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Parkinson 씨 병 환자에서 발생한 대장 가성폐색증 1 예
추교영(Kyo Young Choo),최명규(Myung Gyu Choi),최황(Hwang Choi),방춘상(Choon Sang Bhang),최규용(Kyu Yong Choi),정인식(In Sik Chung),정규원(Kyu Won Chung),선희식(Hee Sik Sun) 대한소화기기능성질환·운동학회 2001 Journal of Neurogastroenterology and Motility (JNM Vol.7 No.2
Colonic pseudo-obstruction (CPO) is a syndrome characterized by obstructive symptoms and signs without mechanical obstruction. Parkinson's disease is one of the various clinical situations developing CPO. Recently, one study group reported that neostigmine was significantly more effective than placebo in rapidly decreasing colonic dilatation in the majority of patients with acute CPO. We experienced a 69-year-old male patient with Parkinson's disease who complained abdominal distension. There was a marked colonic dilatation on plain abdominal radiographs without mechanical obstruction. Colonic dilatation failed to improve with conservative management. Immediate clinical response was achieved after patient received 2.0 mg of neostigmine intravenously under monitoring by electrocardiography. One month later, he had recurrent colonic dilatation, but no clinical response to second administration of neostigmine, leading to colonic decompression. After a third recurrence of colonic dilatation, the patient was refractory to conservative management, and he underwent surgical treatment. (Korean Journal of Gastrointestinal Motility 2001;7:251-256)
대장 선종 이형성 및 대장암과 임신, 출산, 월경 요인의 관련성에 관한 환자-대조군 연구
이세영,최규용,김미경,이진희,맹광호,이원철,Lee, Se-Young,Choi, Kyu-Yong,Kim, Mi-Kyung,Lee, Jin-Hee,Meng, Kwang-Ho,Lee, Won-Chul 대한예방의학회 2003 예방의학회지 Vol.36 No.3
Objectives : Evidence for an effect of rerroductive factors on colorectal carcinogenesis is not yet consistent. Little research has been conducted to investigate whether reproductive factors were associated with colorectal adenomas that are the precursors of colorecta1 cancer, We evaluated the relationships between reproductive factors and the degree of dysplasia of the colorectal adenoma and cancer as colorectal adenoma-carcinoma sequence. Methods : For this study, 241 adenoma cases with histopathologically confirmed incident colorectal adenoma, 76 cancer cases with colorectal cancer and 1677 controls were collected from Our Lady of Mercy Hospital, The Catholic University of Korea, during 1994-1999. Before colonoscopy, information on demographic characteristics, reproductive factors, life style habits and dietary intake were obtained by interviewed questionnaire. Adjusted OR and 95% CI were estimated by using polytomous logistic regression model, Potential confounders that were selected based on the goodness of fit Statistics and interaction between risk factors were considered in this adjustment. The Wald statistic was calculated to test the heterogeneity of the odds ratios for each case. Results .: Postmenopausal women with natural menopause were found to be positively associated with the risk of mild dysplasia adenoma (multivariate-adjusted OR : 2.59, 95% CI=1.1-0.2). Parity was found to be negatively associated with the risk of colorectal lancer (age-adjusted OR : 0.40, 95% CI=0.2-0.9), but did not significantly decrease the risk of colorectal cancer (multivariate-adjusted OR : 0.95, 95% CI=0.3-2.9). Me associations were seen between a9e at menarche, breast feeding, induced abortion, oral contraceptive use, menopausal types, menopausal age or hormone replacement therapy (HRT and the degree of dysplasia of the colorectal adenoma and cancer. However, none of these associations differed' significantly between the degree of dysplasia of the colorectal adenoma and cancer. Conclusions : These findings suggest that postmenopausal women with natural menopause may experience increased risk of mild dysplasia adenorna among colorectal adenoma-carcinoma sequence.
박영실 ( Young Sil Park ),정우철 ( Woo Chul Chung ),이강문 ( Kang Moon Lee ),이보인 ( Bo In Lee ),천지성 ( Ji Sung Chun ),장우임 ( U Im Chang ),양진모 ( Jin Mo Yang ),최규용 ( Kyu Yong Choi ),정인식 ( In Sik Chung ) 대한소화기학회 2006 대한소화기학회지 Vol.48 No.3
Gastric ulcer bleeding in neonatal period, mainly in preterm newborn babies or in neonates treated in intensive care units, is relatively frequent, However the occurrence of significant gastric ulcer bleeding in healthy full term infants is unusual. We experienced a case of massive upper gastrointestinal (GI) bleeding in a 3-day-old healthy full term infant. Endoscopic examination confirmed the presence of gastric ulcerations. Treatment was initiated with transfusion and histamine 2 receptor antagonist, and the clinical signs resolved. Mother`s serum antibody to Helicobacter pylori (H. pylori) was positive. We collected stool of the patient including other 17 infants in the intensive care unit. A highly sensitive semi-nested PCR for H. pylori DNA was performed, but all infants including the patient revealed negative. H. pylori infection is not related with upper GI bleeding in healthy full term infants. In conclusion, the diagnosis of upper GI bleeding in infant can be easily made by means of pediatric endoscopy, which is a simple and a well tolerated examination. (Korean J Gastroenterol 2006;48:210-214)
정규원(Kyu Won Chung),정환국(Whan Kook Chung),최규용(Kyu Yong Choi),한석원(Suk Won Han),이영석(Young Suk Lee),안병민(Byung Min Ahn),김재광(Jae Kwang Kim),조세현(Se Hyun Cho) 대한소화기학회 1988 대한소화기학회지 Vol.20 No.3
Hepatocellular carcinoma is one of the commonest malignances reported in most of the Africa and South-east Asia. Hepatocellular carcinoma usually spread to regional lymph nodes around porta pepatis via lym- phatics and venous metastasis can occur via intrahepatic vein. The lungs are most common distant metastatic sites followed by adrenals, local lymph nodes and bones. Recently we experienced a case of the hepatocellular carcinoma who was admitted due to para- plegia for 2 months. Computed tomography disclosed destruction of 4th and 5th dorsal vertebral bodies and narrowed 3rd and 4th dorsal vertebral canal. After emergency total laminectomy the resected mass was confirmed metastatic, trabecular type of hepatocellular carcinoma. The patient was found later to have hepatoma in the liver with cirrhosis.
김영환(Young Hwan Kim),채현석(Hiun Suk Chae),조영석(Young Seok Cho),이보인(Bo In Lee),김병욱(Byung Wook Kim),김성수(Sung Soo Kim),한석원(Sok Won Han),이창돈(Chang Don Lee),최규용(Kyu Yong Choi),차상복(Sang Bok Cha),정인식(In Sik Chun 대한내과학회 2002 대한내과학회지 Vol.63 No.3
Background : It has been known that bone metastasis rarely occurs in gastric cancer, compared with lung and breast cancers. But its incidence is variable according to authors and has not been reported in Korea. We investigated the incidence and related clinical parameters of bone metastasis. Methods : We studied a total of 226 gastric cancer patients who were diagnosed by endoscopic biopsy at Our Lady of Mercy Hospital and UiJongBu St. Mary's Hospital from 1993 to 2000. We performed abdominal CT and bone scan at the time of cancer diagnosis in all patients. The data of parameters including gross findings on gastrofibroscopy, histology, laboratory findings were obtained for analysis. Results : 226 patients (male : 158 patients, female : 68 patients) were included and their mean age was 58.9±13.0 years. The rate of early gastric cancer was 24.8% and 75.2% for advanced cancer. The incidence of bone metastasis based on bone scintigram was 11.9% (27/226 subjects) and the main involvement sites were spine (81.5%), rib (74.1%), skull (29.6%), pelvis (14.8%). The incidence was higher in advanced stage or corpus location or elevated CEA level. Other parameters including age, sex, pathology, endoscopic gross morphology, levels of Ca, alkaline phosphatase were not significant in relation to bone metastasis. Bone metastasis was more related to lung metastasis than liver metastasis. Conclusion : In our study, bone metastasis is not rare in gastric cancer. Therefore, the evaluation of it should be performed selectively according to the staging, tumor location and tumor marker level.(Korean J Med 63:322-328, 2002)
정규원(Kyu Won Chung),차상복(Sang Bok Cha),선희식(Hee Sik Sun),김부성(Boo Sung Kim),최규용(Kyu Yong Choi),이영석(Young Suk Lee),정욱성(Wook Sung Chung),홍영선(Young Sun Hong),박승만(Seung Man Park),이안희(Ahn Hee Lee),김진(Jin Kim) 대한소화기학회 1988 대한소화기학회지 Vol.20 No.1
Rectal carcinoid tumor is relatively rare neoplasm orignated in Kulchitszky cell and clinicians have the difficulties in predicting their malignant potential and in proper treatrnent. The vast majority of rectal carcinoid tumors are benign and can be safely treated by local excision. Lesions larger than 2 cm and invading the muscular wall of the rectum should be considered rnalignant and treated by more radical surgery such as abdominoperineal resection. 3Ve had a case of 35-year-old male patient with a malignant rectal carcinoid tumor 2 cm in the length diagnosed by colonofiberscopy. So we present this case with a review of relevant literatures.