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박일(Il Park),한상영(Sang Young Han),박건욱(Gun Wook Park),노명환(Myung Hwan Rho),최석렬(Seok Reyol Choi),신우원(Woo Won Shin) 대한소화기학회 1995 대한소화기학회지 Vol.27 No.4
Adenocarcinoma of the duodenum is rare. The autopsy incidence of duodenal adenocarcinoma is about 0.3%. The second and third portions of the duodenum are the usuaI sites of adenocarcinoma. Cancer in the duodenal bulb is exceedingly rare. Recently authors have experienced a case of duodenal adenocarcinoma on bulb with regional lypmph nodes and liver metastasis in a 59-year-old female patient with complaints of nausea, anorexia, epigastric pain, and weight loss. Endoscopic gasteroduodenoscopy revealed multiple protruded lesion on anterior aspect of duodenal bulb. Abdominal CT scan showed numerous variable sized round or conglomerated low density mass lesions with target appearance and multiple lympadeno-pathies. Endoscopic biopsy tissue from duodenal mucosa showed invasion by neoplastic glands with large, hyperchromatic nuclei and frequent mitosis. Fine needle aspiration biopsy tissue from the liver showed invasion by neoplastic cell sheets or neoplastic glands with hyperchromatic, pleomorphic nucleated cells. The tumor cells showed positive reaction to CEA but negative to AFP. So we report a case of duoderl bulb carcinra with liver nxtastasis with a brief review of literahne. (Korean J Gastroenterol 1995;27: 471-474)
송경하(Kyung Ha Song),이종훈(Jong Hun Lee),장진석(Jin Suk Jang),문성훈(Sung Hun Mun),장세준(Se Jun Jang),노명환(Myung Hwan Rho),한상영(Sang Young Han),최석렬(Suk Lyul Choi),신우원(Woo Won Shin),박태호(Tae Ho Park),김무현(Moo Hyun Kim 대한내과학회 2002 대한내과학회지 Vol.62 No.2
Cytomegalovirus (CMV) infection is more frequent in immunocompromised patients those with acquired immunodeficiency syndrome (AIDS), malignant disease, steroid therapy. However, CMV can infect a healthy person who has normal immunity. Most cases of CMV infections are due to reactivation of latent virus. We report a case of cytomegalovirus colitis in a 73 years old woman who has congestive heart failure with normal immunity. Sigmidoscopy reveals cobble stone like mucosa and deep ulceration. CMV infection produces a cytomegalic cell containing a intranuclear inclusion, which is surrounded by clear halo in Hematoxylin-Eosin stain. Immunohistochemical stain for CMV reveals focal positive in cytoplasm and in nuclei of large cells. We diagnosed CMV colitis with histopathologic finding and immunohistochemistry through sigmoidoscopic mucosal biopsy.(Korean J Med 62:218-222, 2002)
수면내시경 검사에서 Midazolam 전처치와 Flumazenil 길항작용에 대한 연구
이종훈,한상영,신종민,신우원,노명환,최대현,윤욱돈,최석렬 대한소화기내시경학회 2000 Clinical Endoscopy Vol.21 No.1
Background/Aims : Midazolam is utilized as a premedication for uppoer gastrointestinal endoscopy. Midazolam has a more rapid onset of reaction than that of diazepam and its duration is shorter. But the Consciousness of premedicated patients has not been regained sooner. The Purpose of this study was to examine the effectiveness of flumazenil against midazolam as premedication for upper gastrointesinal endoscopy. Methods : Sixty patients underwent upper gastrointestinal endoscopy. These patients were divided to three groups: Group I included twenty patients without premedication; Group Ⅱ Included twenty patients with premedication of midazolam and then were not given an antisedative agent excluign of normal saline; and Group Ⅲ included the others with midazolam and flumazenil as an antisedative agent. Results : There was no change in vital signs after midazolam and flumazenil as an antisedative agent. Results : There was no change in vital signs after midazolam injection, compared with presedation value. Modied Steward Coma Scale showed a significant increase after flumazenil injection as an antagonist of midazolam. The assessment of the endoscopist and the comfort of patients were satisfactory. When the 40 patients were asked about their willingness to undergo the same procedure in the future, thirty-four patients responded favorably. Conclusion : Midazolam was safe and effective for sedation for upper gastrointestinal endoscopy. There was rapid regaining of consciousness with flumazenil indection after midazolam, so the use of flumazenil against midazolam injection also appeared to be effective.
박희승,한상영,김광동,신우원,백상현,노명환,장광열,최석렬 대한소화기학회 1998 대한소화기학회지 Vol.31 No.2
Fistula between the hepatic artery and portal vein is a rare disease which may be located either intra-or extrahepatically. These hepatic artery-portal vein fistula may be congenital or acquired, the latter being described in patients with liver carcinoma, ruptured aneurysm of the hepatic artery after penetrating wounds, liver biopsy, and blunt abdominal trauma. Though it can be suspected clinically because of a vascular bruit of the liver or the presence of a pulsatile mass, they are often incidental findings on abdominal angiograms. The clinical picture is often dominated by portal hypertension and may occasionally include features of mesenteric steal syndrome. The present report describes a patient with ascites, diarrhea, and nausea in whom a large hepatic artery-portal vein fistula was diagnosed after blunt trauma and operation of the liver.