http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
윤현수(Hyeon Soo Yoon),이미화(Me Hwa Lee),이수진(Su Jin Lee),김건영(Kun Young Kim),유연표(Yun Pyo You),정도영(Do Young Jung),노경환(Gyoung Hwan Roh),한현영(Hyun Young Han),박성규(Sung Kyu Park),최덕례(Duck Yeii Choi) 대한소화기학회 2001 대한소화기학회지 Vol.38 No.2
Pyogenic liver abscess is a serious clinical disease with severe complications in 10-20% of the cases. Metastatic septic endophthalmitis is a rare complication associated with liver abscess. Despite appropriate treatment, the outcome is devastating. We experienced a case of pyogenic liver abscess complicated with endophthalmitis. The bacterial organism cultured from liver abscess was Klebsiella pneumoniae. Treatment of this patient was composed of percutaneous drainage under ultrasonographic guidance, systemic and intravitreal antibiotic therapy. After treatment for 6 weeks, the liver abscess was resolved completely, but the visual outcome was very poor despite intensive treatment. We report a case of pyogenic liver abscess complicated with endophthalmitis. (Korean J Gastroenterol 2001;38:120-123)
폐암에서 혈중 Cyfra 21-1, SCC 항원 및 CEA의 진단적 유용성
김경아 ( Kyoung Ah Kim ),이미화 ( Me Hwa Lee ),고윤석 ( Youn Suck Koh ),김선희 ( Seon Hee Kim ),임채만 ( Chae Man Lim ),이상도 ( Sang Do Lee ),김우성 ( Woo Sung Kim ),김동순 ( Dong Soon Kim ),김원동 ( Won Dong Kim ),문대혁 ( Dae H 대한결핵 및 호흡기학회 1995 Tuberculosis and Respiratory Diseases Vol.42 No.6
정도영(Do Young Jung),이수진(Su Jin Lee),이미화(Me Hwa Lee),최덕례(Duck Yeii Choi),박성규(Sung Kyu Park),윤현수(Hyeon Soo Yoon),김건영(Kun Young Kim),한현영(Hyun Young Han),강동욱(Dong Wuk Kang) 대한소화기학회 2001 대한소화기학회지 Vol.38 No.6
Pyogenic liver abscess is a serious clinical problem, which gives rise to complication in 30-50% of the cases. Spontaneous subcapsular hemorrhage is a rare complication associated with liver abscess. A 30-year-old woman was admitted with right upper quadrant abdominal pain, febrile sensation, and myalgia for 3 days. A septated 6×6 ㎎ sized ill-defined round and low-density lesion with hematoma was observed in subcapsular area of both hepatic lobe. Hepatic arteriography showed stretching of the branches of the right hepatic artery without extravasation of the contrast material. Ultrasono-guided percutaneous transhepatic aspiration was performed for subcapsular hematoma. The aspirates had blood count of WBC 58,500/㎣, hemoglobin of 7.8 g/dL, and platelet of 20,000/㎣. The aspirates of low density lesion was pus, in which Klebsiella pneumoniae was isolated. Liver biopsy was performed around the abscess and there was no evidence of hepatic neoplasia. After treatment of antibiotics for six weeks and percutaneous transhepatic drainage, she recovered completely. We report a rare case of pyogenic liver abscess complicated with spontaneous subcapsular hemorrhage. (Korean J Gastroenterol 2001;38:449-452)
김명환(Myung Hwan Kim),최호순(Ho Soon Choi),이성구(Sung Koo Lee),유병무(Byeong Moo Yoo),서동완(Dong Wan Seo),이미화(Me Hwa Lee),서동진(Dong Jin Suh),민영일(Young Il Min),이승규(Sung Gyu Lee),민병철(Pyung Chul Min) 대한소화기학회 1996 대한소화기학회지 Vol.28 No.1
N/A Background/Aims: Primary intrahepatic stones can usually be distinguished from secondary intra- hepatic stones by the presence of intrahepatic strictures. In Asia, primary hepatolithiasis predo- minates, whereas secondary hepatolithiasis is more commonly found in the West. About 20 years ago, the major chemical element of intrahepatic stones was calcium bilirubinate in Korea. Recently patients with intrahepatic mixed stones which carries high cholesterol content are increasing in Korea. This study indicates our results of systemic analysis on the structure and composition of primary intrahepatic stones. Methods: Multiple intrahepatic stones were harvested by choledochos- copic stone extraction from 84 patients with biliary stricture. We described the external appearance and color of the stones, and then cut the sample stone which was collected from eaclh patient in two pieces. A half of the stone was used for the measurement of chemical compositiion and the rest for electron microscope scanning . The cross sectional appearance was also recorded. Results: Intrahepatic stones were separated as mixed stones in 44 patients(52%) and brown pigiment stones in 40 patients(48%) on the basis of their gross and cross sectional appearance and cholesterol content. The mixed stones had a smooth and distinct black-colored outer shell and a yellow inner body on cross section. The consistency of mixed stoness was hard. The yellow inner body revealed the combination of the radial and concentric pattern. In contrast to the mixed stones, the brown stones were rough surfaced, light to dark brown in shade and soft and friable in consistency. They revealed multiple concentric layers of varying shades of brown on the cross section. In mixed stones, the percentage of cholesterol and calcium bilirubinate was 51.6--6.4% and 24.8 9.1%, respectively. In brown stones, the percentage of cholesterol and bilirubin was 12.5 .5.2% and 42.8 ' 10.2%, respectively. There was a significant difference in the percentage of cholesterol and bilirubin(p 0.001) between mixed stones and brown pigment stones. Conclusions: Primary intrahepatic stones in the past were mainly brown pigment stones. Primary intrahepatic mixed stones in our cases have not been reported in the Korean literature. About a half of our study subjects have had primary intrahepatic mixed stones, which contained high cholesterol <:ontent. We suggest that the chemical composition of primary intrahepatic stones in Korea I.; changing. (Korean J Gastroenterol 1996;28: 85 - 91)
Antineutrophil Cytoplasmic Autoantibody 양성인 결절성 다발동맥염 1 예
조원경(Won Kyoung Cho),제수정(Soo Jung Je),최정은(Jeong Eun Choi),정해혁(Hae Hyuk Jung),이미화(Me Hwa Lee),홍진선(Jin Surn Hong),박흥동(Heung Dong Park),박정식(Jung Sik Park),김대원(Dae Won Kim),유은실(Eun Sil Yoo) 대한내과학회 1993 대한내과학회지 Vol.45 No.5
Anti-neutrophil cytoplasmic autoantibodies are serologic marker for various disease, ranging from multi system vasculitis, such as Wegner's granulomatosis and polyarteritis nodosa, to renal-limited disease (that is, idiopathic crescentic glomerulonephritis) These ANCA-associated diseases share the pathologic feature of necrotizing vascular inflammation with scant immune deposition. In vitro studies suggest that these diseases also have a common immunopathogenesis mediated by ANCA-induced neutrophil activation. We experienced a case of ANCA positive polyarteritis nodosa. The physical exammination of abdomen showed mild direct tenderness on the right upper quadrant. Laboratory studies on admission revealed leukocytosis, elevated ESR, proteinuria, hematuria, and elevated alkaline phosphatase. Liver bipsy and renal biopsy revaled characteristic findings of Polyarteritis Nodosa. Serologic test for ANCA showed central type with 1:1280 of titer. The patients was treated with prednisolone and oral cyclophosphamide but the disease progressed to end-stage renal disease.
위상피세포에서 Helicobacter pylori 형태 변화가 Interleukin-8 분비에 미치는 영향
이학성,김혜원,홍원선,민영일,정훈용,김해련,양석균,이미화 대한소화기학회 1999 대한소화기학회지 Vol.33 No.6
Background/Aims: Interleukin-8 (IL-8) has been reported to play a critical role in Helicobacter pylori (H. pylori)-associated gastric mucosal damage. H. pylori exist in both bacillary and coccoid forms in the stomach. In contrast to bacillary forms, it is not clear whether coccoid forms stimulate gastric epithelial cells to produce IL-8. This study was conducted to investigate the effects of coccoid forms on IL-8 production. Methods: H. pylori strains of ATCC 43504, ATCC 43526 and three clinical isolates were used in the present study. Coccoid forms were induced by culturing bacillary forms of H. pylori for more than 84 hr. After co-culture of two human gastric adenocarcinoma cel lines (KATO III and AGS) with five strains of H. pylori, the levels of IL-8 were determined in th supernatants by enzyme linked immunosorbent assay. Results: The levels of IL-8 in KATO III and AGS cells were markedly elevated up to 6-9 hr after co-culture with the bacillary forms. The IL-8 levels produced in both cell lines by the coccoid forms were significantly lower than those by the bacillary forms in all strains. Conclusions: These results suggest that coccoid forms are much less implicated in IL-8- mediated gastric mucosal damage than bacillary forms.
김명환,이성구,임미경,서동완,최호순,유병무,민영일,김석균,이미화,채희복,김현건 대한소화기내시경학회 1996 Clinical Endoscopy Vol.16 No.1
Retrograde transpapillary cholangioscopy can be safely performed by use of a mother-baby-scope system after endoscopic sphincterotomy. Improved endoscopes are now available and may lead to a better acceptance of this technique. Cholangioscopy is complementary to cholangiography for differential diagnosis of various types of bile duct lesions. From march 1992 to September 1994, we performed 15 cases of peroral cholangioscopy for evaluation of bile duct lesions. Indications of peroral cholangioscopy were 6 cases of benign biliary diseases and 9 cases of malignant biliary diseases. In benign diseases, two cases of extrahepatic bile duct stones, 1 case of intrahepatic duct stone with stricture, 2 cases of benign elevated lesions of bile duct and 1 case of occluded expandable metallic stent were involved. In malignant diseases, 7 cases of primary bile duct cancer, 2 cases of hepatocellular carcinoma with bile duct invasion were involved. By use of peroral cholangioscopy with biopsy, differential diagnosis of bile duct lesion was possible. As a complication, severe abdominal pain and hypotension was developed in one case during the procedure and in another case, cholangitis was developed after the procedure. In conclusion, peroral cholangioscopy is a safe and useful procedure in various types of biliary diseases especially in the differential diagnosis of malignancy.
김명환,이성구,서동완,유병무,민영일,이근찬,정훈용,장윤혜,정성애,명승재,이미화,방혜승,김삼정 대한소화기내시경학회 1996 Clinical Endoscopy Vol.16 No.4
We evaluated the clinical characteristics of patients with SO dyskinesia(n=16) who were confirmed by ERCP manometry during past 5 years. They were 14 male and 2 female and mean age was 52-year-old(range, 32-75). According to the criteria suggested by Hogan and Geenen, 13 patients were classified into biliary type and 3 patients into pancreatic type. Among the patients with biliary type(n=13), 12 patients fulfilled the criteria for group II dysfunction of SO and 1 patient for group III. Among the patients with pancreatic type(n=3), all fulfilled the criteria for group II. The manometric abnormalities were increased basal pressure(n=4), tachyoddia(n=7), increased retrograde propagation(n=3), tachyoddia and increased retrograde propagation(n=l), and tachyoddia and increased basal pressure(n=l). As treatment, 12 patients received conventional endoscopic sphincterotomy and 3 patients received endoscopic pancreatic sphincterotomy in addition to conventional endoscopic sphincterotomy. Satisfactory results (complete absence or marked reduction of pain) were obtained in 13(87%) out of 15 patients by endoscopic treatment. In conclusion, SO dyskinesia is not so common disease and the detection of patients with SO dyskinesia may increase by frequent application of ERCP manometry.