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이헌남,김의주,박성근,서미령,이종준,이영준,오경용,박동균 대한소화기내시경학회 2010 Clinical Endoscopy Vol.41 No.3
Colonoscopy is a relatively safe tool for diagnosis and treatment of colorectal disease. But colonic perforation during colonoscopy is a severe complication and sometimes becomes a life-threatening condition. It occurs with a frequency of 0.07% among patients having diagnostic colonoscopy and in up to 0.40% of patients having therapeutic colonoscopy. In these cases, surgical treatment is needed but endoscopic repair and conservative management could reduce the need for immediate operations. Endoscopic clipping has been the principal method for non-operative treatment of iatrogenic colonic perforation, but it has important limitations. One of them is that it is technically difficult to clip when the angle of approach is tangential. Here we report a case of an iatrogenic colonic perforation treated with endoscopic band ligation rather than endoscopic clipping, because of approach difficulties. 대장내시경은 비교적 안전한 검사이나 드물게 발생하는 대장천공이 문제가 될 수 있다. 대장천공의 치료에 있어서 고전적인 방법인 수술 대신 내시경 클립술을 이용한 보존적인 치료에 대한 연구가 이어지고 있으나 클립의 구조적인 한계 및 내시경과 천공부위가 이루는 각도로 인해 클립술이 어려운 경우가 있다. 저자들은 내시경과 천공부위가 평행하여 클립술이 어려웠던 구불결장 천공 환자에서 밴드 결찰술을 시행하여 봉합에 성공하였으며 이를 문헌고찰과 함께 보고한다.
자동 복막투석 환자에서 Leclercia adecarboxylata로 인한 복막염 1예
이헌남 ( Heon Nam Lee ),박진웅 ( Jin Woong Park ),김형수 ( Hyung Soo Kim ),박순호 ( Soon Ho Park ),장제현 ( Jae Hyun Chang ),정우경 ( Woo Kyung Chung ),이현희 ( Hyun Hee Lee ),서일혜 ( Yiel Hae Seo ),김세중 ( Se Joong Kim ) 대한신장학회 2009 Kidney Research and Clinical Practice Vol.28 No.6
Peritonitis in patients undergoing peritoneal dialysis is a major complication and the leading cause of peritoneal dialysis failure. Leclercia adecarboxylata is a motile, gram-negative, facultative anaerobic bacillus of the Enterobacteriaceae family. These bacteria are uncommon pathogen, and rarely isolated from environmental and clinical specimens. Some cases have been reported about peritonitis due to Leclercia adecarboxylata in a patient receiving continuous ambulatory peritoneal dialysis (CAPD). However, there has never been any report about peritonitis in a patient receiving automated peritoneal dialysis (APD). We have isolated Leclercia adecarboxylata from peritoneal fluid in a patient receiving APD, and the patient completely recovered with 14-day treatment of intraperitoneal antibiotics without catheter removal.
증례 : 소화기 ; 흑색변을 주 증상으로 내원한 Cameron 궤양
이헌남 ( Heon Nam Lee ),정준원 ( Jun Won Chung ),김윤재 ( Yoon Jae Kim ),김의주 ( Eui Joo Kim ),박성근 ( Sung Keun Park ),오경용 ( Kyong Yong Oh ),이영준 ( Young Jun Lee ) 대한내과학회 2012 대한내과학회지 Vol.82 No.5
Cameron ulcers are gastric ulcers or erosions located at mucosal folds in patients with large hiatal hernias. Mechanical trauma, gastric acid injury, or ischemia can cause their formation. Cameron ulcers are frequently seen as incidental findings during upper gastrointestinal endoscopy. About half of patients with these lesions are asymptomatic. However, Cameron ulcers are related to iron deficiency anemia and gastrointestinal bleeding in some cases. Here, we report a case of Cameron ulcers presenting with melena, which was successfully treated with proton pump inhibitors and iron supplementation. (Korean J Med 2012;82:585-588)
장성수,이헌남 漢陽大學校 學生生活硏究所 1992 大學生活硏究 Vol.10 No.-
This study supposed that motivation of helping would be different according to social and cultural background, that is, egoism or altruism. Based on difference of helping motivation, it was proposed that content of egoistic helping was fairness and content of altruistic helping was fraternity in which were social values. The nature of helping behavior were classified in term of these two different social values. Therefore, the previous results of helping research reilluminated based on conceptual framework proposed in this study. Also, it was understood previous findings of helping study conducted in different concern in terms of one meaningful framework. According discussion in this study, the limitations of previous helping research were discussed and were proposed further research.
Granulicatella adiacens 심내막염 1예
서미령,박윤수,김의주,이헌남,오경용,서일혜,최창휴 대한감염학회 2010 Infection and Chemotherapy Vol.42 No.5
Granulicatella species are nutritionally variant streptococci first described in 1961. Granulicatella species form a part of the normal flora of the oral cavity, genitourinary tract, and intestinal tract. These micro-organisms cause bacteremia or local infections such as endocarditis, central nervous system infections, arthritis, and osteomyelitis. Since isolation of Granulicatella species is difficult, only a few cases of infection caused by this microorganism have been reported. Herein, we report a case of endocarditis caused by Granulicatella adiacens in a 46-year-old patient with ventricular septal defect.
유전자 6형 만성C형간염 환자의 유병률과 위험인자 그리고 임상적 특징: 단일기관 경험
신승각 ( Seung Kak Shin ),박수용 ( Soo Yong Park ),정영걸 ( Young Kul Jung ),김의주 ( Eui Joo Kim ),이헌남 ( Heon Nam Lee ),이종준 ( Jong Joon Lee ),권오상 ( Oh Sang Kwon ),최덕주 ( Duck Joo Choi ),김연수 ( Yun Soo Kim ),김주현 ( 대한소화기학회 2015 대한소화기학회지 Vol.65 No.2
Background/Aims: Hepatitis C genotypes 1 and 2 are widely distributed globally. In contrast, genotype 6 is found mainly in Southeast Asia, while genotype 6 is rare in Korea. This study aims to investigate the prevalence, risk factors and clinical characteristics of patients with genotype 6 chronic hepatitis C. Methods: We retrospectively identified 133 HCV-infected patients who underwent HCV genotype analysis between January 2012 and December 2012, and analyzed the prevalence, risk factors and clinical characteristics of patients diagnosed with genotype 6 chronic hepatitis C. Results: Among 133 patients, 53 patients (39.8%) were infected with genotype 1, 62 patients (46.6%) with genotype 2, 2 patients (1.5%) with genotype 3, 14 patients (10.5%) with genotype 6, and 2 patients (1.5%) with mixed genotypes (genotype 1 and 6). The risk factors associated with genotype 6 were acupuncture (n=4, 28.6%), intravenous drug use (n=3, 21.4%), tattoo (n=2, 14.3%), and transfusion (n=2, 14.3%). Of the 14 patients with genotype 6, 6 patients were treated with pegylated interferon and ribavirin. Five patients had reached the end of treatment. All patients reaching end of treatment for genotype 6 showed early virological response and sustained virological response. Conclusions: The prevalence of genotype 6 is 10.5% and mixed infections of genotype 1 and 6 are 1.5% in patients with chronic hepatitis C. A major potential risk factor is intravenous drug use and the treatment response rate to pegylated interferon plus ribavirin is high in patients with genotype 6 chronic hepatitis C. Large scale multicenter studies are needed.