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구연 / 제 1 회의장 / 위장관 15 : Indomethacin 과 Meloxicarn 이 위손상과 혈장 중양괴사인자 alpha 에 미치는 영향
추교영(K . Y . Choo),최명규(M . G . Choi),문성배(S . B . Moon),김성수(S . S . Kim),김재광(J . K . Kim),한석원(S . W . Han),최규용(K . Y . Choi),정인식(I . S . Chung),정규원(K . Y . Chung),선희식(H . S . Sun),이성희(S . B . Moon) 대한소화기학회 1999 대한소화기학회 추계학술대회 Vol.1999 No.-
Parkinson 씨 병 환자에서 발생한 대장 가성폐색증 1 예
추교영(Kyo Young Choo),최명규(Myung Gyu Choi),최황(Hwang Choi),방춘상(Choon Sang Bhang),최규용(Kyu Yong Choi),정인식(In Sik Chung),정규원(Kyu Won Chung),선희식(Hee Sik Sun) 대한소화기기능성질환·운동학회 2001 Journal of Neurogastroenterology and Motility (JNM Vol.7 No.2
Colonic pseudo-obstruction (CPO) is a syndrome characterized by obstructive symptoms and signs without mechanical obstruction. Parkinson's disease is one of the various clinical situations developing CPO. Recently, one study group reported that neostigmine was significantly more effective than placebo in rapidly decreasing colonic dilatation in the majority of patients with acute CPO. We experienced a 69-year-old male patient with Parkinson's disease who complained abdominal distension. There was a marked colonic dilatation on plain abdominal radiographs without mechanical obstruction. Colonic dilatation failed to improve with conservative management. Immediate clinical response was achieved after patient received 2.0 mg of neostigmine intravenously under monitoring by electrocardiography. One month later, he had recurrent colonic dilatation, but no clinical response to second administration of neostigmine, leading to colonic decompression. After a third recurrence of colonic dilatation, the patient was refractory to conservative management, and he underwent surgical treatment. (Korean Journal of Gastrointestinal Motility 2001;7:251-256)
다발성 장간막정맥 혈전증과 간문맥 혈전증에 동반된 장경색증
추교영(Gyo Young Chu),최상욱(Sang wook Choi),양진모(Jin Mo Yang),윤인재(In Chae Yun),안리숙(Li Suk An),이동수(Dong Soo Lee),노희정(Hee Jeong Ro),송경섭(Kyung Sup Song) 대한소화기학회 1996 대한소화기학회지 Vol.28 No.3
Mesenteric vein thrombosis is an infrequently recognized and rarely reported disease due to its very low incidence and vague clinical symptom. It is appreciated that occlusion of the mesenteric veins not only may complicate a number of disease process, but also may occur without apparent coexisting disease. This disease is common in sixth and seventh decades with 81% of the older patients having associated illnesses. The early diagnosis and prompt surgical intervention with the addition of anticoagulants seem to improve survival rate and to reduce recurrence in spite of high mortality of the disease. We experienced a 58-year old man complaining of diffuse abdominal pain and anorexia, and he was diagnosed as having multiple mesenteric vein thrombosis associated with liver cirrhosis comfirmed by ultrasonogram and CT scan of abdomen. Inspite of intensive medical care, he died due to gastrointestinal bleeding and metabolic acidosis. We present this case with a review of the related literature. (Korean J Gastroenterol 1996;28:426-432)