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안상봉 ( Sang Bong Ahn ),한동수 ( Dong Soo Han ),은창수 ( Chang Soo Eun ),방소영 ( So Young Bang ),이영철 ( Young Chul Lee ),임금남 ( Keum Nam Rim ),이용구 ( Yong Gu Lee ),김태엽 ( Tae Yeob Kim ) 대한소화기학회 2007 대한소화기학회지 Vol.50 No.4
Intestinal hemorrhage, perforation, obstruction, and fistula formation are the common complications associated with intestinal tuberculosis. However, these complications usually occurr in active stage of intestinal tuberculosis. A 45-year-old man was diagnosed as intestinal tuberculosis and received anti-tuberculosis medications for 9 months. After the end of treatment, intestinal lesion was cured. However a deformed appendiceal orifice due to hypertrophic sear resulting in symptomatic appendictis was noted. We report a case of acute appendicitis due to intestinal stricture after the successful treatment of intestinal tuberculosis. (Korean J Gastroenterol 2007;50:277-279)
안상봉 ( Sang Bong Ahn ),한동수 ( Dong Soo Han ),박혜선 ( Hye Sun Park ),김태엽 ( Tae Yeob Kim ),은창수 ( Chang Soo Eun ),전용철 ( Yong Cheol Jeon ),손주현 ( Joo Hyun Sohn ) 대한소화기학회 2010 대한소화기학회지 Vol.55 No.3
Segmental colitis associated with diverticular disease (SCAD) is a colonic inflammatory disorder with localized non-granulomatous inflammation at sigmoid colon, and associated with colonic diverticulosis. SCAD is an apparently uncommon disorder in Western. We experienced a rare case of SCAD in a 46-year-old woman who visited the hospital due to abdominal discomfort. Colonoscopic examination showed multiple sigmoid diverticula in association with a segment length colitis. Colonoscopic biopsies of the sigmoid colon demonstrated cryptitis and crypt abscess along with chronic inflammatory cells infiltration. The biopsies of the rectum was histologically normal. The patient was given the diagnosis of SCAD and treated with oral mesalamine. This is the first case of SCAD reported in Korea. (Korean J Gastroenterol 2010;55:189-193)
장간막 허혈증에서 경피적 혈관성형술의 임상적 유용성 Case Series 6예
정유민 ( Yu Min Jung ),조윤주 ( Yun Ju Jo ),안상봉 ( Sang Bong Ahn ),손병관 ( Byoung Kwan Son ),김성환 ( Seong Hwan Kim ),박영숙 ( Young Sook Park ),배준호 ( June Ho Bae ),조영권 ( Young Kwon Cho ) 대한소화기학회 2011 대한소화기학회지 Vol.57 No.4
Intestinal ischemia is divided into three categories, namely, acute mesenteric ischemia (AMI), chronic mesenteric ischemia (CMI), and colonic ischemia. AMI can result from arterial or venous thrombi, emboli, and vasoconstriction secondary to low-flow states. It is an urgent condition which can result in high mortality rate. The predominant causative factor of CMI is stenosis or occlusion of the mesenteric arterial circulation, and it is characterized by postprandial abdominal pain and weight loss. Surgery is the treatment of choice for intestinal ischemia. However, it has been recently reported that percutaneous transluminal angioplasty with stent placement and/or thrombolysis is an effective therapy in various types of mesenteric ischemia. We report six cases of mesenteric ischemia which were successfully treated by percutaneous angioplasty, and review the literature from South Korea. (Korean J Gastroenterol 2011;57:243-248)
후복막강 섬유화를 동반한 원인 미상의 경화성 장간막염 1예
배준호 ( June Ho Bae ),김성환 ( Seong Hwan Kim ),안상봉 ( Sang Bong Ahn ),손병관 ( Byoung Kwan Son ),조윤주 ( Yun Ju Jo ),박영숙 ( Young Sook Park ),정유민 ( Yu Min Jung ),장연수 ( Yeon Soo Chang ) 대한소화기학회 2011 대한소화기학회지 Vol.58 No.4
Sclerosing mesenteritis is a rare inflammatory disease of the bowel mesentery. It produces tumor-like masses of the mesentery composed of varying degrees of fibrosis, chronic inflammation, and fat necrosis. It has been described variously as fibrosing mesenteritis, retractile mesenteritis, mesenteric Weber Christian disease, and systemic nodular panniculitis. The etiology and pathogenesis of the disease are as yet unknown, but autoimmune disorder, previous abdominal surgery, trauma, and ischemia could play a role. The clinical features include abdominal pain, vomiting, diarrhea, and constipation. Occasionally, patients with this condition may present with bowel obstruction. Rarely, It can be associated with other idiopathic inflammatory disorders such as retroperitoneal fibrosis, sclerosing cholangitis, and orbital pseudotumors. We report a case of idiopathic sclerosing mesenteritis with retroperitoneal fibrosis in a 58-year-old man. (Korean J Gastroenterol 2011;58:221-225)
75세 여자 환자에서 재발성 간성뇌증으로 발현한 유전성 출혈성 혈관 확장증
하정훈 ( Jung Hoon Ha ),손병관 ( Byoung Kwan Son ),안상봉 ( Sang Bong Ahn ),조영관 ( Young Kwan Jo ),김성환 ( Seong Hwan Kim ),조윤주 ( Yun Ju Jo ),박영숙 ( Young Sook Park ),정윤영 ( Yoon Young Jung ) 대한소화기학회 2015 대한소화기학회지 Vol.65 No.1
Osler-Weber-Rendu disease is a rare autosomal dominant disorder of fibrovascular tissues, characterized by a classic triad of mucocutaneous telangiectasias, recurrent hemorrhages, and a familial occurrence. Portosystemic encephalopathy in a patient with Osler-Weber-Rendu disease is rare, but we experienced a case presenting with recurrent portosystemic encephalopathy in Osler-Weber-Rendu disease. We report on a case of a 75-year-old female presenting with an altered mentality. Initial studies including brain imaging study did not reveal any specific cause for her mental status. She was diagnosed with the rare disease after a series of tests and received conservative treatment. Her neurological status recovered fully without complication after conservative treatment and she was discharged after 18 hospital days. This case demonstrated an extremely rare case of Osler-Weber-Rendu disease presenting as portosystemic encephalopathy treated successfully with conservative treatment. For patients who have shown hepatic encephalopathy without a definite cause, we recommend evaluation for the possibility of Osler-Weber-Rendu disease. Conservative treatment based on treatment of advanced liver cirrhosis could be an alternative solution.
김지은 ( Ji Eun Kim ),방소영 ( So Young Bang ),안상봉 ( Sang Bong Ahn ),임금남 ( Keum Nam Rim ),김현수 ( Hyun Soo Kim ),엄완식 ( Wan Sik Uhm ),김태환 ( Tae Hwan Kim ),전재범 ( Jae Bum Jun ),배상철 ( Sang Cheol Bae ),유대현 ( Dae H 대한류마티스학회 2007 대한류마티스학회지 Vol.14 No.4
Objective: Juvenile rheumatoid arthritis (JRA) is classified as polyarticular, oligoarticular, and systemic onset type by clinical symptoms presented during first six months. This study was performed to investigate the clinical features and course of systemic onset JRA. Methods: We performed a retrospective study for patients who were diagnosed as JRA between March 2000 and March 2006 according to the JRA criteria of the International League of Association for Rheumatology (ILAR). Results: Of the 216 JRA patients, 33 patients (11 male/ 22 female) were systemic onset type. Because of insufficient data, 6 patients were excluded. Chief complaints at the time of diagnosis were fever (81.5%) and arthralgia (77.7%). During the disease course, all patients manifested fever and arthritis, rash (59.2%) and splenomegaly (22.2%) also occurred. Most patients had symmetric (81.5%) arthritis, and involved more than five joints (59.3%) including knee and wrist. Anemia, leukocytosis, and thrombocytosis were common laboratory abnormalities. Almost all patients had elevated level of C-reactive protein and erythrocyte sediment rate. Some patients had positive results about immunologic marker such as rheumatoid factor (3.8%), antinuclear antibody (57.7%), and antiperinuclear factor (9.5%). Therapeutic regimens included glucocorticoids (88.9%), nonsteroidal anti-inflammatory drugs (81.5%), methotrexate (81.5%), and hydroxychloroquine (55.6%). Biologic agents were applied in 5 patients, and 3 showed improvement of disease activity. Combination therapy was introduced in 18.5% of patients, and 63% of patients still required medications. Conclusion: In Korea, systemic onset JRA patients had variable clinical manifestations and chronic course of disease, which often extended into adulthood.
이물질에 의해 발생한 십이지장 게실염의 소장내시경적 진단 및 치료 증례
강승모 ( Seung Mo Kang ),조윤주 ( Yunju Jo ),조영관 ( Young Kwan Cho ),안상봉 ( Sang Bong Ahn ),김성환 ( Seong Hwan Kim ),박영숙 ( Young Sook Park ) 대한장연구학회 2011 Intestinal Research Vol.9 No.3
Duodenal diverticulitis is a rare complication of the duodenal diverticulum. Its rarity is due to the relatively large diameter of the duodenum, which makes the intraluminal flow of sterile liquid duodenal contents fluent. Additionally, nonspecific signs and symptoms of duodenal diverticulitis make it very difficult to diagnose properly. We describe a patient presenting with abdominal pain, nausea, and leukocytosis, with diverticulitis of the third portion of the duodenum caused by the impaction of a foreign body, who was diagnosed and treated with enteroscopy. (Intest Res 2011;9:243-246)
조현석 ( Hyun Seok Cho ),변태준 ( Tae Jun Byun ),안상봉 ( Sang Bong Ahn ),김태엽 ( Tae Yeob Kim ),은창수 ( Chang Soo Eun ),전용철 ( Yong Cheol ),김용석 ( Yong Seok Kim ),한동수 ( Dong Soo Han ) 대한소화기학회 2008 대한소화기학회지 Vol.52 No.4
Crohn`s disease (CD), one of the major forms of idiopathic inflammatory bowel disease (IBD), is thought to be related to genetic susceptibility coupled with environmental factors. A positive family history is the strongest risk factor for the development of CD. The 10-fold increase in the familial risk of CD strongly suggests that these disorders have a genetic background. The prevalence of IBD in Asian populations is lower than in Western populations, which may be due to genetic influences, environmental factors, or a combination of both. In a Korean study, only 0.25% of parents had IBD in CD probands and all of them had ulcerative colitis. The term of familial CD was used only for those with one or more first-degree relatives with confirmed CD. There are few case reports about familial Crohn`s disease in Korea. We report a case of familial CD that the father, the first degree relative was diagnosed as small bowel CD after confirming his son as having CD. (Korean J Gastroenterol 2008;52:247-250)