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한국인에서 우측 대장 폴립과 좌측 대장 폴립의 임상적 비교
엄욱현,김현건,전성란,이태희,김완중,고봉민,김진오,조주영,이준성,이문성 대한장연구학회 2012 Intestinal Research Vol.10 No.4
Background/Aims: Comparative studies of colon polyps between right and left colon in Korean population are limited. We investigated the clinical characteristics of the patients according to polyp location and compared the results of the morphological and histological analysis of right and left colon polyps. Methods: The study was performed prospectively for the patients who underwent colon polypectomy for health check-ups in a single tertiary center. The patients were classified into three groups by the location of the polyps: right group (from the cecum to the splenic flexure), left group (from the descending colon to the anus), and total group. The size, the morphology, the location and the pathology of the polyps were evaluated. Results: From June 2010 to June 2011, Overall 2596 polyps from 950 patients (male=646) were analyzed. Colon polyps were right side-shift with increased patients age (P<0.001). The incidence of polyps was most common in sigmoid colon (26.5%). Polyps less than 5 mm size were more common in left colon (P<0.001) and flat polyps larger than 1 cm in right colon (P=0.006), respectively. In histopathological findings, the distribution of advanced adenoma was not different according to the location, however tubular adenomas and serrated adenomas (P<0.001) were more common in right colon. Female was more distributed in right group, respectively (P<0.001). Conclusions: In a single center study, colon polyps were more distributed in right colon with age and in females. Also flat polyps larger than 1cm, tubular adenoma and serrated adenoma were found in larger proportion in right colon. 목적: 국내에서 대장 폴립의 위치에 따른 비교 역학 연구는 드물다. 이번 연구는 우측 대장 폴립과 좌측 대장 폴립의 형태학적, 조직학적인 결과를 비교 분석하고 그 차이점을 알아보고자 하였다. 방법: 단일 3차 기관에서 건강검진을 목적으로 대장내시경검사를 시행받고 대장 폴립절제술을 시행받은 환자를 대상으로 전향적으로 분석하였다. 대장 폴립의 위치에 따라 우측군(폴립이 맹장에서 비만곡부에만 존재하는 군), 좌측군(비만곡부에서 항문관에만 존재하는 군), 그리고 양측 대장에 모두 존재하는 군으로 구분하고 연령, 성별, 체질량지수를 비교하였으며, 폴립의 크기, 형태, 조직학적인 소견 등의 임상적인특성을 우측 대장과 좌측 대장 폴립으로 비교하였다. 결과: 2010년 6월부터 2011년 6월까지 전체 950명(남자 646명)의 환자에게서 2,596개의 폴립이 절제되었다. 연령이 증가할수록 우측 대장의 폴립 분포는 통계적으로 의미있게 증가하였으며(P <0.001) 폴립의 빈도는 구불 결장이 가장 높았다(26.5%). 크기가 5 mm 미만인미소 폴립은 좌측 대장에 더 많이 분포하였으며(P <0001), 크기가 1 cm 이상인 편평 폴립은 상대적으로 우측 대장에 더 많이 분포하였다(P =0.006). 조직학적으로 융모샘종과 진행샘종은 그 분포에 있어서 통계적인 차이는 없었지만 관샘종과 톱니 샘종은 통계적으로 의미있게우측 대장에 더 많이 분포하고 있었다(P <0.001). 남성은 양측 대장 모두에 폴립이 분포하는 경우가 가장 많았지만 여성은 우측 대장에만 폴립이 분포하고 있는 경우가 상대적으로 더 많았다(P <0.001). 결론: 단일센터에서 전향적으로 분석한 한국인의 대장 폴립의 분포는 여성이거나 고령에서 우측 대장에 더 많았고, 1 cm 이상의 편평 폴립과조직학적으로 관샘종과 톱니 샘종은 우측 대장에 더 많았다.
지속성 외래 복막 투석 환자에게 발생한 후복막 지방육종
엄욱현 ( Wook Hyun Um ),이승원 ( Seung Won Lee ),박근호 ( Geun Ho Park ),이승우 ( Seoung Woo Lee ),김수한 ( Soo Han Kim ),김은주 ( Eun Joo Kim ),박현주 ( Hyun Joo Park ),송준호 ( Joon Ho Song ),김문재 ( Moon Jae Kim ),김준미 ( Joo 대한신장학회 2007 Kidney Research and Clinical Practice Vol.26 No.1
Liposarcoma accounts for at least 20% of all soft tissue sarcoma in adults and occur anywhere in the body, although about 14% of cases arise from retroperitoneum. Liposarcoma usually presents as a painless, enlarging mass that can slowly grow over many years. We here report a case of retroperitoneal liposarcoma in a 52 years old female patient undergoing continuous ambulatory peritoneal dialysis. Retroperitoneal liposarcoma was incidentally found by computed tomography which was performed due to ventral hernia and confirmed by ultrasonography guided-biopsy. She was treated successfully by wide surgical resection and transferred to hemodialysis.
홍대영,엄욱현,이경미,김지혜,한승백,서주현,김준식,노형근,Hong Dae-Young,Um Wook-Hyun,Lee Kyoung-Mi,Kim Ji-Hye,Han Seung-Baik,Suh Joo-Hyun,Kim Jun-Sig,Roh Hyung-Keun 대한임상독성학회 2006 대한임상독성학회지 Vol.4 No.1
Dicamba is a benzoic acid and classified as a chemically related chlorophenoxy herbicide which is widely used for the control of broad-leaved weeds. While the chlorophenoxy herbicide poisoning is known to be uncommon, its ingestion can result in serious or sometimes fatal outcome. A 65-year-old man ingested about 300 ml of dicamba in a suicidal attempt and three hours later he was admitted hospital, complaining abdominal pain, nausea and vomiting. On admission his vital signs were normal and laboratory findings were not remarkable except metabolic acidosis in arterial blood gas analysis. Shortly after the admission endotracheal tube was inserted due to altered mental state and activated charcoal was given after performing gastric lavage. However, his vital signs became unstable 6hrs after the ingestion and mechanical ventilation was started with administration of inotropic agents. In spite of urine alkalization for rapid elimination of the absorbed dicamba, the metabolic acidosis was aggravated with concomitant rhabdomyolysis and acute renal failure, and he died 24 hrs after the ingestion.
심광연,차상우,엄욱현,전창균,정승원,장재영,조영덕 대한소화기학회 2013 대한소화기학회지 Vol.61 No.2
Gallbladder (GB) cancer occurs predominately as a biliary tract malignant tumor. It generally has a very poor prognosis, and early detection is often difficult. A variety of carcinogens have been implicated as an important cause for GB cancer. Benzene is a well-known carcinogen for hematologic malignancy, and its casual relationship with GB cancer has been suggested. We report a case of two patients who had operated a laundry cleaning facility together and later simultaneously got GB cancer after prolonged benzene exposure.
이병후 ( Byung Hoo Lee ),엄욱현 ( Wook Hyun Um ),전성란 ( Seong Ran Jeon ),김현건 ( Hyun Gun Kim ),이태희 ( Tae Hee Lee ),김완중 ( Wan Jung Kim ),김진오 ( Jin Oh Kim ),진소영 ( So Young Jin ) 대한소화기학회 2013 대한소화기학회지 Vol.62 No.5
Herpes simplex virus (HSV) is a recognized cause of gastrointestinal infection in immunodeficient patients. Although a few cases of HSV gastritis and colitis in immunocompromised patients have been reported, there are no reports of HSV duodenitis in patients with Crohn`s disease (CD). A 74-year-old female was admitted with general weakness and refractory epigastric pain. She had been diagnosed with CD three years ago. Esophagogastroduodenoscopy (EGD) revealed diffuse edematous and whitish mucosa with multiple erosions in the duodenum. Considering the possibility of viral co-infection, cytomegalovirus (CMV) immunohistochemical staining, PCR, and cultures of duodenal biopsies were performed, all of which were negative with the exception of the isolation of HSV in culture. After administration of intravenous acyclovir for 1 week, follow-up EGD showed almost complete resolution of the lesions and the patient`s symptoms improved. In CD patients with refractory gastrointestinal symptoms, HSV, as well as CMV, should be considered as a possible cause of infection, so that the diagnosis of viral infection is not delayed and the appropriate antiviral treatment can be initiated. (Korean J Gastroenterol 2013;62:292-295)
Gastric Schwannoma Diagnosed by Endoscopic Ultrasonography-Guided Trucut Biopsy
홍성욱,조원영,김진오,천창균,심광연,복진현,엄욱현,이지은 대한소화기내시경학회 2013 Clinical Endoscopy Vol.46 No.3
Schwannomas of the gastrointestinal (GI) tract are rare subepithelial tumors comprising approximately 3.3% to 12.8% of all mesenchymal tumors of the GI tract. On endoscopic ultrasound (EUS) they are seen as hypoechoic tumors arising most commonly from the 4th proper muscle layer. Although EUS helps to distinguish tumor characteristics, tissue sampling is required for differentiation with other more common tumors such as GI stromal tumors. Both EUS-guided fine needle aspiration and EUS-guided trucut biopsy (EUS-TCB) can be used for tissue sampling. However, only EUS-TCB allows core biopsy and a high yield of immunohistochemical staining. We report a case of a gastric schwannoma diagnosed by EUS-TCB.
세탁소를 운영하는 부부에서 동시에 발생한 담낭암 담낭암과 벤젠과의 연관성
심광연 ( Kwang Yeun Shim ),차상우 ( Sang Woo Cha ),엄욱현 ( Wook Hyun Um ),전창균 ( Chang Gyun Chun ),정승원 ( Soung Won Jeong ),장재영 ( Jae Young Jang ),조영덕 ( Young Deok Cho ) 대한소화기학회 2013 대한소화기학회지 Vol.61 No.2
Gallbladder (GB) cancer occurs predominately as a biliary tract malignant tumor. It generally has a very poor prognosis, and early detection is often difficult. A variety of carcinogens have been implicated as an important cause for GB cancer. Benzene is a well-known carcinogen for hematologic malignancy, and its casual relationship with GB cancer has been suggested. We report a case of two patients who had operated a laundry cleaning facility together and later simultaneously got GB cancer after prolonged benzene exposure.