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증례 : 악성 식도협착에 있어 티타늄 제재의 금속제 확장형 인공식도삽관술 최근 경험 5예
손봉준 ( Bong Jun Son ),유종현 ( Jong Hyeon Yoo ),황기은 ( Ki Eun Hwang ),장남수 ( Nam Soo Chang ),김기택 ( Ki Taek Kim ),전우규 ( Woo Kyu Jeon ),정을순 ( Eul Soon Chung ),이상종 ( Sang Jong Lee ) 대한소화기학회 1997 대한소화기학회지 Vol.29 No.6
Endoscopic esophageal endoprosthesis is a safe and effective procedure for the palliative treatment of obstructive esophagogastric malignancy. However, the placement of conventional plastic esophageal endoprosthesis is difficult in some cases and this procedure is associated with significant complications such as perforation, hemorrhage & dysfunction of the prosthesis in the long term. The self-expanding metallic stents offer an attractive alternative to conventional esophageal stents. Ultraflex(TM) esophageal prosthesis is knitted from a single strand of Elastalloy(TM) wire, and undulates to conform with normal esophageal peristalsis, maintaining patency and promoting patients` comfort. Recently developed EsophaCoil(TM) esophageal prosthesis is unique in that it is a simple coil with close loops made from a single flat wire of nickel titanium alloy. Because the radical force of this material is much stronger than stainless steel, expansion time is therefore faster and the stent is able to dilate even extremely resistant strictures. We report our recent experience in five patients with malignant esophageal obstruction palliated with the new self-expandable titanium stent(Ultraflex(TM) and EsophaCoil(TM)).(Korean J Gastroenterol 1997;29:826-835)
황상준 ( Sang Jun Hwang ),손정일 ( Chong Il Sohn ),최효선 ( Hyo Sun Choi ),박정식 ( Jung Sik Park ),박정호 ( Jung Ho Park ),김홍주 ( Hong Joo Kim ),박동일 ( Dong Il Park ),조용균 ( Yong Kyun Cho ),전우규 ( Woo Kyu Jeon ),김병익 ( 대한소화기기능성질환·운동학회 2006 Journal of Neurogastroenterology and Motility (JNM Vol.12 No.2
Although only a few of the patients with severe or intractable constipation become candidates for surgical intervention, various surgical procedures for constipation have been developed since the beginning of the 20th century. The most widely accepted surgical procedure for slow transit constipation is currentlya total colectomy with either ileosigmoidal or ileorectal anastomosis. However, various surgical procedures have been tried until now and end-to-end ileosigmoidostomy with exclusion of the entire colon is one of the bypass surgeries. We present here a case of iatrogenic megacolon that presented with abdominal distension as a long term complication of bypass surgery for a patient with severe constipation. (Kor J Neurogastroenterol Motil 2006;12:166-169)
복부수술 전 젖소초유의 경구투여가 내독소혈증과 TNF-α에 미치는 영향
서현일(Hyun Il Seo),전우규(Woo Kyu Jeon),강진호(Jin Ho Kang),임시영(Si Young Lim),이승세(Seung Sei Lee),손병호(Byung Ho Sohn),류창학(Chang Hak Ryu),신준호(Jun Ho Shin),김흥대(Hung Dai Kim),한원곤(Won Kon Han),오태윤(Tae Yun Oh),우희연(H 대한외과학회 2006 Annals of Surgical Treatment and Research(ASRT) Vol.70 No.6
장재현 ( Jae Hyun Jang ),이수희 ( Su Hee Lee ),성준모 ( Jun Mo Sung ),박정호 ( Jung Ho Park ),김홍주 ( Hong Joo Kim ),조용균 ( Yong Kyun Cho ),손정일 ( Chong Il Sohn ),전우규 ( Woo Kyu Jeon ),김병익 ( Byung Ik Kim ),박동일 ( Dong 대한장연구학회 2012 Intestinal Research Vol.10 No.2
Background/Aims: Conflicting data have been reported about the seasonal variation in flare-up of inflammatory bowel disease (IBD). The aim of this study was to assess the occurrence of seasonal variations in flare-up of IBD in the Korean population. Methods: Patients with IBD, who underwent more than 1 year of follow-up and showed more than 1 episode of flare-up, were included. Flares of disease were refined as follows; receipt of a new prescription and increasing dose of corticosteroids, 5-ASA or immunosuppressant; hospitalized or operated due to development and worsening of symptoms; elevation of inflammatory marker due to worsening of Crohn`s Disease Activity Index (CDAI) or Mayo score. In addition, for patients with more than two episodes of flare-up, they were investigated in a monthly and seasonal pattern. Results: Of 573 patients with IBD, 46 patients with Crohn`s disease and 61 patients with ulcerative colitis were enrolled. There was no association between month of the year and flare of Crohn`s disease (P=0.06) or ulcerative colitis (P=0.58). Further, no association between season of the year and flare of Crohn`s disease (P=0.06) or ulcerative colitis (P=0.68). However, in Crohn`s disease who experience 2 or more flare-ups, symptoms occurred more frequently during winter, especially December (P=0.029). Conclusions: In the Korean population, there was no association of seasonal and monthly variation in flares of Crohn`s disease and ulcerative colitis. However, in Crohn`s disease, individuals with 2 flar-up or more, symptoms occurred more frequently during December. (Intest Res 2012;10:161-167)
속립성 결핵환자에서 간문 임파선염에 의해 발생한 식도 정맥류 출혈 치험
이상종(Sang Jong Lee),김명숙(Myung Sook Kim),전우규(Woo Kyu Jeon),임시영(Si Young Lym),박창영(Chang Young Park),김병익(Byung Ik Kim),김기택(Ki Taek Kim),전경홍(Kyung Hong Jun),박해원(Hae Won Park),유종현(Jong Hyun You),정을순(El Soon 대한소화기학회 1997 대한소화기학회지 Vol.29 No.1
Esophageal variceal hleeding is usually caused by portal hypertension associated with liver cirrhosis. However, it might be caused by lymphadenopathy of porta hepatis in noncirrhotic patient. A 19-year-old student was admitted to this hospital because of profuse hematemesis. He had been treated with anti-tuberculosis agents of miliary tuberculosis during past nine months period. On admission, gastroduodenal fiberscopy revealed esophageal variceal bleeding, Abdominal sono- graphy disclosed nothing remarkable except thickened gallbladder wall, but computed tomography showed low attenuated lymphadenopathy in porta hepatis. Further doppler sonography demonstrated lymphadenopathy of porta hepatis with fibrosis and obliteration of rnain portal vein with collateral circulations. Laparoscopic findings suggested tuberculous peritonitis without any evidence of cirrhosis of the liver. We report a very rare case of variceal bleeding caused by lymphadenopathy of porta hepatis during anti-tubereulous treatment. (Korean J Gastroenterol 1997; 29:122-128)
김정욱 ( Jung Wook Kim ),김시영 ( Si Young Kim ),김창섭 ( Chang Sup Kim ),이준행 ( Jun Haeng Lee ),조용균 ( Yong Kyun Cho ),박창영 ( Chang Young Park ),손정일 ( Chong Il Sohn ),전우규 ( Woo Kyu Jeon ),김병익 ( Byung Ik Kim ),정을 대한소화기기능성질환·운동학회 2002 Journal of Neurogastroenterology and Motility (JNM Vol.8 No.2
N/A Pathogenesis of functional dyspepsia consists of motor abnormality, sensory abnormality, and psychologic abnormality. Anxiety, depression, and psychosomatic disorders are well known psychopathologies that lead to dyspepsia, and stress seems to be an additional etiology. The aim of this study is to assess whether stress can cause and/or provoke dyspepsia. Methods: Functional dyspepsia was defined and classified by Rome criteria. SCL-90-R for the detection of psychopathology, measurement of life stress scale by self-administered questionnaire, and measurement of stress coping mechanisms using a multidimensional stress coping scale test were performed in 79 functional dyspeptic patients and 25 normal controls. Results: No significant difference was found in the total amount of stress between functional dyspeptic patients and the normal control. However, the patients were more stressful about issues relating to health and marital relationship among stresses in individual daily life. As the patients become more stressful, they used more negative copingmechanisms such as restraint, fatalism, criticism, religiousness, and negativism. These seem to provoke several psychopathologies including interpersonal sensitivity, depression, anxiety, hostility. However, there was no relationship in the amount of stress, the stress coping mechanism, and psychopathology among the dyspeptic symptoms and subgroups of functional dyspepsia. Conclusion: There was no difference in the total amount of stress between functional dyspeptic patients and the normal control. In some individuals who utilize inadequate coping mechanisms against stress, the stress can provoke dyspepsia. (Kor ean J our nal of Gastr ointestinal Motility 2002;8:146-152)
배변 자세에 따른 배변조영술에서의 항문직장각 및 회음하수의 변화
조용균 ( Yong Kyun Cho ),김창섭 ( Chang Seop Kim ),구은실 ( Eun Sil Koo ),윤중원 ( Jung Won Yun ),김정욱 ( Jeong Wook Kim ),이준행 ( Jun Haeng Lee ),박창영 ( Chang Young Park ),손정일 ( Chong Il Sohn ),전우규 ( Woo Kyu Jeon ),김 대한소화기학회 2003 대한소화기학회지 Vol.41 No.3
Background/Aims: Pelvic floor location and mobility vary according to the defecation posture. Authors investigated possible effects of the change of defecation posture on the patients with pelvic outlet obstructive constipation among patients with chronic idiopathic constipation. Methods: Subjects included in the study were 32 patients with pelvic outlet obstructive constipation (24 spastic pelvic floor syndrome, 8 perineal descent syndrome). From all the subjects, defecographies of both resting and straining phases were obtained for three different postures (sitting, leg elevating and squatting). Results: In the patients with spastic pelvic floor syndrome, the anorectal angles of straining phase in squatting position were 117.93±3.58캻nd 118.2±4.94?respectively. These values were significantly greater than those measured in sitting position (resting 93.75±6.74?straining 95.17±7.77?and leg elevating position (resting 99.42±4.79?straining 98.67±5.76?(p<0.01, p<0.01, respectively). In addition, in the patients with perineal descent syndrome, perineal descent in squatting position revealed no significant differences compared with sitting and leg elevating positions. Conclusions: In patients with spastic pelvic floor syndrome, squatting position increases the anorectal angle. Although further studies are needed to support our ideas, this study demonstrates that patients with spastic pelvic floor syndrome can have benefit from the Korean traditional defecation posture by increasing the anorectal angle. (Korean J Gastroenterol 2003;41:190-195)
전우규,이상종,정을순,김명숙,배원길,편유장,손봉준,김경수,유영석 대한내과학회 1997 대한내과학회지 Vol.52 No.5
The fibromatosis is a broad group of benign fibrous tissue proliferations of similar microscopic appearance that are intermediate in their biological behavior between benign fibrous lesions and fibrosarcoma. Although various series have been reported of abdominal wall and extra-abdominal desmoid tumors, intra-abdominal desoids are extremely rare. We experienced a case with mesenteric fibroma-tosis occuring in a 30 year-old male. He was admitted to the Kangbuk Samsung hospital complaining of right lower quadrant abdominal mass and abdominal bloating sense. Utrasonography and computed tomography of the abdomen showed a solid mass in the left abdomen surrounded by loops of small bowel. At explorative laparotomy, there was a hard, well circumscribed round mass (25×15×12 cm) in the mesentery of the terminal ilem. After the tumor was dissected from the retro- peritoneum and surrounding tissues, segmental re- section of ileum with end-to-end anastomosis was performed. On the histopathologic examination, it was confirmed as mesenteric fibromatosis. A brief review of the literature on mesentery fibromatosis was done.