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급격한 간기능 저하를 보인 급성 문맥혈전증이 동반된 간경변증 환자의 항응고제 사용 효과
조훈길 ( Hoon Gil Jo ),김유리 ( Youe Ree Kim ),조은영 ( Eun Young Cho ) 대한소화기학회 2021 대한소화기학회지 Vol.78 No.3
The treatment of portal vein thrombosis (PVT) in patients with liver cirrhosis (LC) has been controversial, and it is generally caseand institution-dependent. The occurrence of acute or extensive PVT is critical and requires urgent treatment because it is usually accompanied by symptoms, particularly when total occlusion occurs, causing acute decompensation of liver disease. Even in severe cases, drug selection and treatment duration are determined based on each institution’s experience. Therefore, consistent guidelines for the treatment of patients with LC with PVT are required. Recently, a patient with acute occlusive PVT with LC who showed signs of acute decompensation was treated by administering low molecular weight heparin as anticoagulant therapy. After anticoagulant treatment, the portal vein was almost completely recanalized, and the deteriorated liver function improved. In addition, the patient recovered well and showed no recurrence of PVT for more than a year. Thus, the most recent knowledge regarding the treatment of nonmalignant PVT in LC was reviewed along with a case report. (Korean J Gastroenterol 2021;78:177-182)
염증성 장질환에서 대변이식의 효능 및 안전성과 미생물기반 치료의 전망
조훈길 ( Hoon Gil Jo ),서검석 ( Geom Seog Seo ) 대한소화기학회 2021 대한소화기학회지 Vol.78 No.1
The use of 5-ASA, immunomodulators, biologics, and small molecule drugs are the main treatment for inflammatory bowel disease (IBD), however, fecal microbiota transplantation (FMT) is also drawing attention as a treatment to improve intestinal dysbiosis by transplantaing normal human stool into patients with IBD. FMT demonstrates relatively good effects in inducing clinical remission in IBD, but unlike Clostridium difficile infection, multiple FMT can enhance the clinical effect. There are no reports of the long-term effectiveness and safety of FMT conducted in IBD yet, therefore, well-designed, prospective studies will be needed. Gut microbiota can affect inflammatory response, intestinal barrier function, and host metabolism, so microbe-based therapies are likely to be a new treatment option for IBD. The deeper the understanding of microbe products or effectors, the more likely it is to provide personalized therapy in IBD. (Korean J Gastroenterol 2021;78:31-36)
순환기 흉선종이 동반된 중증 근육무력증 환자에서 발생한 완전 방실 전도 차단
김송이 ( Song I Kim ),김남호 ( Nam Ho Kim ),조훈길 ( Hoon Gil Jo ),김은경 ( Eun Kyoung Kim ),고점석 ( Jum Suk Ko ),이상재 ( Sang Jae Rhee ),윤경호 ( Kyeong Ho Yun ) 대한내과학회 2013 대한내과학회지 Vol.85 No.6
Myasthenia gravis is an autoimmune disorder characterized by antibodies against acetylcholine receptors in skeletal muscle. Myocardial involvement can present as myocarditis, ventricular tachycardia, heart failure and sudden death. However, advanced heart block is a very rare symptom. We report the case of a 69-year-old male who experienced dizziness and ptosis for one-month prior. He was diagnosed with myasthenia gravis and thymoma accompanied by complete atrioventricular block. The dizziness disappeared after implantation of a permanent pacemaker and the advanced heart block was resolved after surgical removal of the thymoma. (Korean J Med 2013;85:619-622)