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식도정맥류의 발생과 출혈 예측에 있어서 순간 탄성 측정법(Fibroscan(R))의 유용성
이시형 ( Si Hyung Lee ),은종렬 ( Jong Ryul Eun ),이헌주 ( Heon Ju Lee ),김태년 ( Tae Nyeun Kim ),장병익 ( Byung Ik Jang ),최재원 ( Jae Won Choi ),박윤선 ( Youn Sun Park ),김경옥 ( Kyung Ok Kim ),이규형 ( Gyu Hyung Lee ),문희정 ( H 대한내과학회 2008 대한내과학회지 Vol.74 No.5
Background/Aims: This study was conducted to evaluate the efficacy of transient elastography (Fibroscan(R)) for predicting esophageal varices and esophageal variceal hemorrhage in patients with chronic liver diseases. Methods: We studied 245 patients (mean age: 50.1 years, male/female: 181/64) with chronic liver diseases to determine the relation between the clinical or serologic markers associated with liver fibrosis and tissue elastography, and these tests were performed in Feb 2007. The causes of chronic liver diseases were hepatitis B virus in 139 (56.7%), hepatitis C virus in 30 (12.2%), alcohol in 38 (15.5%), nonalcoholic fatty liver disease in 23 (9.4%), autoimmune liver disease in 3 (1.2%), and unknown 12 (4.9%). Results: Transient elastography was correlated with APRI (r=0.712) and the grades of esophageal varices (r=0.635). The AUROC values of transient elastography were 0.916 (95% CI: 0.838-0.954) for the presence of esophageal varices, 0.875 (95% CI: 0.819-0.931) for the esophageal varices grade ≥2, and 0.895 (95% CI: 0.846-0.945) for esophageal variceal hemorrhage. The cutoff values for 90% specificity were 15.3 kPa for esophageal varices, 20.7 kPa for esophageal varices grade ≥2 and 34.8 kPa for esophageal variceal hemorrhage, while the negative predictive values were 90%, 94% and 97%, respectively. Conclusions: Transient elastography was correlated with the presence of esophageal varices, the grades of esophageal varices and the presence of esophageal variceal hemorrhage. Therefore, this data may help to screen those patients how might undergo upper gastrointestinal endoscopy.(Korean J Med 74:491-499, 2008)
이진영(Jin-Young Lee),추효상(Hyo-Sang Choo),박성은(Sung-Eun Park),이규형(Gyu-Hyung Lee) 한국해양환경·에너지학회 2004 한국해양환경공학회 학술대회논문집 Vol.2004 No.-
In this study, the overall purpose was to understand the tidal flow pattern and the water exchange between the inner and outer parts of Yeoja Bay. Current velocity data were obtained for 25 hours with a Acoustic Doppler Current Profiler(ADCP) during September and October 2003. The Princeton Ocean Model was used to estimate to tidal current in Yeoja Bay.
최은경(Eun Kyung Choi),장혜숙(Hyesook Chang),서철원(Cheolwon Suh),이규형(Kyoo Hyung Lee),이정신(Jung Shin Lee),김상희(Sang Hee Kim),김명환(Myung Hwan Kim),민영열(Young Ⅱ Min),김진천(Jin Cheon Kim),이승규(Sung Gyu Lee),박건춘(Kun Choo 대한방사선종양학회 1991 Radiation Oncology Journal Vol.9 No.2
A Retrospective study to analyze the failure pattern in locally advanced stomach cancer, treated with radical surgery and post-op chemotherapy was performed. Among 107 patients who underwent radical gastrectomy in Asan Medical Center between June 1989 and August 1990. there were 20 stageⅡ(T2NO, T2N1) and 87 stageⅢ (T3N1, T3N2) and 91 patients were eligible for study. 57 patients treated with 6 cycles of postop adjuvant chemotherapy. Among 57 patients treated with postop adjuvant chemotherapy, local failure occurred in 21% and distant failure in 12%. Among 34 patients who were not treated with postop chemotherapy, local failure occurred in 24% and distant failure in 26%. Among 29 failures including 13 locoregional, 9 distant metastasis and 7 locoregional and distant metastasis, 11 cases recurred in the anastomotic site, 3 in the gastric bed, 7 in the regional lymph nodes and peritoneal seeding occurred in 6 cases. The true incidences of gastric bed, nodal and peritoneal failures may be higher in the longer follow-up or reoperative or autopsy series. Our data sugest that postop chemocherapy is beneficial by reducing distant failure rate. Our data suggest that postop chemocherapy is beneficial by reducing distant failure rate. Postop adjuvant locoregional radiotherapy in addition to the systemic adjuvant therapy may reduce the local failure rate and potentially benefit in at least 20% of patients who developed the local failure only. 수수로가 항암요법만으로 치료한 국소 진행된 위암환자에서 치료실패의 양상을 분석해봄으로써 수술후 방사선치료의 가능성을 알아보기 위하여 1989년 6월부터 1990년 8월까지 치료받은 107명의 환자를 대상으로 후향적 분석을 시행하였다. 제2기 (T₃N₁, T₃N₂(환자는 87명이었다 16명은 수술후 추적이 어려워 91명에 대한 분석을 시행하였다. 모든 환자는 근치적 절제술을 시행받았고 이중 57명은 수술후 항암요법을 시행하고 24명은 계속적 추적 관찰만을 하였다. 국소재발율은 항암요법 시행군에서 321%, 추적관찰군에서 24%로 차이가 없었고 원격전이는 항암요법 시행군에서는 12% 추적관찰군에서는 26%로 항앙요법 시행군에서 원격 전이가 적어지는 것을 관찰할 수 있었다. 국소 재발환자의 52%는 anastomosis site에서 재발하였고 원격 전이시 가장 많이 침범되는 장기는 간이었다. 아직 추적 관찰 기간이 짧으나 수술후 방사선 치료가 최소한 20%이상의 환자에서 도움이 될것으로 생각된다.
안세현(Sei Hyun Ahn),박건춘(Kun Choon Park),민병철(Pyung Chul Min),이인철(In Chul Lee),김신형(Sin Hyung Kim),이규형(Gyu Hyung Lee) 대한소화기학회 1991 대한소화기학회지 Vol.23 No.1
Cystic tumor is a rare disease of the spleen. Even the cystic lymphangioma of the spleen is the rarest one. We experienced a case of splenic cystic lymphangioma of 40 year old Korean woman. Splenectomy was performed and the final diagnosis was made by histologcal examination.
신생아실에서 집중치료실로 입원이 필요한 만삭아의 임상적인 특징
박진석 ( Jin Seok Park ),조기현 ( Kee Hyun Cho ),조희승 ( Heui Seung Jo ),조성일 ( Sung Il Cho ),채규영 ( Gyu Young Chae ),김문규 ( Moon Kyu Kim ),이규형 ( Kyu Hyung Lee ) 대한주산의학회 2014 Perinatology Vol.25 No.4
목적 : 출생 후 신생아실에서 관찰하는 도중에 상태가 나빠져서 신생아 집중 치료실(Neonatal Intensive Care Unit,NICU)로 입원 치료가 필요한 만삭아를 대상으로 임상적인 특징을 알아 보고자 하였다. 방법 : 2012년 1월부터 2013년 8월까지 분당차병원에서 출생한 재태 연령 37주 이상의 신생아 중 NICU로 입원한 161명을 대상으로 하였다. 이들을 분만 후 신생아실에서 증상이 나타나 입원한 nursery room군(NR군, N=97명)과 분만장에서 바로 입원한 delivery room군(DR군, N=64명)으로 나누어 비교하였다. 또한 문제없이 신생아실을 퇴원한 만삭아 중생후 1개월의 예방접종 시기까지 외래 추적에서 문제가 없었던 대조군(Term군, N=95명)과도 임상적인 특징을 비교 분석하였다. 결과 : NICU 입원의 가장 흔한 주증상은 호흡곤란이었고, 원인질환으로는 RDS(respiratory distress syndrome, RDS)의 빈도가 가장 높았다. 또한, RDS는 NR군에서 DR군보다 발생빈도가 높았다(28.9% vs. 14.1% P=0.029). Term군과의비교에서 NR군은 18시간 이상의 조기 양막파수의 빈도가 높았다(6.2% vs. 0.0% P=0.029). 다변량 로지스틱 회귀분석에서는, 7점 이하의 1분 Apgar 점수{odds ratio (OR) 3.1}, 출생 직후 산소치료의 병력(OR 2.6), 산전초음파의 이상소견(OR 3.3) 등이 재태 연령 37주 이상의 신생아가 NICU로 입원하는 위험 요인으로 나타났다. 결론 : 신생아실에서 관리를 시작하는 재태 연령 37주 이상의 신생아라도, 호흡곤란이 진행하면 반드시 RDS를 감별진단 해야한다. 18시간 이상의 조기 양막파수, 7점 이하의 1분 Apgar점수 또는 출생 직후 분만장에서 산소치료의 병력, 산전초음파의 이상소견 등의 위험 요인이 있는 만삭아는 NICU로 입원 가능성이 있으므로, 출생 초기에 신생아실에서 주의 깊은 관찰이 필요하다. Purpose : We evaluated the clinical characteristics of term infants admitted to the neonatal intensive care unit(NICU) from nursery. Methods : This is a study of NICU-admitted infants who were born ≥37 weeks of gestation at the BungdangCHA Hospital between January 2012 and August 2013 (n=161). The infants were divided into 3 groups. The“nursery room (NR) group” (n=97) comprised admissions from the nursery following a late deterioration incondition. The “delivery room (DR) group” (n=64) comprised infants who required admission to the NICUimmediately after delivery. In addition, healthy term infants who were selected as the “Term group” (n=95). Results : The NR group had a higher incidence of respiratory distress syndrome than DR group (28.9% vs. 14.1%, P =0.029). Compared with the Term group, the NR group had increased incidence of prolonged (>18h) premature rupture of membranes (PROM) (6.2% vs. 0.0%, P =0.029). By logistic regression analysis,comparing NR group and Term group, a 1 min Apgar score ≤7 points {odds ratio (OR) and 95% confidenceintervals (CI) 3.1 (1.0-9.1)}, a requirement of O2 at birth 2.6 (1.2-5.9) and abnormalities detected on anantenatal sonogram 3.3 (1.4-7.8) were associated with an increased risk of admission to NICU. Conclusion : Risk factors for NICU admission from nursery in term infants included prolonged PROM, a 1min Apgar score of ≤7 points, a requirement of O2 at birth, and abnormalities on antenatal sonograms. Terminfants with these risk factors should be carefully observed in the early neonatal period.
ABO 일치 간 이식 후 발생한 Evans syndrome 증례보고
윤지현 ( Ji Hyun Yun ),안지환 ( Jee Hwan Ahn ),조동희 ( Dong Hui Cho ),김태은 ( Taeeun Kim ),송기원 ( Gi Won Song ),이승규 ( Sung Gyu Lee ),이규형 ( Kyoo Hyung Lee ) 대한내과학회 2015 대한내과학회지 Vol.88 No.4
Evans syndrome is a rare complication that develops in adults after liver transplantation. The possible etiologies include ABO mismatch, viral infection, post-transplantation lymphoproliferative disease, graft-versus-host disease, and the use of certain immunosuppressive drugs (e.g., calcineurin inhibitors). Here, we present a case of Evans syndrome that developed after an ABOmatched liver transplant. Glucocorticosteroid, intravenous immunoglobulin, and alternative immunosuppressant therapies all failed. Weekly rituximab (375 mg/m2) was then administered for 4 weeks. The cytopenia improved transiently after the second dose of rituximab, but soon worsened again. However, the cytopenia normalized after a splenectomy.