http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
박영희,한성민,김화영,박석준,이창후,김석은,강정협,곽경근,박해규,소순찬 대한소화기학회 2000 대한소화기학회지 Vol.35 No.4
Hepatocellular carcinoma (HCC) usually spreads to the lung and regional lymph nodes by direct extention, lymphatic route, and vascular dissemination. Rarely, it happens to metastasize to the bones. Metastases to other organs such as bones seem to occur by erosions of pulmonary veins into the systemic circulation or retrogradely, into vertebral venous plexuses via portal vein. Treatment results were poor with a median survival of 5 months. We experienced multiple bone metastases in a 61-year-old male patient with small HCC. In conclusion, this report is valuable in presenting unusual multiple bone metastases in small HCC.
김화영,박석준,이창후,김석은,한성민,소순찬,강정협,곽경근,박해규,박영희 대한소화기내시경학회 1998 Clinical Endoscopy Vol.18 No.4
Primary carcinoid tumor of duodenum are rare, Usually, small duodenal carcinoid tumors are often discovered endoscopically. Most of these tumors are asymptomatic, but in rare cases, jaundice, hemorrhage, duodenal obstruction, or carcinoid syndrome were apparent. Uaually, the recommended treatment is surgical or endoscopic excision of the tumor. We experienced a case of carcinoid tumor of duodenu in 53 year-old women. A 53-year-old female patient was admitted to our hospital because of epigastric discomfort and indigestion. On the gastrofiberscopic examination, 0.9 cm sized polypoid mass with central umblication was noted on the duodenall bulb. The biopsy specimen showed carcinoid cells. She was treated with endoscopic polypectomy.
사지 근무력증을 동반한 Lidde `s syndrome 1예
김화영,이덕기,이창후,김종형,신현민,임응훈,강정협,한성민,박해규,곽경근,소순찬 대한신장학회 1998 Kidney Research and Clinical Practice Vol.17 No.1
Liddle's syndrome was described in 1963 by Liddle, et aL, as the disease featuring a hypertension and hypokalemia but with negligible secretion of aldosterone. This syndrome, which morphologically belongs to an abnormal intrinsic tubular disorder with normal renal function, is characterized by hypokalemia, metabolic alkalosis, and hypertension due to the abnormal increase in excretion of potassium in distal tubules or collecting duct and the increase in reabsorption of sodium in distal tubules. This syndrome, which is rare disease, is observed with the low level of plasma and urinary aldosterone and su- ppressed plasma renin level and is known as dominant mode of inheritance with a family background. The authors paid attention to a 79-year-old man who showed a high blood pressure of 210/130mmHg as well as musle weakness, especiaUy lower extre- mities due to metabolic alkalosis featuring a hypokalemia level of 2.0mEq/L when he was admitted to our hospital, Because his serum potassium were not improved with the medication of intravenous potassium supply, and his blood pressure continued to be high without the improvement of muscle weakness, we prescribed 300mg of spironolactone for two weeks. His symptom, however, was not cured. Then, instead of spironolactone, we prescribed 150mg of triamterene and a low salt diet which finally im- proved his symptoms. Because there has been no reported case in the Korean medical literature, we report a case of successfully treated Liddles syndrome due to triamterene administration.
식도십이지장 림프종과 감별이 곤란하였던 십이지장 결핵 1예
한성민,김화영,박석준,이창후,김석은,강정협,소순찬,김종률,임응훈 대한소화기내시경학회 1997 Clinical Endoscopy Vol.17 No.6
Primary duodenal tuberculosis, duodenal Crohn's disease, duodenal lymphoma, duodenal cancer is extremely rare event. Vague upper abdominal pain, weight loss(10 Kg) had been present for several months in a 52-yeer-old woman. Endoscopy revealed an irregular ulcer in the second part of the duodenum. CT of the abdomen revealed pooly defined hypodense and centrally low density masses along the hepatoduodenal ligament, with poor separation from the head of pancreas. Hypotonic duodenogram showed spiculation and smooth indentation of mucosal fold at medical aspect of sup. portion m descending duodenum. ERCP showed medially displaced distal CBD and main pancreaticduct. At first, lymphoma, cancer, Crohn's disease, duodenal tuberculosis were considered in the differential diagnosis. Endoscopic biopsy sepecimen of duodenal lesion showed atypical lymphocytes. We excluded the diagnosis of the duodenal cancer. We started anti-tubercular drugs because in our country tuberculosis is endemic. After 4 weeks anti-tuberculosis therapy, follow up endoscopy and biopsy specimens showed healing stage of duodenal ulcer and chronic granulomatous inflammation with multinucleated giant cell. Thus we concluded that when duodenal lesion which could not confirmed histopathologically it was wise to start antitubercular therapy than to perform exploraparotomic dianostic procedures.
한성민,김화영,김재일,박석준,이창후,유인환,박주일,김석은,강정협,곽경근,박해규,소순찬 대한소화기학회 1998 대한소화기학회지 Vol.31 No.5
Although the survival rate of patients with stomach cancer has been increased by the early diagnosis and treatment of the disease, it still remained the second most common cause of death with cancer. Studies about the premalignant causes of stomach cancer has been in progress, actively. It is well known that the risk of development of stomach cancer increases after the partial gastrectomy far the treatment of benign gastric disease. The importance of regular follow up of gastrofiberscopic examination is suggested for the early diagnosis of possible stomach cancer in these patients. In addition, it is known that the vagotomy and pyloroplasty for the treatment of duodenal ulcer increase the risk of the development of stomach cancer. However, no case has been reported in Korea. We report a case of adenocarcinoma of stomach occurring after tnmcal vagotomy and pyloroplasty, which have been performed for the treatment of duodenal ulcer perforation with review of relevant literatures.
간세포암과 병발한 임상적으로 진단된 궤양성 대장염 1예
박영희,한성민,김화영,김재일,박석준,이창후,김석은,유인환,박주일,강정협,박해규,소순찬,곽경근 대한소화기내시경학회 1997 Clinical Endoscopy Vol.17 No.5
Ulcerative colitis is a diffuse inflammatory disease which is characterized by the vascular congestion and superficial ulcerations in the mucosal and the submucosal layers of the rectum and colon. Extraintestinal manifestations such as arthritis, skin lesion, hepatobiliary and ocular diseases occur in a large number of patients with ulcerative colitis, though gastrointestinal symptoms of mucous and bloody stool, diarrhea and abdominal pain are frequently presented. The association of ulcerative colitis and hepatobiliary disease has been frequently reported in the western countries since the first description by Thomas C.H. in 1874. Fatty degeneration, chronic active hepatitis, cirrhosis, primary sclerosing cholangitis and hepatobiliary carcinoma are included in this list of complications. In the case of hepatobiliary carcinoma, however, the histological diagnosis has almost invariably been cholangiocarcinoma. We report a case of clinical ulcerative colitis with coneurrent hepatocellular carcinoma confirmed by the histologic examination of biopsy specimen in a 49 year old man with the relevant literatures.
한성민,김화영,김재일,박석준,이창후,한상국,김석은,유인환,박주일,임응훈,강정협 대한소화기내시경학회 1997 Clinical Endoscopy Vol.17 No.6
Lipomas are one of the most common benign nonepithelial tumors of the colon and which are often detected incidentally at radiologic investigation or on operation without specific symptoms, Most of them look like submucosal tumor with yellowish-white color, smooth surface and solitary lesion. Sometimes they produce symptoms with large size, bleeding, constipation, diarrhea, abdominal pain, indigestion, intestinal obstruction and intussusception. Diagnosis can be made by colonoscopy, abdominal CT, MRI, barium enema and histologic confirmation achieves by the endoscopic polypectomy. Endoscopic polypectomy or mucosectomy can make it easy to remove them, as therapeutic method. We report 2 cases of lipomas successfully removed by endoseopic polypectomy-the one with two lipomas each at right descending colon and ileocecal valve and the other with one lipoma at the ileocecal valve-with the relevant literatures.
박영희,김화영,김재일,박석준,이창후,최동환,유인환,어중건,전동하,박주일,강정협,한성민 대한소화기내시경학회 1996 Clinical Endoscopy Vol.16 No.5
Lymphangioma is a benign tumor of lymphatic origin. Lymphangioma can occur anywhere in the body and only rarely affects the intestinal tract. Most intestinal lymphangiomas are asymptomatic and detected incidentally at autopsy or surgery. Occasionally, they may be large enough to present as a mass to cause obstruction or intussusception. Recently, we examined a case of a 27-year-old woman who complained right upper quadrant abdominal pain, increased bowel sound and weight loss. By surgical resection after the double contrast barium enema and colonoscopy, we could confirm cystic lymphangioma of the transverse colon. So we report this case with brief review of relevant literature.
생선뼈에 의해 형성된 기관 식도루에서 Fibrinogen-thrombin glue 로 치유된 기관 식도루 1예
조주영,이준성,이문성,심찬섭,유인환,어중건,전동하,이창후,강정협 대한소화기내시경학회 1997 Clinical Endoscopy Vol.17 No.1
Tracheoesophageal fistula is a rare disease of abnormal communication between esopha- gus and respiratory system. The common causes are the acquired origins in adult such as trauma, infection of the adjacent organs, malignant tumor, and foreign body. Among the traumatic origins, chemical drug, the procedure of the dilatation on the stenotic area, blunt trauma(fall, collisions), penetrating trauma(bullet, knife), and pressure injury are much more common than others. Recently, trauma and foreign body in the esophagus and bronchus are becoming the main cause of the tracheoesophageal fistula, however the frequency of the development of tracheoesophageal fistula caused by the infectious diseases is getting decreased. Fibrinogen-thrombin glue stimulates the healing process of the wound and the ulcer. We treated a 52-year-old male patient with nan-inalignant tracheoesophageal fistula, who had symtoms of pharyngolaryngeal and chest discomfort concomitant with a paroxysmal cough on swallowing food which were caused by fish bone. The diagnosis of tracheoesophageal fistula was made by the esophagogram, chest CT, and esop aecopy. By using the therapeutic endoscopy with an injection of the fibrinogen-glue, the tracheoesopeal fistula was obliterated completely with dramatic symptomatic improvement. Here we conqluded that this method would be the one of the best methods for the treatment of tracheoesophageal fistula.