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Volume 18(3); June 1998
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원저 : 식도 위장관 ; 아칼라지아 환자에서 내시경적 하부식도 괄약근내 보툴리늄독소 주사의 효과 ( Original Articles : Esophagus , Stomach & Intestine ; Intrasphincteric Injection of Botulinum Toxin in Patients with Achalasia )
Korean J Gastrointest Endosc 1998;18(3):297-302.   Published online November 30, 1997
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Background
/Aims: Botulinum toxin(Botox) has long been known as one of the most potent paralytic agents of skeletal muscle, and acts by inhibiting the acetylcholine release from nerve terminals. Recently lacally injected Botox has been found to be effective in the reduction of lower esophageal sphincter(LES) tone in patients with achalasia. The aim of this study was to examine the effects of Botox on patients with achalasia in terms of symptomatic relief and improvement of esophageal function. Methods: Nine patients with achalasia were given endoscopic injections of 100 units of Botox into the LES. One week later, the response to treatment was assessed on the basis of changes in the symptomatic scores, maximal diameters of esophagus clilation on esophagograms, and results of esophageal manometric and scintigraphic studies. Three months later, the symptomatic scores and esophageal manometric results were assessed. Responders to Botox were defined as patients with a decrease in the total symptom score of 50% or more at 1 month of past-treatment without a subsequent treatment. (Korean J Gastrointest Endosc 18: 297-302, 1998) (continue)
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원저 : 식도 위장관 ; Helicobacter Pylori 감염에서의 정량적 Rapid Urease 검사 ( Original Articles : Esophagus , Stomach & Intestine ; Quantitative Rapid Urease Test in Helicobacter Pylori Infection )
Korean J Gastrointest Endosc 1998;18(3):303-311.   Published online November 30, 1997
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Background
/Aims: The principle of the rapid urease test is the assessment of the color change of the pH indicator, phenol red, by ammonium and bicarbonate ions which were produced by the urease. We modified a conventional rapid urease test, and quantified H. pylori infection by measuring the change of spectrophotometric absorbance. Methods: 202 patients with upper gastrointestinal symptoms were endoscopically examined and three biopsies were performed in each antrum and fundus. Two biopsy specimens were stained with Giemsa and scored from 0 to 4 according to the distribution of bacteria by the Wyatt method. Another specimen was used for the quantitative rapid urease test. The tissue was incubated in a cuvette containing 10% of urea solution and phenol red at 37C. We measured optical densities in 550 nm at 5 min, 10 min, 15 min, 30 min, 1 hrs, 2 hrs, 4 hrs and 24 hrs time points. (Korean J Gastrointest Endose 18: 303-311, 1998) (continue)
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원저 : 식도 위장관 ; 소화성 궤양 환자에서 Helicobacter Pylori 박멸을 위한 Omeprazole , Clarithromycin , Metronidazole 의 치료 효과 ( Original Articles : Esophagus , Stomach & Intestine ; Eradication of a Helicobacter Pylori Using Omeprazole , Clarithromycin and Metronidazole in Peptic Ulcer Diseases )
Korean J Gastrointest Endosc 1998;18(3):312-318.   Published online November 30, 1997
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Background
/Aims: The aim of this study was to ascertain the effects of two week treatment of omeprazole (O) and clarithromycin (C) with and without metronidazole (M), and one week treatment of omeprazole, clarithromycin and metronidazole, for the eradieation of Helicobacter pylori (H. pylori) in patients with peptic ulcer disease in double-blind, randomly controlled groups. Methods: The H. pylori infection determined in patients whose results were positive in a rapid urease test or in those who exhibited histology in antrum and body, The OC14 group received O 40 mg qd and C 500 mg t.i.d. for 2 weeks; the OCM14 group received O, C, and M 250 mg t.i.d for 2 weeks, and the OCM7 group received O, C, M for 1 week, respectively. H. pylori eradication was assessed 4 weeks after the end of treatment. The H. pylori eradication was determined as all negative for the rapid urease test and histology on both the antrum and body. (Korean J Gastrointest Endosc 18: 312-318, 1998) (continue)
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원저 : 식도 위장관 ; 선천성 비후성 유문 협착증의 진단에 있어서 상부 위장관 내시경술의 역할 ( Original Articles : Esophagus , Stomach & Intestine ; The Role of an Upper Gastrointestinal Endoscopy in the Diagnosis of Congenital Hypertrophic Pyloric Stenosis )
Korean J Gastrointest Endosc 1998;18(3):319-323.   Published online November 30, 1997
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Background
/Aims: In 1977, Teele and Smith reported their positive experience using an ultrasonographic in the evaluation of Congenital Hypertrophic Pyloric Stenosis (CHPS). Since that time, ultrasonography has been advocated by some as the diagnostic procedure of choice, although a number of false-negative cases have been encountered at any rate, in 1994, Becker reported that an endoscopy was far more accurate than an ultrasonography, the diagnosis being made in 97% and 81% of the cases. Therefore, we performed a prospective study to evaluate the diagnostic value of an upper gastrointestinal endoscopy in CHPS patients. Methods: We reviewed the clinical records of 12 pediatric patients experiencing vomiting, who had visited Pusan National University Hospital from January 1993 to March 1997. We performed on upper gastrointestinal endoscopy and abdominal ultrasonography simultaneously in order to evaluate the diagnostic value of an upper gastrointestinal endoscopy in CHPS patients. Results: The male to female ratio was 11: 1. In 7 of 12 patients, 58%, vomited within 4 weeks after birth. Diagnostic sensitivity by abdominal ultrasonography was about 75%, and by upper GI endoscopy, almost 100%. Associated lesions were discovered in 5 cases, 3 esophagitis and 2 gastritis in the upper GI endoscopy. Conclusions: The upper GI endoscopy was more accurate in the diagnosis of CHPS than the ultrasonography, and was more effective in the diagnosis of associated lesions. (Korean J Gastrointest Endosc 18: 319-323, 1998)
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원저 : 식도 위장관 ; 대장종양 선구 형태 ( Pit Pattern ) 와 확대 대장내시경의 유용성 ( Original Articles : Esophagus , Stomach & Intestine ; The Usefulness of Pit Patterns of Colorectal Tumors and Magnifying Colonoscopy )
Korean J Gastrointest Endosc 1998;18(3):324-331.   Published online November 30, 1997
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Background
/Aims: To investigate the usefulness of pit patterns of colorectal tumors and magnifying colonoscopy, Methods: The surface mucosal pits of seventy five colorectal lesions were observed using a magnifying colonoscopy with a zoom 1 to 100 magnification after indigo carmine or methylene blue spray. The lesions were removed by hot biopsy, palypectomy, or endoscopic mucosal resection. Histologic diagnoses were determined by light microscopy. (Korean J Gastrointest Endosc 18: 324-330, 1998) (continue)
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원저 : 담도 췌장 ; 총담관 결석 제거에서 풍선을 이용한 내시경적 유두부 성형술 ( Original Articles : Biliary Tract & Pancreas ; Endoscopic Balloon Sphincteroplasty without Sphincterotomy for Removal of Common Bile Duct Stones )
Korean J Gastrointest Endosc 1998;18(3):333-339.   Published online November 30, 1997
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Background
The complications associated with endoscopic stone removal arise from the sphincterotomy that is performed to facilitate stone extraction. Early complications such as bleeding, perforation, pancreatitis and sepsis occur in about 10% of all patients. Moreover late complications may emerge due to the loss of the sphincter function. So the endoscopic removal of the bile duct stones without a sphincterotomy seems preferable in order to avoid the early complications related to the sphincterotomy, and may also help to preserve the function of the sphincter of Cddi. Aim: To evaluate the efficacy and safety of endoscopic balloon sphinteroplasty(EBS), we attempted to remove common bile duct stones, less than 12 mm, without sphincterotomy in 11 patients. We also investigated the effects of sphincteroplasy on the motility of sphincter of Oddi before and after EBS. Results: All patients were treated succesefully, with two patients administered sublingual nitroglycerine for the medical sphincter dilatation. Only one patient had mild abdominal pain, while the others experienced no complications. Follow-up manometric examinations showed the papillary function to be well preserved. Conclusion: This results suggested that the endoscopic balloon sphincteroplasy without sphincterotomy for the removal of small-sized stones is a useful and safe method, and its major advantage may lie in the preservation of the sphincter function. We recommend that prospective studies, preferably randomized, with clear objectives, are needed to clarify the success and safety of this technique compared to the standard sphincterotomy. (Korean J Gastrointest Endosc 18: 333-339, 1998)
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원저 : 담도 췌장 ; 내시경적 유두 괄약근 절개술 후 복강경 담낭 절제술의 효과 ( Original Articles : Biliary Tract & Pancreas ; The Effectiveness of a Preoperative Endoscopic Sphincterotomy before the Laparoscopic Cholecystectomy )
Korean J Gastrointest Endosc 1998;18(3):340-344.   Published online November 30, 1997
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Background
/Aims: There are some options which exist in the optimal treatment of Common Bile Duct (CBD) stones. The management of CBD stones by a preoperative Endoscopic Sphincterotomy (EST) and a Laparoscopic Cholecystectomy (LC) remains controveraial. This study intends to investigate the value of an EST before an LC in patients with CBD stones compared with a conventional Open Cholecystectomy (OC) with a Common Bile Duct Exploration (CBDE). Methods: Sixty three patients underwent an EST before an LC, while 65 patients received an OC with a CBDE were reviewed retrospectively for a 42 month period from January, 1993 to June, 1996. Results: There was no statistical significance of stone numbers and sizes in both groups (p>0.05), but the EST before the LC group a showed a shorter hospital stay (12.2 days:19.8 days, p < 0.05). The complication rate in conventional OC with the CBDE group was greater but it was not statistically significant(p>0.05). Rate of stone recurrence and remnant stones in the OC with CBDE group (50.8%) was ater than the EST before LC group (25.4%)(p <0.05). The total hospitalization fee in the EST before LC group was lesser than the OC with CBDE group (p<0.05). Conclusions: An EST before an LC is a valuable option for patients with gall stones and simultaneous choledocholithiasis and is suitable according to recent trends in the minimal invasive approach. It needs however, larger group evaluation in order to determine the accurate indications and proper patient selection for this procedure. (Korean J Gastrointest Endosc 18: 340-344, 1998)
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증례 : 식도 위장관 ; 내시경적 결찰요법에 의한 상부위장관출혈 치유 3예 ( Case Reports : Esophagus , Stomach & Intestine ; Endoscopic Ligation Therapy for Upper Gastrointestinal Bleeding )
Korean J Gastrointest Endosc 1998;18(3):345-351.   Published online November 30, 1997
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Upper gastrointestinal bleeding occurs so rapidly that emergency measures are required to avoid exsanguination. Many diseases cause bleeding from the gastrointestinal tract. Patients with upper gastrointestinal bleeding must be quickly assessed and resuscitated. An endoscopy is the diagnostic procedure of choice because of its high rate of accuracy and immediate therapeutic potential. An endoscopy however, must be performed only following adequate resuscitation and clinical assessment of the patient. Recently, reports have described the usefulness of endoscopic O-ring band ligation in the management of upper gastrointestinal bleeding. Endoscopic O-ring band ligation is mucosal ligation using intraluminal negative pressure with an elastic O-ring. We performed an emergency endoscopy in 3 patients who had massive or recurrent episodes of upper gastrointestinal bleeding, identified as having resulted from Dieulafoy lesion and Anisakiasis. We tried to perform an endoscopic ligation using an O-ring band, and were successful in achieving hemostasis. Our conclusion is that endoscopic ligation using an O-ring band can be used effectively to control active upper gastrointestinal bleeding resulting from Anisakiasis and a Dieulafoy lesion. (Korean J Gastrointest Endosc 18: 345-350, 1998)
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증례 : 식도 위장관 ; Gastritis Cystica Profunda 1예 ( Case Reports : Esophagus , Stomach & Intestine ; A Case of Gastritis Cystica Profunda )
Korean J Gastrointest Endosc 1998;18(3):353-358.   Published online November 30, 1997
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Gastritis Cystica Profunda is a rare condition showing multiple small cysts in the mucosa and submucosa of the stomach. These lesions have been found not only at the site of a gastroenterostomy but also in tbe stomchs of patients without any previous surgery. Recently, We witnessed a 56-year old e wale gastritis cystica profunda who had not undergone previous gastric surgery. The UGI and EGD revealed a 3.0 * 4.5 cm sized submucosal mass on the posterior wall of the antrum, and endoscopic ultrasonography(EUS) discovered a thickening of the third layer in which well-defined, round and nearly anechoic areas with posterior enhancement were gathered. They were thought to be cystic lesions. We report a case of gastritis cystica profunda without having had any previous surgery, the diagnosis was made based on findings from the EUS and histologic findings through surgery. (Korean J Gastrointest Endosc 18: 353-358, 1998)
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증례 : 식도 위장관 ; 위내시경으로 진단된 유전분증 3예 ( Case Reports : Esophagus , Stomach & Intestine ; Three Cases of Amyloidosis Diagnosed by Endoscopic Biopsy of Stomach )
Korean J Gastrointest Endosc 1998;18(3):359-367.   Published online November 30, 1997
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Since amyloidosis is usually diagnosed later in the disease process, a high index of suspicion is therefore necessary for earlier diagnosis. Confirmative diagnosis rests on a biopsy of the involved organ. Gastrointestinal amyloidosis causes a variety of symptoms including intestinal obstruction, ulcers, malabsorption, hemorrhaging, protein loss, diarrhea, anorexia, nausea, vomiting, and dysphagia. We confirmed amyloid deposits in the stomach in three patients with epigastric pain through a biopsy of erosive gastritis documented on a gastrofiberscopy. One patient with primary amyloidosis which had invaded his kidney, stomach, and heart, expired, although aggressive treatment with a pacemaker insertion, peritoneal dialysis, and ventilator care was performed. Another patient with multiple myeloma died on the 38th day, after having started systemic chemotherapy. The other patient with secondary amyloidosis due to rheumatoid arthritis, is currently receiving colchicine at our out patient clinic. (Korean J Gagtrointest Endosc 18: 359-366, 1998)
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증례 : 식도 위장관 ; 위 동정맥기형에서 발생한 대량의 상부위장관 출혈 1예 ( Case Reports : Esophagus , Stomach & Intestine ; A Case of the Massive Upper GI Bleeding from the Arteriovenous Malformation of Stomach )
Korean J Gastrointest Endosc 1998;18(3):369-372.   Published online November 30, 1997
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The arteriovenous malformation(AVM) of the gastrointestinal tract is a rare cause of gastrointestinal bleeding. With the increasing use of angiography over the past 30 years in the assessment of gastrointestinal bleeding, AVM has been more frequently recognized. There are few reports, however, about the arteriovenous malformation of stomach. From 1884, about 40 cases were reported all over the world. The clinical manifestation of gastric AVM are asymptomatic massive upper gastrointestinal bleeding or chronic iron deficiency anemia, The diagnosis of gastric AVM is difficult because of nonspecific findings using an endoscopy. This lesion is easily detected using a selective angiography. Furthermore, the therapeutic embolization of the feeding artery have a better chance for stopping the bleeding. In this paper we are reporting one case of gastric AV malformation, wherein rnassive UGI bleeding and dingnosis was made usmg a selective angiography. A review of literatmes was conducted to make this report possible. (Korean J Gastrointeist Endosc 18: 369-372, 1998)
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증례 : 식도 위장관 ; 위내시경용 용종 제거술 올가미와 담석 쇄석기를 사용해 분쇄 제거한 위석 2예 ( Case Reports : Esophagus , Stomach & Intestine ; Two Cases of Gastric Bezoar Removed by Endoscopic Polypectomy Snare and Lithotriptor )
Korean J Gastrointest Endosc 1998;18(3):373-379.   Published online November 30, 1997
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Gastric bezoar has been known to occur occasionally in the gastrointestinal tract, as a result of foreign material accumulating in the stomach. Most case have been managed by surgical methods. Currently, the endoscopic mathod is after used for the gastrointestinal disease, and therefore we treated two cases of huge bezoars using the endoscopic polypectomy snare and lithotriptor. Subsequently, we are reporting these cases and have incorporated relevant literature which was reviewed for our report for the subject case. (Korean J Gastrointest Endosc 18: 373-377, 1998)
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증례 : 식도 위장관 ; 위석이 합병된 당뇨병성 위마비 치험 1예 - 증례 보고 - ( Case Reports : Esophagus , Stomach & Intestine ; A Case of Diabetic Gastroparesis Complicated with a Gastric Bezoar )
Korean J Gastrointest Endosc 1998;18(3):381-386.   Published online November 30, 1997
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Diabetic gastroparesis is a common gastrointestinal complication which develops in about 20-30% of patients with longstanding diabetes mellitus. Recent studies have shown that erythromycin stimulates gastrointestinal motor activity by binding on motilin receptors of gastrointestinal smooth muscles and that it improves gastric emptying in patients with diabetic gastroparesis. In this respect, we present a 35-year-old patient with diabetic gastroparesis, complicated with a gastric bezoar, who was successfully treated with endoscopic bezoar fragmentation and oral erythromycin for 3 weeks. (Korean J Gastrointest Endosc 18: 381-386, 1998)
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증례 : 식도 위장관 ; 복강경으로 진단된 복막 위점액종 1예 ( Case Reports : Esophagus , Stomach & Intestine ; A Case of Pseudomyxoma Peritonei Diagnosed by a Peritoneoxcopy )
Korean J Gastrointest Endosc 1998;18(3):387-391.   Published online November 30, 1997
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Pseudomyxoma peritonei is a benign mucin producing tumor of the peritoneum which is usually diagnosed using a laparotomy. It is uncommon to find a case of pseudomyxoma peritonei which has been diagnosed using a peritoneoscopy in Korea; there are only two cases reported in the literature. We recently experienced a case of pseudomyxoma peritonei in a 61 year old woman who manifested a typical case using a peritoneoscopy. Thick, jelly-like materials were adherent to polypoid nodular masses of the parietal peritoneum, which originated from the mucinous cystadenocarcinoma of an ovary. In this report we discuss the case with relevant review of the literature. (Korean J Gastrointest Endosc 18: 387-391, 1998)
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증례 : 식도 위장관 ; 동종 골수 이식술 후 발생한 십이지장의 거대세포 바이러스 감염증 1예 ( Case Reports : Esophagus , Stomach & Intestine ; A Case of Cytomegalovirus Duodenitis Following an Allogenic Bone Marrow Transplantation )
Korean J Gastrointest Endosc 1998;18(3):392-397.   Published online November 30, 1997
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Cytomegalovirus(CMV) disease is one of the major causes of morbidity and mortality in immunocompromised patients, such as recipients of a solid organ or bone marrow allo-graft and patients with acquired immnune deficiency syndrome, CMV infection of the gastrointestinal tract may vary in location, extent, and clinical manifestation. As there is no pathognamonic endoscopic feature for CMV disease, a diagnosis of CMV infection has been made by confirming cytomegalic cells in mucosal specimens obtained from the gastrointestinal tract by an endoscopy. We repcet a case of a 38-year-old male patient with CMV duodenitis following an allogenic bone marrow transplantation(BMT), who had prolonged nausea and vomiting for 5 weeks after the BMT. He was diagnosed as having CMV duodenitis by identifying cytomegalic cells in duodenal mucosa biopsied by endoscopy and recovered after the treatment of ganciclovir. (Korean J Gastraintest Endosc 18: 392-396, 1998)
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증례 : 식도 위장관 ; 정상 십이지장 구부에서 발견된 Bezoar 1예 ( Case Reports : Esophagus , Stomach & Intestine ; A Case of a Bezoar Found in a Normal Duodenal Bulb )
Korean J Gastrointest Endosc 1998;18(3):399-402.   Published online November 30, 1997
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A 50-year-old man who had suffered from chronic indigestion complained of upper abdominal pain and vomiting which had persisted for 4 days. Consequently, he had eaten two persimmons before sleeping detected each day for five days. An irregular multinodular villous filling defect was in the duodenal bulb on, the UGI series, which had its location and changed its position. It was difficult to differentiate a papillary gastric polyp or villous tumor from the duodenal bezoar, but the patient's history of having eaten persimmons was helpful. The endoscopic and pathologic study confirmed a phytobezoar which was located in the normal duodenal bulb. Subsequently we are reporting this case having reviewed the related literature of the phytobezoar which was found in the normal duodenal bulb. (Korean J Gastrointest Endosc 18: 399-402, 1998)
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증례 : 식도 위장관 ; 대장의 혈관이형성증과 동반된 십이지장 평활근육종 1예 ( Case Reports : Esophagus , Stomach & Intestine ; A Case of Duodenal Leiomyosarcoma in a Patient with Colonic Angioysplasia )
Korean J Gastrointest Endosc 1998;18(3):403-407.   Published online November 30, 1997
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Angiodysplasia is probably responsible for 2.6-6.2% of cases involving of lower gastrointestinal bleeding and 1.2-8.0% of cases involving hemorrhages from the upper GI tract. Small bowel neoplasia is rare, accounting for about 5% of gastrointestinal tumors overall and 2-3% of all malignacies. The third most common malignany of the small bowel is the sarcoma, of which the leiomyosarcoma is the most frequent. A 54-year-old male patient was admitted with the chief complaints of dizziness and headache during 2 months. Laboratory findings revealed iron deficiency anemia. A superior mesenteric arteriography found an intensive vascular stained mass in the hepatic flexure. A celiac artery angiography discovered a irregulary vascular stained lesion in the Ll vertebral level. A colonoscopy located a 10 mm sized angiodysplasia in the right colon. According to these findings, we presumed that these lesions are a colonic angiodysplasia and a suspicious duodenal lesion. The operation was perfomed. The final diagnosis was a colonic angiodysplasia combined with leiomyosarcoma of the duodenum. The rarity of this case is emphasized and the literative reviewed. (Korean J Gastrointest Endosc 18: 403-407, 1998)
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증례 : 식도 위장관 ; 결핵성 임파선염을 동반하고 상하부 장관을 광범위하게 침범한 장결핵 1예 ( Case Reports : Esophagus , Stomach & Intestine ; A Case of Intestinal Tuberculosis Extensively Involving the Upper and Lower Intestinal Tract , Accompanied by Tuberculous Lymphadenitis )
Korean J Gastrointest Endosc 1998;18(3):408-415.   Published online November 30, 1997
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The prevalence of intestinal tuberculosis has been markedly decreased with the development of anti-tuberculous chemotherapy, preventive medicine, vaccinations, early detection and treatment of pulmonary tuberculosis, and improved eeonomic conditions. Nowadays, intestinal tuberculosis is a disease that should be differentiated from the inflammatory bowel diseases such as Crohn's disease and ulcerative colitis, Behcet's disease, and colon cancer and amebic colitis. This disease also has a new clinical significance in that it has an increased infection rate and unfavorable outcomes in patients infected by HIV or in those who undergo organ transplantation or receive immunosuppressive agents. Tuberculosis of the duodenum was a rare disease and was not reported in the last decade. Moreover Intestinal tuberculosis extensively involving the small bowel including the duodenum and colon was very rarely reported in the various relateid literature. Recently we experienced a case of advanced intestinal tuberculosis involving the duodenum, jejunum, ileum, and colon accompanied by tuberculous cervical and abdominal lymphadenopathies, in a 49-year-old woman who manifested profound general weakness, diarrhea, and marked weight loss. She was diagnosed pathologically by upper gastrointestinal endoscopy, colonoscopy, and fine needle aspiration cytology as well as by roentgenologic examination. The patient was given antituberculous medication which resulted in dramatic clinical improvement. In this report, we present this case with review of the related literature. (Korean J Gastrointest Endosc 18: 408-414, 1998)
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증례 : 식도 위장관 ; 호산구성 장염으로 나타난 과호산구 증후군 1예 ( Case Reports : Esophagus , Stomach & Intestine ; A Case of Eosinophilic Colitis as a Complication of the Hypereosinophilic Syndrome )
Korean J Gastrointest Endosc 1998;18(3):417-425.   Published online November 30, 1997
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The hypereosinophilic syndrome (HES) is a leukoproliferative disorder, marked by a sustained overproduction of eosinophils and a predilection to damage specific organs. There are several diagnostic criteria. First, the patient must sustained blood eosinophilia of greater than 1,500/mm3, for longer than 6 months. Secondly, other apparent etiologies for eosinophilia must be absent, ineluding parasitic infections and allergic diseases. Thirdly, the patient must have signs and symptoms of organ involvement. Cardiac and neurologic diseases, frequent in HES, are major causes of morbidity and mortality. The damage to the heart and nervous system is due to thrombosis and fibrosis. Gastrointestinal tract involvement can accompany HES, but severe eosinophilic colitis was very rarely described in association with this syndrome. In this report, we present a patient with HES and eosinophilic colitis who was successfully treated with steroids. (Korean J Gastrointest Endosc 18: 417-423, 1998)
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증례 : 담도 췌장 ; 풍선 확장술로 치유된 선천성 총담관 막양구조 ( Web ) ( Case Reports : Biliary Tract & Pancreas ; A Case of a Congenital Web of the Common Bile Duct Treated with Balloon Dilatation )
Korean J Gastrointest Endosc 1998;18(3):426-431.   Published online November 30, 1997
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The web of the common bile duct is an extremely rare anomaly and the cause of the obstructive jaundice. We experienced a case of the congenital web of common bile duct in a 42 years old male who complained of jaundice for 10 days prior to admission without choledocholithiasis and cholangitis. An endoscopic retrograde cholangiopancreatography revealed a common bile duct web (transverse, diaphragmatic type) and the diagnosis was confirmed by an endoscopic forcep biopsy. We reported a case of the congenita1 web of the common bile duct which was treated with a stent insertion and balloon dilatation. (Korean J Gastrointest Endosc l8: 426-431, 1998)
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증례 : 담도 췌장 ; 주체관과 연결을 보인 췌장 두부에 발생한 유두상 낭성 종양 1예 ( Case Reports : Biliary Tract & Pancreas ; A Case of a Papillary Cystic Neoplasm of the Pancreas , Communicated by Main Pancreatic Duct )
Korean J Gastrointest Endosc 1998;18(3):432-437.   Published online November 30, 1997
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Papillary cystic neoplasms of the pancreas are uncommon. They occurs almost entirely in young women. Generally, the lesion averages 10 cm 17 size and are usually located in the pancreatic tail, resulting in displacement of the pancreatic duct. A varialbe amount of hemorrhage and liquefaction necrosis occurs, resulting in pseudopapillae cysts. Resection of the tumor is usually associated with a excellent prognosis because of the lack of metastases and rare recurrences. In this report present a case of a papillary cystic neoplasm of the pancreas with a review of references. Unlike most, the neoplasm we discovered was small (about 1.5 x 1.5 cm), and, occured in the pancreatic head of eldcrly woman. Moreover it was communicated by the main pancreatic duct via a side branch. (Korean J Gastrointest Endosc 18: 432-436, 1998)
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증례 : 담도 췌장 ; 경유두적 췌관 배액술로 치유한 췌장 가성 낭종 1예 ( Case Reports : Biliary Tract & Pancreas ; A Case of Pancreatic Pseudocyst Resolved by Transpapillary Drainage via the Main Pancreatic Duct )
Korean J Gastrointest Endosc 1998;18(3):439-443.   Published online November 30, 1997
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A 68-year-old man was admitted due to abdominal pain. He was diagnosed as having recurrent pancreatitis with a pseudocyst, which is communicated through the main pan- creatic duct. An endoscopic pancreatic sphincterotomy and insertion of a nasopancreatic tube into the main pancreatic duct via transpapillary drainage were performed. As a result, the pseudocyst disappeared and the pain was relieved. Thus it was concluded that transpapillary drainage via the main pancreatic duct is a safe and effective treatment for pancreatic pseudocysts, which is communicated through the main pancreatic duct. (Korean J Gastrointest Endosc 18: 439-443, 1998)
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제44회 대한소화기내시경학회 학술대회 / 특강 : Cholangioscopy in Biliary Tract Carcinoma
Korean J Gastrointest Endosc 1998;18(3):450-450.   Published online November 30, 1997
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제44회 대한소화기내시경학회 학술대회 / 구연 : 식도 결핵
Korean J Gastrointest Endosc 1998;18(3):451-451.   Published online November 30, 1997
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제44회 대한소화기내시경학회 학술대회 / 구연 : 위 MALToma
Korean J Gastrointest Endosc 1998;18(3):452-453.   Published online November 30, 1997
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제44회 대한소화기내시경학회 학술대회 / 구연 : 식도게실
Korean J Gastrointest Endosc 1998;18(3):452-452.   Published online November 30, 1997
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제44회 대한소화기내시경학회 학술대회 / 구연 : 위결핵
Korean J Gastrointest Endosc 1998;18(3):453-454.   Published online November 30, 1997
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제44회 대한소화기내시경학회 학술대회 / 구연 : Parasite 에 의한 위점막하 종양
Korean J Gastrointest Endosc 1998;18(3):454-455.   Published online November 30, 1997
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제44회 대한소화기내시경학회 학술대회 / 구연 : 위 Kaposi 육종
Korean J Gastrointest Endosc 1998;18(3):455-456.   Published online November 30, 1997
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제44회 대한소화기내시경학회 학술대회 / 구연 : 위 Strongyloidiasis
Korean J Gastrointest Endosc 1998;18(3):455-455.   Published online November 30, 1997
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