http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
유기덕 ( Ki Deok Yoo ),한동수 ( Dong Soo Han ),정승민 ( Seong Min Chung ),김선민 ( Sun Min Kim ),배중호 ( Joong Ho Bae ),은창수 ( Chang Soo Eun ),백승삼 ( Seung Sam Paik ),오영하 ( Young Ha Oh ) 대한소화기학회 2010 대한소화기학회지 Vol.55 No.2
Histiocytic sarcoma is a rare malignant neoplasm that originates from a histiocytic hematopoietic lineage characterized by histiocytic differentiation and its corresponding immunophenotypic features. Patients with histiocytic sarcoma usually have a poor prognosis due to its aggressive clinical behavior. Here we report a rare case of extranodal histiocytic sarcoma of the stomach which was confirmed through immunohistochemical staining. A 71-year- old man was presented with epigastric pain. Gastroscopy, abdominal CT, and EUS revealed a mass located on the posterior wall of upper body and fundus of the stomach. Grossly, grayish white solid masses were seen extending down to the submucosal layer. Microscopically, the tumor cells had eosinophilic cytoplasm, abundant vacuole, and mitosis. Immunohistochemical staining revealed that the tumor cells were positive for LCA, CD68, and lysozyme. Early detection and accurate diagnosis of this rare neoplasm is important because it can make a great difference in prognostic outcomes. To make an accurate and definitive diagnosis, immunohistochemical staining is essential in the confimation of histiocytic orign. (Korean J Gastroenterol 2010;55:127-132)
말기 신질환과 혈액투석 환자의 담석증 유병률에 대한 고찰
한동수,이민호,이정익,김호중,최호순,윤병철,이오영,기춘석,함준수,은창수,전용철,이향락,손병관,정청일 대한소화기학회 2001 대한소화기학회지 Vol.37 No.4
Background/Aims: Gallstone disease is one of the major cause of morbidity in adults. Hemodialysis (HD) has been found to increase risk of gallstone formation following increase in bile cholesterol and biliary saturation index. There are very few data about the prevalence of gallstone in hemodialysis patients and so, we performed this study. Methods: We compared the prevalence of gallstone disease in patients with end-stage renal disease (ESRD) treated with HD with that in 208 age- and sex-matched controls (non-uremic control group). Patients who had chronic liver disease, renal disease, and diabetes were excluded from the control group. Results: In our study, we found a prevalence of gallstone of 18.3% in patients with ESRD treated with HD, which was significantly higher than 5.3% in the non-uremic control group. In most of our HD patients, cholecystolithiasis was asymptomatic. HD patients with cholecystolithiasis were statistically significantly older than patients without gallstones. We did not find a difference in sex, duration of HD treatment between patients with and without gallstones. Conclusions: Our results suggest that the prevalence of gallstone disease is higher in patient with ESRD treated with HD than in non-uremic population in Korea.
Billroth II 수술 후 발생한 소장의 세균과다증식에 의한 흡수장애 1예
최창렬,박경남,한동수,이민호,이정익,강태영,윤병철,이동후,이오영,전용철,은창수,함준수,기춘석,정청일 대한소화기학회 2001 대한소화기학회지 Vol.37 No.2
A large number of disorders have been associated with proliferation of enteric microorganisms in the small intestine. Billroth II partial gastrectomy is one of the factors that can develop bacterial overgrowth of small intestine. This bacterial overgrowth can lead to malabsorption or disturbed metabolism of intestinal contents. Many cases of bacterial overgrowth after partial gastrectomy have been reported in America and European literature. However, no case has been reported in Korea. Here, we describe a 44-year-old male patient with malabsorption who compalined of abdominal discomfort and peripheral edema. He had a history of Billroth II operation due to perforated gastric ulcer which had occurred 10 years before visiting our hospital. Jejunal biopsy was performed for differential diagnosis. In the aspirated jejunal fluid culture, $gt;10^5 organisms/mL were observed. After sensitivity based antibiotics therapy, clinical improvement was observed and he recovered well.