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한국인에서 발생한 만성 B형 간염 환자에서 테노포비어의 단기 치료 효과
주종석,강성훈,김석원,신해진,이엄석,김석현,이병석,이헌영 조선대학교 의학연구소 2014 The Medical Journal of Chosun University Vol.39 No.3
The aim of this study was to evaluate the efficacy of tenofovir in HBV patients at 12 months after treatment. A total of 122chronic hepatitis B patients who took tenofovir for at least 12 months were enrolled. We measured ALT levels, HBeAg, anti-HBe, HBV DNA, and serum creatinine at six and 12 months after treatment. The virological response rate at six and 12 months after treatment in naïve patients was 27.1% and 41.7%, respectively. High virological response rate at six and 12months after treatment showed an association with initial low HBV DNA titer and initial negative HBeAg status.
주종석,손경목,지미숙,김연숙,천신혜,송창헌,신해진,김기대 조선대학교 의학연구소 2014 The Medical Journal of Chosun University Vol.39 No.3
Melioidosis, an infectious disease caused by the facultative intracellular gram-negative bacillus Burkholderia pseudomallei, is geographically restricted to Southeast Asia and Northern Australia. It commonly affects patients with underlying medical disease, such as diabetes mellitus or renal failure. In South Korea, only six cases of melioidosis have been reported in the literature. However, none of the patients had chronic kidney disease. We report on a case of melioidosis presenting as septicemic pneumonia in a 48-year old man undergoing hemodialysis. He was a returning traveler from Thailand.
근치적 절제술 후 림프절 재발이 발생한 진행성 위암에 대한 고식적 치료 1례
주종석,정현용,문희석,성재규,강선형,Jong Seok Joo,Hyun Yong Jeong,Hee Seok Moon,Jae Kyu Sung,Sun Hyung Kang 대한소화기암연구학회 2015 Journal of digestive cancer reports Vol.3 No.2
A 54-year-old male patient who was diagnosed with advanced gastric cancer underwent a distal gastrectomy, D2 lymph node dissection, and adjuvant chemoradiotherapy. After a year, in a follow-up PET-CT, lymph node metastases were observed in the neck and abdomen, and therefore, the patient underwent chemotherapy. After treatment, the follow-up PET-CT revealed a growth of the posterior neck lymph node. Thus, an excisional biopsy was performed, and the growth was diagnosed as metastatic adenocarcinoma. Therefore, the patient received chemotherapy with FOLFIRI. Another follow-up PET-CT after chemotherapy revealed a growth in the right inguinal lymph node, and the patient underwent salvage radiotherapy for this lesion. The PET-CT taken for the response evaluation showed no evidence of further metastasis of the lymph node. We hereby report a case of advanced gastric cancer with neck and inguinal lymph node recurrence showing complete remission after palliative chemotherapy and salvage radiotherapy.
무증상 환자에서 상부위장관 내시경으로 우연히 발견된 바터팽대부의 소세포 신경내분비암종 1예
주종석,김주석,신해진,김기대,문희석,강선형,성재규,정현용,김경희,송인상 대한상부위장관ㆍ헬리코박터학회 2015 Korean Journal of Helicobacter Upper Gastrointesti Vol.15 No.3
바터팽대부의 소세포 신경내분비암종은 매우 드문 질환으로 국내에서는 3예가 보고되었다. 이전에 보고된 3예의 경우 황달이나 복통으로 내원하여 내시경적 역행성 담췌관 조영술을 통한 조직검사로 소세포 신경내분비암종이 확진되어 수술적 치료를 시행하였다. 최근 저자들은 무증상 환자에서 검진 목적으로 시행한 상부위장관 내시경에서 바터팽대부의 궤양성 병변이 관찰되어 시행한 조직검사에서 소세포 신경내분비암종으로 진단된 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Small cell neuroendocrine carcinoma in the ampulla of Vater is a rare disease and there have only been three cases reported in Korea. In these three cases, the patients had symptoms of abdominal pain and jaundice. A biopsy via endoscopic retrograde cholangiopancreatography confirmed a small cell neuroendocrine carcinoma; thus, each patient underwent surgical treatment. Recently, we experienced a case of small cell neuroendocrine carcinoma in an asymptomatic patient. An ulcerative lesion was identified during screening gastroduodenoscopy. Here, we report this case and review the relevant literature.
주종석 ( Jong Seok Joo ),이병석 ( Byung Seok Lee ) 대한간학회 2016 Postgraduate Courses (PG) Vol.2016 No.1
The successful treatment of chronic hepatitis B infection was achieved in earnest in the early 1990s with the increasingly widespread use of interferons. Currently, pegylated interferon (PEG-IFN) and six oral antiviral agents are used in clinical situations. Although the ideal therapeutic target of antiviral agents is to remove the hepatitis B virus completely, current therapeutic agents are unable to remove the cccDNA in hepatocytes, and are limited in terms of the development of resistance during long-term administration. Thus, a variety of drugs are under investigation in order to overcome this challenge. In this article, the natural course of hepatitis B infection is reviewed, together with indications for treatment, issues surrounding hepatitis B treatment and the management of hepatitis B management (past and present).Various drugs under investigation are discussed.
문강륜,주종석,문희석,강선형,성재규,정현용 대한노인병학회 2014 Annals of geriatric medicine and research Vol.18 No.1
Adenocarcinoma accounts for most of the malignant tumors which originate from the colon, whereas the adenosquamous carcinoma is rather rare, totaling to about 0.06% of all colon cancers. Herein, we present a case of adenosquamous carcinoma of the transverse colon with hepatic metastasis. The patient is a 72-year-old woman who is presented with a chief of lower abdominal pains. Her colonoscopy has indicated an ulcerofungating mass about 4 cm × 3 cm in size in the distal transverse colon, and the biopsy confirmed her diagnosis of adenosquamous carcinoma. An abdominopelvic computed tomography shows an circumferential enhancing mass on her distal transverse colon with three hepatic metastatic nodules. Transverse colectomy and hepatectomy are later being performed.
Risk Factors for Dieulafoy Lesions in the Upper Gastrointestinal Tract
신혜진,주종석,김기대,김석원,강성훈,강선형,문희석,성재규,정현용 대한소화기내시경학회 2015 Clinical Endoscopy Vol.48 No.3
Background/Aims: The purpose of this study is to verify the risk factors associated with Dieulafoy lesion formation in the upper gastrointestinal tract. Methods: A case-control study was performed by reviewing the electronic medical records of 42 patients who were admitted to a tertiary medical center in the Daejeon region for Dieulafoy lesions from September 2008 to October 2013, and the records of 132 patients who were admitted during the same period and who underwent endoscopic examination for reasons other than bleeding. We analyzed clinical and endoscopic findings retrospectively, and searched for risk factors associated with Dieulafoy lesion formation. Results: All 42 patients diagnosed with Dieulafoy lesion had accompanying bleeding, and the location of the bleeding was proximal in 25 patients (59.5%), the middle portion in seven patients (16.7%), and distal in 10 patients (23.8%). Antiplatelet agents (p=0.022) and alcohol (p=0.001) use showed statistically significant differences between the two groups. The odds ratios (95% confidence intervals) of the two factors were 2.802 (1.263 to 6.217) and 3.938 (1.629 to 9.521), respectively. Conclusions: This study showed that antiplatelet agents and alcohol consumption were risk factors associated with Dieulafoy lesion formation in the upper gastrointestinal tract.
김기대,신해진,주종석,강선형,문희석,성재규,정현용 조선대학교 의학연구소 2014 The Medical Journal of Chosun University Vol.39 No.3
Duodenal diverticula are frequently observed in upper gastrointestinal endoscopies or upper gastrointestinal series. Most duodenal diverticula are asymptomatic, and complications are rare, however, diverticula occasionally result in diverticulitis, hemorrhage, obstruction, perforation, or sepsis. Most ingested foreign bodies are passed spontaneously and evacuated through gastrointestinal movement, but, if these foreign bodies are sharp and become impacted in a pathological lesion, such as a diverticulum, the risk of complications can be very high. In this paper, we report on a case of duodenal diverticulitis resulting from impacted bone-like food material. In this case, the food-material-induced diverticulitis showed spontaneous improvement through supportive care.
A Rare Case of Gastric Carcinosarcoma with Neuroendocrine Differentiation
신해진,문희석,주종석,강선형,성재규,정현용,송규상 대한상부위장관ㆍ헬리코박터학회 2014 Korean Journal of Helicobacter Upper Gastrointesti Vol.14 No.2
Carcinosarcoma of the stomach is a rare biphasic tumor that consists of both carcinomatous and sarcomatous components. In the gastrointestinal tract, carcinosarcoma is most frequently seen in the esophagus and rarely in the stomach. Tubular or papillary adenocarcinomas are common carcinomatous components, whereas mesenchymal sarcomatous components may vary. Neuroendocrine carcinomatous differentiation in carcinomatous components is extremely rare. We report a 62-year-old female patient with a history of dyspepsia for one-month-history. Endoscopic findings showed a ulcerofungating lesion, which infiltrated from the posterior wall of the antrum to the posterior wall of the gastric angle. Radical subtotal gastrectomy was performed. In the resected specimen, immunohistochemical studies showed two positive reactions for epithelial and mesenchymal markers. Based on the above findings, the patient was diagnosed with a gastric carcinosarcoma with neuroendocrine differentiation.