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윤희정(Hee Jung Yoon),지상원(Sang Won Chi),정준표(Jun Pyo Chung),박효진(Hyo Jin Park),김준우(Jun Uh Kim),송기섭(Kee Sup Song),이관식(Kwan Sik Lee),이상인(Sang In Lee),박미숙(Mi Suk Park),윤상욱(Sang Wook Yoon),유정식(Jeong Sik Yu),김기 대한소화기학회 2001 대한소화기학회지 Vol.38 No.2
Primary epiploic appendagitis, an acutely torsed and ischemic colonic epiploic appendages, is a benign condition that may present with peritoneal findings. Until recently, the accurate diagnosis could not be made preoperatively. However, since the advent of more refined imaging modalities, primary epiploic appendagitis may be distinguished preoperatively. This entity is a self limiting disease and thus, the awareness of this entity may help avoid an unnecessary laparotomy. Herein we present 3 cases of primary epiploic appendagitis. The first case of 40-year-old man has not been correctly diagnosed for 6 years even after a laparoscopic examination. The other 2 cases of 29-year-old and 40-year-old men, were diagnosed by CT examinations and managed conservatively. (Korean J Gastroenterol 2001;38:136-140)
윤희정 ( Hee Jung Yoon ),정준표 ( Jun Pyo Chung ),최승호 ( Seung Ho Choi ),김철식 ( Chul Sik Kim ),강병승 ( Byung Seung Kang ),이태희 ( Tae Hee Lee ),지상원 ( Sang Won Chi ),조준식 ( Jun Sik Cho ),문범수 ( Byoung Soo Moon ),이관식 대한소화기학회 2003 대한소화기학회지 Vol.41 No.2
Background/Aims: The purpose of this study was to evaluate the prognosis of gastric proper muscle (pm) cancer and its prognostic factors to identify a high risk group of patients with recurrence. Methods: Consecutive 154 patients (mean age, 57.6 years; M;
재발성 급성 췌장염을 계기로 발견된 췌장의 미소 Intraducta Papillary Mucinous Tumor 1예
이상인,강진경,지훈상,박영년,정재복,이세준,정준표,이관식,송시영,김기황,지상원,박준균 대한소화기내시경학회 2000 Clinical Endoscopy Vol.20 No.6
Intraductal papillary mucinous tumors (IPMT) of the pancreas is a lesion consisting of mucin-producing cells with neoplastic potential. This unique group of tumors is characterized by duct ectasia, mucin hypersecretion, often extensive papillary intraductal growth, varying degrees of cytologic atypia, and relatively indolent growth. Now IPMT of the pancreas also includes intraductal papillary neoplasms that do not hypersecrete mucin. The clinical presentation of IPMT of the pancreas is characterized by chronic or recurrent attacks of abdominal discomfort often in association with low level pancreatic enzyme elevations. The episodes of pancreatitis due to IPMT of the pancreas are mild in severity. Recently, we was experienced a case of a minute IPMT causing repeated bouts of acute pancreatitis in a 75 year-old man. An endoscopic retrograde pancreatogram revealed a filling defect at the neck of the main pancreatic duct. A near-total pancreatectomy was performed and a minute (3×7 mm) IPMT of borderline malignany was found in a branch duct at the pancreatic head. Surprisingly, despite the resective surgery the patient died of carcinomatosis. 8.5 months after the operation. This case of a minute but aggressive IPMT of the pancreas is herein reported with a review of the relevant literature.