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조삼권(Sam Kwon Cho),정영호(Young Ho Jeung),이창익(Chang Ik Lee),황만근(Man Keun Whang),김정훈(Jeung Hun Kim),김동욱(Dong Wuk Kim),허충(Chung Hur),이진관(Jin Kwan Lee) 대한소화기학회 2001 대한소화기학회지 Vol.38 No.3
Benign and malignant tumors are rarely encountered in the small intestine. Moreover, small bowel metastases arising from the lung carcinoma are very unusual. They often present as intestinal perforation and show a poor prognosis. We report a case of jejunal metastasis from sqamous cell carcinoma of the lung. The patient of this case complained of abrupt epigastric pain and vomiting. On phyical examination, we found whole abdominal tenderness and rebound tenderness. The free air was detected on chest radiography. Abdominal exploration confirmed multiple metastases on the jejunum and the liver, and revealed squamous cell carcinoma on the resection segment of the jejunum. The patient was discharged 9 days after palliative surgery without serious complication and died 2 months later. We report the case of small bowel metastasis from primary squamous cell carcinoma of the lung. (Korean J Gastroenterol 2001;38:211-214)
상부 위장관 내시경 검사 시 전처치로서의 Propofol의 효과
정영호,최정일,이진관,나인균,허충,조종대,정수룡,조삼권 대한소화기내시경학회 2000 Clinical Endoscopy Vol.20 No.3
Background/Aims: Benzodiazepine is generally used when sedation is required for endoscopy, while propofol, a phenol-derived intravenous anesthetic agent, appears to have a more suitable phamacokinetic profile. The aim of this study was to evaluate the effectiveness and safety of propofol as premedication for upper gastrointestinal endoscopy. Methods: Between July 1998 and October 1998, 44 male patients and 70 female patients were involved in this study. The relative ease of upper gastrointestinal endoscopy, patient's tolerance, and amnestic effects on 64 patients with propofol was compared with 50 patients with non-sedation. Pulse rate and arterial oxygen saturation was monitored. The endoscopist and patients replied to a questionnaire. Results: Patients receiving propofol tolerated endoscopy much more than patients with non-sedation (p<0.01). The change in pulse rate was less variable but arterial oxygen saturation showed a statistically significant decrease in patients receiving propofol (p<0.01). Propofoinduced complete amnesia in 93.7% of the patients and partial anesthesia in 4.7%. Most of the patients receiving propofol accepted the same sedative methods in their next endoscopy (p<0.01). Conclusions: Propofol is highly effective, with a short recovery time and satisfaction of the patients, but careful monitoring is recommended because of its untoward effect of hypoxia. It is recommended that propofol be used as a premedication especially in patients who are apprehensive about a repeated endoscopy.
최정일,정영호,정수룡,조종대,나인균,허충,이진관,조삼권 대한소화기내시경학회 2000 Clinical Endoscopy Vol.21 No.5
The incidence of abdominal trauma has increased in recent decades as the frequency of traffic accidents increased. Early symptoms and signs of blunt abdominal trauma may be absent and associated injuries frequently detract physicians from early diagnosis of abdominal trauma. Delayed diagnosis has been shown to be associated with higher morbidity and mortality. Gastrointestinal tract is the third most commonly injured organ from blunt abdominal trauma. Gastric ruptures after blunt abdominal trauma were reported occasionally, but reports of upper gastrointestinal bleeding by gastric mucosal tear were very rare. Four cases of upper gastrointestinal bleeding due to gastric mucosal tear after blunt abdominal trauma are herein reported with a review of related literatures.