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임창영(Chang Young Lim),김대현(Dae Hyun Kim),박상현(Sang Hyun Park),경쾌수(Kwae Soo Kyung),전영빈(Young Bin Jeon),유권(Kwon Yoo),이윤우(Yun Woo Lee) 대한소화기학회 1995 대한소화기학회지 Vol.27 No.6
The autoimrnune chronic hepatitis is a rare cause of chronic liver disease in Korea. A case of autoimmune chronic hepatitis was diagnosed in a 24 year-old female. She was admitted to the hospital due to the pain and swelling of the right parotid gland. Her liver function test had been known to be abnormal also. The liver biopsy was performed for the further evaluation of abnormal liver function. It showed chronic active hepatitis without evidence of viral infection or injury by hepatotoxin. Laborotory test showed hypergammaglobulinemia and autoantibodies. We report this case as a autoimmune chronic hepatitis with literature review. (Korean J Gastroenterol 1995;739 - 743)
유권(Kwon Yoo),문정섭(Jeong Seop Moon),전영빈(Young Bin Jeon),양대원(Dae Won Yang),정성광(Sung Kwang Chung) 대한소화기학회 1997 대한소화기학회지 Vol.30 No.2
Gastrointestinal hemorrhage is an infrequent but well recognized complication in patients with pancreatitis. Pancreatitis, peripancreatic inflammation and established pseudocysts can lead to pseudoaneurysm formation of contiguous splanchnic arteries which may cause significant gastrointestinal hemorrhage. Hemorrhage from a ruptured pseudoaneurysm may occur into various parts of gastrointestinal tract and present major clinical problems, both in terms of timely diagnosis and appropriate surgical therapy. Lower Gastrointestinal hemorrhage caused by ruptured pseudoaneurysm is extremely rare and has a worse prognosis, mainly because of the high incidence of fulminating sepsis and massive bleeding. We experienced a case of massive lower gastrointestinal bleeding caused by pseudoaneurysrnal rupture of splenic artery into colon in a patient with chronic pancreatitis. (Korean J Gastroenterol 1997; 30:268-272)
포스터 전시 : 위장관 ; 공장에 발생한 gastrointestinal autonomic nerve tumor 1예
이우진 ( Woo Jin Lee ),이준성 ( June Sung Lee ),백현욱 ( Hyun Wook Baik ),전영빈 ( Young Bin Jeon ),이정환 ( Jung Whan Lee ),김유선 ( You Sun Kim ),우광훈 ( Gwang Hoon Woo ),문정섭 ( Jeong Seop Moon ) 대한소화기학회 2002 대한소화기학회 춘계학술대회 Vol.2002 No.-
gastrointestinal automomic nerve tumor (GANT)는 1984년 Herrera 등에 의해 plexosarcoma로 처음 기술된 신경총에서 유래한 종양이다. Gastrointestinal stromal tumor(GIST) 등의 다른 간엽계세포에서 유래한 종양과 감별이 어려우며, 전자현미경상 dense core granule 등의 소견이 진단에 필수적이다. GANT는 소화관의 근간신경총을 발생모지로 하는 의견이 유력한데, 최
이준성 ( June Sung Lee ),김경아 ( Kyung Ah Kim ),이우진 ( Woo Jin Lee ),전영빈 ( Young Bin Jeon ),이정환 ( Jung Whan Lee ),김유선 ( You Sun Kim ),문정섭 ( Jeong Seop Moon ) 대한소화기학회 2003 대한소화기학회지 Vol.41 No.2
Backgrounds/Aims: The diagnosis of tuberculous peritonitis, particularly in patients with chronic liver disease, is usually difficult since liver cirrhosis obscures the clinical features and alters the biochemical characteristics of ascites. The aim of th
유원상(Won Sang Yoo),우상준(Sang Joon Woo),성영주(Yong Joo Seong),김준희(Joon Hee Kim),최석구(Suck Koo Choi),전영빈(Young Bin Jeon) 대한내과학회 1991 대한내과학회지 Vol.41 No.2
N/A Thirty four patients with essential hypertension, who could successfully discontinued antihypertensive drug treatment, were analyzed to find out the clinical indices which can be used for the prediction of success and duration of the drug withdrawal. The resnets were as follows: 1) The shorter the time for the normalization of blood pressure after drug administration, the longer the duration of drug withdrawal and the lower the rate of remedication. 2) The duration of withdrawal was inversely proportional to the level of pretreatment mean arterial pressure, the duration from the beginning of drug administration to the withdrawal, and the duration from the time when the blood pressure was normalized to the time when the antihypertensive medicines were withdrawn. 3) There was no correlation between the existence of cardiac complications of hypertension and the duration of successful withdrawal. 4) The rate of remedication of antihypertensive medicines among the patients who had stopped taking the medicines was 53%. In conclusion, among the hypertensive patients, if a persons blood pressure could be normalized within 3 months after the beginning of medication, he would be a good candidate for drug withdrawal. In other cases, if the dosages of antihypertensive medicines could be tapered off at the sixth month and taking the medicines could be stopped at the 12-18th month, the duration of drug withdrawal could be 9-18 months.
Cushing 증후군 2예 : 부신피질 선종으로 인한 due to Adrenocortical Adenoma
전영빈,이의용,김면호,박호진,유건,왕희정,이혁상,고일향 인제대학교 1984 仁濟醫學 Vol.5 No.3
Cushing's syndrome is the clinical and metabolic disorder resulting from a chronic excess of glucocorticoids. Approximately 20-25% of patients with Cushing's syndrome have primary overproduction of cortisol and other adrenal steroids due to an adrenal neoplasm. We recently experienced two cases of Cushing's syndrome due to adrenocortical adenoma. The diagnosis was confirmed by clinical features, biochemical, hormonal and radiological studies and finally pathologic examination. A brief review of literature was presented and our cases were reported.
Helicobacter Pylori 감염 진단에서 One Minute Urease Test의 임상적 유용성에 관한 연구
전영빈 인제대학교 1996 仁濟醫學 Vol.17 No.4
Helicobacter pylori 진단을 위한 여러 파지 검사법이 개발되어 있고, 각기 높은 민감도와 특이도가 보고되고 있지만 대부분의 검사법이 조작이 복잡하고 시간이 소요된다는 단점을 가지고 있다. 저자는 기존의 urease 검사의 배지조건을 변화시킴으로써 1분내 결과 판단이 가능하다는 최근의 보고에 근거하여 이러한 검사법이 소화성궤양 환자와 H. pylori 제균요법후에 H. pylori 진단에 유용한지를 연구조사하였다. Objective : There are several reliable methods for detecting Helicobacter pylori but all have as a major disadvantage the time required to yield a definitive result. Recent study indicates that the diagnosis can be made within one minute by the change of incubation condition. This study aimed to assess the diagnostic efficiency of one minute urease test in patients with peptic ulcer treated or not treated with the agents eradicating H. pylori. Methods : In 304 patients with peptic ulcer, antral biopsies were taken for histology (Hematoxylin & Eosin staining) and one minute urease test. Rebiopsies were done in 65 patients infected with H. pylori after a eradication therapy of H. pylori. The diagnostic efficiency of one minute urease test was compared with that of H&E staining. Results : The H&E staining revealed that 237 patients (78%) of 304 patients with peptic ulcer were infected with H. pylori. Among the 65 patients given H. pylori eradication therapy, H. pylori were eradicated in 44 (68%) patients. Assuming that the H&E staining is a 'gold standard', one minute urease test showed high sensitivity (88%) and specificity (85%) in the diagnosis of H. pylori infection. After H. pylori eradication therapy, one minute urease test showed sensitivity of 52% and specificity of 100% in evaluating the success of eradication. Conclusion : One minute urease test is a sensitive and specific method for the diagnosis of H. pylori infection in patients with peptic ulcer. Despite of low sensitivity for evaluation of the success of H. pylori eradication therapy, one minute urease test has the advantage that it takes low cost and short time.