• Journal of Chest Surgery
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• v.46 no.4
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• pp.293-294
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• 2013

Gastropleural fistula (GPF) is a rare condition that can occur as a consequence of prior pulmonary surgery, trauma, or malignancy. Conservative management usually fails, and gastrectomy and even thoracotomy is often required, especially in debilitated patients. We present a patient with GPF who had a history of Ewing's sarcoma. Diagnosis of GPF was confirmed by upper gastrointestinal system endoscopy and radiographic contrast examination, and the patient underwent a laparoscopic wedge resection of the fistula. To our knowledge, this is the first report of a GPF, in the formation of which recurrence of Ewing's sarcoma had played a role and in the treatment of which wedge resection of the fistula was performed. Laparoscopic treatment of GPF may be associated with less morbidity and should be considered as the initial procedure of choice.

• Korean Journal of Head & Neck Oncology
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• v.19 no.1
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• pp.71-74
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• 2003

Liposarcoma is one of the most common malignancies originating from human soft tissue. Because most of liposarcoma occur in the lower extremities or retroperitoneum, there are few reports about liposarcoma of head and neck region, including larynx and pharynx. Histologically, there are four types of liposarcoma, and prognosis and recurrence rate are different according to histologic subtype. Wide excision is the treatment of choice and liposarcoma hardly respond to primary radiotherapy. A 56-year-old man presented with voice change and foreign body sensation in laryngopharynx. Hypopharyngeal liposarcoma was diagnosed by surgical biopsy and performed totallaryngopharyngoesophagectomy and gastric pull-up. Here we report our experience on this case with review of literature.

• Korean Journal of Head & Neck Oncology
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• v.24 no.1
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• pp.83-87
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• 2008

Hamartoma is one of the most common benign lung tumors. Most of them are located in the lung parenchyme, but very rarely it can originate endobronchially. Endobronchial hamartoma may cause irreversible lung damage due to the bronchial obstruction if it is not diagnosed and treated properly. The most frequent clinical features are hemoptysis and obstructive pneumonia. Transbronchial endoscopic surgery is a good therapeutic choice and is recommended first for patients who have resectable small endobronchial hamartoma. Here, we report a case of endobronchial hamartoma treated with rigid bronchoscopy and various microforceps with a review of the literature.

• Korean Journal of Radiology
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• v.20 no.6
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• pp.894-908
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• 2019

Kidney transplantation is the treatment of choice for patients with end-stage renal disease, as it extends survival and increases quality of life in these patients. However, chronic allograft injury continues to be a major problem, and leads to eventual graft loss. Early detection of allograft injury is essential for guiding appropriate intervention to delay or prevent irreversible damage. Several advanced MRI techniques can offer some important information regarding functional changes such as perfusion, diffusion, structural complexity, as well as oxygenation and fibrosis. This review highlights the potential of multiparametric MRI for noninvasive and comprehensive assessment of renal allograft injury.

• Journal of Chest Surgery
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• v.26 no.10
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• pp.761-768
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• 1993

Angioaccess has become increasingly important to vascular surgeons as more patients with end stage renal disease[ESRD] are being supported by hemodialysis. Because of the rapid increase in the number of patients undergoing hemodialysis in recent years, it has become necessary to develope alternative vascular access procedures. During the period from December 1986 to December 1992, 290 cases of arteriovenous fistula and associated operations for hemodialysis were performed at Department of Thoracic & Cardiovascular Surgery, Seoul Paik Hospital, Inje University. They Consisited of 175 male and 115 female, ranging in age from 8 and 79 years. The procedure of first choice, the Brescia`s original radial artery-cephalic vein arteriovenous fistula was performed upon 219 patients. In many patients, the radial artery-cephalic vein fistula cannot be performed because of inadequate vein or failure of previous radial artery-cephalic vein fistula. The waiting time until initiation of venous puncture for the first hemodialysis session was 3 days. The second choice of angioaccess, using the brachiocephalic arteriovenous fistula and brachiobasilic arteriovenous fistula at antecubital fossa, ulnobasilic arteriovenous fistula, femorosaphenous arteriovenous fistula, and radiobasilic arteriovenous fistula with saphenous in situ routes, was obtained in 17, 7, 4, 2 and 1 patients. Interposition grafts, the third choice of angioaccess, were performed upon 2 patients. Twenty seven patients underwent revisions or thrombectomies. The purpose of this report is to review the technique of this procedure and discuss the longterm results.

• Journal of Korean Neurosurgical Society
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• v.60 no.3
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• pp.282-288
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• 2017

A variety of complications in endoscopic third ventriculostomy have been reported, including neurovascular injury, hemodynamic alterations, endocrinologic abnormalities, electrolyte imbalances, cerebrospinal fluid leakage, fever and infection. Even though most complications are transient, the overall rate of permanent morbidity is 2.38% and the overall mortality rate is 0.28%. To avoid these serious complications, we should keep in mind potential complications and how to prevent them. Proper decisions with regard to surgical indication, choice of endoscopic entry and trajectory, careful endoscopic procedures with anatomic orientation, bleeding control and tight closure are emphasized for the prevention of complications.

• Journal of Acupuncture Research
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• v.36 no.3
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• pp.182-185
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• 2019

Dural ectasia is defined as ballooning or expansion of the dural sac surrounding the spinal cord. This report describes a rare case of low back pain and sciatica, suspected as being dural ectasia. The patient was hospitalized for 45 days, and underwent integrative Korean medical treatment, including pharmacopuncture, acupuncture, herbal medicine, Chuna therapy, cupping therapy, and physiotherapy. The effect of the treatment was evaluated using the numerical rating scale, Oswestry disability index, European quality of life 5 dimensions, and subjective symptoms. After inpatient treatment, the pain the patient experienced was significantly reduced and the evaluation indices improved. This case report suggested that integrative Korean medical treatment could be an effective therapeutic choice for low back pain and sciatica, with dural ectasia. Further clinical studies are needed to support this observation.

• Clinical Endoscopy
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• v.55 no.2
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• pp.297-301
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• 2022

Common bile duct (CBD) stones are prevalent in 11% to 21% of patients with gallstones and can cause various clinical manifestations, from biliary colic to biliary sepsis. The treatment of choice is endoscopic retrograde cholangiopancreatography, but approximately 5% to 10% of CBD stones are difficult to remove using these conventional endoscopic methods. Although percutaneous transhepatic cholangioscopy and lithotripsy can be used as an alternative, it can be technically demanding and risky if the intrahepatic duct is not dilated. We report a case of a large CBD stone that was successfully removed using percutaneous transcholecystic cholangioscopy.

• Korea Journal of Hospital Management
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• v.15 no.2
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• pp.27-43
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• 2010

The present study was conducted to assess relative importance of hospital attributes considered by patients with spinal diseases in choosing specialty or general hospitals. A total of 230 patients hospitalized with spinal diseases in sampled study sites, including 2 specialty and 2 general hospitals, participated in a self-administered questionnaire survey from April 26 through May 8 2007. Patients were asked to rate the degree of agreement on each of the 15 attributes on a 5-point Likert-type scale (1 : strongly disagree, 5 : strongly agree) for which they chose the hospital because of that specific attribute. Based on a Factor analysis, the attributes were grouped into 4 : facility and environment, accessibility, interpersonal factor, and credibility. Both patient groups from specialty (mean scale score ; 3.75) and general hospitals (3.62) commonly considered 'credibility' to be the most important attribute, followed by 'facility and environment (3.05 and 3.21).' Logistic regression analysis showed that men(Odds ratio(OR)=0.333) and those with monthly income of $\geq$ 4 million won (OR=0.298) were less likely to choose specialty hospitals. Age groups of 30 to 39 years old (OR=5.140) and $\geq$ 60 years old(OR=4.761), and professionals (OR=5.207) tended to choose specialty hospitals. Patients expressing more importance on 'facility and environment' attribute were less likely to use specialty hospitals (OR=0.571), whereas those emphasizing 'accessibility' were more likely to use specialty hospitals(OR=1.487). The findings of significant difference in patient's demographic characteristics and consideration in hospital attributes would contribute to have a better understanding on patient's choice behaviour and to develop strategy to improve patient's satisfaction.

• International Commerce and Information Review
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• v.15 no.4
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• pp.437-454
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• 2013

The information exchange becomes active in the online due to the rapid development of the Internet over the various fields. It is the tendency that it acquires not only information related to the on-line related to the off line depended on the traditional oral tradition but also information in the on-line. It is the competitive environment of the hospital more competitive over the time. The felt feeling for the hospital to the consumer plays the important role as to the assessment of hospital and choice. It is very the critical matter whether it approaches the consumer to any kind of way through the on-line information transfer, and the inappropriate feeling can be caused. That is, it can install whether any kind of point about one will be embossed through the e-business marketing, and the evaluation or useful feeling for choice can be caused in the hospital to the medical consumer in being the critical matter. This research compared and analyze the results expected with the Samsung Seoul Hospital, which was most active and uses the e-business marketing among the major hospital put through in the utilization by marketing view as the domestic Big 5 Severance hospital, and feature of SNS channels of Sungmo Hospital through the case analysis. How it tried to present each channels the individual, or, the strategic frame about the unificational it utilized and can maximize the marketing result and implication according to the marketing activity purpose and direction.