http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
크론병과 장결핵의 감별에 있어 특징적인 대장내시경 소견
제인수 ( In Soo Je ),이상혁 ( Sang Hyuk Lee ),정은욱 ( Eun Uk Jung ),강명주 ( Myoung Joo Kang ),박상원 ( Sang Won Park ),최바울 ( Pa Ul Choi ),김지현 ( Ji Hyun Kim ),박성재 ( Sung Jae Park ),지삼룡 ( Sam Ryong Jee ),박은택 ( Eun T 대한장연구학회 2007 Intestinal Research Vol.5 No.2
Background/Aims: The incidence of Crohn``s disease (CD) is on the increase in Korea. The differentiation of Crohn``s disease from intestinal tuberculosis (IT) is difficult. The aim of this study is to determine the characteristics of colonoscopic findings and factors that differentiate CD from IT. Methods: A total of 136 patients who were diagnosed with CD or IT at the Busan Paik Hospital from January 1995 to May 2005 were included in this study. We analyzed endoscopic findings, clinical characteristics and histological findings of 75 patients with CD and 61 patients with IT retrospectively. Results: For patients with IT, 18 (58.1%) of the patients had circular ulcers. For patients with CD, 27 (42.1%) of the patients had transverse ulcers, 18 (28.1%) of the patients had longitudinal ulcer, and 19 (29.6%) of the patients had both types of ulcers. The involvement of the ileocecal valve was noted in 18 (58.0%) of the patients with CD and in 37 (57.8%) of the patients with IT. The involvement of the rectum or anus was noted in 24 (51.5%) of the patients with CD and one (3.2%) patient with IT. Conclusions: According to previous studies, the presence of an ulcer was important to differentiate CD from IT. However, the presence of an ulcer was not a significant differentiating factor in our study. On colonoscopic findings, involved segments, an aphthous ulcer, cobblestone appearance, involvement of the rectum or anus and mucosal bridge should be observed carefully. (Intest Res 2007;5:158-164)
이재영 ( Chae Yong Yi ),나경준 ( Gyoung Jun Na ),백현철 ( Hyun Choul Baek ),김정훈 ( Jeong Hoon Kim ),배상훈 ( Sang Hun Bae ),김동현 ( Dong Hyun Kim ),제인수 ( In Soo Je ),권병표 ( Byoung Pyo Kwon ) 대한소화기학회 2008 대한소화기학회지 Vol.51 No.1
Although most of pseudocysts as one of complications of pancreatitis occur primarily within the pancreas, the extrapancreatic locations of pseudocysts, especially in the liver, are rare events. With advanced technology of imaging studies including abdominal computed tomography, ultrasonography, and magnetic resonance imaging, their frequency seems to be increasing. We report here a case of left intrahepatic pancreatic pseudocyst following acute pancreatitis. Percutaneous puncture revealed a high level of amylase and lipase in the collection, confirming the diagnosis of intrahepatic pseudocyst. Symptomatic intrahepatic pseudocysts can be managed surgically, transcutaneously or endoscopically, and asymptomatic intrahepatic pseudocysts can be treated conservatively. We report this case with a review of literature. (Korean J Gastroenterol 2008;51:56-59)
증례 : 소화기 ; 간내 담관암 환자에서 발생한 간기관지루 1예
김정훈 ( Jeong Hoon Kim ),배상훈 ( Sang Hoon Bae ),배영석 ( Young Seok Bae ),이광재 ( Kwang Jae Lee ),홍준호 ( Jun Ho Hong ),윤정빈 ( Jeong Bin Yoon ),제인수 ( In Soo Je ) 대한내과학회 2009 대한내과학회지 Vol.77 No.5S
저자들은 고열과 가래 그리고 객혈을 주소로 내원한 간내담관암 환자에서 화농성 간병변으로부터 간기관지루가 형성된 것을 농양조영술을 통해 확인하였고, 경피적 배농술과 항생제 치료로 증상을 호전시켰다. 이후 간내 담관암이 인접장기로 전이되어 보존적 수술을 시행하였고, 수술 후 특이 증상의 호소 없이 지내다가 담관염과 폐렴을 동반한 패혈증으로 인해 사망에 이르게 된 1예를 경험하였기에 문헌고찰과 함께 이를 보고하는 바이다. We report an uncommon hepatobronchial fistula in a patient with a liver abscess and cholangiocarcinoma. A 66-year-old man was admitted because of a fever, right upper quadrant pain, and hemoptysis with a fishy smell. At admission, computed tomography showed an intrahepatic abscess located near the dome. Diagnostic percutaneous transhepatic cavitography disclosed a hepatobronchial fistula and a biopsy revealed intrahepatic cholangiocarcinoma. After antibiotic therapy and percutaneous drainage of the hepatic abscess for 5 weeks, his symptoms disappeared. However, he died of sepsis from cholangitis and pneumonia despite surgery and intensive medical treatment. (Korean J Med 77:S1137-S1141, 2009)
제인수,허민영,문치숙,이재호,정수룡,조길현,이영민,김대경,김두일,김동수 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.3
Coronary artery aneurysms are detected with increasing frequency because of the routine use of coronary angiography in the diagnosis and management of coronary artery disease. Although some coronary artery aneurysms are congenital or inflammatory, most are atherosclerotic. The prognosis of atherosclerotic coronary artery aneurysm may depend on the morphology of the aneurysm or the presence of coexisting obstructive disease. Coronary artery aneurysms have been also reported to occur after ballon angioplasty, directional athrectomy, laser angioplasty, and stent implantation with a frequency of 2% to 4%. The long-term outcome of post-intervention coronary artery aneurysm is unknown. We report two cases of the development of a coronary aneurysm 6 months after stent implantation as a treatment of severe obsructive coronary artery disease.
Guillain-Barre Syndrome 환자에서 발생한 항이뇨 호르몬 분비 이상 증후군(SIADH) 1예
김재환,김기훈,제인수,김태희,김양욱,김영훈,김상진 대한내과학회 2004 대한내과학회지 Vol.66 No.4
저자들은 Guillain-Barre syndrome 환자에서 입원 도중 다른 가능한 유발 요인 없이 SIADH가 발생하였고, GBS을 치료하는 동안 수분섭취 제한만으로 회복된 SIADH를 경험하였기에 문헌고찰과 함께 보고하는 바이다. SIADH was first described by Schwartz and colleagues in 2 patients with bronchogenic lung carcinoma as early as 1957. The main features of the syndrome consist of hyponatremia and hypotonicity, absence of fluid volume depletion, inappropriate urinary osmolality, increased urinary sodium excretion while on normal salt and water intake, and absence of thyroid, adrenal, pituitary or renal dysfunction. The Guilain-Barre Syndrome (GBS) is an acute inflammatory demyelinating polyradiculoneuropathy of unknown etiology. It occurs frequently one to three weeks after a banal antecedent respiratory or gastrointestinal infection. SIADH is associated with various condition such as malignant tumors, infection, central nervous system disorders, and different pharmacological agents. SIADH is observed in up 26% of patients with Guillain-Barre Syndrome (GBS). We report a case of GBS with SIADH.
상부 위장관 출혈로 발현된 십이지장 양성 기질 종양 1예
정명교,박은택,이원동,김재환,이상헌,김기훈,배경임,제인수,이상혁,설상영,정정명 白中央醫療院 2004 仁濟醫學 Vol.25 No.1
Small bowel tumors comprise less than 5% of gastrointestinal neoplasm. Because of their rarity, a correct diagnosis is very difficult and often delayed. Gastrointestinal stromal tumors(GIST) are spindle cell tumors occuring mainly in adults with 5-year survivals of 50-56% and 10-year survivals of 35-43%. It is difficult that we concluded clinical manifestation of GIST. At the time of diagnosis, we already consider metastatic lesions as malignancy, which is suggested poor prognosis. Patients frequently complain vague intermittent abdominal pain. Occasionally they experience severe colicky pain because of tumor-induced partial intestinal obstruction. Factors playing a prominent role in predicting their biological behavior are tumor site, size, and degree of mitotic activity. Recently, we experienced one case of duodenal benign GIST in a 23-year-old woman who had epigastric pain and intermittent melena, so we report it with a review of the literature.
정은욱,지삼룡,이영태,박지훈,김동기,제인수,채두근,박성재,박은택,이연재,이상혁,설상영,정정명 白中央醫療院 2005 仁濟醫學 Vol.26 No.1
Afferent loop syndrome is an uncommon complication of a gastrectomy and Billroth Ⅱ reconstruction. It may cause symtoms at any time from the first postoperative day to many years after the gastrectomy. Afferent loop syndrome is characterized by abdominal pain, vomiting and elevation of serum amylase. Thus, it is difficult to differentiate afferent loop syndrome from other cause of acute pancreatitis. However, the history of gastrectomy can be an important clue for diagnosing afferent loop syndrome. We experienced one case of chronic afferent loop syndrome with acute pancreatitis. After appropriate management, the abdominal pain disappeared and serum amylase level decreased. We report this case with a review of relevant literatures.
이상헌,김동수,김재환,이원동,정명교,김태희,배경임,제인수,김기훈,김대경,김두일 白中央醫療院 2004 仁濟醫學 Vol.25 No.1
Pulmonary artery aneurysms are a rare anomaly and associated with poor outcome. We understand poorly about the pathogenesis and natural history of pulmonary artery aneurysm, but pulmonary hypertension is one of the major cause. Because the rupture of aneurysms is a life-threatening event, surgical correction is still the treatment of choice. A mediastinal widening or vascular dilatation in chest radiography often is similar to the finding of aortic dissection. We report a case of a 52-year-old man with generalized edema. He had diagnosed a schizophrenia. A computed tomography, transthoracic echocardiography and cardiac catheterization showed aneurysmal dilatation of the trunk and left main pulmonary arteries, infundibular pulmonary stenosis. After conservative treatment, he has a routine follow-up at out-patient-department.