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한국인 위암의 임상적 고찰

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 Clinical observation of stomach cancer in Korea 
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[영문] The term "Chronic indigestion or Postprandial epigastric pain" is most familiar word in our daily life. During last 10 years the incidence of stomach cancer among the Korean was recognized no less than occidentals. According to the series of reports from well-know clinics in Korea , the number of stomach cancer patients is seemed to be increasing every year. with this fact, it was decided to have statistical analysis of stomach cancer in our hospital regarding its general clinical behavior along with the results of surgical treatment. The materials used in this study were 401 patients those who were admitted in Severance Hospital during last 8 years from Jan. 1, 1955 to Dec. 31, 1962. Among those, 228 patients were operated cases and 173 patients were non-operated cases, yet they were confirmed as stomach cancer by lymphnode biopsy, X-ray examination and by other measures. Results may be summarized as follows: 1. The percentage ratio of stomach cancer to the total number of in-patients during the aforementioned period was 1.2%. 2. Peak incidence was in the age group of 40 to 49, and its number of patients was 136(33.9%). 3. Male to female ratio was as 3 to 1, outnumbered by male. 4. Subjective complaints in order of frequency were as follows: upper abdominal pain 210 cases(92.1%), indigestion 203 cases (89.0%) and anorexia 80 cases(35.0%). 5. Objective findings in order of frequency were as follows: palpable mass 112 cases(49.1%), weight loss 86 cases (37.7%) and vomiting 80 cases (35.0%). 6. Operative results may be summarized as follows: operability 56.8% (228 cases) and resectability 28.4% (114 cases). The procedures performed for the unresected cases were exploration and biopsy 29 cases(12.7%), gastrojejunostomy 82 cases (36.0%), feeding gastrostomy 2 cases (0.9%) and feeding jejunostomy 1 case (0.4%). 7. The localization of the tumor was as follows: 157 cases (68.9%) at pyloric region, 28 cases (12.2%) at lesser curvature, 22 case (9.7%) at greater curvature and 9 cases (3.9%) at Cardia. 8. The most common post-operative complication was wound infection and it was enumerated as 18 cases, and 7 cases had dumping syndrome with varying degree. 9. Over-all operative mortality was 3.1% (7 cases), the mortality among subtotal gastrectomized cases was 5.8% (6 cases) and in case of total gastrectomy, it was 9.1%(1 case). As a conclusion with above findings it can be emphasized that the improvement in the results of surgical treatment of stomach cancer entirely depends on the technical management of so-called "chronic indigestion complainer".
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