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문인성 ( In Sung Moon ),권오상 ( Oh Sang Kwon ),정혁상 ( Hyuk Sang Jung ),김영남 ( Young Nam Kim ),설원종 ( Won Jong Seol ),정승기 ( Seung Ki Jeong ),주기탁 ( Ki Tak Ju ),김선숙 ( Sun Suk Kim ),서태석 ( Tae Seok Seo ),양달모 ( Dal 대한소화기학회 2003 대한소화기학회지 Vol.41 No.6
Chronic mesenteric ischemia is characterized by postprandial pain and marked weight loss. It is provoked by inadequate intestinal blood flow and the increased metabolic demands associated with digestion. Diagnosis must be based on clinical symptoms, arteriographic demonstration of an occlusive process of the splanchnic vessels, exclusion of other gastrointestinal disorders, and the response to revascularization. Specially, angiography is indicated to confirm the diagnosis, to assess disease severity, and to plan revascularization. It can be treated by either surgical reconstruction of an artery or percutaneous transluminal balloon angioplasty with or without stenting. We had experienced a 63-year-old man who presented with postprandial abdominal pain and weight loss unexplained by conventional diagnostic studies. The aortography revealed about 80% of stenotic lesion in the superior mesenteric artery. After percutaneous transluminal angioplasty, postprandial abdominal pain was completely relieved. We report a case of chronic mesenteric ischemia with a review of relevant literature. (Korean J Gastroenterol 2003;41:499-503)
최성호 ( Sung Ho Choi ),김동구 ( Dong Goo Kim ),문인성 ( In Sung Moon ),이명덕 ( Myung Duk Lee ),김인철 ( In Chul Kim ) 대한소화기학회 2003 대한소화기학회지 Vol.41 No.1
Background/Aims: Living donor liver transplantation (LDLT) is one of the recommendable alternatives for cadaveric liver transplantation. However, it requires the balance between the graft volume and donor safety in adult patients. Methods: We performed LDLT using the right lobe in 29 adults at the Department of Surgery, Catholic University of Korea from October 2000 to September 2001. Results: The values of postoperative liver enzyme was significantly different according to the remaining liver volume of donors ( 30% vs. 30%, p 0.05). The mean regeneration rate of the remaining left lobe at postoperative 3 months was 212±43% compared to preoperative liver volume. The group that had the remaining liver volume of 35% showed a higher regenerative activity than the group that had remaining liver volume more than 35%. There was no donor mortality and postoperative complications were observed in 7 patients. The mean graft mass was 787 cm3, which was 1.35% of the recipient body weight and 67.8% of the standard liver volume. Twenty-six of 29 transplanted patients (89.7%) survived from operation. The causes of death were varix bleeding, peumonia-ARDS, and portal vein thrombosis. Conclusions: Our preliminary data suggest that the LDLT has produced favorable results in short-term period and the survival rate is quite high for patients with end stage liver disease. (Korean J Gastroenterol 2003;41:26-31)
한상우 ( Sang Woo Han ),김진영 ( Jin Young Kim ),김수현 ( Su Hyun Kim ),최범순 ( Bum Soon Choi ),양철우 ( Chul Woo Yang ),김용수 ( Yong Soo Kim ),문인성 ( In Sung Moon ),김동구 ( Dong Goo Kim ),고용복 ( Yong Bok Koh ),방병기 ( Byu 대한신장학회 2007 Kidney Research and Clinical Practice Vol.26 No.1
Combined liver-kidney transplantation (LKT) has been increasingly performed procedure for end-stage liver and kidney disease. We experienced four cases of LKT. All patients were affected by viral hepatopathy. There were three patients of hepatocellular carcinoma, treated with trans-arterial chemoembolization or chemotherapy and one cirrhotic patient. The causes of chronic renal failure were polycystic kidney disease in one patient, glomerulonephropathies in two, and diabetes mellitus in one. Three of them were on dialysis treatment. All patients were selected based on blood group identity and negative cross-match before LKT. There was no post-operative surgical complication or acute rejection. At the mean follow-up of 37 months after LKT, all patients showed normal hepatic and renal function except for one case of biopsy-proven tacrolimus nephrotoxicity. Seroconversions of HBsAg, HBeAg, and HBV-DNA were achieved in hepatitis B positive patients. However, HCV-RNA was sustained in hepatitis C positive patient after LKT. Alpha-fetoprotein was normalized in every HCC patient. Combined liver-kidney transplantation can be a proper therapeutic procedure for the patient with liver failure and irreversible renal disease, and it can be done safely and effectively.
"실폐소생술포기(DNR)"에 대한 요청서 및 지시서 개발
한성숙(Han Sung Suk),김중호(Kim Joong Ho),문인성(Moon In Sung),용진선(Yong Jin Sun) 한국생명윤리학회 2005 생명윤리 Vol.6 No.1
The subjects of the study are First, to accumulate DNR related guideline and DNR request and order, questionnaires were sent to 70 randomly selected university hospitals and general hospitals, and the data were collected between July and September 2004. Second, after the draft of DNR request and order was developed, the first professional group (total 12 people) to seek advise regarding the draft was formed including four doctors, three head nurses, two ministers, two philosophers, and one legal professional. The second professional group (5 people) included four doctors and a legal professional who presented significant opinions in the first advisory meeting, and they discussed the revised draft during the second advice. In this study, Delphi technique was used to develop DNR requests and order. The instrument was the draft of DNR request and order form developed by researchers for our hospital based on DNR request and order collected from 9 institutions at home and materials from abroad for the development of DNR instructions and requests. For the final revision of DNR request and order form, we've decided to prepare some space to write down the diagnosis, the progress of treatment, and the prognosis of patients on the back of the form, and us e it for explaining and seeking the consent in compliance with the regulation of the hospital ethics committee. Also we've decided to call the form "DNR request and order form". Regarding the suggestion from the hospital ethics committee, the legal interpretation is needed advised; the second suggestion from a legal professional could be an alternative. This "DNR request form" will be evaluated after one year of trial in our hospital from March 1 2005. Furthermore, for the proper use of this form, we are planning to publicize to develop and use "DNR guides". I suggest developing the forms of living wills or advance directives, for they are of use in case that patient can't make his own decision due to any abrupt accident.