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Endoscopic treatment of surgery or procedure-related gastrointestinal bleeding
방기배,Hyun Deok Shin 소화기인터벤션의학회 2018 Gastrointestinal Intervention Vol.7 No.3
Endoscopy is a safe and effective modality for the diagnosis and treatment of lesions in the gastrointestinal (GI) tract. During the last few decades, improvements in image quality and technical advances have led to the widespread use of endoscopy in various medical fields. Because it is relatively noninvasive and generally safe, the role of endoscopy has been emphasized in morbid patients with postoperative GI bleeding. However, there has been concern about the safety and complications of endoscopy. Here, we review endoscopic management of GI bleeding as a complication of surgery and therapeutic endoscopy.
Endoscopic treatment of surgery or procedure-related gastrointestinal bleeding
방기배,Hyun Deok Shin 소화기인터벤션의학회 2018 International journal of gastrointestinal interven Vol.7 No.3
Endoscopy is a safe and effective modality for the diagnosis and treatment of lesions in the gastrointestinal (GI) tract. During the last few decades, improvements in image quality and technical advances have led to the widespread use of endoscopy in various medical fields. Because it is relatively noninvasive and generally safe, the role of endoscopy has been emphasized in morbid patients with postoperative GI bleeding. However, there has been concern about the safety and complications of endoscopy. Here, we review endoscopic management of GI bleeding as a complication of surgery and therapeutic endoscopy.
위장관 , 입원환자에서 Polyethylene Glycol 용액을 이용한 대장내시경 전처치 시 Bisacodyl을 병행하여 복용했을 경우의 효과 비교: 전향적 무작위 비교연구
방기배 ( Ki Bae Bang ),정은행 ( Eun Haeng Jeong ),정우신 ( Woo Shin Jeong ),채현범 ( Hyun Beom Chae ),김남희 ( Nam Hee Kim ),이태훈 ( Tae Hoon Lee ),김지연 ( Ji Yeon Kim ),정윤숙 ( Yoon Suk Jung ),박정호 ( Jung Ho Park ),손정일 ( 대한소화기학회 2014 대한소화기학회지 Vol.64 No.5
Background/Aims: Inpatient status can cause inadequate bowel preparation. The majority of previous studies regarding bowel preparation have focused on comparing the effects of different purgative regimens in outpatients. However, data on bowel preparation for inpatients are lacking. The aim of this study was to investigate whether bisacodyl plus polyethylene glycol (PEG) can improve bowel preparation in hospitalized patients. Methods: A prospective, randomized and observer-blind study was performed. A total of 196 hospitalized patients undergoing colonoscopy were randomized to receive 4 L PEG (PEG only group) or 4 L PEG+bisacodyl 10 mg (bisacodyl added group). The adequacy of bowel preparation was scored using the Ottawa bowel preparation scale. Results: One hundred and eighty-three subjects completed the study, 96 in the bisacodyl added group and 87 in the PEG only group. There were no significant differences between the bisacodyl added group and the PEG only group with respect to the score of bowel cleansing (3.59±2.81 vs. 3.82±3.03, p=0.607), quality of bowel cleansing (adequate preparation 89.6% vs. 85.1%, p=0.380), and overall adverse events (66.7% vs. 52.9%, p=0.057). However, a larger proportion of patients in the PEG only group were able to ingest the entire solution as prescribed than in the bisacodyl added group (98.9% vs. 75.0%, p<0.001). Conclusions: In hospitalized patients, the quality of bowel preparation did not differ depending on whether bisacodyl is added or not. In addition, patient compliance based on consumption of cleansing agent was better in the PEG only group. (Korean J Gastroenterol 2014,64:268-277)
내시경괄약근절개술과 담낭절제술은 급성 담석성 췌장염의 재발을 줄일 수 있는가?
방기배 ( Ki Bae Bang ),김홍주 ( Hong Joo Kim ),조용균 ( Yong Kyun Cho ),전우규 ( Woo Kyu Jeon ) 대한소화기학회 2015 대한소화기학회지 Vol.65 No.5
Background/Aims: Practice guidelines from international societies have recommended cholecystectomy during the same hospitalization for acute biliary pancreatitis (ABP). The aim of this study is to investigate the question of whether endoscopic sphincterotomy (EST) and/or cholecystectomy during the same hospitalization can reduce the recurrence rate of ABP. Methods: A total of 119 patients with ABP admitted to our institution between May 2005 and May 2010 who had complete follow-up data until May 2012 were enrolled. Results: No significant differences in initial CT severity index and Charlson comorbidity index were observed between EST (n=64) and non-EST group (n=55) and among subgroups classified according to interventions performed. In Kaplan Meier analyses, significantly higher recurrence rates of ABP were observed in the non-EST group compared to the EST group (p<0.01), and in the conservative treatment group compared to other intervention groups (p<0.01). The frequency of complications from ABP was significantly higher in the conservative treatment group (35.7%) and lowest in the EST plus cholecystectomy group (5.0%, p=0.008). In multivariate analysis, conservative treatment without EST and/or cholecystectomy, and non-EST group were independent risk factors for recurrence after the initial attack of ABP. Conclusions: ERCP with EST and cholecystectomy during the index admission is associated with reduced recurrence rates of ABP. (Korean J Gastroenterol 2015;65:297-305)
방기배 ( Ki Bae Bang ),조용균 ( Yong Kyun Cho ),이상혁 ( Sang Hyuk Lee ),박은혜 ( Eun Hye Park ),설지수 ( Ji Soo Seol ),채승완 ( Seoung Wan Chae ),조상원 ( Sang Won Jo ) 대한내과학회 2013 대한내과학회지 Vol.84 No.2
Infantile hepatic hemangioendothelioma is a rare disorder. It is a benign entity and usually resolves spontaneously. Most patients present in infancy and early childhood. Because of its natural course and symptom onset, most cases are discovered during childhood. We experienced a rare case of infantile hepatic hemangioendothelioma in an adult. (Korean J Med 2013;84:259-264)
이대성,방기배,김지연,정윤숙,박정호,김홍주,조용균,손정일,전우규,김병익,최규영,박동일 대한장연구학회 2016 Intestinal Research Vol.14 No.1
Background/Aims: Quality of life is closely related to anemia in patients with inflammatory bowel disease (IBD). Several studies have reported on anemia in patients with IBD in Western countries. This study investigated the prevalence and clinical characteristics of anemia in Korean patients with IBD. Methods: We reviewed the medical records of 92 patients with ulcerative colitis (UC) and 76 patients with Crohn’s disease (CD) who were followed regularly at a single tertiary medical center in Korea between January 2003 and December 2012. Hemoglobin (Hb) thresholds used to define anemia were <13.0 g/dL in men and <12.0 g/dL in women according to the World Health Organization criteria. We chose the lowest Hb level in each year as are presentative value because Hb levels changed at each examination and anemia was associated with disease deterioration. The relationship between clinical variables and lowest Hb level was assessed. Results: The prevalence of anemia was 36.3% inpatients with UC and 41.6% in patients with CD. Anemia in patients with CD was associated with hospital admission, 5-aminosalicylate (5-ASA) and infliximab treatment in men. Anemia in patients with UC was associated with hospital admission, oral steroid use, thiopurine and infliximab treatment in men. Conclusions: The prevalence of anemia in Korean patients with IBD was comparable to that of patients in Western countries. Anemia was associated with male patients with CD who were admitted to the hospital and received medications including 5-ASA and infliximab, and men with UC who were admitted to the hospital and received medications including oral steroids, thiopurine and infliximab.
Saccular Coronary Artery Aneurysm and Fistula with Organized Thrombi
정은행,김병진,방기배,Min Suk So,성기철,Jung-Tae Kim,Joon-Hyuk Kong,Tae Ho Kim 대한심장학회 2013 Korean Circulation Journal Vol.43 No.2
Saccular coronary artery aneurysm, associated with coronary artery fistula, is a very rare condition. A 48-year-old woman was referred to our hospital for the evaluation of an abnormal shadow on the left cardiac border from a chest X-ray film during regular medical health examination. A huge saccular aneurysm with organized thrombi in the proximal left anterior descending artery (LAD) and coronary artery fistulae from LAD and conus branch of the right coronary artery to pulmonary artery was diagnosed by transthoracic echocardiography,multi-detector computer tomography (MDCT), and coronary angiography. The patient received surgical treatment, including thrombecto-my of aneurysm, ligation of the inlet and outlet of aneurysmal sac, coronary artery bypass graft (left internal mammary artery-to-distal LAD), and ligation of fistulae. The postoperative course was uneventful, and postoperative echocardiography and MDCT revealed patent bypass graft; however, a small fistula from proximal LAD across aneurysmal sac to pulmonary artery was observed.
PET-CT에서 FDG 섭취증가를 보여 림프종으로 의심했던 복부 Kikuchi병 1예
설지수,하영은,유수현,방기배,박은혜,정수영,표정수,채승완,염준섭 대한감염학회 2012 Infection and Chemotherapy Vol.44 No.6
Kikuchi’s disease is a benign disease characterized mainly by fever and cervical lymphadenitis. We report a case of Kikuchi’s disease that manifested as intraabdominal lymphadenitis. A 39 year old woman presented with fever that had persisted for one week. Her history and physical examination were unremarkable. The laboratory findings revealed mild leukopenia and increased C-reactive protein. Abdominal CT revealed multiple lymph node enlargements in the mesenteric root and around the ileocecal valve. Positron emission tomography-computed tomography (PET-CT) revealed increased 18-fluoro-deoxyglucose(FDG) uptake in the lymph nodes observed by abdominal CT. A laparoscopic excisional biopsy of the lymph node was performed for a confirmatory diagnosis and the pathology findings were compatible with Kikuchi’s disease. Although intra-abdominal Kikuchi’s disease is a rare disease, it should be considered in a differential diagnosis of intraabdominal lymphadenopathy with increased FDG uptake on PET-CT