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총담관결석의 진료 가이드라인: 총담관결석의 내시경 치료
김동욱 ( Dong Uk Kim ),박은택 ( Eun Taeg Park ),최정식 ( Jung Sik Choi ) 대한췌담도학회 2013 대한췌담도학회지 Vol.18 No.4
지난 40년동안 내시경역행담췌관조영술은 총담관결석의 치료에서 널리 사용되는 시술이 되었다. 현재 사용되는 다른 시술방법에는 술중총담관탐색술과 경피경간담석제거술이있다. 개별 병원마다 이용할 수 있는 기구와 이러한 시술방법에 익숙한 전문가가 다르고, 이러한 시술을 시행하는 시기도 임상상황에 따라 다양하다. 결과적으로 임상의사는 총담관결석이 의심되는 환자를 치료할 때 다양한 선택사항에 직면하게 된다. 한국, 타이완, 일본 등의 동아시아 지역은 일차적 총담관결석의 유병률이 서양에 비하여 높아서 총담관결석의 치료에 있어서 내시경 치료가 중요한 역할을 차지한다. 그러나 현재까지 출판된 가이드라인은 서양에 편중되어 있어 본고에서 한국의 실정에 맞는 내시경 치료의 가이드라인을 제시하고자 한다. During last 40 years, endoscopic retrograde cholangiopancreatography(ERCP) has become a widely available and routine procedure in the management of common bile duct (CBD) stones. Other used interventions include intraoperative bile duct exploration, and percutaneous transhepatic stone removal. The availability of equipment and skilled practitioners who are facile with these techniques varies among institutions. The timing of the intervention is often dictated by the clinical situation. As a consequence clinicians are now faced with a number of potentially valid options for managing patients with suspected CBD stones.In East Asia including Korea, Taiwan, and Japan, the prevalence of primary CBD stones without gallbladder stones is higher than that of the Western countries. Under these circumstance, ERCP may be the most important option for the management of CBD stones. However, the currently enacted guidelines is slanting toward the Western countries. This review suggests the guideline of Korean Pancreatobiliary Association for the endoscopic management of CBD stones.
소화성 궤양 환자의 헬리코박터 파이로리 제균치료에서 Rabeprazole 삼제요법의 전향적 연구
최봉기 ( Choe Bong Gi ),양성연 ( Yang Seong Yeon ),박은택 ( Park Eun Taeg ),장윤식 ( Jang Yun Sig ),이연재 ( Lee Yeon Jae ),이상혁 ( Lee Sang Hyeog ),설상영 ( Seol Sang Yeong ),정정명 ( Jeong Jeong Myeong ) 대한소화기학회 2003 대한소화기학회지 Vol.42 No.2
Background/Aims: Rabeprazole sodium is a potent proton pump inhibitor. We assessed the efficacy, safety and compliance of one-week triple therapy including rabeprazole with amoxicillin and clarithromycin for eradication of Helicobacter pylori (H. pylori). Methods: Eighty-eight H. pylori-positive patients with peptic ulcer disease were received rabeprazole 10 mg bid, amoxicillin 1,000 mg bid and clarithromycin 500 mg bid for a week. Endoscopic examination with five biopsies (two specimens from the antrum, two from the gastric body, and one from the gastric angle) was performed. The status of H. pylori infection was assessed by histology (immunohistochemistry) of the biopsy specimens, 13C urea breath test, and CLO test at the beginning and 13C urea breath test 4 weeks after the completion of treatment. Results: H. pylori eradication rates were 74.71% by intention-to-treat analysis and 87.84% by per-protocol analysis. The percentage of side effects was 12.5% and these side effects were not serious. Conclusions: One-week rabeprzole based triple therapy is an effective and safe regimen for H. pylori eradication in patients with peptic ulcer. (Korean J Gastroenterol 2003;42:102-107)
A Case of Strangulated Intussusception due to Small Intestinal Lipoma in Adult
김태희 ( Kim Tae Hui ),양성연 ( Yang Seong Yeon ),박정하 ( Park Jeong Ha ),지삼룡 ( Ji Sam Lyong ),박은택 ( Park Eun Taeg ),이상혁 ( Lee Sang Hyeog ),설상영 ( Seol Sang Yeong ),정정명 ( Jeong Jeong Myeong ),김운원 ( Kim Un Won 대한소화기학회 2003 대한소화기학회 추계학술대회 Vol.2003 No.-
성인 장중첩증은 소아에 비해 드물게 발생하며 전체 장중첩증의 5%를 차지한다. 성인에서는 증상과 징후가 매우 다양하여 복통을 주소로 내원한 환자에서 복부초음파나 복부전산화단층촬영으로 주로 진단되며 보고자에 따라 차이가 있으나 30~35%에서는 수술시야에서 진단된다. 성인 장중첩증의 원인으로는 소장의 평활근종, 지방종, 혈관종 등 양성종양이 보고되고 있으며 대장에서는 선암, 임파선암 등 악성종양이 관찰된다. 소장의 양성종양 중 3번째의 빈도로 발생하는 지
항체 파지발현 기법을 이용한 HCV E1/E2 복합체에 대한 중화항체 분절의 제작
정정명 ( Jeong Jeong Myeong ),정명교 ( Jeong Myeong Gyo ),설상영 ( Seol Sang Yeong ),이상혁 ( Lee Sang Hyeog ),박은택 ( Park Eun Taeg ),지삼룡 ( Ji Sam Lyong ),박성재 ( Park Seong Jae ),백봉력 ( Baeg Bong Lyeog ),송은경 ( Song 대한소화기학회 2003 대한소화기학회 추계학술대회 Vol.2003 No.-
Hepatitis C virus (HCV)에 의한 감염은 체액성 및 광범위한 세포 매개성 면역반응을 나타내게 된다. HCV 감염과 인체 면역 반응과의 관계에 대한 보고들은 HCV 감염에 의해 유도된 항체들이 HCV 감염을 중화시킬 수 있다고 지적하고 있다. 그러나 이러한 연구결과에도 불구하고 실제로 HCV에 감염된 대부분의 사람들은 만성 감염을 나타내고 있는데, 이 문제에 대해 가장 중요한 사실은 HCV의 자연감염시 유도되는 항체들이 HCV를 완전히 제
조은택,박용관,김진호,강정원,천영욱,전익섭,박유환,전춘해 조선대학교 1995 The Medical Journal of Chosun University Vol.20 No.1
Malignant histiocytosis, originally described in 1939 as histiocytic medullary reticulosis by Scott and Robb-Smith, is a rare histiocytic proliferative disorder that often shows an acute onset and used to progress to death within a few months. This disorder characterized clinically by fever, generalized weakness, lymphadenopathy and hepatosplenomegaly, and shows a variable range of pancytopenia. Extranodal involvement is common, with an incidence ranging from 50% to as high as 90%, skin involves8ment was noted in 10% to 15%. Typical skin lesions were mainly founded in extremity. i.e. erythematous papule and nodule occasionally become to necrosis and ulceration. We experienced one case of malignant histiocytosis in a 46-years-old female. The major clinical findings are fever, malaise, hepatosplenomegaly and erythematous skin lesion. In the laboratory study, pancytopenia is noted on the peripheral blood. And also aggregation of many atypical histiocytes were shown on skin and bone marrow biopsy. So we reported one related case with malignant histiocytosis as well as reviewing literature .
김태원,조은택,조기섭,정재용,허재봉,장영,박유환,정춘해 조선대학교 1995 The Medical Journal of Chosun University Vol.20 No.1
A retrospective clinical and histologic study of 30 non-Hodgkin's lymphomas diagnosed at the Department of Hemato-oncology of the Chosun University from January 1989 to December 1993 is presented. Among total 30 cases whose sexes were mentioned, male were 18 and female were 12 and the ratio is 1.5:1. The peak incidence of non-Hodgkin's lymphoma was found in the third decade. The case distributions by Working formulation were summarized in table 3. The most common histopathologic type of non-Hodgkin's lymphoma was the diffuse large cell type of intermediate grade. The presenting symptoms at the time of first visit to the hospital were summarized in table 4. The most common symptoms were palpable mass. Lymph node enlargements were found in 87 %, and most frequently on cervical area(35%). The incidence of primary nodal lymphoma is more frequent than extranodal lymphoma, 1.2:1. The most common primary site of extranodal lymphoma is the gastrointestinal tract. In the laboratory findings, the data of hemoglobin and hematocrit were summarized in table 8, 9, Values of hemoglobin and hematocrit of female patients greater than those of male patients. The results of the immunophenotypings of nodal and extranodal lymphoma indicates that the B-cell lymphoma are predominant(B:T=1.4:1). The clinical stage was Ⅱ in 9 cases(30%) Ⅲ in 9 cases(30%), Ⅳ in 8 cases(26.7%), Ⅰin 4 cases(13.3%), 28 cases were treated with CHOP regimen. Among them, 17 cases(60.8%) achieved a complete remission. 5 cases had a partial response. The most frequent toxicities were toxic hepatitis.