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오희주 ( Hee Ju Oh ),장병익 ( Byung Ik Jang ),김동희 ( Dong Hee Kim ),김용길 ( Yong Gil Kim ),김경옥 ( Kyeong Ok Kim ),이시형 ( Si Hyung Lee ) 대한장연구학회 2010 Intestinal Research Vol.8 No.1
Meckel’s diverticulum is the most common congenital anomaly of the intestine. The association between Meckel’s diverticulum and Crohn’s disease is unclear. Meckel’s diverticulum has previously been reported to be present in patients with Crohn’s disease. However, the finding is typically incidental, and a bleeding Meckel’s diverticulum in a patient with Crohn’s disease is uncommon. Recently, we managed a 27-year-old man with known Crohn’s disease who presented with hematochezia thought to be due to an ileal ulcer of Crohn’s disease. At the time of intra-operative small bowel endoscopy, the hematochezia was shown to be due to bleeding from Meckel’s diverticulum. Although the patient had already been diagnosed with Crohn’s disease, we need to consider the possibility of other causes of bleeding. (Intest Res 2010;8:80-83)
파열된 후 복강으로 파종된 간세포암종이 위벽으로 침윤되어 일으킨 상부 위장관 출혈
김동희 ( Dong Hee Kim ),은종렬 ( Jong Ryul Eun ),문희정 ( Hee Jung Moon ),오희주 ( Hee Ju Oh ),김용길 ( Yong Kil Kim ),장병익 ( Byung Ik Jang ),김태년 ( Tae Nyeun Kim ),이헌주 ( Heun Ju Lee ) 대한소화기학회 2009 대한소화기학회지 Vol.53 No.3
Hepatocellular carcinoma (HCC) rarely invades the gastrointestinal (GI) tract. It occurs in 0.7% to 2% of clinical HCC cases. Moreover, gastric invasion with GI hemorrhage via peritoneal seeding is very rare. We report the case of 67-year-old woman who had a history of HCC rupture and was admitted due to left upper quadrant abdominal pain. The patient was diagnosed with three omental metastatic masses and underwent hepatic segmentectomy and omental tumorectomy. Two months later, the patient had massive melena, and an esophagogas-troduodenoscopy showed very large ulcerated friable mass on the gastric body. The histology was consistent with the diagnosis of metastatic HCC. The patient died from persistent GI hemorrhage 93 days after the admission. This case illustrates the very rare event of peritoneal seeding of a ruptured HCC causing direct invasion of the stomach, followed by GI hemorrhage. (Korean J Gastroenterol 2009;53:194-197)
김동희 ( Dong Hee Kim ),장병익 ( Byung Ik Jang ),문희정 ( Hee Jung Moon ),오희주 ( Hee Ju Oh ),김용길 ( Yong Kil Kim ),은종렬 ( Jong Ryul Eun ),김태년 ( Tae Nyeun Kim ) 대한내과학회 2009 대한내과학회지 Vol.77 No.2
Esophageal submucosal dissection can be caused by foreign bodies and endoscopic procedures. It rarely develops spontaneously. If a submucosal hematoma and false lumen are observed at esophagogastroduodenoscopy, the lesion will heal after 7 to 10 days of conservative treatment. A 71-year-old man with sudden-onset chest pain, dyspnea, and a small amount of hematemesis was examined using chest computed tomography (CT) and esophagogastroduodenoscopy. He was diagnosed with submucosal dissection of the esophagus. After 13 days of conservative treatment, esophagogastroduodenoscopy showed mucosal exfoliation and a healing ulcer, and he was discharged without complications. (Korean J 77:223-226, 2009)
김태동 ( Tae Dong Kim ),김태년 ( Tae Nyeun Kim ),오희주 ( Hee Ju Oh ),김준환 ( Jun Hwan Kim ),이헌주 ( Hun Ju Lee ),박원규 ( Won Kyu Park ),장재천 ( Jae Chun Jang ) 대한내과학회 2005 대한내과학회지 Vol.69 No.-
Pylephlebitis, a suppurative thrombophlebitis of the portal venous system, is a rare complication of intra-abdominal sepsis usually followed by infection either in the region draining the portal system or in the structure contiguous to the portal vein. Early diagnosis and initiation of adequate antibiotic therapy is important for improving the long-term prognosis of patients suffering from this rare disease, so we retrospectively reviewed 6 cases of pylephlebitis. All patients were males with a mean follow-up of 11 months (range 5~24 months). Clinical symptoms consisted of fever (100%), right upper abdominal pain (100%), jaundice (33.3%), and diarrhea (16.6%). Anemia and leukocytosis were found in 6 patients. Suspected etiology was acute cholangitis in 2 patients, acute appendicitis in 1 patient and idiopathic in 3 patients. All patients were successfully diagnosed with dynamic CT scan which showed the presence of portal vein thrombosis (100%), superior mesenteric vein thrombosis (66.6%), liver abscess (33.3%), and biloma (16.6%). Patients were treated with the systemic administration of a broad spectrum antibiotics and 1 patient was given anticoagulant. Initial symptoms were improved in all patients and some beneficial effects of anticoagulation are expected to achieve the recanalization of thrombosis and prevent atrophic changes in the liver, but further studies on the kind of therapy are needed. (Korean J Med 69:S798-S806, 2005)
Helicobacter pylori 에 감염된 소화성 궤양 환자에서 Helicobacter pylori 박멸 요법에 의한 궤양 치료 효과
이상원(Sang Won Lee),김국현(Kook Hyun Kim),오희주(Hee Ju Oh),김태동(Tae Dong Kim),이은주(Eun Ju Lee),장병익(Byeong Ik Jang),김태년(Tae Nyeun Kim),정문관(Moon Kwan Chung) 대한내과학회 2002 대한내과학회지 Vol.63 No.2
Background: Proton pump inhibitor-based triple therapy is effective first line treatment for Helicobacter pylori (H. pylori) infection. However, it is unclear that additional acid-suppression therapy should be continued for ulcer healing after eradication of H. pylori in patients with peptic ulcer diseases. We evaluated the effect of H. pylori eradication in the treatment of H. pylori-associated peptic ulcer diseases. Methods: Eighty patients with endoscopically proven active peptic ulcers with H. pylori infection were randomized to receive either 1 week therapy of omeprazole 20 mg bid plus clarithromycin 500 mg bid plus amoxicillin 1000 mg bid alone (OCA group) or same regimen followed by 3 weeks of ranitidine 150 mg bid (OCAR group). Endoscopy, clinical assessments and urea breath test were performed after treatment. Results: Overall healing rates of peptic ulcer after 4 weeks and 8 weeks of treatment were 89.7% and 97.4% in OCA group and 85.5% and 97.6% in OCAR group, respectively (p>0.05). The H. pylori eradication rates in OCA and OCAR group were 84.6% and 82.9%, respectively (p>0.05). Symptomatic relief rate after 4 weeks of treatment was 89.2% in OCA group and 92.5% in OCAR group (p>0.05). Conclusion: One-week OCA therapy without additional acid suppressing therapy seemed to be effective for the treatment of non-complicated H. pylori-associated peptic ulcer diseases. Further study will be necessary to evaluate the effect of H. pylori eradication in the treatment of peptic ulcer disease and factors affecting healing of the ulcer. (Korean J Med 63:134-140, 2002)