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Occurrence of Trochlear Nerve Palsy after Epiduroscopic Laser Discectomy and Neural Decompression
윤건중,이은하,김수화,노미선 대한통증학회 2013 The Korean Journal of Pain Vol.26 No.2
Epiduroscopic laser discectomy and neural decompression (ELND) is known as an effective treatment for intractable lumbar pain and radiating pain which develop after lumbar surgery, as well as for herniation of the intervertebral disk and spinal stenosis. However, various complications occur due to the invasiveness of this procedure and epidural adhesion, and rarely, cranial nerve damage can occur due to increased intracranial pressure. Here, the authors report case in which double vision occurred after epiduroscopic laser discectomy and neural decompression in a patient with failed back surgery syndrome (FBSS).
Disseminated Herpes Zoster in an Immunocompetent Elderly Patient
윤건중,김수화,이은하,최지혜 대한통증학회 2013 The Korean Journal of Pain Vol.26 No.2
Herpes zoster is a cutaneous infection that is characterized by an acute vesicobullous rash with ipsilateral one or two dermatomal distribution and painful allodynia, while predominantly being found in the elderly. Extensive cutaneous dissemination has been reported in immune-compromised patients, such as those who suffer from HIV infections, cancer, chemotherapy, and corticosteroid therapy patients. However, we report a case of disseminated herpes zoster infection in an immuno-competent elderly individual.
윤건중,김종렬 대한마취과학회 1997 Korean Journal of Anesthesiology Vol.32 No.2
A 27-yr old female patient who had a lumbar herniated nucleus pulposus was scheduled to undergo a laminectomy. In the past history, she has suffered from frequent upper respiratory infection and muffled voice. When we tried to intubate the patient for general anesthesia by routine method, we could not find the epiglottis and vocal cord. Fortunately we could intubate sucessfully through the folds were composed of hypertrophied aryepiglottic muscle and arytenoid cartilage between the tongue base and pharynx. In the postoperative period, we made observation of anatomical structure around the vocal cord by fiberoptic laryngoscope. We confirmed a congenital absence of epiglottis, hypertrophy of aryepiglottic fold and arytenoid region, elongated larynx and a large false vocal cord. (Korean J Anesthesiol 1997; 32: 302∼305)
타카야수 동맥염 환자에서 경부경막의 차단을 병용하여 시행한 마취경험 : 증례 보고 A case report
윤건중,김경희,강준구,이은경,유승준 대한마취과학회 2002 Korean Journal of Anesthesiology Vol.43 No.5
Takayasu's arteritis is a chronic and occlusive inflammatory disease of uncertain etiology affecting medium to large sized arteries. We anesthetized a patient who had Takayasu's arteritis affecting both common carotid arteries, the left anterior descending coronary artery, and the left subclavian artery. During beating heart coronary artery bypass graft and aorto-carotid bypass graft we chose a cervical epidural block combined with general anesthesia as an anesthetic technique. We managed the patient successfully with consistant hemodynamic stability. The operation was done without cardiopulmonary bypass and the patient was retuned to consciousness immediately after the end of the operation. We extubated the endotracheal tube in the operating room without pain. The patient maintained hemodynamic stability in the intensive care unit and we controlled the pain via a cervical epidural catheter with morphine and 0.1% bupivacain. (Korean J Anesthesiol 2002; 43: 673~677)
복합부위통증 증후군 II형 (CRPS Type II) 환자의 치험
윤건중(Keon Jung Yoon),김종렬(Jong Lul Kim) 대한통증학회 1996 The Korean Journal of Pain Vol.9 No.2
Complex regional pain syndrome Type II(CRPS) can be diagnosed by new IASP criteria in l994. Sympathetically maintained pain may or may not be present in a patient with com- plex regional pain syndrome. We experienced a CRPS Type II patient who has sympathetically maintained pain as a major painful nature developed after right multiple iliac bone fracture right femoral artery thrombosis and lumbosacral plexus injury. Combination treatment with L2, L3, L4 sympathetic ganglion block and continuous lower thoracic epidural block for 30 days were tried to get long term effect. The patient had signs of successful sympathetic denervation of the right foot. After that pain relief was sustained until three month later.
윤건중(Keon Jung Yoon),김종렬(Jong Lul Kim),박규호 대한통증학회 1995 The Korean Journal of Pain Vol.8 No.2
Rectal tenesmus is a persistent, painful and ineffectual sensation of straining at stool or opening of the bowels. Lumbar sympathectomy was performed in patient whose main complaint was rectal tenesmoid pain resulting from hemorrhoid operation, and in whom analgesic or psychotropic drugs had failed in controlling the symptom. After chemical lumbar sympathectomy, patient was free from the rectal tenesmoid pain. It is concluded that lumbar sympathectomy is a safe and effective treatment for rectal te- nesmus.
윤건중 ( Gun Jung Youn ),정우철 ( Woo Chul Chung ),이지민 ( Ji Min Lee ),백창렬 ( Chang-nyol Paik ),오정환 ( Jung Hwan Oh ),정성훈 ( Sung Hoon Jung ) 대한소화기학회 2017 대한소화기학회지 Vol.70 No.4
Background/Aims: In recent years, the incidence of acute pancreatitis (AP) has been increasing. A better understanding of the etiology is directly linked to more favorable outcomes. Unfortunately, there have been reports suggesting the variation of etiologies of AP across countries. The objective of this study was to determine the etiology of AP in a general hospital of Seoul-Gyeonggi province in Korea during the past decade. Methods: We retrospectively reviewed the medical records of consecutive patients with AP who were admitted to St. Paul’s Hospital (Seoul, Korea) with an affiliation to the Catholic University of Korea between January 2003 and January 2013. Results: A total of 1,110 patients were enrolled, totaling 1,833 attacks, and the most frequent cause of AP was alcohol consumption. The recurrence rate of AP was 24.5% (272/1,110), and habitual recurrence rate (more than three times) was 12.6% (140/1,110). The rate of severe AP was 4.9% (90/1,833 attacks). The mortality rate of AP was 2.6% (29/1,110 patients). The frequency of an idiopathic cause of AP was 13.3%. The recurrence rate and mortality rate of idiopathic AP were 16.2% and 5.4%, respectively. In 41.7% (10/24) of cases of idiopathic AP, microlithiasis was suspected. Conclusions: Between 2003 and 2013 in Korea, alcohol was the most frequent cause of AP in the general hospital of Seoul-Gyeonggi province of Korea. It appears that alcohol abstinence program may be necessary. Further nationwide studies would be needed to evaluate the etiologies of AP. (Korean J Gastroenterol 2017;70:190-197)
윤건중 ( Gun Jung Youn ),정우철 ( Woo Chul Chung ) 대한소화기학회 2017 대한소화기학회지 Vol.69 No.5
Although the incidence and mortality rate of gastric cancer have been steadily declining, gastric cancer is still the fourth most common cancer in the world and more than 50% of cases occur in Eastern Asia. In Korea, gastric cancer is the second most common cancer and third cause of cancer related death. The standard surgical procedure for resectable advanced gastric cancer is D2 lymphadenectomy with radical gastrectomy. Even though R0 resection was completed, recurrence is relatively common, and contributes to the limited survival of the patients in gastric cancer. As a clinically relevant factor for detection of the recurrence, the presence of isolating tumor cells has been introduced and it is so called as `micrometastasis`. Numerous immunohistochemistry and molecular studies have shown that micrometastasis can be demonstrated not only in lymph nodes but also in such body compartments as the bone marrow, peritoneal cavity and blood. Herein, we review the current knowledge and evidence of the prognostic significance of micrometastasis in peritoneal, lymph node, bone marrow. Also, we discuss the current state of research on the circulating tumor cell in peripheral blood. (Korean J Gastroenterol 2017;69:270-277)