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융모상피암의 (絨毛上皮癌) 소장전이에 (小腸轉移) 의한 대량 장출혈 (腸出血) 2예
정재복,문영명,강진경,김기환,최흥재 ( Jae Bock Chung,Yong Myung Moon,Jin Kyung Kang,K Whan Kin,Heung Jai Choi ) 대한소화기학회 1980 대한소화기학회지 Vol.12 No.1
Choriocarcinoma may occur with or without any gynecological symptoms and commonly presents with a variety of medical proolem resulting from metastasis in the lungs, central nervous system, or alirnentary tract. However choriocarcinoma presenting with massive intestinal bleeding is very rare. We have presented two cases of unusual choriocarcinoma presenting with massive intest- inal bleeding due to metastasis.
강진경(Jin Kyung Kang),최흥재(Heung Jai Choi),박인서(In Suh Park),문영명(Yong Myung Moon),한광협(Kwang Hyub Han),전재윤(Chae Yoon Chon),김경희(Kyung Hee Kim),이관식(Kwan Sik Lee),임대순(Dae Soon Lim) 대한소화기학회 1991 대한소화기학회지 Vol.23 No.1
N/A We studied clinical significance of 2'.5'-AS activity in PBMC in HBs Ag positive liver disease and the relation between the anti-viral effect and 2'5'-AS activity in PMBC after interferon administration in chronic active hepatitis. 2'.5'-AS activity in PBMC was determined in 51 patients with HBsAg positive liver disease (acute hepatitis; 10, chronic persistent hepatitis; 10, chronic active hepatitis; 25, liver cirrhosis; 6) and in 10 healthy adult controls. 1) 2'.5'-AS activity in PBMC was in healthy controls, 508.2 +- 123.5 fmole/lhr/lml lysate, where as in patients with acute hepatitis, it was 1250.5 +- 790.5 fmole/1hr/1ml lysate, 862.1 +- 432.0 fmole/1hr/ 1ml lysate in chronic persistent hepatitis, 862.6 +- 432.0 fmole/lhr/lhr/lml lysate in chronic active hepatitis, 699.8 +- 222.6 fmole/lhr/lml lysate in liver cirrhosis. 2) The level of 2'.5'-AS activity in PBMC during acute exacerbation of chronic active hepatitis was 1264 +- 494 fmole/lhr/lml lysate, where as in patients without acute exacerbation, it was 693 +- 398 fmole/lhr/lml lysate. 3) In 9 patients with chronic active hepatitis treated with HuIFN-B, the pretreatment 2'.5'-AS activity in PBMC who became negative for HBV DNA and HBeAg at 6 months after interferon treatment was higher than in patients who did not become negative. In conclusion, in vivo interferon system is activated during acute viral hepatitis and acute exacerbation in chronic hepatitis and that measurement of 2'.5'-AS activity could be used to evaluate in vivo state of the interferon system and to predict the result of interferon treatment.
심장이식후 발생한 대장기종 ( Pneumatosis Cystoides Intestinalis )
이천균(Chun Kyun Lee),송시영(Si Young Song),이용찬(Yong Chan Lee),장병철(Byung Chul Chang),문영명(Young Myung Moon),강진경(Jin Kyung Kang),박인서(In Suh Park) 대한소화기학회 1996 대한소화기학회지 Vol.28 No.5
Pneumatosis cystoides intestinalis(PCl) is a rare disease of undetermined etiology which is characterized by multiple gas-filled cysts in the wall of the small or large intestine or both. It is associated with various medicosurgical conditions including organ transplantation. Fewer than 50 cases of PCI occurring after organ transplantation including 4 cases of cardiac transplantation have been reported in the world literatures. We report a 47-year-old man of PCI who suffered from right lower quadrant abdomina) pain for 1 week. He was taken heart transplantation due to acute myocardiac infarction and ischemic cardiomyopathy 1 year ago. On plain abdominal X-ray revealed the multiple clustered localized collections of gas in the ascending and hepatic flexure of colon. Co]onoscopy showed the typical finding of PCI, which was multiple variable size protruding masses which apperared as round, soft, and somewhat bluish colored cysts. After the puncture of the above cystic mass using endoscopic injection needle, we can observe the deflation of the above ass. This is the first case in Korea. (Korean J Gastroenterol 1995;27: 732 - 737)
간장 ( 肝腸 ) 및 담도 ( 膽道 ) : 만성 B 형 활동성 간염 환자에서 Prednisolone 이탈요법후의 베타인터페론 병용투여의 치료효과
강진경(Jin Kyung Kang),최흥재(Heung Jai Choi),박인서(In Suh Park),문영명(Yong Myung Moon),이상인(Sang In Lee),한광협(Kwang Hyub Han),전재윤(Chae Yoon Chon),김원호(Won Ho Kim),김경희(Kyung Hee Kim),신준한(Joon Han Shin) 대한소화기학회 1990 대한소화기학회지 Vol.22 No.3
N/A To evaluate the efficacy of a short course of prednisolone withdrawl followed by human B- interferon (HuIFN-B) treatment with chronic active hepatitis B(CAHB), 32 patients with peritoneoscopic liver biopsy proven CAHB were randomized to receive a 3 week tapered course of prednisolone followed by HuIFN-B or HuIFN-B alone. All patients were HBeAg positive and two groups were comparable with respect to age, sex and biochemical and histologic data. Interferon was administered in a dose of 6.0*10 IU per day for I week and 3.0*10 IU per day for successive 3 weeks by intravenous drip infusion. Treatment side-effects occurred in all treated patients but the treatred patients all tolerated and concluded treatment without serious side effects enough to give up the trials. The seronegative and seroconversion rates for the patients treated with prednisolone withdrawl+ HuIFN-B were 50.0% (10 cases out of 20) and 45.0% (9cases out of 20) respectively at last follow up after the treatment. These rates were apparently higher than seronegative rate of 25.0% (3 cases out of 12) and seroconversion rate of 16.7% (2 cases out of 12) in patients treated with HuINF-B alone. Sustained loss of serum HBV DNA & normalization of serum ALT was maintained in 65% (13 cases out of 20) at 6 month after steroid withdrawl+HuIFN-B treatment. Comparison of responders (n=9) to non-responders in patients with steroid withdrawl+ HuINF-B treatment indicated that there was no significant difference in age, sex and pretreatment ALT levels and HBV-DNA values. In conclusion, these results suggest that a short course of prednisolone withdrawl followed by HuINF-B can be more effective than HuIFN-B alone for the selected patients with HBeAg positive CAHB.
만성 간질환 및 원발성 간세포암 환자의 혈청 α1 - Antitrypsin 표현형의 변화
강진경(Jin Kyung Kang),최흥재(Heung Jai Choi),박인서(In Suh Park),문영명(Young Myung Moon),정재복(Jae Bock Chung),한광협(Kwang Hyub Han),전재윤(Chae Yoon Chon),김원호(Won Ho Kim),임대순(Dae Soon Yim),함기백(Ki Baik Hahm),신용준(Yong 대한소화기학회 1993 대한소화기학회지 Vol.25 No.2
N/A In parallel with the discovery of nev alleies inceasing the complexity of the Pi system, technical refinements have made the classification of an individual with respect to his Pi system relativeiy simple. Isoelectrofocusing in polyacrylamide gels is advantageous method in analyzing pisystem because of ease of performance, high resolution and reproclucibility. Most individuals have the PiMM phenotype resulting in normal plasma a1-antitrypsin (a,-AT) levels. The classical a1-AT deficiency is designated as Pizz in its homogygous form and has 15% of normal plasma a1-AT level, which is known to be associated with increased risk of cirrhosis and primary liver cancer But there is stilJ debate as the cause of this associated liver disease. This study is aimed to know the distribution and contribution of structural variants of a1-AT in South Korean patients with chronic liver diseases inr.uding hepatocellular carcinoma. One hundred thirty nine patients with chronic liver diseases or hepatocellular carcinoma were studied. Rlood sarnples were taken frorn each. Phenotypes of a1-AT were determined by electrofocusing in polyacrylamide gel electrophoresis. The results obtained were as folloas, None of the cases showed deficiency or null variant of a1-AT in patients with chronic liver diseases, hut two cases with hepatocellular carcinoma showed MS phenotype. About half of the cases with chronic liver disease and hepatocellular carcinoma showed homologcius polymorphism of a1-AT phenotype suballeles such as M1M1. M2M2 and M3M3. The distribution of the structural variants of a1-AT phenotype in patients with chronic liver diseases and hepatocellular carcinoma were in order as tollows; M1M1 (51.8%), M1M2(24.5%), M2M2 (7.9%), M3M3 (6.5%), M1M3, (5.8%),M3M3 (2.2%) and M1S (1.3%). In con, lusion, none of the cases with chronic liver diseases showed deficiency or null typed structural variants of a1-AT, but there were two cases with MS phenotype among the 39 patients with hepatocellular carrcinoma. Therefore, genetically determined a1-AT. deficiency seems to be not etiological]y important in South Korean patients with chronic liver disease.
박상진(Sang Jin Park),전재윤(Chae Yoon Chon),신현승(Hyun Seung Shin),문희용(Hee Yong Moon),한광협(Kwang Hyub Han),문영명(Yung Myung Moon),강진경(Jin Kyung Kang),박인서(In Suh Park),박찬일(Chan Il Park) 대한내과학회 1993 대한내과학회지 Vol.45 No.6
Primary hepatic angiosarcoma is an extremely rare tumor. It is associated with chronic exposure to thor- otrast, vinyl chloride, arsenic, radium and possibly cop- per and with chronic idiopathic hemochromatosis. However, there are no known causes in about 40% of these patients. Although 40% of patients have hepatic fibrosis or cirrhosis at autopsy, the nature of the association between chronic liver disease and hepatic angiosarcoma is unknown. Only 3% of patients with hepatic angiosarcoma can live longer than 2years. A 44-year-old man was admitted due to right upper quadrant pain. He had no history of exposure to vinyl chloride, thorotrast, or arsenic. Abdominal CT scan showed multiple variable sized low density lesions with tortuous contrast enhancement from the periphery of the tumor in the right lobe of the liver. On the 2nd hospital day, hemoperitoneum was developed and emergency selective angiograpy was performed. In seletive angiography. the vascular puddling and stretching of the hepatic artery due to the enlarged tumor was shown on the right lobe of the liver from early arterial to late venous phase. In spite of double spring coil embolization and conservative care, the patient died. The patient was confirmed to have primary hepatic angiosarcoma by blind liver biopsy. We report a patient of primary hepatic angiosarcoma who came to the hospital because of right upper quad- rant pain and died of spontaneous rupture of the tumor with hemoperitoneum.
조용석,강진경,박인서,문영명,전재윤,정재복,송시영,유효민 대한소화기내시경학회 1998 Clinical Endoscopy Vol.18 No.4
Multiple biliary papillomatosis are extremely rare, fifty one cases have been reported in the literature. Clinical symptoms are associated with obsructive jaundice and cholangitis. Malignant transformation into adenocarcinoma had been described. We report a case of multiple papillomatosis in the entire biliary ductal system with malignant transformation, in which endoscopic retrograde cholangiopancreatography and peroral choledochoscopy showed multiple polypoid lesicons. The endoscopic sphincterotomy and the intraductal biopsy confirmed the histologic diagnosis of multiple papillomatosis and adenocarcinoma.
강진경,박인서,문영명,정재복,송시영,문희용,정준표 대한소화기내시경학회 1994 Clinical Endoscopy Vol.14 No.2
The majority of cystic lesions of the pancreas are psudocysts and a small fraction neoplastic. Failure to recognize the true nature of neoplastic cyst will lead to an incorrct treatment strategy. Ultrasonography, computerized tomography and angiography were used to distingish these lesions, but diagnostic value of ERCP is in controversy. To evaluate the diagnostic value of ERCP in cystic lesions of the pancreas, we analysed 33 cases of pancreatic cystic lesions (pseudocyst 18 cases, retention cyst 3 cases and cystic, neoplasm l2 cases) between Apr. 1985 and June 1993. In 18 cases of pseudocysts, ERP findings were communication with cyst in 8 cases (44.4%), chronic pancreatitis in 8 cases (44.4%), obstruction in 4 cases (22.2%) and displscement of pancreatic duct in 2 cases (11.1%), and ERC findings, which were perfomed in 8 cases, showed cholangitis in 3 cases (37.5%), CBD stone in 2 cases (25%), mass effect in 1 case (12.5%) and normal in 2 cases (25%). There was no communication with the cyst and pancreatic duct, except two mucinous ductal ectasia, in 12 cases of cystic neoplasms, and the other findings were displacement of pancreatic duct in 4 cases (33.3%), obstruction in 2 cases (16.7%) and normal in 4 cases (33.3%). ERC findings of cystic neoplasm were almost normal (85.7%) except 1 case of cholangitis. In conclusion, ERCP findings of pseudocysts were communication with pancreatic duct, chronic pancreatitis and biliary tract abnormality. In contrast, ERCP findings of cystic neoplasms were displacement or obstruction of pancreatic duct without communication and chronic pancreatitis, and biliary tract abnormality were rare.
원발성 점막연관 림프조직형 위 림프종에서 초음파 내시경의 역할
강진경,박인서,문영명,정재복,정재연,이용찬,전재윤,이충렬,조용석 대한소화기내시경학회 1999 Clinical Endoscopy Vol.19 No.6
Background/Aims: Endoscopic ultrasonography (EUS) is a useful diagnostic method for diagnosing local invasion and lymph node metastasis of primary gastric lymphoma including mucosa-associated lymphoid tissue (MALT) lymphoma, but the role of follow-up EUS after histologic regression of MALT lymphoma has not been well established until now. Therefore the usefulness of EUS in initial and follow up studies after Helicobacter pylori eradication therapy was investigated. Methods: From January 1995 to October 1998, nineteen MALT lymphoma patients were investigated. All but four patients underwent EUS exam at diagnosis and 3∼23 months thereafter. 17 patients recieved H. pylori eradication therapy and 2 patients recieved operations without medical treatment. Results: 16 of the 17 patients (94%) were cured of H. pylori infection after antimicrobial therapy. but on the histologic criteria, 13 of the 16 cases (81%) who were cured of H. pylori infection showed complete regression of MALT lymphoma. Histologic regression o MALT lymphoma was observed 6 weeks to 23 months after H. pylori eradication. In follow up EUS exam, gastric wall abnormalities returned to normal in 9 cases (69%) and remained abnormal in 4 cases (31%) among the completely regressed 13 cases. Conclusions: Considerable portion (31%) of follow up EUS exam showed persistent abnormalities of gastric wall such as thickening of mucosa and/or submucosa after histologic regression of MALT lymphoma. To evaluate the usefulness of EUS, follow up EUS exam with regular interval for longer periods after histologic regression is needed.