http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
증례 : 순환기 ; 우 관상동맥 기형과 동반된 운동 중 급성 심장사 1예
차민섭 ( Min Seob Cha ),윤세정 ( Se Jung Yoon ),홍석민 ( Seok Min Hong ),곽민섭 ( Min Seob Kwak ),최유리 ( Yu Ri Choi ),정상완 ( Sang Wan Chung ),김진배 ( Jin Bae Kim ) 대한내과학회 2011 대한내과학회지 Vol.80 No.2S
35세 이하에서 급성 심장사를 일으키는 원인 중 하나인 관상동맥 기형의 진단에 있어 관상동맥 조영술, 심장초음파 등이 이용되어 왔고 최근 MDCT의 도입으로 대혈관과의 관계, 주행 방향 등을 더 정확하게 진단할 수 있게 되었다. 저자들은 운동 후 발생한 급성 심정지를 주소로 내원한 환자를 MDCT를 이용하여 우 관상동맥 기시 이상을 진단하고 수술적 치료를 한 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. There are many causes of sudden cardiac arrest. The main cause of sudden cardiac death (SCD) is coronary heart disease. However, the frequency of coronary heart disease is much lower in sudden cardiac arrest occurring below the age of 30-40. Congenital anomalous origin of the coronary arteries is a rare, but well-described, cause of myocardial ischemia and sudden death in young adults. Here, we report the case of a 23-year-old man with sudden cardiac arrest due to ventricular fibrillation associated with an anomalous origin of the right coronary artery. The patient was diagnosed using multi-detector computed tomography and successfully treated with surgical correction. (Korean J Med 2011;80:S178-S182)
폴립 절제 후 추적대장내시경검사 진료지침 개정안 2022
김수영 ( Su Young Kim ),곽민섭 ( Min Seob Kwak ),윤순만 ( Soon Man Yoon ),정윤호 ( Yunho Jung ),김정욱 ( Jong Wook Kim ),부선진 ( Sun-Jin Boo ),오은혜 ( Eun Hye Oh ),전성란 ( Seong Ran Jeon ),남승주 ( Seung-Joo Nam ),박선영 ( Seon 대한소화기학회 2022 대한소화기학회지 Vol.80 No.3
Colonoscopic polypectomy is effective in decreasing the incidence and mortality of colorectal cancer (CRC). Premalignant polyps discovered during colonoscopy are associated with the risk of metachronous advanced neoplasia. Postpolypectomy surveillance is the most important method for managing advanced metachronous neoplasia. A more efficient and evidence-based guideline for postpolypectomy surveillance is required because of the limited medical resources and concerns regarding colonoscopy complications. In these consensus guidelines, an analytic approach was used to address all reliable evidence to interpret the predictors of CRC or advanced neoplasia during surveillance colonoscopy. The key recommendations state that the high-risk findings for metachronous CRC following polypectomy are as follows: 1) adenoma ≥10 mm in size; 2) 3-5 (or more) adenomas; 3) tubulovillous or villous adenoma; 4) adenoma containing high-grade dysplasia; 5) traditional serrated adenoma; 6) sessile serrated lesion (SSL) containing any grade of dysplasia; 7) serrated polyp of at least 10 mm in size; and 8) 3-5 (or more) SSLs. More studies are needed to fully comprehend the patients who are most likely to benefit from surveillance colonoscopy and the ideal surveillance interval to prevent metachronous CRC. (Korean J Gastroenterol 2022;80:115-134)
Press-through Package에 의한 소장 천공 1예
김중석 ( Jung Seok Kim ),차재명 ( Jae Myung Cha ),곽민섭 ( Min Seob Kwak ),윤진영 ( Jin Young Yoon ),전정원 ( Jung Won Jeon ),신현필 ( Hyun Phil Shin ),주광로 ( Kwang Ro Joo ),이정일 ( Joung Il Lee ),김혜영 ( Hye Young Kim ) 대한소화기학회 2017 대한소화기학회지 Vol.70 No.5
With an increased use of the press-through package (PTP) tablet, there has also been an increase in mis-swallowing cases, especially in elderly patients. We report a rare case of PTP-induced small bowel perforation and fistula formation with adjacent small bowel in a healthy elderly patient, who experienced persistent abdominal pain of unknown cause. A 62-year-old healthy man was admitted to our hospital with left abdominal pain that started one month ago. Neither abdominal tenderness nor rebound tenderness was present on physical examination. His vital signs and all other test results were within normal limits. However, a 2.5 cm curved radiopaque material within his thickened small intestine was incidentally detected on an abdominal computed tomography. He underwent laparoscopic small bowel resection, which revealed foreign body in the distal small intestine. Edema, perforation, and adhesions with the surrounding tissues were also noticed in the distal small intestine. Foreign body was turned out to be PTP, and this was considered to be responsible for the small bowel perforation and fistula formation. Precautions regarding PTP usage are necessary to prevent inadvertent PTP ingestion and its related complications, such as perforation, especially in the elderly population. (Korean J Gastroenterol 2017;70:261-264)
홍인택 ( In Taik Hong ),차재명 ( Jae Myung Cha ),기혜진 ( Hye Jin Ki ),곽민섭 ( Min Seob Kwak ),윤진영 ( Jin Young Yoon ),신현필 ( Hyun Phil Shin ),전정원 ( Jung Won Jeoun ),최성일 ( Sung Il Choi ) 대한소화기학회 2017 대한소화기학회지 Vol.69 No.5
Small bowel obstruction is a clinical condition commonly caused by postoperative adhesion, volvulus, intussusceptions, and hernia. Small bowel obstruction due to bezoars is clinically uncommon, accounting for approximately 2-4% of all obstructions. Computed tomography (CT) is a useful method in diagnosing the cause of small bowel obstruction. However, small bowel obstruction caused by bezoars may not be detected by an abdominal CT examination. Herein, we report a rare case of small bowel obstruction by Aloe vera bezoars, which were undetected by an abdominal CT. Phytobezoars should be included in the differential diagnosis of small bowel obstruction in patients with predisposing factors, such as excessive consumption of high-fiber food and diabetes. (Korean J Gastroenterol 2017;69:312-315)
D-penicillamine 투여력이 없는 전신경화증-쇼그렌 증후군 환자에서 발생한 중증근육무력증
이찬희 ( Chan Hee Lee ),최유리 ( Yu Ri Choi ),김선정 ( Sun Jung Kim ),조정희 ( Jeong Hee Cho ),차민섭 ( Min Seob Cha ),곽민섭 ( Min Seob Kwak ),최일생 ( Il Saeng Choi ) 대한류마티스학회 2010 대한류마티스학회지 Vol.17 No.4
Systemic sclerosis is an autoimmune disease characterized by progressive fibrosis of the skin and visceral organs. Myasthenia gravis is also an autoimmune disease characterized by weakness and fatigue of skeletal muscles. The symptoms of systemic sclerosis and myasthenia gravis overlap clinically, so the recognition of disease co-occurrence may be delayed. Co-occurrence of myasthenia gravis and systemic sclerosis is very uncommon and usually diagnosed after use of D-penicillamine for treating the systemic sclerosis. We report a case of a 49-year-old female patient who complained of general weakness and was diagnosed with myasthenia gravis. Four months earlier she was diagnosed with systemic sclerosis with Sjogren`s syndrome and her medications did not include D-penicillamine.