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공은정 ( Eun Jeong Gong ),김도훈 ( Do Hoon Kim ),정훈용 ( Hwoon Yong Jung ),최기돈 ( Kee Don Choi ),송호준 ( Ho June Song ),이진혁 ( Gin Hyug Lee ),김진호 ( Jin Ho Kim ),박호섭 ( Ho Seop Park ) 대한소화기학회 2014 대한소화기학회지 Vol.63 No.1
A 51-year-old man visited the tertiary-care hospital with a 2-week history of dizziness and dyspnea on exertion. The initial hemoglobin level was 5.8 g/dL, without any history of hematochezia or melena. The esophagogastroduodenoscopy (EGD) was normal. During colonoscopic preparation, the patient experienced hematochezia and became hypotensive. On angiography, no extravasation of contrast media was observed. A CT scan with angiography showed a small high-density area in the jejunal lumen, suggesting extravasation of the contrast media. Capsule endoscopy was performed, and oozing bleeding was suspected in the proximal to mid jejunum. The patient was referred to our hospital. Repeated EGD and CT enterography did not reveal any significant bleeding. An antegrade double balloon endoscopy was performed, and an approximately 2-cm-sized submucosal tumor with ulceration and a non-bleeding exposed vessel was observed in the mid jejunum. The presumed diagnosis was jejunal gastrointestinal stromal tumor. The mass was surgically resected, and the final histopathological diagnosis was arteriovenous malformation. (Korean J Gastroenterol 2014;63:42-46)
증례 : 소화기 ; 담낭염 환자에 동반된 간문부에서 기시하는 이중담관 기형 1예
공은정 ( Eun Jeong Gong ),장은경 ( Eun Kyung Jang ),윤용훈 ( Yong Hoon Yoon ),안성희 ( Seong Hee Ahn ),현일식 ( Yil Sik Hyun ),황대욱 ( Dae Wook Hwang ),이성구 ( Sung Koo Lee ) 대한내과학회 2012 대한내과학회지 Vol.82 No.4
Anatomic variation in the hepatobiliary tract is relatively common, although bile duct duplication is rare. Detection of biliary tract variation is important because it is closely related to complications such as cholangitis, cholecystitis, pancreatitis, stone formation, and gastrointestinal tract malignancy. Therefore, preoperative imaging and a high index of suspicion are required to make an accurate diagnosis of a biliary tract anomaly. A 44-year-old woman presented with a 2-year history of epigastric pain after eating a meal and gallbladder sludge with chronic cholecystitis. The presumed diagnosis was gallbladder duplication. However, during surgery it was observed that the tubular structure was parallel with the fissure for the ligamentum venosum and ended at the lesser curvature of the stomach. The pathologic diagnosis was bile duct duplication. We report a case of a unique variant of bile duct duplication arising from the hepatic hilum. (Korean J Med 2012;82:465-469)
임현 ( Hyun Lim ),공은정 ( Eun Jeong Gong ),민병훈 ( Byung-hoon Min ),강승주 ( Eung Joo Kang ),신철민 ( Cheol Min Shin ),변정식 ( Jeong-sik Byeon ),최미영 ( Miyoung Choi ),박찬국 ( Chan Guk Park ),조주영 ( Young Cho ),이수택 ( So 대한소화기학회 2020 대한소화기학회지 Vol.76 No.6
Antithrombotic agents, including antiplatelet agents and anticoagulants, are increasingly used in South Korea. The management of patients using antithrombotic agents and requiring gastrointestinal endoscopy is an important clinical challenge. Although clinical practice guidelines (CPGs) for the management of patients receiving antithrombotic agents and undergoing gastrointestinal endoscopy have been developed in the Unites States, Europe, and Asia Pacific region, it is uncertain whether these guidelines can be adopted in South Korea. After reviewing current CPGs, we identified unmet needs and recognized significant discrepancies in the clinical practice among regions. This is the first CPG in Korea providing information that may assist endoscopists in the management of patients on antithrombotic agents who require diagnostic or elective therapeutic endoscopy. This guideline was developed through the adaptation process as an evidence-based method, with four guidelines retrieved by systematic review. Eligible guidelines were evaluated according to the Appraisal of Guidelines for Research and Evaluation II process, and 13 statements were established using a grading system. This guideline was reviewed by external experts before an official. It will be revised as necessary to cover changes in technology, evidence, or other aspects of clinical practice. (Korean J Gastroenterol 2020;76:282-296)
경동맥화학색전술과 정위절제방사선 병합치료로 완전한 관해를 보인 작은 크기의 간세포암종 1예
차준영 ( Jun Young Cha ),전백규 ( Baek Gyu Jun ),공은정 ( Eun Jeong Gong ),서현일 ( Hyun Il Seo ),박종규 ( Jong Kyu Park ),이상진 ( Sang Jin Lee ),김영돈 ( Young Don Kim ),한군희 ( Koon Hee Han ),정우진 ( Woo Jin Jeong ),천갑진 ( 대한간암학회 2018 대한간암학회지 Vol.18 No.2
In hepatocellular carcinoma (HCC), surgical resection or local ablation therapy is limited because of severe liver dysfunction or tumor location. Transarterial chemoembolization (TACE) has beed used widely as palliative treatment. Stereotactic Body Radiotherapy (SBRT) is a more recent and effective treatment for early stage HCC. We report a case with small HCC with complete response by TACE combined with SBRT. (J Liver Cancer 2018;18:157-161)