http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
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)
베체트 장염에서 발생한 8번과 9번 삼염색체를 동반한 재생불량성 빈혈
정주원 ( Joo Won Chung ),천재희 ( Jae Hee Cheon ),이경주 ( Kyong Joo Lee ),김진석 ( Jin Seok Kim ),장선정 ( Seon Jung Jang ),양우익 ( Woo Ick Yang ),김태일 ( Tae Il Kim ),김원호 ( Won Ho Kim ) 대한소화기학회 2010 대한소화기학회지 Vol.55 No.4
Behcet`s disease is a multisystemic inflammatory disease characterized with recurrent oral ulcer, genital ulcer, and multiple organ involvement. Aplastic anemia is one of the rarest complications of Behcet`s disease. There were only several reports about Behcet`s disease associated myelodysplatic syndrome worldwide. Moreover, aplastic anemia in intestinal Behcet`s disease was rarely reported. Here, we present a case of aplastic anemia with trisomy 8 and trisomy 9 in intestinal Behcet`s disease and a review of the literatures. To the authors` knowledge, this is the first case ever reported in Korea. (Korean J Gastroenterol 2010;55:256-260)
한국인 베체트 장염 환자에서 Thalidomide의 치료 경험: 단일 기관의 초기 경험
이현정 ( Hyun Jung Lee ),천재희 ( Jae Hee Cheon ),이경주 ( Kyong Joo Lee ),장희원 ( Hui Won Jang ),정규식 ( Kyu Sik Jung ),정은석 ( Eun Suk Jung ),이진하 ( Jin Ha Lee ),전승민 ( Seung Min Jeon ),홍성필 ( Sung Pil Hong ),김태일 ( T 대한장연구학회 2010 Intestinal Research Vol.8 No.1
Intestinal Behcet’s disease (BD) often leads to severe complications, such as perforation or massive bleeding, and therefore is one of the major causes of morbidity and mortality. As thalidomide has been identified and its anti-inflammatory and immunomodulatory properties clarified, this drug has been used in cases of systemic BD with some success. Herein we report a case series of four patients with intestinal BD to share our clinical experience with thalidomide treatment. We studied the effects of thalidomide in four patients who had a chronic relapse of intestinal BD requiring the frequent use of systemic steroids due to refractoriness to prior treatments, such as 5-aminosalycylic acid and immunosuppressants. Pre- and post-treatment clinical and laboratory data, including clinical symptoms, laboratory data, disease activity index for intestinal BD, and thalidomide toxicity were recorded. Three of the four patients had a clinical and radiologic improvement after thalidomide treatment and all of the patients discontinued steroid therapy. Although two patients tolerated thalidomide, two patients could not continue the treatment because they suffered from edema and neutropenia. Thalidomide could be considered a therapeutic option for the treatment of intestinal BD. (Intest Res 2010;8:63-69)
종례 : 간 종괴로 오인된 우측 심부전에 의한 간 울혈 1예
신동호 ( Dong Ho Shin ),이명하 ( Myoung Ha Lee ),김도영 ( Do Young Kim ),이경주 ( Kyong Joo Lee ),박준용 ( Jun Yong Park ),안상훈 ( Sang Hoon Ahn ),한광협 ( Kwang Hyub Han ),전재윤 ( Chae Yoon Chon ) 대한소화기학회 2010 대한소화기학회지 Vol.56 No.4
This report describes a patient with hepatic congestion due to right heart failure mimicking liver tumor. The patient had a history of breast cancer and left total mastectomy 30 years ago, tricuspid valve regurgitation and tricuspid valve replacement 4 years ago. Three years ago, abdominal contrast-enhanced computed tomography (CT) was performed to evaluate inguinal hernia, which revealed multiple small hepatic nodules. After 1 year, the number and size of liver nodules were increased in CT scan. The patient underwent gun biopsy and histopathology revealed sinusoid enlargement. The patient recently had jaundice, abdominal distension, and peripheral edema. Liver dynamic CT scan was done to evaluate the palpable liver. The number and size of liver nodules were more increased in CT than 2 years ago. In magnetic resonance imaging (MRI), numerous variable sized ill-defined nodules replacing entire liver with progressing centripetal enhancement, which were suggestive of malignancy such as angiosarcoma, were noted. MRI finding suspects malignancy or hemangiosarcoma. Finally, the patient received repeated gun biopsy, and histopathology revealed findings compatible with hepatic congestion. (Korean J Gastroenterol 2010;56:264-267)