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이광훈 ( Kwang Hun Lee ),추적금 ( Juck Kum Chu ),지상원 ( Sang Won Ji ),김기황 ( Ki Whang Kim ),박효진 ( Hyo Jin Park ) 대한소화기기능성질환·운동학회 2002 Journal of Neurogastroenterology and Motility (JNM Vol.8 No.2
N/A Objectives: To analyze the findings of rectal intussusception and to find the other accompanied functional anorectal diseases. Materials and Methods: We analyzed defecograms in 25 patients with rectal intussusception among 77 patients taken with obstructed defecatory symptom. Females were 16 (64%), males were 9 (36%), and the mean age was 55 years old. The changes of anorectal angle (ARA) and movement of anorectal junction were measured, and the morphologic changes of rectal wall during defecation were analyzed. Results: ARAs measured by central axis method (CAM), the mean angles were 114.6, 102.2, and 119.8 degree, respectively in resting, squeezing, and straining period. By posterior wall methods (PWM), those were 86.7, 72.0, 93.3 degree. The differences of ARA between resting and straining period were 5.2, 6.6 degree, respectively by CAM and PWM. The mean descent of anorectal junction during defecation was 0.83 cm. The most frequent finding associated with rectal intussusception was rectocele (12 cases;48%). The other accompanied findings were 9 spastic pelvic floor syndrome (36%) and 4 fecal incontinence (16%). Total 18 patients out of 25 patients were accompanied with other functional anorectal diseases (72%). Conslusions: Recognition of rectal intussusception with accompanied diseases would be important for the proper treatment planning.(Korean J ournal of Gastrointestinal Motility 2002;8:177-184)
이태희 ( Tae Hee Lee ),정준표 ( Jun Pyo Chung ),윤동섭 ( Dong Sup Yoon ),공지현 ( Jee Hyun Kong ),김수영 ( Soo Young Kim ),추적금 ( Juck Kum Chu ),최성우 ( Sung Woo Choi ),송시영 ( Si Young Song ),정재복 ( Jae Bock Chung ),이상인 대한소화기학회 2003 대한소화기학회지 Vol.41 No.2
Adenosquamous carcinoma of the pancreas is a rare but particularly virulent variant of invasive ductal carcinoma. In Korea, total 4 cases of adenosquamous carcinoma of the pancreas have been reported. Adenosquamous carcinoma of the pancreas has a slight m
간경변과 임신 : 증례 보고 및 국내 문헌 고찰 A case report and a review of the reported cases in Korea
추적금,정준표,이창률,이정일,조승현,이관식,서경 대한내과학회 2003 대한내과학회지 Vol.64 No.1
간경변 환자에서의 임신은 비교적 드문데, 그럼에도 불구하고 어렵게 임신이 된 경우에는 산모와 태아에게 각각 미칠 수 있는 이환율과 사망률을 심각하게 고려하여 임신을 지속할 것인지 또는 종결할 것인지를 결정해야만 한다. 그러나 아직까지 간경변 환자에서의 임신에 관한 보고는 많지 않기 때문에 그 관리나 치료에 있어서 명확한 지침은 없는 실정이고, 특히 외국 보고들은 대상 환자들이 대개 알코올성 간경변으로서 주로 바이러스성 간경변이 많은 국내의 사정과는 차이가 있을 수 있다. 한편, 간경변 환자에서 임신이 되는 경우 간기능의 악화 여부에 대해서도 아직 논란이 있다. 저자들은 B형 간염에 의한 간경변과 임신 23주 상태에서 내원한 36세 여자 환자에서 고빌리루빈혈증과 저알부민혈증 등의 저하된 간기능이 치료적 임신 종결에 의해 호전되는 것을 관찰하여 임신이 간경변 환자의 간기능을 악화시키는 요인으로 작용하는 경우를 경험하였기에 보고하는 바이며, 그간 국내에 보고된 증례들의 임상적 특징과 임신의 결과를 정리 및 분석하여 향후 진료에 도움이 되고자 하였다. Pregnancy is rarely encountered in women with liver cirrhosis, but can occur in all forms of liver cirrhosis. The amount of data regarding pregnancy in cirrhotic patients is not great and thus no clear-cut guidelines for management can be outlined. Another interesting point of pregnancy in liver cirrhosis would be how pregnancy affects liver function in cirrhotic patients. In korea, only 6 pregnancies in 5 patients have been reported. Recently, we experienced a case of pregnancy in a patient with liver cirrhosis. A 36 year-old, primigravida woman presented at 23 weeks of gestation. B-viral liver cirrhosis was diagnosed 2 months earlier when she had developed generalized edema and ascites. We observed a recovery of hyperbilirubinemia and hypoalbuminemia after a therapeutic termination of pregnancy. This case may illustrate that pregnancy can deteriorate liver function in some patients with liver cirrhosis. We report this case with an analysis of the reported cases in Korea (Korean J Med 64:119-124, 2003)
김준우,안철우,남주영,김똘미,김영균,추적금,박종숙,박진아,조승현,김동연,김도연,윤수지,이경열,차봉수,김경래,임승길,이현철,허갑범 대한당뇨병학회 2002 임상당뇨병 Vol.3 No.2
본 저자들은 인위적인 인슐린 투여로 인한 인간성 저혈당증 1예에서 보존적인 치료로 의식기능은 회복하였으나, 현저한 인지능력 저하를 하였기에 문헌고찰과 함께 보고하는 바이다. Factitious hypoglycemia is a covert attempt to lower the blood glucose concentration with insulin or a sulfonylurea agent. This attempt is mainly performed by the patients themselves. In a large series of diabetics who had overdosed on drug, less than 5% had used insulin for suicidal or homicidal purposes. Additionally, 4 of 204 hypoglycemic episodes were due to a suicide attempt with insulin. The onset of insulin action, its peak level, and duration, and the degree of hypoglycemia, are determined by insulin's pharmacokinetics. However, the final outcomes are not associated with the amount of insulin used. The complications related to insulin overdose are cerebral damage and hypokalemia. Other complications include, pulmonary edema attributed to congestive heart failure and hypertensive crisis, as well as respiratory insufficiency. We report this case with a review of the literature.