http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
MiroCam(R) 캡슐내시경을 이용하여 후천면역결핍증후군 환자에서 진단한 소장의 림프종
백수정 ( Su Jung Baik ),심기남 ( Ki Nam Shim ),최희정 ( Hee Jung Choi ),정성애 ( Sung Ae Jung ),유권 ( Kwon Yoo ) 대한소화기학회 2008 대한소화기학회지 Vol.52 No.1
Human immunodeficiency virus (HIV) infection is a risk factor for developing non-Hodgkin`s lymphoma. Most acquired immune deficiency syndrome (AIDS)-related lymphomas are high-grade B cell non-Hodgkin`s lymphomas. The use of highly active antiretroviral therapy has reduced the incidence of AIDS-related lymphoma. There have been 7 reports of AIDS-related extra-nodal lymphoma in Korea. We report a case of AIDS-related lymphoma detected by MiroCam(R) capsule endoscopy. (Korean J Gastroenterol 2008;52:37-41)
백수정 ( Su Jung Baik ),심윤수 ( Yun Su Sim ),정성애 ( Sung Ae Jung ),심기남 ( Ki Nam Shim ),유권 ( Kwon Yoo ),문일환 ( Il Hwan Moon ),한운섭 ( Woon Sup Han ) 대한내과학회 2006 대한내과학회지 Vol.71 No.1
Collagenous colitis is recognized as one of the causes of chronic diarrhea accompanied with autoimmune diseases. It is a disease associated with chronic watery diarrhea and typical histologic findings of a thick subepithelial collagenous deposit on biopsy. We experienced a 75-year-old man patient with chronic watery diarrhea and mild abdominal pain for 7 years. Physical examination, laboratory and radiologic studies were unremarkable except hypokalemia. Colonoscopy disclosed mucosal atrophy, loss of submucosal vessel and altered vascularity of terminal ileum, ascending colon. Colonoscopic biopsy revealed homogenous hyaline layered collagen deposition beneath the surface epithelium and Masson`s trichrome stain showed collagen deposition. We report the case of collagenous colitis with a review of literature.(Korean J Med 71:75-79, 2006)
Helicobacter pylori 이차 제균에서 Levofloxacin 포함 삼제요법의 효과
정해선 ( Hae Sun Jung ),심기남 ( Ki Nam Shim ),백수정 ( Su Jung Baik ),나윤주 ( Youn Ju Na ),강민정 ( Min Jung Kang ),정지민 ( Ji Min Jung ),하창윤 ( Chang Yoon Ha ),정성애 ( Sung Ae Jung ),유권 ( Kwon Yoo ) 대한소화기학회 2008 대한소화기학회지 Vol.51 No.5
Background/Aims: Bismuth-based quadruple therapy for second-line eradication treatment achieves the eradication rate ranging from 70% to 81% due to antimicrobial resistance and poor compliance. The aim of this study was to compare the eradication rate of levofloxacin-based triple therapy with that of bismuth-based quadruple therapy in second-line Helicobacter pylori (H. pylori) eradication therapy. Methods: Seventy-six outpatients with persistent H. pylori infection after first-line triple therapy were enrolled in this prospective randomized trial. The subjects were randomized to receive levofloxacin 300 mg, amoxicillin 1 g, and pantoprazole 20 mg, given twice daily for 7 days (LAP group), or metronidazole 500 mg twice, tetracycline 500 mg four times, and pantoprazole 20 mg twice, bismuth subcitrate 600 mg twice daily for 7 days (MTPB group). Eradication was confirmed with 13C-urea breath test or rapid urease test 4 weeks after the cessation of therapy. Results: Among Seventy-six patients initially included, eleven were lost during follow-up. The eradication rates, expressed as intention to treat (ITT) and per protocol (PP) analyses, were 51.6% and 53.3% in the LAP group, and 48.9% and 62.9% in the MTPB group, respectively. There was no significant difference in H. pylori eradication rates between the two groups (p=0.815 by ITT, p=0.437 by PP). LAP regimen was better tolerated than MTPB regimen with lower incidence of side effects (10.0% versus 31.4%, p=0.03). Conclusions: H. pylori eradication rates of levofloxacin-based triple therapy and bismuth-based quadruple therapy were not significantly different in second-line H. pylori eradication therapy, and low incidence of side effects was observed in levofloxacin-based triple therapy. (Korean J Gastroenterol 2008;51:285-290)
정해선 ( Hae Sun Jung ),심기남 ( Ki Nam Shim ),강민정 ( Min Jung Kang ),백수정 ( Su Jung Baik ),유금혜 ( Kum Hei Ryu ),정성애 ( Sung Ae Jung ),유권 ( Kwon Yoo ),민석기 ( Seog Ki Min ) 대한장연구학회 2007 Intestinal Research Vol.5 No.2
Crohn’s disease is a chronic, transmural and inflammatory disease of the gastrointestinal tract. Intraabdominalabscesses and fistulas are common complications in Crohn’s disease. However, the presence of a psoas abscess and enterocutaneous fistula in Crohn’s disease is very rare. The incidence of a psoas abscess is 0.4-4.3% and the incidence of an enterocutaneous fistula is 15-25%. Moreover, as a psoas abscess presents as a flexion contracture of the sacroiliac joint, it is apt to be misdiagnosed as arthritis, one of the common extraintestinal manifestations of Crohn’s disease. We describe here a case of a 26-year-old female who presented with pain and flexion contracture of the right sacroiliac joint. The patient was diagnosed with a psoas abscess and an enterocutaneous fistula as complications of Crohn’s disease. (Intest Res 2007;5:188-191)
내시경 점막절제술로 치료한 바렛식도에서 발생한 고도 이형성증
하창윤 ( Chang Yoon Ha ),심기남 ( Ki Nam Shim ),강민정 ( Min Jung Kang ),정지민 ( Ji Min Jung ),나윤주 ( Youn Ju Na ),정해선 ( Hae Sun Jung ),백수정 ( Su Jung Baik ),정성애 ( Sung Ae Jung ),유권 ( Kwon Yoo ),조민선 ( Min Sun Cho 대한소화기기능성질환·운동학회 2008 Journal of Neurogastroenterology and Motility (JNM Vol.14 No.1
Esophageal adenocarcinoma develop in 0.5~0.8% of Barrett`s esophagus. Although the incidence of adenocarcinoma is low, annual endoscopic surveillance is needed because of poor outcome. Recently endoscopic mucosal resection is increasingly being used in the management of early esophageal cancer because of low morbidity and mortality rates. Herein, we report a case of high grade dysplasia arising from Barrett`s esophagus treated with endoscopic mucosal resection and brief review of literatures.
장중첩증으로 발현한 회장 말단의 외투 세포 림프종 1예
유금혜 ( Kum Hei Ryu ),심기남 ( Ki Nam Shim ),송현주 ( Hyun Joo Song ),나윤주 ( Yoon Ju Na ),백수정 ( Su Jung Baik ),윤수진 ( Su Jin Yoon ),정해선 ( Hae Sun Jung ),염혜정 ( Hye Jung Yeom ),정성애 ( Sung Ae Jung ),김태헌 ( Tae Hun 대한장연구학회 2006 Intestinal Research Vol.4 No.1
Although the gastrointestinal tract is one of the major sites of primary extranodal malignant lymphoma, the colon and small bowel are less frequently involved than the stomach. Mantle cell lymphoma comprising only 6% of the malignant non-Hodgkin lymphomas. Mantle cell lymphoma usually distributes from the esophagus to rectum, with advanced stages of peripheral lymphadenopathy, splenomegaly, and bone marrow infiltration. We report a case of ileocolic intussusception due to ileal mantle cell lymphoma. (Intestinal Research 2006;4:61-63)
선별 대장내시경 검사를 시행한 한국인 14,932명에서 대장 샘종 유병률과 위험 요인 분석
김희선 ( Hee Sun Kim ),백수정 ( Su Jung Baik ),김경희 ( Kyung Hee Kim ),오초롱 ( Cho Rong Oh ),이상인 ( Sang In Lee ) 대한소화기학회 2013 대한소화기학회지 Vol.62 No.2
목적: 대장암 예방을 위해서는 대장폴립을 조기 발견하여 제거하는 것이 가장 중요하다. 대장암의 선별 검사는 평균 위험군에서 50세 이상부터 시작할 것을 권고한다. 최근 50세 미만연령층에서도 대장 폴립의 빈도가 높아지고 있다. 이번 연구에서는 대장암의 전암병변인 대장 샘종의 각 연령별 빈도와 연관된 위험요인에 대하여 알아보고자 한다. 대상 및 방법: 2006년 7월부터 2012년 1월까지 강남세브란스 병원 건강증진센터를 내원하여 대장내시경검사를 시행한 수검자 14,932명을 대상으로 단면연구를 시행하였다. 결과: 대장 폴립과 샘종의 유병률은 각각 34.6%와 25.3%였다. 대장 샘종의 연령별 유병률은 각각 3.2% (30대 미만), 13.0% (30대), 21.7% (40대), 33.8% (50대), 44.0% (60대), 50.5% (70대), 54.2% (80대 이상)로 증가 추세였다. 대장 샘종과 연관된 위험요인은 남성(OR 2.38, 95% CI 2.084-2.718), 대변잠혈검사 양성(2.266, 1.761-2.917), Helicobacter pylori IgG 양성(1.253, 1.114-1.409), 그리고 고중성지방혈증(1.267, 1.065-1.508)이었다. 연령 요인은 30대를 기준 연령으로 했을 때 OR은 각각 0.195 (30대 미만), 1.634 (40대), 2.954 (50대), 5.159 (60대), 5.640 (70대), 11.020 (80세 이상)이었고, 95% CI는 각각 0.071-0.536, 1.34-1.992, 2.421-3.604, 4.109-6.476, 3.822-8.322, 그리고 2.809-42.234으로 의미있었다. 결론: 대장 샘종의 유병률은 연령 증가에 따라 높아졌고 30대미만은 다른 연령대에 비하여 대장 샘종의 방어인자였다. 남성, 혈청 anti H. pylori IgG 양성, 대변잠혈검사 양성, 고중성 지방혈증은 대장 샘종과의 연관 요인으로 나타났다. Background/Aims: Current international guidelines recommend colorectal cancer screening for average-risk people over 50 years of age. Accordingly, we aimed to estimate the prevalence of colorectal neoplasms in all age groups and evaluate associated risk factors. Methods: Data of 14,932 subjects who underwent colonoscopy from July 2006 to January 2012 at Health Promotion Center, Gangnam Severance Hospital (Seoul, Korea) as part of a health check-up were reviewed retrospectively. Results: The overall prevalence of colorectal neoplasms and adenoma were 34.6% and 25.3%, respectively. Colorectal adenoma was found in 3.2%, 13.0%, 21.7%, 33.8%, 44.0%, 50.5%, and 54.2% of subjects under 30 years, 30-39 years, 40 49 years, 50-59 years, 60-69 years, 70-79 years, and over 80 years of age (trend p<0.0001). Independent predictors of colorectal adenoma included male gender (OR 2.38, 95% CI 2.084-2.718), positive occult blood (2.266, 1.761-2.917), positive serology of Helicobacter pylori (1.253, 1.114-1.409) and hypertriglyceremia (1.267, 1.065-1.508). Compared to the 30-39 years of age reference group, the ORs for each age group were 0.195 (under 30 years), 1.634 (40-49 years), 2.954 (50 59 years), 5.159 (60-69 years), 5.640 (70-79 years), 11.020 (over 80 years), while the 95% CIs were 0.071-0.536 (under 30 years), 1.340-1.992 (40-49 years), 2.421-3.604 (50-59 years), 4.109-6.476 (60-69 years), 3.822-8.322 (70-79 years), and 2.809-42.234 (over 80 years). Conclusions: Colorectal adenoma prevalence increased proportionally with age. Only subjects under the age of 30 years had a definitely lower prevalence of colorectal adenoma. Male gender, positive occult blood, positive serology of H. pylori, and hypertriglyceremia were associated risk factors of colorectal adenoma. (Korean J Gastroenterol 2013; 62:104-110)
65세 이상 노인 환자에서 흉부외 수술 후 폐 합병증의 발생률 및 예측인자
류연주 ( Yon Ju Ryu ),박지영 ( Ji Young Park ),백수정 ( Su Jung Baik ),이진화 ( Jin Hwa Lee ),천은미 ( Eun Mee Cheon ),장중현 ( Jung Hyun Chang ) 대한내과학회 2004 대한내과학회지 Vol.67 No.1
Background: As number of the older patients for general elective surgery is increasing, postoperative pulmonary complications in the elderly are common and are a significant source of morbidity and mortality. Methods: We retrospectively evaluated the inci
대장용종절제술 시 항응고제의 복용을 중단한 환자에서 발생한 뇌경색 1예
최주영 ( Ju Young Choi ),심기남 ( Ki Nam Shim ),백수정 ( Su Jung Baik ),김유리 ( Yoo Ri Kim ),김성은 ( Sung Eun Kim ),정성애 ( Sung Ae Jung ),유권 ( Kwon Yoo ),문일환 ( Il Hwan Moon ) 대한장연구학회 2007 Intestinal Research Vol.5 No.2
It is not necessary to adjust anticoagulation for low-risk procedures, such as a gastroduodenoscopy or a colonoscopy with biopsy. For high-risk procedures of bleeding that include an endoscopic polypectomy and treatment of varices, warfarin should be discontinued for a few days. However, there is the risk of a thromboembolism by stopping warfarin treatment. We report a case of a 77-year-old man with atrial fibrillation, who stopped taking warfarin 4 days before a colonoscopic polypectomy, and developed an acute cerebral infarction after the procedure. (Intest Res 2007;5:200-203)