposed type ampullary cancer, biopsy after endoscopic sphincterotomy or intraluminal cannulatian biopsy has been recommended because the cancer tissue was either not visible at all or barely visible from the lumen of the duodenum. The purpose of this study was to evaluate the contribution of endoscopic sphincterotomy to the diagnosis of ampullary cancer and to compare the clinical eharasteristics of unexposed type ampullary cancer with those of exposed type ampullary cancer. Method: Thirty-one cases of the ampullary cancers over the past 5 years were reviewed. Macroscopically, thirty one ampullary cancers were classified into two types. The unexposed type ampullary cancer was defined normal ampullary mucosa with or without protruding. The exposed type ampullary cancer was defined abnormal ampullary mucosa including nodular, ulcerative, nodulo-ulcerative and polypoid appearance. Ampullary cancers were diagnosed preoperatively by forcep biopsy, biopsy after endoscopic sphincterotomy, or brushing cytology. (Korean J Gastrointest Endosc 17: 362-368, 1997) (continue)
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원저 : 담도 췌장 ; 증상이 있는 담낭결석 환자에서 내시경적역행성담도조영술의 필요성에 관한 연구 ( Original Articles : Biliary Tract & Pancreas ; The Study on Necessity of ERCP in Patients with Symptomatic Gallhladder Stones )
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Korean J Gastrointest Endosc 1997;17(3):371-379. Published online November 30, 1996
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/Aims: Laparoscopic cholecystectomy(LC) has become the new therapeutic gold standard in uncomplicated symptomatic gallbladder stone. However, some patients with gallstones may be associated with bile duct stones or other biliary pathology. LC is not ideal for removal and evaluation of biliary duct stones even with advocated techniques. Although ERCP is the best way to demonstrate the biliary tree, ERCP is an invasive procedure that may causes complications. The aim of this study was to predict the neeessity for ERCP and to determine the indication of ERCP before LC using noninvasive methods of biliary tree associated liver biochemistry(LB) parameters and sonography. Methods: 270 symptomatic gallbladder stone patients were studied by both sonography and LB including total bilirubin, alkaline phophatase, r-glutamyltransferase and amylase. All patients were performd ERCP for evaluation of biliary tree pathology, Patients who were already found to have either tumors or bile duct stones on sonography were excluded. Patients were classified into normal and dilated biliary tree groups by sonographic findings, normal and abnormal LB groups, negative and positive ERCP groups. Positive ERCP were defined by bile duct stones, tumors, stricture and idiopathic common bile duct dilatation over 11 mm. (Korean J Gastrointest Endosc 17: 371- 379, 1997) (continue)
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원저 : 담도 췌장 ; 내시경적 유두괄약근절개술과 담췌관조영술시 침형절개도의 효율성과 안전성 ( Original Articles : Biliary Tract & Pancreas ; The Efficacy and Safety of Needle-Knife Papillotomy for Endoscopic Sphincterotomy and Cholangiography )
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Korean J Gastrointest Endosc 1997;17(3):380-389. Published online November 30, 1996
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Conventional endoscopic sphincterotomy with papillotome(CES) is an established method of management for patients with biliary obstruction from various causes. However, an alternative treatment to CES must be considered when antecedent cholangiagraphy is unsuccessful or when cannulatian with the conventional papillotome fails. The needle-knife papillotomy(NKP) is one of the alternative methods to CES. Recently, it has been suggested that NKP can be used to achieve diagnostic cholangiography. But NKP is controversial because results from studies assessing its efficacy and safety are conflicting. The current study was undertaken to assess retrospectively the efficacy and safety of NKP and CES. Methods: All enrolled patients(CES group 113, NKP group 105) underwent ERCP between September 1993 and August 1996 at Korea Univeisity Guro Hospital. NKP for cannulation was used only when biliary tract disease was suspected but deep canulation failed inspite of several attempts. The efficacy and safety of NKP and CES were evaluated according to the rate of success of performing purposes(removal of common bile duct stones, inser tion of endoscopic nasobiliary drainage or endoprosthesis, treatment of sphincter of Oddi dysfunction, and cannulation) and complications(bleeding, perforation, pancreatitis). (Korean J Gastrointest Endosc 17: 380-389, 1997) (continue)
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원저 : 담도 췌장 ; 급성담관염에서 응급 내시경적 경비담관 배액술 ( Original Articles : Biliary Tract & Pancreas ; Emergency Nasobiliary Drainage in Acute Suppurative Cholangitis )
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Korean J Gastrointest Endosc 1997;17(3):390-395. Published online November 30, 1996
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/Aims: Acute suppurative cholangitis is associated with significant mortality. It is best managed by drainage of biliary tree such as endoscopic, percutaneous or surgical, We evaluated the role of emergency endoscopic nasobiliary drainage(ENBD) in the acute suppurative cholangitis. Methods: For 55 patients with acute calculous cholangitis, who did not respond to conservative management and the stone could not be removed from bile duct by endoscopic papillotomy due to poor condition or bleeding tendency, ENBD tube(7.5Fr) was inserted at proximal side of obstruction. ENBD was done at 39.4 hours (mean) after arrival to hospital. Results: ENBD was successful in all patients (100%). All patients responded with striking improvement of the abdominal pain, fever and stabilized vital signs within 3 days. After patients conditions were stabilized clinically, common bile duct stones were removed successfully by endoscopic sphincterotomy or surgery. No patients died of acute suppurative cholangitis. Conclusion: These results show that ENBD is a simple, safe, and effective measure for the initial control of acute suppurative cholangitis due to cholelithiasis, (Korean J Gastrointest Endosc 17: 390-395, 1997)
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증례 : 식도 위장관 ; 거대 표재성 분포형 조기위암 1예 ( Case Reports : Esophagus , Stomach & Intestine ; Superficial Spreading Stomach Cancer : Report of One Case )
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Korean J Gastrointest Endosc 1997;17(3):396-402. Published online November 30, 1996
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- Superficial spreading stomach cancer, as first described by Stout in 1942, is superficially spreading cancer confined to mucosa and submucosa, and measuring up to 10 cm in diameter. Clinical manifestation is peptic ulcer like symptom with a long duration, and a gross appearance is characterized by reddening, irregular and slight nodular thickening of the involved mucosa. We should be careful to differentiate chronic atrophie gastritis or multiple superficial gastric erosions from superficial spreading stomach cancer. It is classified to a subtype of early gastric cancer type Ilc(IIc") and the prognosis is as good as early gastric cancer. A 60-yearold woman was admitted to our hospital because of epigastric pain for 2 years. She was confirmed to have superficial spreading stomach cancer by gastroduodenoscopy, endoseopic ultrasonography, and operation. We report a case of superficial spreading stomach cancer with a review of relevant literatures. (Korean J Gastrointest Endosc 17: 396-402, 1997)
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증례 : 식도 위장관 ; 위에 박힌 바늘과 이쑤시개 각 1예 ( Case Reports : Esophagus , Stomach & Intestine ; Two Cases of Needle and Toothpick Stuck in the Stomach )
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Korean J Gastrointest Endosc 1997;17(3):403-409. Published online November 30, 1996
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- Foreign bodies in the stomach are usually ingested by children under 5 years of age, persons with dentures, alcoholics, mentally disturbed individuals or prisoners with a purpose of secondary gain. Many patients will be asymptomatic and will be brought in by parents with a history of having swallowed something. The ingested foreign bodies are mainly coins, particles of metals, fish bones and etc. A needle or a toothpick in the stomach has been rarely reported in an adult.. We present two cases of patients: one case of patient with needle stuck in the stomach, who swallowed for the purpose of secondary gain, and the other case of patient with toothpick stuck in the stomach, who did not realize having swallowed it. A 23-year-old man, prisoner, was admitted to hospital due to epigastric pain after ingestion of a needle. Endoscopy showed a black needle, 1.2cm long stuck at the prepyloric antrum. It was removed by the endoscopic biopsy forceps through the overtube used in endoscopic variceal ligation and proved to be a needle with a length of 4.9 cm and a diameter of 0.1 cm. A 58-year-old woman developed an acute onset of hematemesis and epigastralgia, and presented to the emergency room. On admission, her blood pressure was 60/40 mmHg. An emergency endoscopy showed a yellowish, thin, stiff material 3.5cm long stuck at the greater curvature of the antrum with meat materials. It was removed by the above method and proved to an wooden tooth pick with a length of 6.5 cm and a diameter of 0.2 cm. No active bleeding was noted from the removed site. She did not realized she had swallowed the toothpick. She was discharged without complication. (Korean J Gastrointest Endosc 17: 403- 407, 1997)
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증례 : 식도 위장관 ; 초음파내시경검사로 조기위암의 심달도 판정시 오진의 원인이 된 호산구성 농양 1예 ( Case Reports : Esophagus , Stomach & Intestine ; Overestimation of the Depth of Invasion in Early Gastric Cancer due to Eosinophilic Abscess by Endoscopic Ultrasonography )
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Korean J Gastrointest Endosc 1997;17(3):411-415. Published online November 30, 1996
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- Eosinophilic abscess is a rare disease of stomach that consists of many eosinophils in submucosa and muscle layers of stomach. Eosinophilic abscess is usually observed in liver after parasite infestation such as hepatic fascioliasis or in intradermal lesion of pemphigus. A 67-year-old female was admitted due to epigastric pain and indigestion. Endoscopic finding suggested early gastric cancer type IIc with the depth of invasion to mucosal layer at the lesser curvature of lower body. Histologic examination of endoscopic biopsy proved to be signet ring cell type adenocarcinoma. On endoscopic ultrasonography, the tumor was imaged as a slightly elevated mass with 15 mm in diameter. The lesion was localized from the first layer to the fourth layer which correspond to the mucosa and the proper muscle layer, The lesion consisted of low echoic and isoechoic densities. The lower echoic lesion ranging from the third layer to the fourth layer was thought to be necrotic or hemorrhagic portion within the tumor. Subtotal gasterectomy was performed. We compared the endoscopic and endosonographic features with the histologic findings of the resected stomach. Histologic examination showed signet ring cell carcinoma in mucosal layer and eosinophilic abscess in submucosal and proper muscle layer. We concluded that the endosonographic depth of invasion was overestimated because of the eosinophilic abscess. (Korean J Gastrointest Kndosc 17: 411-415, 1997)
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증례 : 식도 위장관 ; CMV 위 대장 감염 1예 ( Case Reports : Esophagus , Stomach & Intestine ; A case of CMV Gastrointestinal Disease )
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Korean J Gastrointest Endosc 1997;17(3):416-421. Published online November 30, 1996
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- Cytomegalovirus(CMV) commonly infects immunocompromised patient, including those with malignant disease, immunosuppression (particularly that induced by steroid therapy), organ transplantation AIDS. Involvement of the gastrointestinal tract is often associated with disseminated infection. Enteric involvement is expressed by inflammation, hemorhage, and ulceration. CMV is postulated to cause submucosal capillary and arteriolor vasculitis that can result in ischemic injury. CMV induced gastritic and colonic ulcers have not previously been reported in Korea. We report a patient of malignancy who had gastric & colonic ulcers assoicated with CMV infection whieh showed chracteristic histological finding of CMV infection in biopsed specimen. (Korean J Gastrointest Endosc 17: 416-420, 1997)
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증례 : 식도 위장관 ; 소장에 발생한 MALT 림프종 1예 ( Case Reports : Esophagus , Stomach & Intestine ; A Case of Mucosa - associated Lymphoid Tissue Lymphoma in Small Intestine )
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Korean J Gastrointest Endosc 1997;17(3):423-429. Published online November 30, 1996
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- Mucosa-associated lymphoid tissue (MALT) lymphoma is the disease of distinctive clinicopathologic entities most of which are different from current lymph-node based lym- phoma classification. According to the circulatory properties of the lymphocytes and specific immunoglobulin isotype distribution, MALT is defined as the central lymphoid tissue and is opposed to peripheral somatic lymphoid tissue. It occurs most often in the gastrointestinal mucosa and the bronchial mucosa and may occur in other organs such as salivary gland, thyroid gland, conjunctiva, skin. The most common site of MALT lymphoma is gastrointestinal tract but non-gastrointestinal MALT lymphoma may present. The characteristics of pathology are reactive follicles surrounded by the diffuse infiltration of centrocyte-like (CCL) cells and lymphoepithelial lesion due to the gland invasion of CCL cells. It is a localized disease and has a long survival, Isaacson et al suggested the classification of primary gastrointestinal MALT lymphoma as low grade, high grade, immunoproliferative small intestinal disease (IPSID). The distribution is more often in the stomach than in the intestine. Intestinal MALT lymphomas have less favorable clinicnl courses than the gastric MALT lymphomas. Recurrences may appear in the same organ or in other extranodal sites. We report clinical, pathologic findings, and clinical course in a case of primary small intestinal MALT lymphoma in terminal ileum with literature review. (Korean J Gastrointest Endosc 17: 423-429, 1997)
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증례 : 식도 위장관 ; 골반내농양을 주소로 내원한 Crohn 병 1예 ( Case Reports : Esophagus , Stomach & Intestine ; Crohn's Disease with Intraabdominal Abscess as the Initial Diagnosis )
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Korean J Gastrointest Endosc 1997;17(3):430-435. Published online November 30, 1996
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- Intraabdominal abscesses and their sequalae have long been observed in patients with Crohn's disease. Patients with Crohn's disease account for little more than 0.5% of all patients coming to laparotomy for intraabdominal abscess. However, an intraabdceninal abscess will develop as a complication of Crohn's disease in 12 to 25% of patients. For enteroparietal abscess, incision and drainage with later definitive resection is the optimal therapy, However, primary en bloc resection is performed with excellent results recently. We experienced a case of Crohn's disease whose initial problem was intraabdorninal abscess. After surgery, we confirmed Crohn's disease. (Korean J Gastrointest Endosc 17: 430-434, 1997)
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증례 : 담도 췌장 ; 담낭-담관 누공을 동반한 Mirizzi 증후군 1예 ( Case Reports : Biliary Tract & Pancreas ; A Case of Mirizzi Syndrome with Choecystocholedochal Fistula )
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Korean J Gastrointest Endosc 1997;17(3):437-442. Published online November 30, 1996
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- The Mirizzi syndrome, obstructive jaundice due to inflammatory or direct compression of common duct is an uncommon complication of longstanding cholecystitis, caused by a cystic duct stone or impacted stone of gallbladder neck. Mirizzi syndrome with resulting repeated attack of inflammation and pressure necrosis leads to the formation of cholecy- stocholedochal fistulas, rarely(Mirizzi syndrome type II), The cholecystocholedochal fistula is very difficult to recognize on preoperative state, and constitute a high risk of damage to the common duct during a cholecystectomy, Since jaundice is the main problem, abdominal sonography and following ERCP(Endoscopic retrograde cholangiopan-creatography) are the primary radiologic tests. But. these findings are so non-specific that exact diagnosis is made in operation room, frequently. We experienced a 67-year-old male patient who complained repeated right upper quadrant pain. On his sonography, dilatation of intrahepatic and common hepatic duct showed and stone was likely to place in the proximal common duct, but gallbladder and cystic duct was not visualized. In operation the gallbladder was identified likely to diverticulum on the common duct and large fistula was present between them. Partial cholecystectomy and Roux-en Y choledochojejunostomy was done. The patient fell in sepsis and discharged hopelessly. (Korean J Gastrointest Endosc 17: 437-442, 1997)
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증례 : 담도 췌장 ; 부유두내 스텐트 삽입으로 호전된 재발성 췌장염을 동반한 분할 췌 1예 ( Case Reports : Biliary Tract & Pancreas ; Endoscopic Stenting with Minor PapilIa Sphincterotomy in a Patient with Pancreas Divisum and Recurrent Pancreatitis )
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Korean J Gastrointest Endosc 1997;17(3):443-447. Published online November 30, 1996
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- A 50-year-old woman presented with recurrent pancreatitis and pancreas divisum. Minor papilla sphincterotomy and endoscopic stent placement were done for the drainage of dorsal pancreatic duct. After stenting of the minor papilla, abdominal pain has disappeared and pancreatitis has not developed during 9 month follow-up. (Korean J Gastrointest Endosc 17: 443-447, 1997)
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증례 : 담도 췌장 ; 외상성 췌장 가성동맥류 1예 ( Case Reports : Biliary Tract & Pancreas ; A Case of traumatic Pancreatic Pseudoaneurysm )
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Korean J Gastrointest Endosc 1997;17(3):448-453. Published online November 30, 1996
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- In spite of advances in the management of the victim of trauma, the reported incidence of mortality and significant morbidity after pancreatic and/or duodenal injuries is still remained high. The key to treatment is thought to be early, accurate evaluation and proper management according to the degree of injury. We experienced a case of 26-year-old man who had melena after surgery for gun-shot wound of abdomen. In operation, it was noted that duodenum, superior mesenteric artery, and inferior vena cava were lacerated. He was treated by primary suture and drainage. But, 9 months later, hematochezia was developed. Duodenoscopic findings showed buldging mass with blood oozing at the medial side of duodenum second portion. Abdominal CT and angiography revealed pseudoaneurysm of superior mesenteric artery in the pancreas head. The surgery was postponed because severe adhesion between adjacent structures and pseudoaneurysm was suspected. So we decided medical treatment for him and melena was stopped spontaneously. We report this case with a review of literatures. (Korean J Gastrointest Endosc 17: 448-452, 1997)
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제42회 대한소화기내시경학회 춘계학술대회 / 구연 : 결핵에 의한 식도 누공
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Korean J Gastrointest Endosc 1997;17(3):461-462. Published online November 30, 1996
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제42회 대한소화기내시경학회 춘계학술대회 / 구연 : 식도 혈종
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Korean J Gastrointest Endosc 1997;17(3):462-463. Published online November 30, 1996
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제42회 대한소화기내시경학회 춘계학술대회 / 구연 : Pemphigus Valgaris 에 의한 식도 낭종
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Korean J Gastrointest Endosc 1997;17(3):462-462. Published online November 30, 1996
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제42회 대한소화기내시경학회 춘계학술대회 / 구연 : 위의 결핵 1예
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Korean J Gastrointest Endosc 1997;17(3):463-464. Published online November 30, 1996
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제42회 대한소화기내시경학회 춘계학술대회 / 구연 : 제I형 조기위암
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Korean J Gastrointest Endosc 1997;17(3):464-465. Published online November 30, 1996
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제42회 대한소화기내시경학회 춘계학술대회 / 구연 : 위의 Carcinoid 종양
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Korean J Gastrointest Endosc 1997;17(3):464-464. Published online November 30, 1996
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제42회 대한소화기내시경학회 춘계학술대회 / 구연 : Gastritis Cystica Profunda
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Korean J Gastrointest Endosc 1997;17(3):465-466. Published online November 30, 1996
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제42회 대한소화기내시경학회 춘계학술대회 / 구연 : 염증성 종양에 의한 식도협착
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Korean J Gastrointest Endosc 1997;17(3):466-467. Published online November 30, 1996
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제42회 대한소화기내시경학회 춘계학술대회 / 구연 : 폐암의 위 전이
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Korean J Gastrointest Endosc 1997;17(3):467-468. Published online November 30, 1996
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제42회 대한소화기내시경학회 춘계학술대회 / 구연 : 중복 조기위암
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Korean J Gastrointest Endosc 1997;17(3):467-467. Published online November 30, 1996
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제42회 대한소화기내시경학회 춘계학술대회 / 구연 : 십이지장의 T-세포 림프종
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Korean J Gastrointest Endosc 1997;17(3):468-469. Published online November 30, 1996
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제42회 대한소화기내시경학회 춘계학술대회 / 구연 : Nodular Lymphoid Hyperplasia
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Korean J Gastrointest Endosc 1997;17(3):469-470. Published online November 30, 1996
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