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추성욱(Sung Wook Choo),이재욱(Jae Wook Lee),이장규(Jang Kyu Lee),김성준(Sung Jun Kim),이덕영(Duck Young Lee),박경현(Gyeng Hyen Park),허충(Chung Hur),이진관(Jin Kwan Lee) 대한내과학회 1998 대한내과학회지 Vol.54 No.5
Background: Primary epiploic appendagitis is rarely diagnosed preoperatively and usually results from torsion with subsequent infarction epiploic appendage. Until recent years no diagnostic procedures or clinical symptoms were pathognomic for this disease and the most common pre-operative diagnosis were acute diverticulitis and appendicitis. Rapid advance of imaging technique, especially ultrasound, makes it possible to get image of diseased epiploic appandage. Also primary epiploic appendagitis occurs more frequently than it has been suggested in the literature. Therefore authors analyzed and reviewed clinical features and radiological findings of 15 cases with primary epiploic appen4agitis to give attention to the acute epiploic appendagitis as one of the ways for diagnosing the acute abdominal pain that has unclear diagnosis, thinking that the rapid diagnosis will helpful to escaping the unnecessary operations. Methods: This study included twelve men and three women (aged 20-60years). Surgery was done in two patients, one misdiagnosed for acute appendicitis and another for acute diverticulitis with abscess. Follow up examinations were performed with US and CT (n=3), with US, CT and MHI (n-2) and with clinical course (n=13). Results: All patients had localized abdominal pain and tenderness, mostly in the left lower quadrants (n=12). Duration of pain was 3.3 days (1-15days). Two patients had mild fever and two patients had nausea. Leukocytosis was found in four patients. In all cases US revealed a solid hyperechoic (n=13) or isoechoic (n=2) non-compressible ovoid mass with hypoechoic rim The masses were located under the site of maximum tenderness. CT and MRI finding were compatible with US. Conclusion: Primary epiploic appendagitis can be diagnosed pre-operatively using recent imaging technique, and US finding is fairly characteristic. This disorder is not so rare entity as previously known and must be included in the differential diagnosis of acute unexplained abdominal pain in adults.
조기위암 수술 후 문합부에 발생한 원발성 위방선균증 1예
이재욱,이장규,이진관,박경현,허충,추성욱 대한소화기내시경학회 1996 Clinical Endoscopy Vol.16 No.5
Primary gastric actinomycosis is an extremely rare disease and less than 20 cases are reported in literature. We experienced a case of gastric actinomycosis in the 63-year-old woman who had subtotal gastrectomy for early gastric cancer(type IIc) 7 month ago. Endoscopic biopsy from elevated lesion on stoma was found to show the neutrophilic infiltration and sulfur granule. She placed on tetracycline for 30 days. Follow up endoscopy showed no abnormality. We report this case with literature review.
소화성 궤양환자에서 일주일 삼중병합요법에 의한 H. pylori의 제균효과
이종현,김선영,이진관,박경현,허충,이덕영 대한소화기학회 1997 대한소화기학회지 Vol.30 No.2
Background/Aims: Since eradication of H. pylori proved to prevent the recunence of peptic ulcer disease, numerous therapeutic trials have been introduced. One of them, MOC (metronidazole, omeprazole, clarithromycin) protocol seems to be very desirable and widely recommended because of its high eradication rate, short term treatment and good drug compliance. The aim of this study was to evaluate the efficacy of this therapeutic modality in Korean patients. Methods: One hundred and fourteen patients including 72 patients ot' duodenal ulcer, 27 of gastric ulcer, 2 of pyloric channe] ulcer, and 13 of combined ulcer were included. The patients received omeprazole 40 mg, clarithroycin 500 mg, and tinidazole 1,050 mg daily for 7 days. Endoscopy was performed 1 moonth after the end of treatment and then biopsy specimens were taken in antrum near the pylorus. Urease test and Warthin Starry silver stain were conducted concordantly. Also the patients were asked whether they experienced any untoward effects by this regimen. Results: One hundred and eight out of 114 patients were healed of their ulcers, representing 94.7% of ulcer healing rate. The eradication rate of H. pylori was 93.0%. No statistic difference of H. pylori eradication rate was seen among age, site of ulcer, number of bacteria, and history nf recurrence. But low eradication rate was observed in female gender. Tolerabilty to this regimen was good and most of the patients were satisfied. No severe untoward side effect was seen. Conclusions: Seven day MOC regimen turned out effective and tolerable for eradication of H. pylor and healing of peptic u]cer. Good drug compliance seems to be based on short course of treatmment, b.i.d regimen and lower doses of the antibiotics. But low eradication rate in female gencler which seems probably to have metronidazole resistence requires further study. So it should be considered that regimens including metronidazole such as MOC would not be acceptable in Korean women who had previously been exposed to metronidazole.