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위부분절제술 후 발생하는 담도 확장 및 담석증의 임상적 의의
정석 ( Seok Jeong ),윤해리 ( Ha Rry Yoon ),권창일 ( Chang Il Kwon ),이태훈 ( Tae Hoon Lee ),한정호 ( Joung Ho Han ),송태준 ( Tae Jun Song ),황재철 ( Jae Chul Hwang ),김대중 ( Dae Jung Kim ) 대한소화기학회 2015 대한소화기학회지 Vol.66 No.1
Background/Aims: The well-organized study to support that increased cholelithiasis and bile duct dilatation can occur after gastrectomy has not been reported. The aim of this study was to determine the incidence of cholelithiasis and the degree of common bile duct (CBD) dilatation in patients undergoing subtotal gastrectomy, compared to those undergoing endoscopic treatment for gastric cancer. Methods: Patients who diagnosed with gastric cancer and received treatment at six academic referral centers were investigated for the incidence and time of cholelithiasis and the degree of CBD dilatation after treatment by analysis of 5-year follow-up CTs. The operation group underwent subtotal gastrectomy without vagotomy, while in the control group endoscopic treatmentwas administered for gastric cancer. Results: A total of 802 patients were enrolled in 5-year analysis (735 patients in the operation group and 67 patients in the control group). Cholelithiasis occurred in 47 patients (6.39%) in the operation group and 3 patients (4.48%) in the control group (p=0.7909). The incidences of cholelithiasis were 4.28% in Billoth-I and 7.89% in Billoth-II (p=0.0487). The diameter of proximal CBD and distal CBD increased by 1.11 mm and 1.41 mm, respectively, in the operation group, compared to 0.4 mm and 0.38 mm, respectively, in the control group (p<0.05). Patients with increased CBD dilatation more than 5 mm showed statistically significant increases in alkaline phosphatase and gamma-glutamyltransferase. Conclusions: The incidence of cholelithiasis was not increased due to subtotal gastrectomy without vagotomy, but the incidence was higher after Billoth-II compared to Billoth-I. In addition, significant change in the CBD diameter was observed after subtotal gastrectomy. (Korean J Gastroenterol 2015;66:33-40)
파국 항인지질 증후군 의증 환자의 파종혈관내응고 관련 급성 신손상
김조은 ( Jo Eun Kim ),윤해리 ( Ha Rry Yoon ),이정길 ( Jeong Guil Lee ),신대규 ( Dae Kyu Shin ),박지수 ( Ji Soo Park ),서성은 ( Seong Eun Seo ),김형종 ( Hyung Jong Kim ) 대한내과학회 2012 대한내과학회지 Vol.82 No.6
Acute kidney injury associated with disseminated intravascular coagulation (DIC) and a coagulation factor defect may develop with infection, malignancy, severe trauma, or obstetric complications. However, a gynecological etiology, such as hysterectomy, in a patient with adenomyosis has rarely been reported, We describe a case of a 42-year-old women who presented with DIC and acute kidney injury after a total hysterectomy, We thought that the cause for the acute kidney injury might be small vascular thrombosis and acute tubulointerstital nephritis due to probable catastrophic antiphospholipid syndrome with DIC. The patient was successfully treated with steroid therapy.
오현주 ( Hyun Ju Oh ),박지수 ( Ji Soo Park ),김조은 ( Jo Eun Kim ),윤해리 ( Ha Rry Yoon ),김지수 ( Ji Soo Kim ),김효영 ( Heo Young Kim ),김형종 ( Hyung Jong Kim ) 대한내과학회 2012 대한내과학회지 Vol.82 No.6
Hypercalcemia commonly occurs because of primary hyperparathyroidism and metastatic malignancies, such as multiple myeloma, breast cancer and lung cancer; these causes account for 90% of cases. The other causes of hypercalcemia are numerous, and immobilization is an under-appreciated etiology. The mechanisms underlying immobilization-induced hypercalcemia are uncertain. However, an overall increased osteoclastic bone resorption and decreased osteoblastic bone formation can induce hypercalciuria and hypercalcemia. Additionally, hypercalcemia can induce and be associated with acute kidney injury, but it is rarely reported in immobilization hypercalcemia. We report here a 58-year-old man with suspected immobilization hypercalcemia associated with acute kidney injury and treated successfully with glucocorticoids.