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배규환,Bae, Gyu-Hwan 대한양돈협회 1984 養豚 Vol.6 No.9
돼지의 능력검정은 일당증체량,사료요구율,등지방두께 뿐만 아니라 도체평가(육질,고기의 굳기와 조직, 상강도 등) 및 외모심사(발과 다리의 건강성, 유두수, 품종의 특징, 스트레스에 대한 감수성 등)를 철저히 하여 선발 이용해야 한다.
대장내시경 용종절제술 후 지연성 출혈의 위험인자: 환자-대조군 연구
배규환 ( Gyu Hwan Bae ),정진태 ( Jin Tae Jung ),권중구 ( Joong Gu Kwon ),김은영 ( Eun Young Kim ),박진홍 ( Jin Hong Park ),서정현 ( Jung Hyun Seo ),김종연 ( Jong Yeon Kim ) 대한소화기학회 2012 대한소화기학회지 Vol.59 No.6
Background/Aims: Colonoscopic polypectomy is a valuable procedure for preventing colorectal cancer, but is not without complications. Delayed bleeding after colonoscopic polypectomy is a rare, but serious complication. The aim of this study was to identify risk factors of delayed bleeding after colonoscopic polypectomy. Methods: A retrospective case-control study was conducted in a single university hospital. Forty cases and 120 controls were included. Data collected included comorbidity, use of antiplatelet agents, size and number of resected polyps, histology and gross morphology of resected polyps, endoscopist`s experience, resection method, use of sedation, and use of prophylactic hemostasis. Results: In univariate analysis, size, histology and number of resected polyps, endoscopist`s experience, resection method and use of prophylactic hemostasis were significant risk factors for delayed bleeding after colonoscopic polypectomy. In multivariate analysis, risk of delayed bleeding increased by 11.6% for every 1 mm increase in resected polyp diameter (OR, 1.116; 95% CI 1.041-1.198; p=0.002). Number of resected polyps (OR, 1.364; 95% CI, 1.113-1.671; p=0.003) and endoscopist`s experience (OR, 6.301; 95% CI, 2.022-19.637; p=0.002) were significant risk factors for delayed bleeding after colonoscopic polypectomy. Conclusions: Size and numbers of resected polyps, and endoscopist`s experience were independent risk factors for delayed bleeding after colonoscopic polypectomy. More caution would be necessary when removing polyps with these factors. (Korean J Gastroenterol 2012;59:423-427)
김의정 ( Eui Jung Kim ),김은영 ( Eun Young Kim ),송정은 ( Jung Eun Song ),이현철 ( Hyeon Chu Lee ),배규환 ( Gyu Hwan Bae ),오훈규 ( Hoon Kyu Oh ),이태성 ( Tae Sung Lee ) 대한소화기학회 2014 대한소화기학회지 Vol.63 No.3
Sclerosing mesenteritis (SM) is a rare disease characterized by chronic nonspecific mesenteric inflammation and fibrosis of unknown etiology. Some tumefactive SM shows diffuse accumulation of IgG4-positive plasma cells and is considered as a part of the spectrum of IgG4-related disease. An association between inflammatory bowel disease and IgG4-related disease has been indicated. A 45-year-old woman visited our hospital due to weight loss with intermittent lower abdominal discomfort. Pelvic ultrasound revealed a mass-like lesion in the abdominal wall and pelvis MRI demonstrated a 5.9 cm sized wall-enhancing mass with heterogeneous signal intensity from right adnexa to the abdominal wall. Tumor resection and adhesiolysis was done because of severe adhesion with the small bowel, colon, bladder, uterus, and abdominal wall. Appendectomy was also performed due to adhesion and edematous change. Histological examination of the resected mass showed findings that were compatible with IgG4-related SM. The resected appendix showed chronic granulomatous inflammation without evidence of tuberculosis. She was diagnosed with Crohn`s disease after undergoing colonoscopy and CT enterography. Herein, we report a rare case of IgG4-related SM that occurred in conjunction with Crohn`s disease.
심대무(Dae Moo Shim),김태균(Tae Kyun Kim),오성균(Sung Kyun Oh),김봉규(Bong Gyu Kim),배규환(Kyu Hwan Bae) 대한정형외과학회 2009 대한정형외과학회지 Vol.44 No.3
하지 불안 증후군은 하지에 불편한 증상과 움직이고 싶은 충동을 느끼며, 이러한 증상은 가만히 있으면 악화되고 특히 야간에 심해져 수면을 방해하는 신경계 질환이다. 이러한 증상은 척추성 하지 동통으로 오인하는 경우가 많으며 치료 역시 척추성 하지 동통에 초점을 맞추어 이루어지기 때문에 증상 호전을 볼 수 없어 난처한 입장에 놓일 수 있다. 저자들은 척추의 전방 전위증과 척추관 협착증을 동반한 하지 불안 증후군 환자를 척추 병변만을 생각하여 후방 기기술 및 유합술의 수술적 치료를 시행하였으나 증상의 호전을 볼 수 없어 신경과 및 재활의학과와의 협진 통해 하지 불안 증후군을 진단한 증례와 슬관절 전 치환술과 척추 신경 차단술 위해 입원한 환자를 신경과와의 협진을 통해 하지 불안 증후군을 진단한 증례 모두에서 단순히 도파민 항진제 투여로 증상의 호전을 볼 수 있었다. 이 같은 저자들의 경험을 통해 다른 정형외과의사들이 하지 불안 증후군을 척추성 동통과 감별하여 저자들과 같은 오류를 범하지 않게 하기 위해 증례 및 문헌 고찰을 보고 하는 바이다. Restless legs syndrome (RLS) is a neurogenic disorder with the patients having a sensation of discomfort and an urge to move continuously. These symptoms can get worse during night and cause sleep disturbance. These symptoms can be misdiagnosed as lower leg pain of a spinal origin and the treatment can be wrongly focused on this. This treatment for an unproven state of symptoms can place clinicians in a difficult situation. We experienced RLS associated with spondylolisthesis and spinal stenosis, and we originally misdiagnosed the patient and wrongly treated the patient operatively with spinal fusion and posterior instrumentation. After an insufficient result, we diagnosed the patient with having RLS with the help of the neurology department and rehabilitation medical department. In one other case we diagnosed a RLS patient with the help of a neurologist and the patients had arrived an our department for total knee arthroplasty and spinal root block. We report on these cases so other orthopedic surgeons will not make same mistakes.