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RISS 인기검색어
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- 저자 : 경규천 ( Gyu Cheon Kyung ) (검색결과 3 건)
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김시호 ( Si Ho Kim ),배상수 ( Sang Su Bae ),주형준 ( Hyung Jun Chu ),박지환 ( Ji Hwan Park ),경규천 ( Gyu Cheon Kyung ),안효동 ( Hyo Dong An ),김근 ( Keun Kim ),강은규 ( Eun Gyu Gang ) 대한소화기학회 2016 대한소화기학회지 Vol.67 No.4
Capsule endoscopy is being increasingly recognized as a gold standard for diagnosing small bowel disease, but along with the increased usage, capsule retention is being reported more frequently. We report a case of capsule endoscopy retention in a diverticulum of the duodenal proximal third portion, which we treated by esophagogastroduodenoscopy. A 69-year-old male visited hospital with hematochezia. He had hypertension and dyslipidemia for several years, and was taking aspirin to prevent heart disease. CT and colonoscopy revealed a diverticulum in the third portion of the duodenum, rectal polyps, and internal hemorrhoids. Capsule endoscopy was performed but capsule impaction occurred. The capsule was later detected by CT in the diverticulum. Endoscopy was performed a day later and the capsule was removed using a net. A small bowel series was conducted after capsule removal, and no stenosis was found. The patient fully recovered and no recurrence of hematochezia was observed at his one month exam. This is the first case in Korea of capsule retention in a duodenal diverticulum, with successful removal by endoscopy. (Korean J Gastroenterol 2016;67:207-211)
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내시경적 접근이 어려운 담도 결석과 담도 폐쇄 환자에서 경피간담도 배액술과 경피적 풍선확장술: 단일 기관의 환자 21명에 대한 증례들
김근 ( Geun Kim ),김정권 ( Jung Kwon Kim ),지주연 ( Ju Yeon Ji ),김시호 ( Si Ho Kim ),박지환 ( Ji Hwan Park ),경규천 ( Gyu Cheon Kyung ),안효동 ( Hyo Dong An ),김민정 ( Min Jung Kim ),이종성 ( Jong Seong Lee ) 대한췌담도학회 2017 대한췌담도학회지 Vol.22 No.3
배경/목적: 총담도 결석 혹은 종양으로 인한 담도 폐쇄에서 내시경적 접근이 어려운 경우, 경피경간담도배액술과 동시에 유두부 풍선확장술을 진행한 결과를 후향적으로 분석하여 시술의 안정성 및 간편화에 대해 알아보고자 하였다. 방법: 2012년부터 2015년까지 4년간 단일기관에서 종양 및 담도 결석으로 인한 담도 폐쇄를 진단받고 경피적 접근을 통해 시술한 환자 21명을 후향적으로 조사하였다. 결과: 21명 중 16명(76.2%)의 환자에서 경피경간담도배액술과 동시에 유두부 풍선확장술을 진행하였고, 나머지 5명(23.8%)은 담도배액술 5-8일 후에 시술을 진행하였다. 21명의 환자 중 19명(90.5%)에서 잔류 결석이나 재협착 없이 한차례만의 시술로 성공하였다. 나머지 두 명은 각각 2회, 3회 PBD 시행 후 결석 제거에 성공하였다. 결론: 내시경을 시행하지 못하는 환자들에 대한 경피적 접근을 통한 시술은 안전하고 효과적이라고 할 수 있으며, 특별한 금기가 되지 않는 한 경피경간담도배액술과 동시에 시행하는 유두부 풍선확장술은 환자의 불편 및 시술 횟수를 감소시킬 수 있다. Background/Aim: The aim of this study was to evaluate the stability and simplicity of papillary balloon dilatation by retrospectively analyzing the results of performing concurrent papillary balloon dilatation in conjunction with percutaneous transhepatic biliary drainage (PTBD) in the patients with biliary obstruction due to common bile duct stones or a tumor who were difficult to treat with an endoscopic approach. Methods: We retrospectively analyzed a total of 21 patients who were treated through a percutaneous transhepatic biliary approach after they were diagnosed with biliary obstruction due to a tumor and biliary stones in a single medical institution for four years from 2012 to 2015. Results: Sixteen out of 21 patients (76.2%) underwent percutaneous transhepatic biliary drainage and papillary balloon dilatation. For 5 patients (23.8%) in whom it was difficult to perform the procedure simultaneously due to the patient`s poor overall condition such as pancreatitis and septic shock, papillary balloon dilatation was performed 5-8 days after biliary drainage. Nineteen of 21 patients (90.5%) were successfully treated by a single procedure without residual stones or restenosis, but in two patients, stones were removed two times and three times. Conclusions: The use of a percutaneous transhepatic biliary approach to patients in whom endoscopy cannot be performed is considered safe and effective. In addition, unless the procedure is specifically contraindicated, the use of papillary balloon dilatation performed simultaneously with PTBD can reduce patient inconvenience and procedure frequency.
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박지환,박서화,강은규,경규천,안효동,안소연 이화여자대학교 의과학연구소 2016 EMJ (Ewha medical journal) Vol.39 No.1
Mucormycosis is a rare disease caused by fungi. Most commonly involved sites of mucormycosis infection are sinuses, lungs, skin and soft tissues. Systemic risk factors for mucormycosis are diabetes mellitus, neutropenia, corticosteroid use, hematological malignancies, organ transplantation, metabolic acidosis, deferoxamine use and advanced age. Local risk factors are history of trauma, burns, surgery and motor vehicle accidents. We present a case of cutaneous mucormycosis in a patient with diabetes mellitus. A 66-year-old female with uncontrolled diabetes mellitus, admitted with necrotizing lesion after minor abrasions on leg. We took a culture of the lesion and it is diagnosed with mucormycosis. Disease progressed despite administration of systemic amphotericin B. We performed above-knee amputation and changed antifungal agents into liposomal amphotericin B. A tissue biopsy showed nonseptate, irregularly wide fungal hyphae with frequent right-angle branching. Our case report suggests that patients with risk factors should be observed carefully.
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