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손주익(Ju Ik Son),이준희(Jun Hee Lee),이상인(Sang In Lee),정준표(Jun Pyo Lee),송기섭(Kee Sup Song),박진아(Jin A Park),최성우(Sung Woo Choi),이정일(Jung Il Lee),이관식(Kwan Sik Lee),유정식(Jeong Sik Yoo),최승호(Seung Ho Choi),박찬일(Chan 대한소화기학회 2001 대한소화기학회지 Vol.38 No.4
Gastroduodenal intussusception is a rare condition caused by the prolapse of a gastric tumor and subsequent invagination of the gastric wall into the duodenum. The lead point of the intussusception is usually a benign gastric tumor such as adenoma, lipoma, and leiomyoma. Only a small number was attributed to gastric carcinoma, giant solitary gastric heterotopia, Menetrier's disease, and Peutz-Jeghers syndrome. In Korea, only two cases of gastroduodenal intussusception caused by adenoma and by leiomyoma have been reported. We experienced a case of gastroduodenal intussusception caused by gastric carcinoid tumor in a 76-year-old woman. Interestingly, she had been diagnosed as having gastric carcinoid tumor metastasized to the liver 5 years and 3 months before this gastroduodenal intussusception occurred. This rare clinical setting of gastroduodenal intussusception by a rare cause is reported with a review of the literature. (Korean J Gastroenterol 2001;38:288-291)
윤희정(Hee Jung Yoon),지상원(Sang Won Chi),정준표(Jun Pyo Chung),박효진(Hyo Jin Park),김준우(Jun Uh Kim),송기섭(Kee Sup Song),이관식(Kwan Sik Lee),이상인(Sang In Lee),박미숙(Mi Suk Park),윤상욱(Sang Wook Yoon),유정식(Jeong Sik Yu),김기 대한소화기학회 2001 대한소화기학회지 Vol.38 No.2
Primary epiploic appendagitis, an acutely torsed and ischemic colonic epiploic appendages, is a benign condition that may present with peritoneal findings. Until recently, the accurate diagnosis could not be made preoperatively. However, since the advent of more refined imaging modalities, primary epiploic appendagitis may be distinguished preoperatively. This entity is a self limiting disease and thus, the awareness of this entity may help avoid an unnecessary laparotomy. Herein we present 3 cases of primary epiploic appendagitis. The first case of 40-year-old man has not been correctly diagnosed for 6 years even after a laparoscopic examination. The other 2 cases of 29-year-old and 40-year-old men, were diagnosed by CT examinations and managed conservatively. (Korean J Gastroenterol 2001;38:136-140)
남수연,김경욱,김경래,임승길,이현철,허갑범,송기섭,조승현,박병은,허애정,최성우,박우일,송영득 대한내분비학회 2001 Endocrinology and metabolism Vol.16 No.2
Thyrotoxicosis factitia, a syndrome that results from a surreptitious ingestion of excess thyroid hormone, has generally been diagnosed in young or middle-aged women who have psychopathological disturbances. An 18-year-old female was admitted to the hospital 24 hours after taking an overdose of more than 50 tablets of synthyroid (levothyroxine, 5㎎). She had taken 6 to 9 tablets of synthyroid daily for 6 months for the purpose of weight reduction even though she was not overweight. Because of her stuporous mental state and an acute respiratory failure, she was intubated and treated in the intensive care unit. After careful history taking and after her plasma thyroid hormone levels were determined, we diagnosed a thyroid storm that was caused by a thyrotoxicosis factitia. The laboratory results were, T_3 430.0 ng/dL, free T_4 70.0 ng/dL, TSH 0.05 μIU/mL. Her symptoms improved after treatment by steroids and propranolol. She was discharged 8days after admission. Cases of thyrotoxicosis factitia have been reported very infrequently and, there has been no reports of a thyroid storm due to thyrotoxicosis factitia in Korea. We now report a case of a thyroid storm that resulted from thyrotoxicosis factitia that was caused by the ingestion of a massive dose of thyroid hormone that was takan daily for 6 months. We also present a brief review of the relevant literature
Alto ShooterTM 로 조절된 말기 신부전증 환자에서의 다발성 표재성 위전정부 출혈
이상인,이준희,박효진,강진경,한기준,박인서,이세준,정준표,문병수,이관식,송기섭,손주익 대한소화기내시경학회 2001 Clinical Endoscopy Vol.22 No.6
Diffuse or multifocal superficial gastrointestinal bleeding can be treated by endoscopic laser, argon plasma coagulation, heater probe, or electrocoagulation. However, these methods need relatively expensive equipments and clinical experience. Recently, Alto Shooter (Kaigen Co, Ltd, Osaka, Japan) which can spray 100% sodium alginate was developed to control gastrointestinal bleeding as a topical therapy. We herein present a 47-year-old man with end stage renal disease in whom multiple superficial gastric antral bleeding was successfully managed by the use of Alto Shooter. This method is easy and relatively cheap to use and seems to control superficial bleeding effectively from vascular lesions or after endoscopic biopsy.
췌장암과 감별이 필요하였던 비알코올성 만성 췌장염 1예
이상인,강진경,윤동섭,박영년,정재복,이세준,정준표,이관식,송시영,나상규,최병기,송기섭,유정식 대한소화기학회 2000 대한소화기학회지 Vol.35 No.6
Differentiation between chronic pancreatitis and pancreatic cancer is often difficult. Some special types of chronic pancreatitis such as 'non-alcoholic duct-destructive chronic pancreatitis' and 'chronic pancreatitis with diffuse irregular narrowing of the main pancreatic duct' seem to be pancreatic cancer, but show imaging features characterized by the absence of parenchymal atrophy, significant ductal dilatation proximal to the site of stenosis, and the absence of extrapancreatic spread. Recognition of these special types of chronic pancreatitis prior to a definite treatment is important to avoid an unnecessary pancreatic resection. Recently, we experienced a case of non- alcoholic chronic pancreatitis in a 80-year-old man presenting with obstructive jaundice. His radiologic features were similar to those of non-alcoholic duct-destructive chronic pancreatitis. Recognition of this special type of chronic pancreatitis prior to a definitive treatment enabled us to manage this patient optimally.