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증례 : 소화기 ; 내시경적 보툴리눔 독소 주입으로 치료한 윤상인두근이상증 1예
정교태 ( Kyo Tae Jung ),최홍규 ( Hong Kyu Choi ),이기병 ( Ki Byung Lee ),유정환 ( Jung Hwan Yu ),김지현 ( Jie Hyun Kim ),박윤길 ( Yoon Ghil Park ),이상인 ( Sang In Lee ) 대한내과학회 2010 대한내과학회지 Vol.79 No.3
보툴리눔 독소는 아칼라지아, 당뇨병성 위마비, 오디괄약근 장애, 만성 항문치열 등 다양한 소화기 질환에 사용되고 있다. 윤상인두근 기능이상은 이전에는 기계적 풍선 확장술이나 윤상인두근 절제술로 치료하였으나, 최근 윤상인두근 내 보툴리눔 독소 주입에 의해 안전하고 효과적으로 치료될 수 있음이 보고되고 있다. 본 환자는 뇌졸중에 의한 윤상인 두근 장애로 연하곤란을 호소하였으며, 내시경적 보툴리눔 독소주입 이후 호전을 보였기에 이를 보고하는 바이다. Botulinum toxin has been used to treat various gastrointestinal tract diseases such as achalasia, diabetic gastroparesis, sphincter of oddi dysfunction, and chronic anal fissures. Recently, it has also been used for the treatment of cricopharyngeal muscle dysfunction. Several studies have reported that botulinum toxin injections may be a safe and effective treatment. Previously, cricopharyngeal muscle dysfunction was treated by mechanical balloon dilation or cricopharyngeal myotomy. Here, we report a case of a 57-year-old man who presented with cricopharyngeal dysphagia due to cerebral infarction and who was successfully treated with endoscopic botulinum toxin injection. (Korean J Med 79:301-305, 2010)
증례 : 소화기 ; 복강 내 종양으로 오인된 농양을 형성한 위궤양 천공 1예연세대학교 의과대학 강남세브란스병원 1소화기내과, 2영상의학과
유정환 ( Jung Hwan Yu ),장성일 ( Sung Ill Jang ),박정수 ( Jung Soo Park ),정교태 ( Kyo Tae Jung ),김주희 ( Joo Hee Kim ),김자경 ( Ja Kyung Kim ),이관식 ( Kwan Sik Lee ) 대한내과학회 2011 대한내과학회지 Vol.81 No.1
저자들은 복강 내 종양 의심 환자에서 위궤양 천공에 의한 복강 내 농양을 진단하고 약물치료만으로 완치된 예를 경험하여 이를 문헌고찰과 함께 보고하는 바이다. Gastric ulcer perforation usually results in panperitonitis, which requires surgical treatment. A peritoneal abscess also can occur with gastric ulcer perforation, but it is not a common complication of peptic ulcer disease. Here, we report a peritoneal abscess that mimicked a tumor and was caused by a gastric ulcer and provide a literature review. A 57-year-old woman was admitted to our hospital for evaluation of an abdominal mass found in another hospital, with no signs of infection. She underwent a left lobectomy of the liver due to choledocholithiasis. Abdominal computed tomography (CT) revealed a heterogeneous mass attached to the antrum of the stomach. At endoscopy, we confirmed that the gastric ulcer at the antrum of the stomach caused the abscess. After 4 weeks of antibiotics and proton pump inhibitor treatment, she was cured. In a patient with abdominal pain and a peritoneal abscess of unknown cause, the possibility of peptic ulcer perforation should be considered. (Korean J Med 2011;81:89-92)
오경진 ( Kyung Jin Oh ),이기병 ( Ki Byung Lee ),홍순원 ( Soon Won Hong ),정교태 ( Kyo Tae Jung ),최홍규 ( Hong Kyu Choi ),김형중 ( Hyung Jung Kim ),안철민 ( Chul Min Ahn ),장윤수 ( Yoon Soo Chang ) 대한결핵 및 호흡기학회 2009 Tuberculosis and Respiratory Diseases Vol.67 No.5
Malignant rhabdoid tumors arise primarily from the kidney. Extrarenal malignant rhabdoid tumors are rare, with the liver, central nervous system, and skin reported as the primary sites. Malignant rhabdoid tumors of the mediastinum are extremely rare among extrarenal malignant rhadoid tumors; only 3 cases have been reported to date, all characterized by aggressive clinical behavior. We experienced a 35-year-old woman diagnosed with malignant rhabdoid tumor in the anterior mediastinum with multiple metastases. The tumor was surgically unresectable, and treated with palliative radiation therapy. Three-month after radiation treatment, she died from dissemination of the malignant rabdoid tumor.