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포스터 전시 : 간 ; 전이성간암으로 오인된 간의 림프관종
김억 ( Auk Kim ),이자영 ( Ja Young Lee ),이진헌 ( Jin Heon Lee ),김호철 ( Ho Chul Kim ),김덕환 ( Duck Hwan Kim ),김용범 ( Yong Bum Kim ),김학양 ( Hak Yang Kim ),유재영 ( Jae Young Yoo ) 대한소화기학회 2002 대한소화기학회 춘계학술대회 Vol.2002 No.-
<증례> 60세 여자가 개인 의원에서 우연히 검사한 복부 초음파 검사상 다수의 간내 종괴가 발견되어 본원으로 전원되었다. 과거력상 5년 전 당뇨병과 고혈압을 진단 받고 약물 치료 중이었으며, 가족력상 특이 사항 없었다. 내원 당시 우상복부 동통이나 소화장애, 체중감소 등의 지각증상은 없었으며, 혈압 140/90 mmHg, 맥박수 72회/분, 체온 36.7℃, 호흡수 20회/분, 체온 36.7℃였다. 진찰 소견에서 전신상태는 양호하였고, 두경부, 흉부 및
김억(Auk Kim),김용태(Yong Tae Kim),조진아(Jin a Cho),구자란(Ja Ran Ku),허윤(Yoon Hur),서동원(Dong Won Suh),황일순(Il Soon Whang),박기호(Ki Ho Park),김은주(Eun Ju Kim),이성공(Seong Kong Lee) 대한소화기학회 1996 대한소화기학회지 Vol.28 No.3
Colorectal cancer during pregnancy is extremely rare. The diagnosis is frequently delayed because symptoms may be confused with those of normal pregnancy. In 1S35, Cruvethier reported the first case of colorectal carcinoma complicating pregnancy. Since then, about 200 or more cases were reported in western countries, but no case of these has been reported in Korea. We experienced a 29-year-old pregnant woman concomitantly developed an adenocarcinoma of the right colon with intestinal obstruction at 12 weeks of gestation. We performed right hemicolectomy at 14 weeks of gestation and therapeutic abortion at 17 weeks of gestation. We report a case of colon cancer during pregnancy with a review of the diagnosis and management. (Korean J Gastroenterol 1996; 28:457 - 461)
에 대한 혈청 IgG 역가로 위 - 십이지장질환을 감별진단할 수 있는가 ?
최지용(Ji Yong Choi),김학양(Hak Yang Kim),윤덕형(Duck Hyoung Yoon),노승혁(Seung Hyuk Rho),김수진(Soo Jin Kim),이자영(Ja Young Lee),백광호(Gwang Ho Baik),김억(Auk Kim),이진헌(Jin Heon Lee),김용범(Yong Bum Kim),김우중(Woo Joong Kim),유 대한소화기학회 2002 대한소화기학회지 Vol.39 No.3
Background/Aims: Among the diagnostic methods to detect Helicobacter pylori (H. pylori) infection, serological test is a noninvasive, safe, and inexpensive method in clinical practice. This study was performed to determine whether the titer of anti-H. pylori IgG antibody was correlated with endoscopic findings of gastroduodenal diseases, gastric ulcer stage, and age. Methods: Two hundred and eighteen patients who were H. pylori positive by serological method and received gastroduodenal endoscopy were enrolled. All patients had the titers of anti-H. pylori IgG antibody >300 U/mL. We compared the antibody titer according to gastroduodenal diseases, peptic ulcer stage, and age group. Results: There was no statistically significant difference between serum anti-H. pylori IgG antibody titer according to gastroduodenal diseases (chronic gastritis, 999.8±120 U/mL; gastric ulcer, 1043±155.6 U/mL; duodenal ulcer, 1018.5±121.9 U/mL; gastric cancer, 1351±266 U/mL; p=0.504). No significant difference in the anti-H. pylori IgG antibody titer was observed according to peptic ulcer stage (p=0.065) and age (p=0.791). Conclusions: The serum anti-H. pylori IgG antibody titer is not valuable in differentiating the gastroduodenal diseases. (Korean J Gastroenterol 2002;39:167-172)
인터페론 치료에 실패한 만성 B형 간염 환자에서 라미부딘 치료 효과
이자영 ( Ja Young Lee ),김억 ( Auk Kim ),이진헌 ( Jin Heon Lee ),김용범 ( Yong Bum Kim ),김학양 ( Hak Yang Kim ),유재영 ( Jae Young Yoo ) 대한소화기학회 2002 대한소화기학회 춘계학술대회 Vol.2002 No.-
<목적> 만성 B형 간염에서 현재까지 효과가 입증된 약물로는 인터페론과 라미부딘이 있으며, 각각의 약제는 장단점이 있으므로 환자에 따라 알맞은 약물로 선택하고 있다. 그러나 각각의 약제 치료에 실패한 경우 다른 치료에 대한 효과에 대한 연구는 많지 않다. 본 연구에서는 인터페론 치료에 실패한 환자들에서 라미부딘을 사용한 경우 치료의 반응율을 알아보고자 하였다. <방법> 간조직 및 혈청검사로 만성 B형 간염으로 진단받고 인터페론 5백만 단위를 주 3회 6
이중에너지 방사선 흡수 계측기 ( DEXA ) 의 요추 골밀도 표준화
조진아(Jin A Cho),김상우(Sang Woo Kim),김억(Auk Kim),구자란(Ja Ran Ku),김용태(Yong Tae Kim),임창훈(Chang Hoon Yim),한기옥(Ki Oak Han),정호연(Ho Yeon Chung),한인권(In Kwon Han),민헌기(Hun Ki Min) 대한내과학회 1997 대한내과학회지 Vol.52 No.4
Objectives: Bone densitometry is a current method for evaluating skeletal status, assessing osteoporosis, and determining fracture risk. DEXA has rapidly become a dominent method for evaluating skeletal status. But the comparison of patient data among different DEXA scanners is complicated because the instruments show differences in scanner design, bone mineral calibration, and analysis algorithms. The purpose of this study is making standardization of DEXA and comparability among different DEXA system. Methods: Posteroanterior lumbar spine (L2-IA) measurements of healthy 83racially homogenous Korean women, age 38-66 years (mean 516, range of BMD 0.624-1.574g/cm) were obtained on a Lunar DPX-L, a Hologic QDR-2000, and a Norland XR-36. All sujects had no spinal deformities, ostophytes, fracture and scoliosis on thoracolumbar spinal X-ray. We performed the measurement of BMD in each subjects with different three scanners at the same time. Results: The results of cross-calibration spinal BMD (L2-4, g/cm2) in patient study (r2=0.972-0.974): Lunar DPX-L=(1.149×Hologic) +0.008=(1.022×Norland) +0.137, Hologic QDR-2000=(0.847×Lunar)+0.019= (0.876×Norland)+0.124, and Norland XR-36=(0.954×Lunar)-0.107=1.110×Hologic)-0.113. The average absolute difference in patients` spinal BMD values (L2-L4) between Lunar and Hologic was 0.146g/cm2 (14Fo); it was 0.156g/cm2 (15%) between Lunar and Norland and 0.010g/cm2 (1%) between Hologic and Norland. Conclusions: The formula of this cross-calibration shows good correlation. We conclude that it is possible to compare the different spinal BMD values obtained on the different DEXA scanners.
한국인 소화불량 환자 중 어느환자에서 내시경 검사를 할 것인가?
김경호,이진헌,이준호,이자영,김학양,유재영,김용범,김억,노승혁,윤덕형,최종형 대한소화기내시경학회 2001 Clinical Endoscopy Vol.22 No.1
Background/Aims: Dyspepsia is remarkably common in the general population. Although upper gastrointestinal endoscopy is the investigation of choice for dyspepsia, the selection of the patients who need endoscopy is very difficult. This study was aimed to investigate the usefulness of the various parameters for the selection of the patients who need endoscopy in Korean population, Methods: An analysis of the endoscopic findings was carried out in 141 patients with dyspepsia according to parameters including H. pylori IgG seropositivity, age and alarm signs, such as dysphagia, weight loss, vomiting, anemia, family history of upper gastrointestinal malignancy, hematemesis or melena, abdominal mass and anorexia. Results: The positive rates of stomach cancer and peptic ulcer in patients above 35 years of age were 3% (4/118) and 30% (35/118), respectively. The positive rates of stomach cancer and peptic ulcer in patients with alarm signs were 2% (2/94), 36% (34/94) and the rates in patients with H. pylori IgG seropositivity were 4% (3/70), 37% (26/70), respectively. However, no parameter was useful in the selection of patients with stomach cancer or peptic ulcer. In patients with alarm signs, the positive rates of peptic ulcer in patients with and without H. pylori IgG seropositivity were 46% (22/48) and 26% (12/46), respectively (p=0.04). In patients under 35 years of age, the positive rates of peptic ulcer in patients with and without H. pylori IgG seropositivity were 58% (7/12) and 18% (2/11), respectively (p=0.048). Conclusions: The overall positive rates of stomach cancer or peptic ulcer were significantly higher in patient group with both H. pylori IgG seropositivity and alarm signs, and that under 35 years of age with H. pylori IgG seropositivity. However, there were also considerable number of peptic ulcer in patients who were excluded from those groups. We recommend that those parameters should be used only as a decision aid in selecting the candidates for endoscopy.
남은숙,김학양,유재영,김용범,이진헌,김억,이진서,배영덕,최지용,김경호,박치준 대한소화기내시경학회 2000 Clinical Endoscopy Vol.21 No.5
Radiotherapy induced colorectal adenocarcinoma with radiation colitis after radiotherapy has been reported as a rare case. A patient with rectal adenocarcinoma as a late complication of pelvic irradiation for gynecological malignancy is reported. A 55-year-old woman with bloody diarrhea for 6 months was admitted. She received radiation therapy for carcinoma of cervix 21 years ago. Colonoscopic findings revealed a polypoid mass on rectosigmoid colon. Histopathologic examination of the polypectomy specimen disclosed adenocarcinoma. We reported herein a case of rectal adenocarcinoma with radiation colitis. The patient who had received pelvic irradiation should have close follow-up with colonoscopic study for the early detection of colorectal cancer.
Helicobacter pylori 감염은 상부위장관 및 대장 병변을 동시에 일으킬 수 있는가?
이진헌,이기성,이자영,김학양,유재영,박충기,김종혁,김용범,장웅기,김성균,김억,서중산 대한소화기내시경학회 2001 Clinical Endoscopy Vol.22 No.1
Background/Aims: Some studies showed the higher prevalence of K. pylori infection in the patients with colon adenoma and carcinoma than control subjects. The association between H. pylori infection and colonic diseases is controversial. We evaluated K. pylori infection rate and the related upper gastrointestinal lesions in the patients with colon polyp and cancer. Methods: Ninety-four subjects, 67 with colonic lesions and 27 without colonic lesions were enrolled. Colon polyp and cancer were confirmed by colonoscopic biopsy or polypectomy. The enrolled subjects were received gastroduodenoscopic examination. K. pylori infection was evaluated serologically and/or with rapid urease test. The fasting serum gastrin level was measured. Results: H. pylori infection rates in the patients with and without colonic lesions were 67.2% and 44.4%, respectively (p$lt;0.05). Upper gastrointestinal lesions were observed in 27 of 67 patients (40.3%) with colonic lesions and in 11 of 27 patients (40.7%) without colonic lesions (p=l.0). Mean levels of serum gastrin with and without colonic lesions were 91.7±31.1 pg/mL and 88.1±37.7 pg/mL, respectively (p=0.15). Conclusions: Our study supports the relationship between H. pylori infection, colorectal neoplasia. Although there was no significant difference, the possibility of the simultaneous presence of upper gastrointestinal lesions in the patients with colorectal polyp and cancer was suggested. But the relationship between serum gastrin and the development of colorectal polyp and cancer was not documented.