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이경주 ( Kyong Joo Lee ),유진세 ( Jin Sae Yoo ),전호성 ( Ho Sung Jeon ),조승국 ( Sung Kook Cho ),이지현 ( Ji Hyun Lee ),하성삼 ( Sung Sam Ha ),조미연 ( Mee Yon Cho ),김재우(교신저자) ( Jae Woo Kim ) 대한소화기학회 2015 대한소화기학회지 Vol.66 No.3
We report a case of a 61-year-old man who presented with a cough and abdominal discomfort. CT scan of the chest showed two lesions across both lungs, and an abdominal CT scan revealed multiple hypodense lesions in the spleen with cystic lesions on the splenic hilum. Upper gastrointestinal tract endoscopy found creamy yellowish discharge through a fistula between the stomach and splenic hilum. Under fluoroscopic guidance, forceps was inserted into the fistula tract, and forcep biopsy was done. The pathology was consistent with tuberculosis, and a nine-month anti-tuberculosis medication regimen was started. Imaging performed three months after finishing medication indicated improvement of splenic lesions, and the gastro-splenic tract was sealed off. This case is a very rare clinical example of secondary splenic tuberculosis with a gastro-splenic fistula formation in an immunocompetent patient. (Korean J Gastroenterol 2015;66:168-171)
성재호 ( Jae Ho Seong ),유진세 ( Jin Sae Yoo ),이경주 ( Kyong Joo Lee ),박홍준 ( Hong Jun Park ),김희만 ( Hee Man Kim ),김재우 ( Jae Woo Kim ),김현수 ( Hyun Soo Kim ) 대한소화기학회 2016 대한소화기학회지 Vol.68 No.2
Background/Aims: There are no established guidelines for bowel preparation formulation for bowel cleansing, nor is there an optimal method of dealing with inadequate bowel cleansing. This study investigated bowel preparation formulation preferences and responses to bowel preparation situations using surveys. Methods: The study surveyed 221 Korean lower gastrointestinal endoscopists from January to March 2015 and assessed their responses. Results: The analysis indicated that 2-L polyethylene glycol (PEG) plus ascorbic acid (Asc) was the preferred method (76.5%) and most responders expressed satisfaction with the formulation in both potency and safety. To address poor bowel preparation on the day of colonoscopy, the majority of physicians chose to order ingestion of additional preparations and proceed with the colonoscopy as scheduled (56.6%). In addition, concerns about renal safety and electrolyte stability were raised regarding oral sodium phosphate. Conclusions: This study found that 2-L PEG+Asc was preferred for potency and safety, and that Korean endoscopists preferred to proceed with colonoscopy in poor bowel preparation situations rather than choose an alternate diagnostic modality. (Korean J Gastroenterol 2016,68:70-76)
복강경 담낭절제술 10년 경과 후 외과용 클립에 의해 발생한 총담관결석
하성삼 ( Sung Sam Ha ),임유리 ( Yoo Ri Lim ),이지현 ( Ji Hyeon Lee ),심정한 ( Jeong Han Sim ),유진세 ( Jin Sae Yoo ),이경주 ( Kyong Joo Lee ),김동현 ( Dong Hyun Kim ),김재우 ( Jae Woo Kim ) 대한췌장담도학회 2015 대한췌담도학회지 Vol.20 No.1
Rarely, surgical clips can migrate into the biliary tract after laparoscopic cholecystectomy and work as a nidus for biliary stone formation. We report a case of the development of a common bile duct (CBD) stone induced by surgical clip in a 57-yearold man who underwent laparoscopic cholecystectomy 10 years ago. On computed tomography, a CBD stone with a metallic material was found, and endoscopic retrograde cholangiopancreatography (ERCP) revealed a CBD stone including a metallic clip. The stone was removed completely by ERCP, and the surgical clip was found along with the stone.