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조현근(Hyeon Geun Cho),정준표(Jun Pyo Chung),박효진(Hyo Jin Pack),윤영원(Young Won Yoon),신은택(Eun Tack Shin),전재윤(Chae Youn Chon),박인서(In Suh Park),김기황(Ki Whang Kim) 대한소화기학회 1994 대한소화기학회지 Vol.26 No.6
The term Biloma was introduced by Gould and Patel to describe encapsulated extrahepatic collections of bile in 1979, and has subsequently been expanded to include intra- hepatic bile collections. Various imaging modalities have been utilized to identify bilomas, in- cluding computerized tomography, ultrasonography, magnetic resonance imaging and radionucleotide studies. Needle aspiration is essential to confirm the diagnosis. Most of biloma resulted from biliary ductal disruption due to abdominal surgery or trauma. Less frequently bilomas have also been reported in association with hepatoma, gall bladder cancer and bile duct pathology. Recently we experienced a case of biloma developed spontanceously in a pa- tient with pancreatic cancer presenting as acute pancreatitis and report with a review of liter- atures.(Korean J Gastroenterol 1994; 26: 1053 1057)
조현근(Hyeon Geun Cho),전재윤(Chae Yoon Chon),김호근(Ho Guen Kim),정준표(Jun Pyo Chung),박효진(Hyo Jin Park),이관식(Kwan Sik Lee),박인서(In Suh Park),손승국(Seung Kook Sohn) 대한소화기학회 1996 대한소화기학회지 Vol.28 No.4
N/A Background/Aims: It has been demonstrated that several solid tumors are angiogenesis-dependent in their growth and metastasis. The purpose of the study is to investigate the correlation between tumor angiogenic activity and clinicopathologic factors, and to evaluate the availability of angio- genic activity as an independent prognostic factor in patients with advanced gastric carcinoma. Methods: One hundred and fifty-seven patients with advanced gastric carcinoma who underwent curative radical surgery in Yonsei University, Yong-Dong Severance Hospital from Jan. 1986 through Dec. 1989 were studied retrospectively. The most representative section having the invasive component of the tumor by hematoxylin and eosin stain were stained with monoclonal antibody against factor VIII-related antigen. Results: Of 157 patients, the mean survival duration was 55.6 months and the mean microvessel count was 78.1/field(200 times of magnification). The microvessel count increased with AJCC tumor stage(p=0.0165) by univariate analysis. Clinico- pathologic factors independently related to microvessel count were AJCC tumor stage(p=0.0041) and the location of tumor(p=0.0429), but clinicopathologic factors including histologic type, gross morphology, size, age and sex were not independently related to microvessel count. T'he prognosis of the group of which microvessel count more than 78/field was significantly worse than that of the group for which microvessel count was 78/field or less(p=0.0232). Clinicopathologic factors independently related to the survival were AJCC tumor stage(Ib vs. IIIb, p=0.0017) and microves- sel count(<78 vs. 78, p=0.0281) but presence of chemotherapy and other clinicopathologic factors were not independently related to the survival. Conclusions: The number of microvessel showed positive correlation with tumor stages in patients with advanced gastric carcinoma who underwent curative radical surgery. The number of rnicrovessel may be an independent available prognostic factor. (Korean J Gastroenterol 1996; 28:502 - 512)
왕길상 ( Kil Sang Wang ),조현근 ( Hyeon Geun Cho ),김정훈 ( Jeong Hun Kim ),김명환 ( Myoung Hwan Kim ),박인서 ( In Suh Park ),박재균 ( Jea Kun Park ),김미성 ( Mi Sung Kim ) 대한내과학회 2009 대한내과학회지 Vol.76 No.4
Although Morgagni hernias are rarely symptomatic, an 88-year-old woman presented with severe abdominal pain and distension due to large bowel obstruction. The transverse colon and omentum were herniated through an anterior medial diaphragmatic defect in the right thorax. The plain abdominal X-rays indicated intestinal obstruction and the plain chest X-ray showed hazy mass-like densities. The multi-detector row computed tomography (MDCT) findings were compatible with a Morgagni hernia. This diagnosis of a Morgagni hernia was confirmed at immediate surgery. (Korean J Med 76:481- 484, 2009)
내과적 치료로 회복된 급성 췌장염에 병발된 간문맥 내 가스
동시헌 ( Shi Heon Dong ),조현근 ( Hyeon Geun Cho ),백정훈 ( Jeong Hoon Baek ),강버들 ( Beo Deul Kang ),김미성 ( Mi Sung Kim ),조재희 ( Jae Hee Cho ),이정훈 ( Jeong Hoon Lee ),천송욱 ( Song Wook Chun ) 대한소화기학회 2013 대한소화기학회지 Vol.61 No.3
Hepatic portal venous gas (HPVG) has been considered a rare entity associated with a poor prognosis. Portal vein gas is most commonly caused by mesenteric ischemia but may have a variety other causes. HPVG can be associated with ischemic bowel disease, inflammatory bowel disease, intra-abdominal abscess, small bowel obstruction, acute pancreatitis, and gastric ulcer. Because of high mortality rate, most HPVG requires emergent surgical interventions and intensive medical management. We experienced a case of hepatic portal venous gas caused by acute pancreatitis and successfully treated with medical management. (Korean J Gastroenterol 2013;61:170-173)
Helicobacter pylori 에 대한 혈청 IgG 항체의 양성율 및 혈청 Pepsinogen 과의 상관관계
박효진(Hyo Jin Park),이병권(Byoung Kwon Lee),정준표(Jun Pyo Chung),조현근(Hyeon Geun Cho),이상인(Sang In Lee),박인서(In Suh Park),손영모(Young Mo Sohn),이창훈(Chang Hoon Lee),송경순(Kyung Soon Song) 대한내과학회 1995 대한내과학회지 Vol.48 No.1
Objectives: This study was designed to estimate the prevalence of Helicobacter Pylori infection in a healthy population in Korea and correlate between H. Pylori infection and serum pepsinogen levels as markers of gastritis and atrophic gastritis. Methods: We collected sera obtained form 104 children and 173 adult who had no gastrointestinal symptoms and measured specific IgG antibodies against H. Pylori by Bio-Rad G. A. P test. Serum pepsinogen 1 and 2 concentrations were determined by radioimmunoassay. Results: 1) The frequency of H. Pylori infection increased with age and was more than 80% over age 40. 2) Serum pepsinogen 1 and 2 concentrations in the healthy population were increased with age, while the serum pepsinogen 1/2 ratio decreased. 3) There were no significant statistical differences between the titre of specific IgG antibodies against H. Pylori and serum pepsinogens. Conclusion: The data from this study suggested that the prevalence of Helicobacter Pylori infection increased with age and serum pepsinogen levels were related to the presence or absence of H. Pylori infection. We conclude that H. Pylori infection is one of the factors which helps develop atrophic gastritis, the precursor lesion of gastric cancer.
서정건(Jung Kun Seo),윤상욱(Sang Wook Yoon),조현근(Hyeon Geun Cho),박효진(Hyo Jin Park),오세창(Se Chang Oh),이관식(Kwan Sik Lee),전재윤(Chae Yoon Chon),박인서(In Suh Park) 대한소화기학회 1996 대한소화기학회지 Vol.28 No.6
N/A Background/Aims: The clinical evaluation of rectal sensation has traditionally relied on the use of balloon distension in the rectum but balloon distension test has been limited because it was seen variably. This study was performed to evaluate usefulness of electrophysiologic test in patients with chronic constipation. Methods: Pudendal nerve terminal motor latency(PNTML), anal and rectal rnucosal electrosensory test, balloon distension test and defecogram were performed in 19 patients with chronic constipation and 1 1 normal controls. Results: There was no significant difference between patients with chronic constipation and normal controls in balloon distension test but balloon distension in the rectum revealed an elevated tendency of sensory threshold in constipated patients. The mean value of right and left PNTML did not differ between tendency in patients with chronic constipation and controls(2.65+0.94 vs. 2.20+0.33 msec, patients vs. controls, p=0.2448). Rectal rnucosal electrosensory threshold revealed an elevated tendency in patient with chronic constipation(50.8>23.6 vs. 40.9+10.1 mamps, patients vs. controls, p=0.0838) but there was no significant difference between patients with chronic constipation and controls in anal threshold. PNTML revealed an elevated tendency in patients with prominent puborectalis on evacuation(2.71 +0.72 vs. 2.03+0.40 msec, p=0.0776), but anal and rectal mucosal sensory threshold did not differ depending on puborectalis dyskinesia. Conclusions: Because rectal mucosal electrosensory threshold revealed an elevated tendency in patient with chronic constipation and PNTML revealed an elevated tendency in constipated patients with prominent puborectalis on evacuation, it is thought that the changes of rectal mucosal sensory threshold and PNTML in patients rnay be related with clinical symptoms and etiology. (Korean J Gastroenterol 1996; 28:751-757)
피부경유 방사선적 위공장연결술로 치료된 상장간막동맥 증후군
최정우 ( Jeong Woo Choi ),이주영 ( Ju Young Lee ),조현근 ( Hyeon Geun Cho ) 대한소화기학회 2016 대한소화기학회지 Vol.67 No.6
Superior mesenteric artery (SMA) syndrome is a rare condition that must be differentiated from other gastrointestinal diseases manifesting as upper abdominal pain, nausea, or vomiting. The description of SMA syndrome is compression of the third portion of the duodenum by the SMA and the abdominal aorta. SMA syndrome is managed with nasoenteral nutrition or surgical strategies such as laparoscopic duodenojejunostomy. However, SMA syndrome treated using enteral nutrition by percutaneous radiologic gastrojejunostomy has not been reported. Here, we report our experience of successfully managing a case of SMA syndrome with percutaneous radiologic gastrojejunostomy. (Korean J Gastroenterol 2016;67:321-326)
서정건(Jung Kun Seo),정준표(Jun Pyo Chung),조현근(Hyeon Geun Cho),이귀순(Kwi Soon Lee),이관식(Kwan Sik Lee),전재윤(Chae Yoon Chon),강진경(Jin Kyung Kang),박인서(In Suh Park),김기황(Ki Whang Kim),김호근(Ho Geun Kim),이상인(Sang In Lee 대한내과학회 1997 대한내과학회지 Vol.53 No.1
We experienced a case of primary sclerosing cholangitis(PSC) in a 40-year-old female who complained of jaundice and pruritus. Marked elevation of serum alkaline phophatase level, typical beaded appearance and pruned-tree appearance on endoscopic retrograde cholangiography, together with a finding of chronic obliterative fibrosing cholangitis on sono-guided gun biopsy specimen of the liver led to a confirmative diagnosis of PSC. The patient responded to ursodeoxycholic acid (UDCA), but was reluctant to treatment and died of hepatic failure 7 months later. PSC is a very rare disease in Korea. So far, only 5 cases including our present case have been reported in the Korean literature. Male-to-female ratio was 2:3 and the median age was 40(27-80 years old). Ulcerative colitis was associated in one case. Four cases involved both intra, and extrahepatic bile ducts and one case was reported to be confined in the intrahepatic bile ducts. Fatality was in 3 cases, 20 days, 36 days, and 7 months after the initial presentaion, respectively. The causes of death were acute cholangitis and sepsis in two, and hepatic failure in one. We herein report a case of PSC and clinical charateristics of the reported cases in Korea, and review the literature with an emphasis on UDCA treatment in PSC.
헬리코박터 제균 요법이 기능성 소화불량증 환자와 소화성 궤양 환자의 증상 호전에 미치는 효과
이은재 ( Eun Jae Lee ),감창우 ( Chang Woo Gham ),박태운 ( Tae Woon Park ),홍성일 ( Sung Il Hong ),고근준 ( Geun Jun Ko ),최창환 ( Chang Hwan Choi ),한기준 ( Ki Joon Han ),조현근 ( Hyeon Geun Cho ),이재은 ( Jae Eun Lee ),김재영 ( J 대한내과학회 2006 대한내과학회지 Vol.71 No.2
Background: In the functional dyspepsia, Helicobacter pylori has been suggested as a causative agent. But, the effect of H. pylori eradication is still debated on functional dyspesia. The purpose of this study was to evaluate the effectiveness of the H. pylori eradication therapy in the improvement of the symptoms in patients with functional dyspepsia. Methods: The convenience sample consisted of 123 patients with functional dyspepsia and 80 patients with peptic ulcer diseases who were infected with H. pylori. All patients had received eradication therapy of H. pylori for one or two weeks and additional therapy with H2RA or PPI for one to five weeks. After the treatment was completed, the patients were asked about their symptomatic improvement every three months. The degree of symptom was rated on a five-point Likert scale. Results: Overall eradication rate of H. pylori was 82.8% (168/203), and there were no significant differences in the eradication rate between the two groups and between one-week and two-week eradication therapies. The mean follow-up period was 12 months. The symptomatic improvement in both group was maintained over 12 months in most patients (PUD 72.5% vs. FD 67.4%). In addition, the symptomatic improvement in the patients with eradication success was maintained significantly longer than those with eradication failure in both group (FD p=0.007 vs. PUD p=0.014). Conclusions: The eradication therapy of H. pylori can be one of the therapeutic options for patients with functional dyspepsia and that eradication failure may cause the recurrence of the symptom. (Korean J Med 71:141-148, 2006)