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권낙기 ( Nak Ki Kwun ),민준기 ( Jun Ki Min ),박경수 ( Kyung Su Park ),전은정 ( Eun Jung Jun ),조철수 ( Chul Soo Cho ),변재영 ( Jae Young Pyun ),김호연 ( Ho Youn Kim ) 대한류마티스학회 1998 대한류마티스학회지 Vol.5 No.2
With varying frequency, systemic sclerosis may involve nearly all parts of the gastrointestinal tract. Pneumatosis cystoides intestinalis(PCI) which is characterized by the presence of multiple gaseous cysts in the intestinal wall of either subserosal or submucosal location rarely occurs in patients with systemic sclerosis. PCI may be asymptomatic, but weight loss, abdominal distension, and nausea are frequent symptoms secondary to sytemic sclerosis. Although the mechanisms responsible for the development of PCI in systemic sclreosis remains unclear, bacterial overgrowth, mucosal damage secondary to ischemic bowel disease are considered to be possible mechanisms. It is a benign condition that often responds to conservative management, however it may be a harbinger of end stage disease particularly in systemic sclerosis. Here, we report a case of PCI accompanying by systemic sclerosis with brief review of literatures.
권낙기 ( Nak Ki Kwun ),최명규 ( Myung Gyu Choi ),이인석 ( In Seok Lee ),김세희 ( Se Hee Kim ),조유경 ( Yu Kyung Cho ),김상우 ( Sang Woo Kim ),정인식 ( In Sik Chung ),박두호 ( Doo Ho Park ) 대한소화기기능성질환·운동학회 2002 Journal of Neurogastroenterology and Motility (JNM Vol.8 No.2
Pseudo-obstruction is a clinical syndrome caused by ineffective intestinal propulsion and characterized by symptoms and signs of intestinal obstruction in the absence of an occluding lesion of the intestinal lumen. A 65-year-old male who complained of abdominal pain and obspitation. (not constipation?) was admitted. Simple abdominal radiographs revealed marked colonic dilatation without mechanical obstruction suggesting pseudo-obstruction. Clinical response with conservative care failed to improve the patient. 2.0 mg of neostigmine which was recently reported to be an effective way to decompress the colon in patients with acute colonic pseudo-obstruction, was administered. Immediate clinical response was achieved without complication.(Kor ean J ournal of Gastr ointestinal Motility 2002;8:197-201)
전신성 홍반성 루푸스 환자의 임신이 태아와 산모에 미치는 영향 및 관련된 인자에 관한 연구
김완욱 ( Wan Uk Kim ),민준기 ( Jun Ki Min ),권낙기 ( Nak Ki Kwun ),박성환 ( Sung Hwan Park ),홍연식 ( Yeon Sik Hong ),이상헌 ( Sang Heon Lee ),조철수 ( Chul Soo Cho ),김호연 ( Ho Youn Kim ) 대한류마티스학회 1997 대한류마티스학회지 Vol.4 No.2
Objective: To analyze the effect of clinical and serological variables of SLE on pregnancy outcome and to analyze the effects of pregnancy on the disease course of SLE. Methods: We studied retrospectively about 91 pregnancies in 41 female patients with SLE, who had visted to Kangnam St Mary Hospital from January, 1990 to May, 1996. We divided the patients into two groups, who had been pregnant before SLE was established versus who were pregnant after SLE had been established. We considered the former as control group. We compared the fetal or maternal outcomes after divided the latter into subgroups according to our purposes such as cases with lupus flare versus without lupus flare, autoantibody (+) cases versus (-) cases, cases with renal disease versus without renal disease. Results: The rate of fetal loss, prematurity was 19.7%, 46.9% respectively in 63 cases of 32 patients who were pregnant after SLE had been estabished. The number of pregnancy loss and premature delivery was higher in pregnancy after SLE was established than before SLE was established. Lupus flare was associated with the positivity of antibody to ds DNA and negativity of antibody to Ro. The frequency of fetal loss was higher in pregnancies of antiphospholipid (+) women than those of antiphospholipid (-) women. Pregnancy with renal involvement was associated with short duration of gestation and small body weight of neonate. Conclusion: Lupus pregnancy remains highly risky from a maternal standpoint in terms of increased lupus activity and from fetal outcome standpoint in terms of fetal loss and preterm birth, especially in the antiphosphospholid positive mother.
결핵성 림프절염에 의한 담관 폐쇄 및 문맥압항진증 1 예
김진일,김영수,양진모,이정민,김선명,송동섭,박두호,박진노,장은덕,방춘상,권낙기,오귀염 대한소화기학회 1999 대한소화기학회지 Vol.33 No.3
Common causes of biliary tract obstruction are mostly choledocholithiasis and neoplastic diseases. Enlargement of adjacent lymph nodes due to malignant tumors or lymphoma can occasionally ob struct the biliary duct, but obstructive jaundice and portal hypertension produced by periportal tuber culous lymphadenitis are quite rare. Its diagnosis is difficult because symptoms and signs are non specific and clinical tests are not conclusive. Additionally, the lesion mimic a malignancy clinically and radiologically. However, it is important to differentiate it from malignancy. We describe a patien who presented with jaundice and portal hypertension caused by biliary obstruction due to tuberculous lymphadenitis involving distal portion of the common bile duct.