슬라이드 1

Size: px
Start display at page:

Download "슬라이드 1"

Transcription

1 위장관게실증 성균관대학교의과대학내과이준행

2 위장관게실증 상부위장관게실증 식도게실 ( 상부, 중부, 하부 ) 위게실 십이지장게실 하부위장관게실증 소장게실 대장게실

3 상부위장관게실증 성균관대학교의과대학내과이준행

4 Zenker diverticulum A Zenker diverticulum is a false diverticulum consisting of mucosa and submucosa that arises from the posterior portion of the inferior pharyngeal constrictor muscle.

5 Anatomy of ZD The neck of the diverticulum originates between the fibers of the inferior constrictor muscle and the cricopharyngeus muscle in an area of relative weakness, Killian s dehiscence. Chang. Laryngoscope 2004;114:

6 Zenker s diverticulum True lumen

7 UES 직하방 mass 로생각함 가는내시경으로통과가능

8 Blind end pouch 옆 true lumen 발견

9 내시경삽입이어려웠던환자에서식도구멍이보임 천공의심 憩室로결론

10 증상 Transient dysphagia; early in the course Pulmonary aspiration Neck mass Food regurgitation Esophageal obstruction Recurrent aspiration pneumonia Endoscopy 2001;33:

11 치료

12 Surgical diverticulectomy

13 Rigid endoscopic myotomy Dohlman diverticuloscope

14 Flexible endoscopic myotomy

15 Diverticular septal dissection (Video)

16 Esophageal diverticulum mimicking thyroid mass

17 Esophageal diverticulum mimicking thyroid mass Screening endoscopy: A large out-pouching lesion with food material was seen below the upper esophgeal sphincter.

18 Killian-Jamieson diverticulum (F/59) - Pseudo-thyroid lesion originating in the esophagus

19 GI & Hepatology New, Korean Edition 2010 Aug:1(3)

20 Zenker vs Killian-Jamieson Zenker's diverticulum originates on the posterior wall of the pharyngoesophageal segment in a midline area of weakness just above the cricopharyngeus (i.e., Killian's dehiscence), whereas Killian-Jamieson diverticula originate on the anterolateral wall of the proximal cervical esophagus in a gap just below the cricopharyngeus and lateral to the longitudinal tendon of the esophagus (i.e., the Killian-Jamieson space).

21 Zenker vs Killian-Jamieson - 김영선교수님의의견 KJ 는간혹갑상선좌 (> 우 ) 엽에서결절처럼보일수있습 니다. Zenker 는결절로보이지않아야합니다. 그런데식도조영술에서분명히 Zenker 인데도불구하고 옆으로치우쳐튀어나온경우를보곤합니다. 사람마다 식도의주행이나근육의배치등이다양하기때문에절 대적인것은없는것같습니다. 따라서 Zenker 도드물게 는갑상선결절로보일수있습니다.

22 중부식도게실

23

24 Midesophageal diverticulum with anthracotic pigmentation

25 Midesophageal diverticulum with anthracotic pigmentation 2 years later

26 Differential diagnosis of esophageal melanocytosis/melanosis Esophageal melanoma Pseudomelanosis Anthracosis, exogenous dye ingestion, hemosiderosis, lipofuscin deposition easily excluded after histologic and histochemical examination. Black esophagus Dark-pigmented esophagus with ulcerations which corresponds to severe acute inflammation with mucosal necrosis seen on histologic examination. The etiological factor involved seems to be ischemic injury caused by arteriolosclerosis, arterial thrombosis, or aortic dissection. Blue rubber bleb nevus syndrome Arch Pathol Lab Med 2006;130:

27 Anthrocosis in diverticulum Pathology International 2002;52:

28 Anthrocosis in diverticulum Pathology International 2002;52:

29 Anthrocosis in diverticulum Pathology International 2002;52:

30 M/80 chronic dysphagia 7YA. Dysphagia (+). Heartburn/chest pain(-/-) 3YA. Esophageal diverticulum was diagnosed but no treatment.

31 EGD at SMC

32 Esophagography

33

34 Endoscopic septal dissection

35

36 Diverticular septal dissection (Video)

37 Final image after the procedure

38 Epiphrenic esophageal diverticulum Out-pouching of the distal esophageal lumen Typically originating from 4-8cm above the cardia Prevalence: 0.015% based on radiologic data < 10% of all esophageal diverticula

39 Epiphrenic diverticulum (2006)

40 Bleeding clipping (2016)

41 Rebleeding Surgery (2017)

42 위게실

43 위게실의발생위치 위게실의 75% 이상은위의상부후벽에서발생하며, 이위치는식도-위접합부의약 2 3 cm 하방에, 위소만에서는약 3 cm 떨어진지점에해당되며해부학적으로위분문부의종근층섬유가분리되어있고윤근층만이점막을덮고있어서게실발생에취약한부위로알려져있다. 이부위에서발견되는위게실은선천성이고, 진성게실 (true diverticulum) 로서위벽의모든층으로구성되며약 10% 에서는게실내에이소성췌장조직이나위선조직을함유하는것으로알려져있다.

44 위게실은늘그위치입니다.

45 음식물이고여있기도합니다.

46 십이지장게실은 AoV 근처에많습니다.

47 그러나꼭그런것은아닙니다.

48 큰십이지장게실. CT 에서매우잘보임

49 십이지장게실출혈

50 십이지장게실출혈재발

51 십이지장게실이물

52 하부위장관게실증 성균관대학교의과대학내과이준행

53 증례 34/M 내원전날발생한 Hematochezia CBC: 4800(54%) - 7.1/ K PT/aPTT: 1.21INR/33.1sec EGD: WNL Colonoscopy: WNL 자료 : 강북삼성병원내과박정호

54 Bleeding scan Tc-99m lebeled RBC 를정맥주사후 20 분간복부의 dynamic 영상과 1 시간, 3 시간, 6 시간, 26 시간까지복부의 static 영상을얻었음. 6 시간까지영상에서 abnormal activity 는관찰되지않음. 24 시간영상에서 ileo-colic area 에 mild radioactivity 가관찰되며, 추가로얻은 26 시간영상에서 ascending colon 으로이동하는양상임. Conclusion: Active GI bleeding in the ileo-colic area, suggested. 자료 : 강북삼성병원내과박정호

55 Small bowel enteroscopy 자료 : 강북삼성병원내과박정호

56 Surgical diverticulectomy 자료 : 강북삼성병원내과박정호

57 Meckel s diverticulum - recurrent lower GI bleeding True lumen Meckel s D No abnormality in Meckel scan

58 대장게실은조금복잡해졌습니다. - Proposed taxonomy Am J Gastroenterol 2012; 107:

59 무증상대장게실

60 급성게실염

61 내시경으로게실염을보기도합니다.

62 급성게실염 - 急性憩室炎, acute diverticulitis 심한염증 미세천공으로인한염증의파급 CT 에의한진단은추정진단이며최종진단을위해서는임상경과및추후검사결과를종합적으로고려함 게실염이외염증성장질환, 대장암등다양한질환이비슷한모양을보일수있기때문임 80% 는금식과항생제치료로호전 몇주후대장내시경이나대장조영사진으로재확인 통상일주일입원 20% 는수술이필요함 재발이많음 자주재발하면수술 자료작성 : 삼성서울병원소화기내과이준행

63 재발하더라도다시동일한치료 서양에서내과적으로치료한게실염의재발률 : 5년동안 20% 수준 첫게실염이후, 수술이필요한합병증을동반한재발성게실염 5% 미만

64 복막수염 (appendagitis)

65 Sigmoid colon cancer - mimicking acute diverticulitis

66 게실출혈

67

68 게실질환 게실출혈 Most common cause of massive hematochezia (30-50% of cases) 15% of patients with diverticulosis will bleed 75% of diverticular bleeding stops without intervention Risk of rebleeding 14-38% After second episode of bleeding, risk of rebleeding 21-50% 삼성서울병원내과김태준교수님제공

69 게실출혈 내시경적지혈술 게실입구가넓어서게실바닥의혈관을바로 target 하여 clipping 한경우 삼성서울병원내과김태준교수님제공

70 게실출혈 내시경적지혈술 게실입구가좁아서입구만틀어막은경우

71 게실출혈 내시경적지혈술 게실에 epinephrine injection 또는흡인하여게실을반전시켜치료한경우 삼성서울병원내과김태준교수님제공

72 Symptomatic uncomplicated diverticular disease (SUDD) Persistent abdominal symptoms attributed to diverticula Absence of macroscopically overt colitis or diverticulitis Wall thickening in the absence of inflammatory changes on CT Colicky Constant or intermittent Relived by passing flatus Having a bowel movement Symptoms may resemble irritable bowel syndrome (IBS)

73 Segmental colitis associated with diverticula (SCAD) Inflammation in the inter-diverticular mucosa without involvement of the diverticular orifices. Prevalence ranges from 0.26 to 1.5 percent who had underwent colonoscopy with symptoms. Pathogenesis is unclear Chronic diarrhea Cramping abdominal pain primarily in the LLQ Intermittent hematochezia, in some cases

74 Random cases 성균관대학교의과대학내과이준행

75 갈치먹다가이물감 인근에서내시경도중 fistula 의심소견보여의뢰

76 위장관게실증 상부위장관게실증 식도게실 ( 상부, 중부, 하부 ) 위게실 십이지장게실 하부위장관게실증 소장게실 대장게실

노영남

노영남 Purpose: Delayed massive hemorrhages from pseudoaneurysm rupture of the peripancreatic large arteries, after pancreaticoduodenectomy, are fatal. We reviewed the clinical course and outcome of bleeding

More information

내시경 conference

내시경 conference 부울경소화기내시경학회 6월집담회 고신대학교복음병원소화기내과전임의서광일 F/63 CASE C.C) epigastric pain for 2 wks P. I) 2014.04.16 EGD at LMC adm via OPD for further evaluation. P. Hx) CASE HTN/DM/Hepatitis/Tbc (+/+/-/-) S. Hx) N-S ROS)

More information

ºÎÁ¤¸ÆV10N³»Áö

ºÎÁ¤¸ÆV10N³»Áö case of brugada syndrome presented as chest pain STRCT rugada syndrome was described in 1992 as a new clinical entity characterized by electrocardiographic STsegment elevation in the right precordial leads

More information

<B0E6C8F1B4EBB3BBB0FAC0D3BBF3B0ADC1C E687770>

<B0E6C8F1B4EBB3BBB0FAC0D3BBF3B0ADC1C E687770> 개원의와함께하는임상강좌 2011 역류성식도질환제대로이해하기 Division of Gastroenterology, Department of Internal Medicine, Kyung Hee University College of Medicine, Seoul, Korea Jae-Young Jang, M.D., PhD. 개원의와함께하는임상강좌 2011 109 최신치료

More information

슬라이드 1

슬라이드 1 내시경입문자를위한식도질환 성균관대학교의과대학내과이준행 Mucosa of the normal esophagus Second physiologic narrowing 대동맥궁과좌기관지에의해형성되는 2-3 cm 부위를통칭 25 cm : 대동맥궁 27 cm : 좌측기관지 cf> 35 cm : 좌심방 정상식도내경 2.5 cm Indentations of the esophagus

More information

78 Kor J Neurogastroenterol Motil: Vol. 10, No. 1, 2004 Fig. 3. Endoscopic findings of esophageal diverticula. Two diverticula with retained food materials are observed at 37 cm (A) and at 45 cm apart

More information

슬라이드 1

슬라이드 1 Hiatal Hernia - A neglected disease with important clinical significance 성균관대학교의과대학내과이준행 도무지어디가어딘지알수없을때? 내시경기계고장 ( 공기가안들어가는경우 ) Hiatal hernia Situs inversus Gastric volvulus Diaphragmatic evantration 소만의단축

More information

김범수

김범수 Analysis of Outcomes after Resection of Sarcomatous Hepatocellular Carcinoma Purpose: Sarcomatous hepatocellular carcinoma (HCC) is rare. Therefore, the clinicopathologic characteristics and prognosis

More information

6.Kaes013( ).hwp

6.Kaes013( ).hwp 갑상선결핵 - 증례보고및문헌고찰 Tuberculosis of the Thyroid Gland - Report of Two Cases and Review of the Literatures Se Yeom Park, M.D., Jong Geun Lee, M.D., Bong Ok Yoo, M.D., Oh Kyoung Kwon, M.D. and Myoung Jin Joo,

More information

Kjhps016( ).hwp

Kjhps016( ).hwp Surgical Extent and Types in Pancreatic Cancer Song Cheol Kim, M.D. Department of Surgery, Ulsan University College of Medicine & Asan Medical Center, Seoul, Korea Pancreatic cancer continues to pose a

More information

황지웅

황지웅 Comparison of Laparoscopy and Exploration in the Distal Pancreatectomy BACKGROUND: To determine the benefits of laparoscopic surgery compared with exploration, the clinical outcomes of open and laparoscopic

More information

¼Û±âÇõ

¼Û±âÇõ 223 Table 1. Results of FEV 1.0, Methacholine Challenge Test, and Exercise Provocation Test in Eight Patients Who Performed PFT Pts Tests 1 2 3 4 5 6 7 8 FEV 1.0 (%pred) 66.6 88.8 120 101 90.5 95.4 91.6

More information

슬라이드 1

슬라이드 1 위식도접합부 - 짧은구간, 긴관찰이필요한부분 이준행 성균관대학교의과대학삼성서울병원내과 2018-3-25. 내시경학회세미나 위식도접합부내시경해부학 이준행 성균관대학교의과대학삼성서울병원내과 Normal esophagogastric junction Diaphragm Phrenoesophageal ligament Ascending limb Descending limb

More information

, slide film video tape, color printer. database,.. database.. Maratka 1984 OMED (Orgarnization Mondiale d' Endoscopie Digestive, World Socie

, slide film video tape, color printer. database,.. database.. Maratka 1984 OMED (Orgarnization Mondiale d' Endoscopie Digestive, World Socie 21 1999.., slide film video tape, color printer. database,.. database.. Maratka 1984 OMED (Orgarnization Mondiale d' Endoscopie Digestive, World Society of Digestive Endoscopy) terminology OMED.. (European

More information

ÀÇÇа�ÁÂc00Ì»óÀÏ˘

ÀÇÇа�ÁÂc00Ì»óÀÏ˘ Common Allergic Diseases in Children Sang - Il Lee, M.D. Department of pediatrics Sungkyunkwan University School of Medicine, Samsung Medical Center E - mail : silee@smc.samsung.co.kr Abstract Allergy

More information

Jkss hwp

Jkss hwp 급성복증을보이는감염성요막관기형 Infected Urachal Remnants with Symtoms of the Acute Abdomen: The Differential Diagnosis & Proper Management Jan Dy Lee, M.D., Chee Young Lim, M.D. 1, Hyoung Il Kim, M.D. 1, Chul Woon Chung,

More information

Session 2. 하부 Lancet 삼성서울병원

Session 2. 하부 Lancet 삼성서울병원 장염완전정복 : 감염성장염 김태준 성균관대학교의과대학삼성서울병원소화기내과 제 17 회소화기병심포지움 47 Session 2. 하부 Lancet 2008 48 삼성서울병원 Pathogen % Infectious diarrhea S. aureus 6.1 E. coli 23.5 Shigella spp. 1.0 Salmonella spp. 4.0 C. perfringens

More information

슬라이드 1

슬라이드 1 Important findings to be observed in endoscopic examination of GERD patients 성균관대학교의과대학내과이준행 오늘의소주제 Personal key question과내시경교육 식도의내시경해부학 Hiatal hernia 큰, sliding, paraesophageal, interpretatation GERD와

More information

연하곤란

연하곤란 2015.03.04 부울경소화기내시경지회 Intramucosal gastric cancer: The rate of lymph node metastasis in signet ring cell carcinoma was as low as that in welldifferentiated adenocarcinoma 인제대부산백병원 소화기내과 지삼룡 Signet ring

More information

( )Kjhps043.hwp

( )Kjhps043.hwp Difference of Fistula Maturation Degree and Physical Property by the Types of Tube Material: An Experimental Study Sang Koo Kang, M.D. 1, Hee Chul Yu, M.D. 1,4, Woo Sung Moon, M.D. 2,4, Ju Hyoung Lee,

More information

( )Kjge26.hwp

( )Kjge26.hwp 대한소화기내시경학회지 2007;35:146-151 대장내시경검사로진단된대장게실증의발생빈도및임상양상 원광대학교의과대학소화기병연구소 최창수ㆍ조은영ㆍ권지혜ㆍ임평숙ㆍ노혜정ㆍ김기훈ㆍ이정근ㆍ서검석ㆍ김태현ㆍ최석채 The Prevalence and Clinical Features of Colonic Diverticulosis Diagnosed with Colonscopy

More information

PowerPoint 프레젠테이션

PowerPoint 프레젠테이션 18.01.02 topic review Hiatal hernia Barrett's esophagus IM R3 송주혜 Endoscopic anatomy of EGJ Esophagogastric junction (EGJ) = Proximal margin of gastric folds = Distal end of palisade zone Squamocolumnar

More information

( )Kju269.hwp

( )Kju269.hwp 만성세균성전립선염모델흰쥐에서 의항염효과 Anti-inflammatory Effect of Lycopene on Chronic Bacterial Prostatitis Rat Model Cho Hwan Yang, Dong Wan Sohn, Yong-Hyun Cho From the Department of Urology, The Catholic University

More information

조기 위암 집담회 부산대학교 병원 CASE

조기 위암 집담회   부산대학교 병원 CASE 부산대학교병원 CASE PRESENTATION 전임의이현정 2013.10.02 CASE PRESENTATION F/79 C.C) Epigastric soreness P.I) 2011년 4월외부병원시행한 EGD 상병변보여본원의뢰됨 P.Hx) HT / DM / Hepa / Tbc - / - / - / - S.Hx) smoking (-), alcohol (-) F.Hx)

More information

- i - - ii - - iii - - iv - - v - - vi - - 1 - - 2 - - 3 - 1) 통계청고시제 2010-150 호 (2010.7.6 개정, 2011.1.1 시행 ) - 4 - 요양급여의적용기준및방법에관한세부사항에따른골밀도검사기준 (2007 년 11 월 1 일시행 ) - 5 - - 6 - - 7 - - 8 - - 9 - - 10 -

More information

(Microsoft PowerPoint - S13-3_\261\350\273\363\307\366 [\310\243\310\257 \270\360\265\345])

(Microsoft PowerPoint - S13-3_\261\350\273\363\307\366 [\310\243\310\257 \270\360\265\345]) Cardiovascular Disease in Metabolic Syndrome 김상현 보라매병원내과 서울대학교의과대학내과학교실 Contents Metabolic syndrome and Cardiovascular system CVD Mortality Coronary artery disease Heart failure Atrial fibrillation Management

More information

슬라이드 1

슬라이드 1 Advanced gastric cancer Recent update 성균관대학교의과대학내과이준행 위암 2019 우리나라위암검진의현황 더좋은검진을위한검사방법 더좋은검진을위한검사시간 증례로살펴보는위암 1, 2 Random cases 우리나라위암검진의현황 성균관대학교의과대학내과이준행 생로병사의비밀 위암 (2019.5.26) M/I ratio was 0.31 in

More information

120304강신용

120304강신용 Clinical Features and Prognostic Factors Influencing Long-term Survival in pt2 Gallbladder Carcinoma Patients Purpose: The prognosis of gallbladder carcinoma is unfavorable, and the depth of invasion,

More information

김범수

김범수 Gastrointestinal stromal tumors (GISTs) are rare tumers of the alimentary tract, and these tumors arise from primitive mesenchymal cells. Duodenal GISTs comprise 4-5% of all GISTs. In this article, we

More information

Kaes017.hwp

Kaes017.hwp 갑상선의 Poorly Differentiated (Insular) Carcinoma Insular Carcinoma: An Aggressive Subtype of Differentiated Thyroid Neoplasms Seok-Jin Nam, M.D., Sang-Dal Lee, M.D., Hal-lin Park, M.D., Young-Ryun Oh, M.D.

More information

Trd022.hwp

Trd022.hwp 김신태, 이선녕, 이석정, 정필문, 박홍준, 신명상, 김종환, 이부길, 김상하, 리원연, 신계철, 용석중 Shin-Tae Kim, M.D., Shun Nyung Lee, M.D., Seok Jeong Lee, M.D., Pil Moon Jung, M.D., Hong Jun Park, M.D., Myung Sang Shin, M.D., Chong Whan Kim,

More information

(49-54)Kjhps004.hwp

(49-54)Kjhps004.hwp Biliary Cystadenoma and Cystadenocarcinoma of the Liver Jae Hoon Lee, M.D., Dong Ho Choi, M.D. 1, Kyeong Geun Lee, M.D., Hwon Kyum Park M.D. and Kwang Soo Lee, M.D. Department of Surgery, College of Medicine,

More information

KISEP Head and Neck Korean J Otolaryngol 2001;44:633-9 인체상부식도괄약근의조직화학적특징에관한연구 모지훈 1 박민현 1 정영호 1 성원진 1 이동욱 2 김광현 1 성명훈 1 Histochemical Study of Muscula

KISEP Head and Neck Korean J Otolaryngol 2001;44:633-9 인체상부식도괄약근의조직화학적특징에관한연구 모지훈 1 박민현 1 정영호 1 성원진 1 이동욱 2 김광현 1 성명훈 1 Histochemical Study of Muscula KSEP Head and Neck Korean J Otolaryngol 2001;44:633-9 인체상부식도괄약근의조직화학적특징에관한연구 모지훈 1 박민현 1 정영호 1 성원진 1 이동욱 2 김광현 1 성명훈 1 Histochemical Study of Musculature of the Human Upper Esophageal Sphincter Ji-Hun

More information

388 The Korean Journal of Hepatology : Vol. 6. No COMMENT 1. (dysplastic nodule) (adenomatous hyperplasia, AH), (macroregenerative nodule, MR

388 The Korean Journal of Hepatology : Vol. 6. No COMMENT 1. (dysplastic nodule) (adenomatous hyperplasia, AH), (macroregenerative nodule, MR 6 3 2000 ; 387-392 (3) Dysplastic Nodule Young Nyun Park, M.D., Chanil Park, M.D. Department of Pathology, Yonsei University College of Medicine BRIEF HISTORY 56. AST/ALT 72/73 IU/L, total bilirubin 0.7

More information

<B0E6C8F1B4EBB3BBB0FA20C0D3BBF3B0ADC1C E687770>

<B0E6C8F1B4EBB3BBB0FA20C0D3BBF3B0ADC1C E687770> 2012 개원의와함께하는임상강좌 경희대학교의과대학감염내과학교실 문수연 F/29 CC: fever, headache, multiple cervical lymph node onset) 5 days ago 1 cm sized Bilateral, mild tender, movable, soft Reactive LN with viral infection 2012 개원의와함께하는임상강좌

More information

Fluoroscopic anatomy for supraventricular tachycardia ablation Hui-Nam Pak, MD, PhD Division of Cardiology, Yonsei Cariovascular Center and Cardiovascular Research Institute, Yonsei University College

More information

슬라이드 1

슬라이드 1 양성으로오인하기쉬운 악성위병변 성균관대학교의과대학내과이준행 양성으로오인하기쉬운악성위병변 보만 4형진행성위암과내시경교육 놓치기쉬운상부식도암 식도 SMT와위 SMT 위식도접합부 - 암같은용종과용종같은암 MALT 림프종 보만 4 형진행성위암과 내시경교육 성균관대학교내과이준행 Age-adjusted gastric cancer incidence in Korean male

More information

Jkcs022(89-113).hwp

Jkcs022(89-113).hwp 대한배뇨장애 및 요실금 학회지 J. Korean Continence Society 2004;8:89-113 Bristol Female Lower Urinary Tract Symptom 설문지의 한국어 번역 및 번역본의 언어 타당도 Seung-June Oh*, Hyung Geun Park*, Sung Hyun Paick, Won Hee Park and Myung-Soo

More information

975_983 특집-한규철, 정원호

975_983 특집-한규철, 정원호 Focused Issue of This Month Gyu Cheol an, MD Department of Otolaryngology ead & Neck Surgery, Gachon University of College Medicine E - mail : han@gilhospital.com Won-o Jung, MD Department of Otolaryngology

More information

±è±Ý·¡

±è±Ý·¡ 381 Fig. 2. CT during SMA angiography. CT during SMA angiography shows extravasation of contrast media (large arrows) within the jejunal lumen. This finding was not noted on initial CT and angiography

More information

8 월대한소화기내시경학회교육자료 - 위이소성췌장에서발생한췌장염과가성낭종 이소성췌장은선천성기형의하나로, 주로위와십이지장에위치하며대부분증상없이우연히발견된다. 1,2 이소성췌장은정상췌장에서나타나는췌장염, 가성낭종, 농양, 출혈, 괴사등의병적인변화를겪을수있으며, 병변의위치와크

8 월대한소화기내시경학회교육자료 - 위이소성췌장에서발생한췌장염과가성낭종 이소성췌장은선천성기형의하나로, 주로위와십이지장에위치하며대부분증상없이우연히발견된다. 1,2 이소성췌장은정상췌장에서나타나는췌장염, 가성낭종, 농양, 출혈, 괴사등의병적인변화를겪을수있으며, 병변의위치와크 8 월대한소화기내시경학회교육자료 - 위이소성췌장에서발생한췌장염과가성낭종 이소성췌장은선천성기형의하나로, 주로위와십이지장에위치하며대부분증상없이우연히발견된다. 1,2 이소성췌장은정상췌장에서나타나는췌장염, 가성낭종, 농양, 출혈, 괴사등의병적인변화를겪을수있으며, 병변의위치와크기에따라위장관폐쇄, 협착, 장중첩증등을동반하기도한다. 3-5 증상이없는경우이소성췌장에대한특별한치료가필요하지않지만증상이나합병증을동반하는경우치료가필요하며,

More information

00약제부봄호c03逞풚

00약제부봄호c03逞풚 경희대학교 동서신의학병원 약품 정보지 2 0 0 7. S P R I N G. V O L. 0 1 신약 소개 02 Journal Review 03 Special Subject 04 복약 지도 06 의약품 안전성 정보 07 약제부 알림 07 약제부 업무 소개 08 E A S T - W E S T N E O M E D I C A L C E N T E R 본 약품

More information

Treatment and Role of Hormaonal Replaement Therapy

Treatment and Role of Hormaonal Replaement Therapy Treatment and Role of Hormone Replacement Therapy Chung-Ang University Hospital Chee Jeong Kim 7.2 5.3 6.4 5.6 7.3 5.5 1 1 2 3 4 10 11 7 34 49 122 123 1.0 - - 10. 2001 1998 1998 Improvement of postmenopausal

More information

PowerPoint 프레젠테이션

PowerPoint 프레젠테이션 Hiatal hernia and Barrett's esophagus 내과전공의 3 년차김지유 Hiatal hernia Definition of Hiatal hernia 횡격막의식도열공을통해흉강내로위의일부가탈장되는것. Incidence - 10-20% GERD 환자에서 50-94% Development of hiatal hernia & phrenoesophageal

More information

PowerPoint 프레젠테이션

PowerPoint 프레젠테이션 Gastro intestinal lymphomas R3. 정세진 정의 GI lymphoma introduction 위장관및이와관련된배액부위림프절에국한, 간이나비장및기타림프절침범이없고, 단순흉부촬영상이정상, 말초혈액검사의백혈구가정상인경우. Extranodal lymphoma 69.6% GI lymphoma 29.22% Kim JM, WHO Classification

More information

A 617

A 617 Special Issue Diabetic Retinopathy Won Ki Lee, M.D. Department of Ophthalmology The Catholic University of Korea College of Medicine Kangnam St. Mary s Hospital E mail : wklee@catholic.ac.kr Abstract R

More information

방사선학회 회장단 및 분과위원장

방사선학회 회장단 및 분과위원장 Myoyoung Jung, Namgil Choi, Jaebok Han, Jongnam Song, Weonjin Kim Dept. of Radiology, Dongshin University, Dept. of Occupational Therapy, Dongshin University 정묘영, 최남길, 한재복, 송종남, 김원진 동신대학교방사선학과, 동신대학교작업치료학과

More information

Jkbcs030(10)( ).hwp

Jkbcs030(10)( ).hwp Treatment of Breast Fibroadenoma with Interstitial Laser Photocoagulation Doo Min Sohn, Hyo Won Lee, Tae Yun Kim, Dan Song, Sung Yong Kim, Chul Wan Lim and Min Hyuk Lee Department of Surgery, College of

More information

Case Presentation

Case Presentation Case Presentation 부산백병원소화기내과임상강사황진원 C.C: Dysphagia Present illness F / 43 10 일전부터갑자기시작된상기 C.C 로 LMC 방문하여 EGDS 시행후 mass lesion 발견되어 further evaluation 위해내원함. Past Hx.: DM/HTN/TB/Hepatitis ( - / - / - /

More information

원위부요척골관절질환에서의초음파 유도하스테로이드주사치료의효과 - 후향적 1 년경과관찰연구 - 연세대학교대학원 의학과 남상현

원위부요척골관절질환에서의초음파 유도하스테로이드주사치료의효과 - 후향적 1 년경과관찰연구 - 연세대학교대학원 의학과 남상현 원위부요척골관절질환에서의초음파 유도하스테로이드주사치료의효과 - 후향적 1 년경과관찰연구 - 연세대학교대학원 의학과 남상현 원위부요척골관절질환에서의초음파 유도하스테로이드주사치료의효과 - 후향적 1 년경과관찰연구 - 연세대학교대학원 의학과 남상현 원위부요척골관절질환에서의초음파 유도하스테로이드주사치료의효과 - 후향적 1 년경과관찰연구 - 지도김석원교수 이논문을석사학위논문으로제출함

More information

1장

1장 Thorax CHAPTER 1 (, thorax). (chest) (thorax),. (chest) (pectoral),, () ( ), ( )., (breast). (, thoracic cavity).. ( ) (thoracic cage, rib cage), (, sternum) (, thoracic vertebrae) (, rib) (, costal cartilage)

More information

271_284 의학강좌-황진복_정성훈

271_284 의학강좌-황진복_정성훈 Continuing Education Column Practical Diagnostic Approaches to Chronic Abdominal Pain in Children and Adolescents Jin-Bok Hwang, MD Department of Pediatrics, Keimyung University School of Medicine E -

More information

제5회 가톨릭대학교 의과대학 마취통증의학교실 심포지엄 Program 1 ANESTHESIA (Room 2층 대강당) >> Session 4 Updates on PNB Techniques PNB Techniques for shoulder surgery: continuou

제5회 가톨릭대학교 의과대학 마취통증의학교실 심포지엄 Program 1 ANESTHESIA (Room 2층 대강당) >> Session 4 Updates on PNB Techniques PNB Techniques for shoulder surgery: continuou 제5회 가톨릭대학교 의과대학 마취통증의학교실 심포지엄 (Room 2층 대강당) >> Session 4 Updates on PNB Techniques PNB Techniques for shoulder surgery: continuous vs single injection, interscalene vs supraclavicular approach 의정부성모병원

More information

한국성인에서초기황반변성질환과 연관된위험요인연구

한국성인에서초기황반변성질환과 연관된위험요인연구 한국성인에서초기황반변성질환과 연관된위험요인연구 한국성인에서초기황반변성질환과 연관된위험요인연구 - - i - - i - - ii - - iii - - iv - χ - v - - vi - - 1 - - 2 - - 3 - - 4 - 그림 1. 연구대상자선정도표 - 5 - - 6 - - 7 - - 8 - 그림 2. 연구의틀 χ - 9 - - 10 - - 11 -

More information

슬라이드 1

슬라이드 1 Gastric MALT Lymphoma 성균관대학교의과대학내과이준행 모든사람은죽는다. 모든사람은세금을내야한다. 림프종분류는항상변한다. Biologically rational classification morphology immunophenotype genetic features clinical features Clinically useful classification

More information

Microsoft PowerPoint - 발표자료(KSSiS 2016)

Microsoft PowerPoint - 발표자료(KSSiS 2016) Sang Jun Kim, MD, PhD Application of 3D Printing in the Orthotic Fields Hallux Valgus, Charcot Marie Tooth, ADL Kit, Foot Insole, Wrist Pain, Foot Drop Development of Automated Program for Ankle Foot Orthosis

More information

<C1A63534C8B820BCBCB9CCB3AA2DC6EDC1FD2E687770>

<C1A63534C8B820BCBCB9CCB3AA2DC6EDC1FD2E687770> C-II. 안전하고 완전한 대장내시경을 위하여 Room C 김 지 원 서울대학교 의과대학 내과학교실, 서울특별시 보라매병원 내과 Difficult Colonoscopy: How to Overcome? Ji Won Kim Department of Internal Medicine, Seoul National University oramae Hospital, Seoul

More information

슬라이드 1

슬라이드 1 SMC 내시경퀴즈 21 회 성균관대학교의과대학내과이준행 Q21-1. 중부식도입니다. 소견과진단은? A21-1. 식도암. 점막병소보다점막하병소가현저하였던경우 Esophagus and upper stomach, 3-field operation: Invasive squamous cell carcinoma, poorly differentiated, middle thoracic

More information

untitled

untitled J Korean Surg Soc 2010;78:225-230 DOI: 10.4174/jkss.2010.78.4.225 원 저 복강경 충수절제술시 함께 시행된 만성 담낭 병변의 동시절제 이화여자대학교 의과대학 목동병원 외과학교실, 1 한솔병원 외과, 2 성균관대학교 의과대학 강북삼성병원 외과학교실, 3 한양대학교 의과대학 구리병원 외과학교실 이안복ㆍ이정은 1

More information

News Focus Korea Export Insurance News C O N T E N T S 02 03 04 06 07 08 10 12 14 16 17 18 20 22 25 26

News Focus Korea Export Insurance News C O N T E N T S 02 03 04 06 07 08 10 12 14 16 17 18 20 22 25 26 Korea Export Insurance News 0506 2005 News Focus Korea Export Insurance News C O N T E N T S 02 03 04 06 07 08 10 12 14 16 17 18 20 22 25 26 Korea Export Insurance News_ 2005 05+06 03 F a m i l y F a m

More information

±è¹ÎÁö

±è¹ÎÁö 531 김민지 외: 미숙아에 발생한 의인성 식도천공과 기종격증 및 종격동염 A B C D E F Fig. 1. Chest radiographs and CT scans of a premature infant. Chest radiograph at 6 days after birth (A) shows left paravertebral radiolucency at the

More information

untitled

untitled ORIGINAL ARTICLE Intest Res 2009;7(1):47-51 원발성복막수염의임상양상 이화여자대학교의학전문대학원내과학교실, 의과학연구소 박재정ㆍ정성애ㆍ노영욱ㆍ김고흔ㆍ허현미ㆍ배서은ㆍ최윤정ㆍ김소이이명원ㆍ강민정ㆍ정지민ㆍ김성은ㆍ정혜경ㆍ심기남ㆍ김태헌ㆍ유권ㆍ문일환 Clinical Characteristics of Primary Epiploic Appendagitis

More information

제 20 회대한두경부외과연구회증례토론회 일시 :2006 년 5 월 27 일 ( 토 ) 오후 2 시 50 분 장소 : 강원도사북강원랜드 증례발표및토의 자유연제 I 자유연제 II - 2 -

제 20 회대한두경부외과연구회증례토론회 일시 :2006 년 5 월 27 일 ( 토 ) 오후 2 시 50 분 장소 : 강원도사북강원랜드 증례발표및토의 자유연제 I 자유연제 II - 2 - 일시 :2006 년 5 월 27 일 ( 토 ) 오후 2 시 50 분 장소 : 강원도사북강원랜드 증례발표및토의 자유연제 I 자유연제 II - 2 - 목차 의대 5 의대 6 의대 7 의대 8 9 의대 10 의대 11 의대 13 의대 14 15 의대 16 의대 17 의대 18 의대 20-3 - Myxoid Liposarcoma of Epiglottis 가천대학교의과대학이비인후과학교실

More information

슬라이드 1

슬라이드 1 Resolving pain medicationrelated GI trouble 성균관대학교내과이준행 What is NSAID? N on S teroidal A nti I nflammatory D rug N umerous S ide effects A nd I ndispensable D rug Number of deaths US mortality data in

More information

슬라이드 1

슬라이드 1 내시경사진촬영및기타 성균관대학교의과대학내과이준행 좋은내시경사진을남겨야하는이유 검사결과의정확한기록. 글로정확히기술하기어려운부분을영상으로명확히전달가능 과거나미래의내시경소견과비교 치료방침의결정이나치료결과의판정에보조적인수단으로이용 적절한내시경검사에대한증거 좋은내시경사진을찍기위하여노력하는과정에서병변을정확히관찰하는습관을가질수있다 어느외과의사의사진촬영법연구 기능을알아야활용할수있습니다.

More information

0406½É¹Ì¾Èâ35È£º»¹®

0406½É¹Ì¾Èâ35È£º»¹® 0406심미안창35호본문 1977.9.15 11:46 AM 페이지3 CTP175아트지 특집기획 광주역사관, 어떻게 만들 것인가? 광주역사관 구축의 추진상황과 과제 조광철_ 광주시립민속박물관 학예연구사 타 지역 사례 중심으로 본 광주역사박물관에 대한 제언 김덕진_ 광주교육대학교 교수, 재단이사 나도 광주 역사관 에서 놀고 싶다 백승현_ 대동문화재단 사무처장 광주

More information

( ) Jkra076.hwp

( ) Jkra076.hwp Vol. 11, No. 4, December, 2004 Objective: Ultrasonography (USG) of joints has a unique position for the diagnosis of joint diseases. Bone surface, cartilage, periarticular soft tissue and their pathologic

More information

슬라이드 1

슬라이드 1 Proposed Korean guideline for the diagnosis of BPH Hyun Woo Kim The Catholic University of Korea BPH Guideline AHCPR guideline on BPH (1994) AUA guideline on BPH (2003) EAU guideline on BPH (2004) International

More information

Pharmacotherapeutics Application of New Pathogenesis on the Drug Treatment of Diabetes Young Seol Kim, M.D. Department of Endocrinology Kyung Hee Univ

Pharmacotherapeutics Application of New Pathogenesis on the Drug Treatment of Diabetes Young Seol Kim, M.D. Department of Endocrinology Kyung Hee Univ Application of New Pathogenesis on the Drug Treatment of Diabetes Young Seol Kim, M.D. Department of Endocrinology Kyung Hee University College of Medicine & Hospital E mail : ycell2@yahoo.co.kr Abstract

More information

The Clinicopathologic Characteristics of Cases with Negative Pathologic Diagnosis after Endoscopic Submucosal Dissection

The Clinicopathologic Characteristics of Cases with Negative Pathologic Diagnosis after Endoscopic Submucosal Dissection CASE PRESENTATION 2014.06.11 전임의윤종민 M/59 C.C.: SMT on stomach, duodenum P.I.: 2013. 12월외부병원검진위내시경상 cardia 및 2 nd portion of duodenum의 SMT 관찰되어 EUS 등 F/E 위해내원 HISTORY P.Hx) HT / DM / Hepa / Tbc - / - /

More information

<342EBEC8BCBABFAD2CB9DAC7E2C1D82E687770>

<342EBEC8BCBABFAD2CB9DAC7E2C1D82E687770> 大 韓 癩 學 會 誌 : 第 41 卷, 第 1 號 2008 Korean Leprosy Bulletin, Vol. 41, No. 1, June, 2008 마비성 하안검 외반증에 대한 lateral tarsal strip의 재조명 안성열 성형외과의원 1), 제일병원 피부과 2) 안성열 1), 박향준 2) - Abstract - Reappraisal of the

More information

(

( 317 318 319 320 1 3 5 5 5 5 2 321 : 1.,,,,, 06 2. X-ray beam penetration (density) (contrast) 03 3. patch coating, precipitation, flaking 03 4. centering 03 5. Esophagus, cardia, fundus, body, angle, antrum,

More information

Abstract Background : Most hospitalized children will experience physical pain as well as psychological distress. Painful procedure can increase anxie

Abstract Background : Most hospitalized children will experience physical pain as well as psychological distress. Painful procedure can increase anxie Volume 12, Number 1, 92~102, An Intervention Study of Pain Reduction during IV Therapy in Hospitalized Children Myo-Jin Kim 1), Joung-Hae Bak 1), Won-Seok Seo 2) Mi-Young Kim 3), Sun-Kyoung Park 3), Jai-Soung

More information

( )Ksels001.hwp

( )Ksels001.hwp 대한내시경복강경외과학회지 한상문 허훈 1 박해린 김원우, 1 Endoscopic Thyroid Surgery Using 2 mm Instruments: Supraclaviclar pproach Sang Moon Han, M.D., Hoon Hur, M.D. 1, Hai Lin Park, M.D., Won Woo Kim, M.D. Department

More information

untitled

untitled 대한소화기내시경학회지 2008;36:262-267 급성하부위장관출혈의임상적고찰 영남대학교의과대학소화기내과학교실 김경옥ㆍ장병익ㆍ김태년ㆍ은종렬ㆍ이규형ㆍ이시형ㆍ최재원ㆍ박윤선 Clinical Overview of Acute Lower Gastrointestinal Bleeding Kyeong Ok Kim, M.D., Byung Ik Jang, M.D., Tae Nyeun

More information

목 록( 目 錄 )

목 록( 目 錄 ) 부 附 록 錄 목록( 目 錄 ) 용어설명( 用 語 說 明 ) 색인( 索 引 ) 목 록( 目 錄 ) 278 고문서해제 Ⅷ 부록 목록 279 1-1 江 華 ( 內 可 面 ) 韓 晩 洙 1909년 10월 11일 1-2 江 華 ( 內 可 面 ) 韓 晩 洙 洪 元 燮 1909년 10월 2-1 江 華 ( 府 內 面 ) 曺 中 軍 宅 奴 業 東 고종 18년(1881) 11월

More information

Sok Kyun Hong, et al : A case of carcinoid tumor of ampulla of vater presenting as asthmatic symptoms :, 57 : : kg. :, 1998 l. :. :, 110/70 mmh

Sok Kyun Hong, et al : A case of carcinoid tumor of ampulla of vater presenting as asthmatic symptoms :, 57 : : kg. :, 1998 l. :. :, 110/70 mmh : 59 2 2000 Carcinoid 1, *, * = A bs tra c t= A cas e of carcinoid tumor of ampulla of v ater pres enting as as thmatic s y mptoms Sok Kyun Hong, M.D., Im Hw an Roe, M.D., Myung In Lee, M.D., Sang Hyun

More information

091~108 ³²ÀÚ

091~108 ³²ÀÚ 91 DOI : 10.3831/KPI.2010.13.4.091 Received : 10. 11. 15 Accepted : 10. 11. 23 A Clinical Study on Syndrome Differentiation of Male with Teeth-Mark Tongue Key Words: Teeth-mark tongue, Qi-Deficiency, Dampness

More information

Thieme: Color Atlas of Acupuncture

Thieme: Color Atlas of Acupuncture IX Contents Part 1: Body Acupuncture Points Part 2: Ear Acupuncture Points The Lung Channel... 2 The Large Intestine Channel... 7 The Stomach Channel... 15 The Spleen Channel... 23 The Heart Channel...

More information

Lumbar spine

Lumbar spine Lumbar spine CT 32 111 DOI : 10.3831/KPI.2010.13.2.111 Lumbar Spine CT 32 Received : 10. 05. 23 Revised : 10. 06. 04 Accepted : 10. 06. 11 Key Words: Disc herniation, CT scan, Clinical analysis The Clinical

More information

untitled

untitled Ankylosing Spondylitis 1 Ankylosing Spondylitis Marie-strumpell, Bechterew, (pelvospondylitis ossificans). (ossification), (sacroiliac joint),.,.,,.,.., NSAIDs(Non-Steroidal Anti-Inflammatory Drugs),.

More information

< D BFCF20B9DF D B1E8C0CDBCBA2DB9DAC8BFC1F E687770>

< D BFCF20B9DF D B1E8C0CDBCBA2DB9DAC8BFC1F E687770> 대한소화관운동학회지 2008;14:39-44 원저 한국인의기능성위장장애의진단에있어서로마기준 Ⅲ 의유용성 연세대학교의과대학내과학교실 김익성 이병준 김영신 이상인 박효진 Validation of Rome III Criteria in the Diagnosis of Functional Gastrointestinal Disorders in Korean Patients

More information

<31312EB9DABCB1BFB52E687770>

<31312EB9DABCB1BFB52E687770> 대한내과학회지 : 제 74 권 부록 1 호 2008 자발 천공을 일으킨 에스상 결장의 편평세포암종 전남대학교 의과대학 내과학교실 1, 외과학교실 2 박선영 1 이완식 1 서경원 2 박형천 1 김현수 1 최성규 1 유종선 1 Spontaneous perforation of primary squamous cell carcinoma in the sigmoid colon

More information

The 1 st Seoul Aorta Symposium, 2019 공동조직위원장 : 삼성서울병원최승혁, 서울아산병원주석중 주최 : 삼성서울병원심장뇌혈관병원혈관센터, 서울아산병원심장병원대동맥센터 후원 : 대한혈관외과학회 일시 : ( 토 ) 장소 : 그

The 1 st Seoul Aorta Symposium, 2019 공동조직위원장 : 삼성서울병원최승혁, 서울아산병원주석중 주최 : 삼성서울병원심장뇌혈관병원혈관센터, 서울아산병원심장병원대동맥센터 후원 : 대한혈관외과학회 일시 : ( 토 ) 장소 : 그 The 1 st Seoul Aorta Symposium, 2019 공동조직위원장 : 삼성서울병원최승혁, 서울아산병원주석중 주최 : 삼성서울병원심장뇌혈관병원혈관센터, 서울아산병원심장병원대동맥센터 후원 : 대한혈관외과학회 일시 : 2019-05-11 ( 토 ) 장소 : 그랜드워커힐서울, B1 그랜드홀 07:50-07:55 Greetings and Introduction

More information

637

637 Peripheral Arterial Disease Yong Bok Koh, M.D. Department of General Surgery The Catholic University of Korea, College of Medicine, Kangnam St. Mary s Hospital E mail : ybkoh@catholic.ac.kr Abstract Peripheral

More information

지원연구분야 ( 코드 ) LC0202 과제번호 창의과제프로그램공개가능여부과제성격 ( 기초, 응용, 개발 ) 응용실용화대상여부실용화공개 ( 공개, 비공개 ) ( 국문 ) 연구과제명 과제책임자 세부과제 ( 영문 ) 구분 소속위암연구과직위책임연구원

지원연구분야 ( 코드 ) LC0202 과제번호 창의과제프로그램공개가능여부과제성격 ( 기초, 응용, 개발 ) 응용실용화대상여부실용화공개 ( 공개, 비공개 ) ( 국문 ) 연구과제명 과제책임자 세부과제 ( 영문 ) 구분 소속위암연구과직위책임연구원 지원연구분야 ( 코드 ) LC0202 과제번호 1110550 창의과제프로그램공개가능여부과제성격 ( 기초, 응용, 개발 ) 응용실용화대상여부실용화공개 ( 공개, 비공개 ) ( 국문 ) 연구과제명 과제책임자 세부과제 ( 영문 ) 구분 1 2 3 소속위암연구과직위책임연구원 성명류근원전공외과 세부과제명 세부과제책임자 성명 소속 ( 직위 ) 전공 총연구기간 2011

More information

untitled

untitled The Korean Journal of Gastrointestinal Endoscopy Case Report 구불결장의동일부위에발생한선암과결핵성림프절염 1 예 류성호ㆍ신운건ㆍ이승민ㆍ박소연ㆍ김성준ㆍ유종진ㆍ조성진 * ㆍ김학양 한림대학교의과대학내과학교실, * 병리학교실 Adenocarcinoma and Tuberculous Lymphadenitis on the Same

More information

1차내지

1차내지 1»` 1904.1.1 10:39 AM ` 1 1»` 1904.1.1 10:39 AM ` 2 1»` 1904.1.1 10:39 AM ` 3 1»` 1904.1.1 10:39 AM ` 4 1»` 1904.1.1 10:39 AM ` 5 1»` 1904.1.1 10:39 AM ` 6 1»` 1904.1.1 10:39 AM ` 7 1»` 1904.1.1 10:39

More information

Microsoft PowerPoint - 김호성

Microsoft PowerPoint - 김호성 Myofascial Manual Therapy of L/E - Principle & Treatment - Myofascial Manual Therapy of L/E Principles of Treatment 2012 KATA Kim, Ho-Sung (Ph D, PT Kim Ho Sung (Ph D, PT Myofascial Manual Therapy of L/E

More information

Slide 1

Slide 1 위질환관리와간호 부선주 Gastritis ( 위염 ) Peptic Ulcer Disease( 소화성궤양 ) Gastric Cancer ( 위암 ) 2 Gastritis Def. : 위점막의염증성질환 1) 급성위염 : onset 급격, 질병기간이짧다. 2) 만성위염 : onset 완만 3 Etiology 1) 감염 : H. pylori 2) 약물 : NSAIDs,

More information

006- 5¿ùc03ÖÁ¾T300çÃâ

006- 5¿ùc03ÖÁ¾T300çÃâ 264 266 268 274 275 277 279 281 282 288 290 293 294 296 297 298 299 302 303 308 311 5 312 314 315 317 319 321 322 324 326 328 329 330 331 332 334 336 337 340 342 344 347 348 350 351 354 356 _ May 1 264

More information

04조남훈

04조남훈 Received : 2011. 11. 16 Reviewed : 2011. 11. 25 Accpeted : 2011. 12. 5 A Case Report of Prescribing Yanghyeolgeopung-tang(yangxuequfeng-tang) to Two Patients with Cervical Disc Herniation and Headache

More information

2000 ; 6 : , =Abstract= The Significance of Gastroesophageal Reflux Disease (GERD) Symptoms in Patients with Reflux Esophagitis Chan Hee Han, M

2000 ; 6 : , =Abstract= The Significance of Gastroesophageal Reflux Disease (GERD) Symptoms in Patients with Reflux Esophagitis Chan Hee Han, M 2000 ; 6 : 196-205, =Abstract= The Significance of Gastroesophageal Reflux Disease (GERD) Symptoms in Patients with Reflux Esophagitis Chan Hee Han, M.D., Joon Seong Lee, M.D., Hee Hyuk Lim, M.D., Young

More information