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박정호 ( Jung Ho Park ),이태희 ( Tae Hee Lee ),천상렬 ( Sang Lyeol Cheon ),선제형 ( Jae Hyung Sun ),최인기 ( In Key Choi ),김용석 ( Yong Seok Kim ),최용우 ( Young Woo Choi ),강영우 ( Young Woo Kang ) 대한소화기학회 2009 대한소화기학회지 Vol.54 No.4
Anorexia nervosa, a syndrome most commonly affecting young women, is characterized by weight less than 85% of weight that is considered normal for that person`s age and height, distorted body image, and fear of becoming obese, and its mortality is up to 9%. We present a case of a 33-year-old woman with a 9-year history of anorexia nervosa. She admitted to our institution with decreased mentality, and her body mass index was 11.5 kg/m2 of the time admission. Initial aminotransferase level was severely elevated, but it was normalized solely with improved nutrition and weight gain. Five and sixteen days after the admission urinary tract infection and elevation of pancreatic enzymes occurred. They were successfully treated with antibiotics and nutritional support. Fifty seven days after the admission, she discharged. We report a case of acute hepatitis and pancreatitis treated with nutritional rehabilitation in a patient with severe anorexia nervosa for the first time in Korea. (Korean J Gastroenterol 2009;54:257-260)
증례보고 : 노인환자에서 고관절 치환술 수술 후 발견된 뇌경색
최용우 ( Yong Woo Choi ),정미영 ( Mee Young Chung ),김창재 ( Chang Jae Kim ),이병호 ( Byung Ho Lee ),이효정 ( Hyo Jung Lee ),채준석 ( Jun Seuk Chea ) 대한마취과학회 2007 Korean Journal of Anesthesiology Vol.52 No.1
Perioperative cerebral infarction is uncommon and its mechanism is often uncertain. This is a report of an unusual case of acute cerebral infarction following general anesthesia. The patient was a 83-year-old female admitted for total hip replacement arthroplasty (THRA). There were no previous cerebro- and cardio-vascular symptoms and history. During introduced general anesthesia with sevoflurane, there was a persistent low systolic BP of 80-100 mmHg (preoperative BP was 140/85 mmHg). On emerging from anesthesia, confusion and dense right hemiparesis were observed. Emergency CT brain scan showed early cerebral infarction in the middle cerebral artery (MCA) territory. Even though prompt supportive neurosurgical intensive care was initiated, the patient died at postoperative 4 days. (Korean J Anesthesiol 2007; 52: 119~22)
표진실,최용우,구훈섭,송경호,김용석,김선문,이태희,허규찬,강영우,Jin Sil Pyo,Yong Woo Choi,Hoon Sup Koo,Kyung Ho Song,Yong Seok Kim,Sun Moon Kim,Tae Hee Lee,Kyu Chan Huh,Young Woo Kang 대한소화기암연구학회 2014 Journal of digestive cancer reports Vol.2 No.2
Pancreatic cancer is well known to have a poor prognosis and poor responses to both of chemotherapy and radiation therapy. We report a metastatic pancreatic cancer treated successfully with chemotherapy and radiation therapy. A 71-year-old female with epigastric pain and weight loss was diagnosed as advanced pancreatic cancer with main vessels invasion and multiple mesenteric lymph node's metastasis. She was taken chemotherapy of gemcitabine single regimen and radiation therapy. Although she experienced one recurrence and concomitant primary lung cancer, she has survived for over 7 years with no symptoms. The authors report this case of long term survival in metastatic pancreatic cancer after chemoradiation therapy.
증례 : 소화기 ; 경피 간 생검 후 담도 및 담낭내 혈종이 발생한 간선종 1예
송현정 ( Hyun Jung Song ),최용우 ( Young Woo Choi ),박주호 ( Joo Ho Park ),이태희 ( Tae Hee Lee ),김용석 ( Yong Seok Kim ),강영우 ( Young Woo Kang ),최인석 ( In Seok Choi ) 대한내과학회 2011 대한내과학회지 Vol.80 No.3
간선종은 피임약을 복용하는 여성에게 호발하는 것으로 알려져 있으나, 본 예에서는 피임약을 복용하지 않은 젊은 가임기 여성에서 큰 간종괴로 조직검사 후 혈액담즙증 및 담낭내 혈종이 발생하여 간동맥 색전술을 시행하고, 조직검사상 진단된 간선종을 수술한 1예를 보고하는 바이다. Hepatocellular adenoma is a rare, but benign, tumor mostly found in women taking oral contraceptives. Hepatocellular adenoma must be treated when bleeding of the tumor, intraperitoneal hemorrhage, or malignant transformation occurs. A percutaneous liver biopsy is relatively safe and effective, but carries the risk of mild complications, such as pain, temporary hypotension, and bleeding, and severe complications, such as intraperitoneal bleeding, peritonitis, pneumothorax, hemothorax, other organ injury, and sepsis. We treated a 33-year-old woman with hemobilia and gallbladder hematoma following a sono-guided percutaneous liver biopsy. Complete quadrantectomy with anterior lobe resection was done after angiography and embolization of the hepatic artery. (Korean J Med 2011;80:323-327)
김용석 ( Yong Seok Kim ),최용우 ( Young Woo Choi ),김태현 ( Tae Hyeon Kim ),이태훈 ( Tae Hoon Lee ) 대한췌담도학회 2013 대한췌담도학회지 Vol.18 No.4
총담관결석의 진단방법은 여러 가지가 있으며 크게 임상양상, 영상검사 및 내시경검사로 나눌 수 있다. 이 중에서 임상증상, 검사실 소견, 초음파검사 또는 복부전산화단층촬영과 같은 기본 검사 결과를 바탕으로 총담관결석이 있을 가능성이 높은 군과 낮은 군으로 구별 혹은 층화하여 몇 개의 위험군으로 나누어 치료 방침 및 추가 검사를 시행한다. 저위험군에서는 환자가 담낭담석을 동반하여 담낭절제술이 필요하다면 내시경역행담췌관조영술을 시행하지않고 바로 담낭절제술을 시행할 수 있다. 중등도 위험군에서는 총담관결석의 제거를 위한 내시경역행담췌관조영술이 필요한지를 알아보기 위하여 자기공명 담췌관조영술이나 내시경초음파검사의 추가 검사가 필요하다. 고위험군에서는 다른 추가 검사 없이 담석 제거 등의 치료를 할 수 있는 내시경역행담췌관조영술을 바로 시행할 수 있다. Choledocholithiasis is the presence of at least one gallstone in the common bile duct.Symptoms may be variable ranging from asymptomatic to complications such as cholangitis, sepsis, pancreatitis. Wherever patients have symptoms and investigation suggests ductal stones, extraction should be performed if possible. The approach to patients with suspected choledocholithiasis requires careful consideration because missed common bile duct stones pose a risk of complication. Under these circumstance, guidelines have been prepared in some countries and these criteria are now being evaluated. In this review, we are going to suggest the guideline of Korean Pancreatobiliay Association for adequate diagnosis and risk stratification of common bile duct stones.
골수 이형성 증후군에서 급성 백혈병으로 전환기에 발생한 위 과립구 육종 1예
김용석 ( Yong Seok Kim ),최용우 ( Young Woo Choi ),임대승 ( Dae Seung Im ),이태희 ( Tae Hee Lee ),임의혁 ( Eui Hyeog Im ),허규찬 ( Kyu Chan Huh ),강영우 ( Young Woo Kang ) 대한내과학회 2008 대한내과학회지 Vol.74 No.5
저자들은 골수 이형성 증후군으로 외래에서 추적관찰 중이던 환자에서 혈액 검사와 골수 검사 결과 급성 골수성 백혈병으로의 전환기에 위벽에서 발생한 과립구성 육종 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Granulocytic sarcoma is a localized tumor that`s composed of immature cells of the granulocytic series. The tumor may be involved anywhere in the body, but we present here a rare case that involved the gastrointestinal tract (and especially the stomach). Granulocytic sarcoma may represent the initial manifestation of blast transformation or it may herald the onset of acute leukemia from myelodysplastic syndrome. We report here on a case of gastric granulocytic sarcoma in a patient with transformed acute leukemia from myelodysplastic syndrome. A 56-year-old male who was suffering with myelodysplastic syndrome (RARS) for 5 years presented with upper abdominal pain. Gastrofiberoscopy revealed an elevated lesion with central erosion at the posterior wall of the gastric upper body, which histologically proved to be a granulocytic sarcoma. The peripheral blood smear and bone marrow examination showed acute myeloid leukemia.(Korean J Med 74:570-573, 2008)