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        바터팽대부 선종의 내시경적 유두절제술 후 발생한 급성 비결석성 담낭염

        임정욱 ( Jeong Uk Lim ),김병욱 ( Byung Wook Kim ),이민영 ( Min Young Lee ),김준성 ( Joon Sung Kim ),지정선 ( Jeong Seon Ji ),최황 ( Hwang Choi ) 대한췌장담도학회 2014 대한췌담도학회지 Vol.19 No.2

        Endoscopic snare papillectomy (ESP) for ampulla of Vater tumor (AVT) has been performed successfully instead of surgical ampullectomy (SA) because ESP is a less invasive procedure than SA. Hemorrhage, perforation and pancreatitis are relatively common complications of ESP and other rare complications such as cholangitis, liver abscess has been reported. Recently we encountered a case of acute acalculous cholecystitis after ESP for AVT, which was treated successfully with percutaneous cholecystostomy with intravenous antibiotics. We therefore report this case with a brief review of the literature.

      • 급성 호산구성 폐렴 환자에서 소변 류코트리엔 E4의 측정

        최준영 ( Joon Young Choi ),임정욱 ( Jeong Uk Lim ),김경연 ( Kyungyeon Kim ),김정하 ( Jungha Kim ),이진국 ( Chin Kook Rhee ) 국군의무사령부 2019 대한군진의학학술지 Vol.50 No.1

        Objective; The aim of this study was to investigate difference of urinary leukotriene E4 (LTE4) in acute eosinophilic pneumonia (AEP), pneumonia and healthy control patients. Also, this study analyzed correlation between urinary LTE4 and important clinical parameters in AEP patients Method; We prospectively enrolled AEP patients and pneumonia patients who were treated at Armed Forces Capital Hospital between June 2018 to December 2018. Also, we enrolled healthy control patients who visited for general health examination center. We gathered urinary samples from three study groups and analyzed differences of urinary LTE4 levels between groups. Also, we performed correlation analysis to reveal the association between urinary LTE4 and clinically important parameters including fever, peripheral WBC and eosinophil percentage, CRP, BAL eosinophil percentage, PaO<sub>2</sub>/FiO<sub>2</sub>, hospital days, fever day, O<sub>2</sub> removal days Results; Total of 50 patients in AEP group, 23 patients in pneumonia group and 26 patients in healthy control group were enrolled for analysis. Patients in AEP group showed more symptoms of dyspnea, higher WBC, peripheral eosinophilia and higher CRP compared to pneumonia group. Also, hospital days and O<sub>2</sub> removal days were longer in AEP group compared to pneumonia group. Analysis of urinary LTE4 in three different group showed no statistically difference (healthy control vs pneumonia vs AEP; 2579.9±3087.3pg/mg vs 1771.1±1775.2pg/mg vs 2258.7±2218.5pg/mg, p-value=0.73). Correlation analysis showed positive correlation between urinary LTE4 with WBC and CRP. However, correlation analysis with other clinical parameters showed no statistically significance. Conclusion; There was no difference in urinary LTE4 between AEP, pneumonia and healthy control. Also, there was positive correlation between urinary LTE4 with WBC and CRP in AEP patients, however, there was no significant correlation with PaO<sub>2</sub>/FiO<sub>2</sub>, hospital days, fever day or O2 removal days

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