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비수술적으로 치료하였던 급성 췌장염에 합병된 가성동맥류
이현정 ( Hyun Jeong Lee ),강천일 ( Cheon Il Kang ),김태석 ( Tae Seok Kim ),조창민 ( Chang Min Cho ),탁원영 ( Won Young Tak ),권영오 ( Young Oh kseon ),김성국 ( Sung Kook Kim ),최용환 ( Yong Hwan Choi ),정준모 ( Joon Mo Chung ) 대한소화기학회 2002 대한소화기학회지 Vol.40 No.6
Pseudoaneurysm is a rare life-threatening complication of acute and chronic pancreatitis. Pseudoaneurysm can lead to a massive gastrointestinal bleeding into the abdominal cavity, the retroperitoneum, or the gastrointestinal tract. It can be diagnosed by various imaging modalities including computerized tomography, ultrasound, and angiography. Percutaneous transvascular embolization of the pseudoaneurysm is one of the alternative treatment methods. We report a case in which the pseudoaneurysm due to acute pancreatits was managed by percutaneous transvascular embolization with steel coil. (Korean J Gastroenterol 2002;40:406-409)
김성국,조재현,정준모,최용환,최정일,권영오,금민수,탁원영 대한소화기학회 1999 대한소화기학회지 Vol.34 No.1
Background/Aims: Muscle cramps are observed frequently in the course of liver cirrhosis. We studied the prevalance and clinical features and associated factors of muscle cramps in cirrhotic patients. Methods: We performed a cross-sectional survey for 65 cirrhotic patients with a standardized questionnaire and laboratory tests. Results: The prevalence of muscle cramps in the patients with cirrhosis was 46% (30/65). Muscle cramps occurred frequently during sleep (60%) and involved calves (70.0%), hands (63.3%), thighs (43.3%) and feet (33.3%). There were no significant differences in sex, age, etiology of cirrhosis, alcohol intake and diuretics use between cirrhotic patients with and without cramps. However, the group with cramps have more tense ascites, lower serum albumin level, higher serum total bilirubin level and higher Child's score. They also have higher blood pH level, lower mean arterial pressure, lower serum sodium level and lower total calcium level. However, ionized calcium level was similar in both group. Conclusions: The prevalence of muscle cramps in cirrhotic patients is 46%. Muscle cramps in cirrhotic patients may not be related to diuretics or alcohol intake. The deranged metabolism due to impairment of hepatic function and decreased effective plasma volume can be related to muscle cramps multifactorially.
김성국,김태석,최용환,조창민,권영오,정준모,이현정,강천일,탁원상 대한소화기내시경학회 2001 Clinical Endoscopy Vol.22 No.6
Sigmoid volvulus is a unfrequent cause of colon obstruction in Korea. Colonoscopic reduction and decompression is the preferred initial treatment of patients with sigmoid volvulus who do not have signs of bowel strangulation because of the high mortality associated with emergency surgery. We experienced a case of sigmoid volvulus in a 60-year-old male who presented with constipation, abdominal distension and abdominal pain. Sigmoid volvulus was diagnosed by simple abdominal film and he had taken successful emergency colonoscopic reduction of sigmoid volvulus, We report our experience & reviews the literature on the use of the colonoscope to treat sigmoid volvulus.