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배시현 ( Si Hyun Bae ),장정원 ( Jeong Won Jang ),김민수 ( Min Soo Kim ),오현종 ( Hyun Jong Oh ),최종영 ( Jong Young Choi ),한남익 ( Nam Ik Han ),윤승규 ( Seung Kew Yoon ),한준열 ( Joon Yeol Han ),오은지 ( Eun Jee Oh ),김동구 ( Don 대한소화기학회 2005 대한소화기학회지 Vol.45 No.5
Liver transplantation is the only curative therapy for patients with end-stage liver disease. The high success rate and the increasing demand for the transplantation sometimes calls for ABO-compatible but nonidentical blood group orthotopic liver transpla
B 형 간염바이러스 양성인 간경변환자에서 간 이식시 Immunoprophylaxis 후 1 년이상 HBV DNA 및 HBsAg 소실을 보인 1 예
김인철,김동구,김부성,박두호,이창돈,고용복,장상아,윤승규,정재열,신제현,오승택 대한내과학회 1995 대한내과학회지 Vol.49 No.1
Orthotopic liver transplantation(OLT) in hepatitis B virus(HBV) associated liver diseases remains controversial because of the high recurrence of HBV reinfection. To prevent this reinfection a passive immunoprophylaxis with Hepatitis B immunoglobulin(HBIG), HBV vaccine and interferon have been attempted. In our report, serum HBsAg and HBV DNA of the patient were positive before OLT. We administered intravenously 10,000 IU HBIG during the anhepatic phase, followed by 1,000 IU daily for the first postoperative week. Circulating HBsAg by radioimmunoassay(RIA) and HBV DNA or HCV RNA by polymerase chain reaction(PCR) were not detected to postopertive 53th weeks. In conclusion, passive immunoprophylaxis was able to reduce risk of recurrent HBV infection in HBV DNA positive patient before OLT. Therefore, patients with end stage liver diseases associated HBV infection cannot be considered a relative contraindication to DLT.
스테로이드 복용력이 없는 성인 여자에서 발생한 거대 간세포선종 1 예
김인철,한상원,김명훈,김병기,김동구,김부성,박두호,이창돈,김성수,윤승규,김선무,한혁준 대한내과학회 1996 대한내과학회지 Vol.51 No.5
Hepatocellular adenoma is a benign epithelial tumor of liver, occurring in non-cirrhotic liver, especially in women. And the most of them are associated with oral contraceptives. We experienced a case of hepatocellular adenoma in a 38 years old woman without a history of taking contraceptive steroid, and the mass was about 15㎝ in diameter. Hepatocellular adenoma containing suspicious cancerous lesion was confirmed by operation and histologic examination.