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2세대 약물 용출 관상동맥 스텐트 삽입 후 급성 심근 경색으로 병발한 관상동맥 연축 1예
김중근 ( Joong Keun Kim ),이신은 ( Shin Eun Lee ),박문식 ( Moon Sik Park ),윤소희 ( So Hee Yun ),이나은 ( Na Eun Lee ),이재운 ( Jae Un Lee ),이동엽 ( Dong Yub Lee ),박종필 ( Jong Pil Park ),전성희 ( Sung Hee John ),임지현 ( Ji Hyu 전북대학교 의과학연구소 2012 全北醫大論文集 Vol.36 No.1
Although several investigators have reported the coronary artery spasm after coronary artery stenting, all previous reports, coronary spasm after drug-eluting stent (DES) placement was occurred in first generation DES, such as sirolimus-eluting (Cypher®) and paclitaxel-eluting stents (Taxus®). Clinical relevance is unknown, the underlying mechanism may be delayed vascular healing due to toxic effects of the sirolimus and paclitaxel to endothelial cells (EC). The second-generation DES, such as everolimus-eluting (Xience V®) and zotarolimus-eluting stents (Endeavor®), are proving to be significantly more effective and safer than the first-generation DES.1)2) We report a patient with severe coronary artery spasm lead to myocardial infarction after second generation DES implantation at the site of detectable atherosclerotic lesion.
내시경 절제술로 성공적으로 치료된 식도의 거대 섬유혈관성 용종
이종욱 ( Jong Wook Lee ),김광하 ( Gwang Ha Kim ),김중근 ( Joong Keun Kim ),박철홍 ( Chul Hong Park ),송병구 ( Byeong Gu Song ),신동훈 ( Dong Hun Shin ),하동우 ( Dong Woo Ha ),송근암 ( Geun Am Song ) 대한소화기학회 2016 대한소화기학회지 Vol.67 No.5
Fibrovascular polyps are rare benign intraluminal tumors that usually arise from the cervical esophagus. These often present as very large sized pedunculated polyps and cause symptoms including dysphagia and respiratory distress. Generally, large polyps are surgically excised, while endoscopic resection is limited to smaller polyps. Herein, we present a giant fibrovascular polyp of the esophagus treated successfully by endoscopic resection. (Korean J Gastroenterol 2016;67:253-256)
송병구 ( Byeong Gu Song ),김동욱 ( Dong Uk Kim ),이대성 ( Dae Sung Lee ),황경림 ( Kyung Lim Hwang ),이민진 ( Min Jin Lee ),김중근 ( Joong Keun Kim ),박철홍 ( Chul Hong Park ),박종만 ( Jong Man Park ) 대한췌장담도학회 2014 대한췌담도학회지 Vol.19 No.3
Sarcoma is rare malignant tumor originated from mesenchymal stem cells that can differentiate to soft tissue and bone. Therefore sarcoma can be arised from any regions in human body. However, the incidence of bile duct sarcoma is extremely rare in adults. Obstructive jaundice is the most common presentation in the patients, but there`re no specific symptoms or signs. Also it can be misdiagnosed with other tumors or benign lesions in computed tomography or ultrasonography. For these reasons, it is hard to diagnose and manage. We present a case of intrahepatic bile duct sarcoma misdiagnosed with liver abscess in 70 year-old female with literature review.
풍선 확장술로 치료한 담관결석과 동반된 총담관 막양구조
백성민 ( Sung Min Baek ),김동욱 ( Dong Uk Kim ),장선미 ( Sun Mi Jang ),송병구 ( Byeong Gu Song ),박종만 ( Jong Man Park ),이대성 ( Dae Sung Lee ),김중근 ( Joong Keun Kim ),황경림 ( Kyung Lim Hwang ) 대한췌장담도학회 2014 대한췌담도학회지 Vol.19 No.3
Bile duct web is very rare disease and it`s etiology is controversial. Some webs are occurred in the presence of chronic inflammation, frequently associated with bile duct stone, but others are thought to be congenital. Many patients with bile duct web are asymptomatic, but they sometimes present symptom of biliary obstruction and cholangitis. It can be diagnosed by endoscopic retrograde cholangiopancreatogram, typically appearing as thin and shelf like radiolucent ring. We report a case of the common bile duct web with bile duct stones diagnosed by Endoscopic retrograde cholangiopancreatography (ERCP) in a 65-year-old man. The patient was treated by balloon dilatation successfully.
요석증이 초기 증상으로 발현된 제1형 다발성 내분비 선종이 동반된졸링거 엘리슨 증후군
이나은 ( Na Eun Lee ),이영재 ( Young Jae Lee ),윤소희 ( So Hee Yun ),이재운 ( Jae Un Lee ),박문식 ( Moon Sik Park ),김중근 ( Joong Keun Kim ),김지웅 ( Ji Woong Kim ),조진웅 ( Jin Woong Cho ) 대한소화기학회 2013 대한소화기학회지 Vol.61 No.6
Zollinger-Ellison syndrome (ZES) is characterized by gastrinoma and resultant hypergastrinemia, which leads to recurrent peptic ulcers. Because gastrinoma is the most common pancreatic endocrine tumor seen in multiple endocrine neoplasia type I (MEN 1), the possibility of gastrinoma should be investigated carefully when patients exhibit symptoms associated with hormonal changes. Ureteral stones associated with hyperparathyroidism in the early course of MEN 1 are known to be its most common clinical manifestation; appropriate evaluation and close follow-up of patients with hypercalcemic urolithiasis can lead to an early diagnosis of gastrinoma. We report a patient with ZES associated with MEN 1, and urolithiasis as the presenting entity. A 51-year-old man visited the emergency department with recurrent epigastric pain. He had a history of calcium urinary stone 3 years ago, and 2 years later he had 2 operations for multiple jejunal ulcer perforations; these surgeries were 9 months apart. He was taking intermittent courses of antiulcer medication. Multiple peripancreatic nodular masses, a hepatic metastasis, parathyroid hyperplasia, and a pituitary microadenoma were confirmed by multimodal imaging studies. We diagnosed ZES with MEN 1 and performed sequential surgical excision of the gastrinomas and the parathyroid adenoma. The patient received octreotide injection therapy and close follow-up.