http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
하부식도 근육층 비후를 동반한 호두까기 식도 환자에서 발생한 Steakhouse 증후군
양선영 ( Sun Young Yang ),이오영 ( Oh Young Lee ),한성희 ( Sung Hee Han ),전대원 ( Dae Won Jun ),노병주 ( Byoung Joo Roh ),윤창옥 ( Chang Ok Yoon ),이항락 ( Hang Lak Lee ),윤병철 ( Byung Chul Yoon ),최호순 ( Ho Soon Choi ),함준수 대한소화기기능성질환·운동학회 2005 Journal of Neurogastroenterology and Motility (JNM Vol.11 No.2
Acute esophageal obstruction caused by the impaction of a large bolus of food has been called the `steakhouse syndrome`. Esophageal stenosis is usually found in adults suffering with steakhouse syndrome, but occasionally the syndrome occurs in the absence of any underlying organic abnormality. A 71-year-old male patient had complained of swallowing difficulty after ingesting meat two days previously. We performed endoscopy and found a meat bolus at 30 cm from the incisors, and we so removed the meat with a basket. No pathologic findings were observed endoscopically after the removal of the esophageal meat bolus. The esophageal manometry showed segmental, high amplitude esophageal pressure at the lower esophagus with normal peristalsis. We performed endoscopic ultrasonography with a high frequency catheter and we found thickening of the lower esophageal muscle layer. This case shows that nutcracker esophagus may be the cause of esophageal foreign body impaction and thickening of muscle layer may be associated with the symptom. (Kor J Neurogastroenterol Motil 2005;11:166-169)
양선영 ( Sun Young Yang ),이오영 ( Oh Young Lee ),김혜은 ( Hye Eun Kim ),장유경 ( Yu Kyoung Chang ),윤병철 ( Byung Chul Yoon ),최호순 ( Ho Soon Choi ),정용건 ( Yong Gun Chung ),조찬호 ( Chan Ho Cho ) 대한내과학회 2006 대한내과학회지 Vol.70 No.6
Background: The prevalence of gastroesophageal reflux disease (GERD) is increasing in Korea. The aim of this study is to evaluate the dietary habit which is commonly known as risk factor of GERD and the quality of life in GERD patients. Methods: This study enrolled 52 patients (ERD; erosive reflux disease 38, NERD; non-erosive reflux disease 14) as patient group. They were completed the questionnaires about dietary habit and quality of life. All datas were compared with 23 healthy volunteer group who visited same hospital for health screening. Results: Patient group had more dietary risk factors such as unbalanced diet, irregular diet, using lots of sauces, having snacks or meals within 3 hours of bedtime and suffering from epigastric discomfort after alcohol drinking (p<0.05). Patient group preferred to have spicy food, soft drink, coffee and tea, fried food, instant food and noodles (p<0.05). ERD group more frequently had snacks or meals just before sleep, suffered from discomfort after drinking, and preferred to have fried food (p<0.05). GERD patients reported significantly worse scores on 6 SF-36 scales, such as physical function, role limitations-physical, role limitations-emotional, mental health, social function, and general health perception. Conclusions: We found that ERD patients had more snacks or meals within 3 hours of bedtime and fried food. Also, they were suffering from epigastric discomfort after alcohol drinking. Patients with GERD experienced decrements in health-related quality of life compared with the control subjects.(Korean J Med 70:627-635, 2006)
조경란,최호순,양선영,윤재훈,이항락,이오영,윤병철,함준수,이민호,이동후,기춘석 대한소화기내시경학회 2005 Clinical Endoscopy Vol.30 No.6
담도암은 질환의 초기에 증상과 증후를 나타내는 경우가 적기 때문에 비교적 진행되어 진단되는 경우가 많다. 수술 전에 총담관에 발생한 조기 간외 담도암을 진단하는 예는 드물다고 알려져 있다. 또한 총담관의 하부에서 발생한 간외 담관암은 유두형이 대부분으로 결절형이나 경화형은 드물다. 저자들은 하부 총담관에서 발생한 결절형 조기 간외 담도암을 수술 전에 진단한 경험을 보고하고자 한다. 환자는 무증상으로 건강검진에서 간수치의 경미한 증가를 보여 검사를 진행하던 중 우연히 간외 담도암이 발견되었다. 내시경초음파검사에서 하부 총담관에 결절형 종괴가 점막층에 국한되어 관찰되었고, 주변에 림프절 종대는 없었다. 내시경역행성췌담관조영술에서 윈위 총담관에 내강을 향한 불규칙한 결절상 결손이 관찰되었고 솔생검에서 담도 선암세포가 관찰되었다. 수술을 시행받았고, 육안 소견에서 경계가 잘 지워지지 않는 회백색의 결절성 병변이 하부 총담관벽에서 관찰되었고, 현미경 소견에서 중등도 분화를 가지는 선암으로 점막층에 국한되어 관찰되었으며 림프절이나 혈관 침범은 관찰되지 않았다. Cholangiocarcinoma is usually diagnosed at the advanced stage because early symptoms and signs are relatively infrequent. The preoperative diagnosis of early extrahepatic bile duct cancer in common bile duct is uncommon. Also, an extrahepatic bile duct cancer arising from the lower portion of the common bile duct is usually papillary and rarely nodular or sclerosing. We decribe a case, preoperatively diagnosed as early extrahepatic bile duct cancer in lower portion of common bile duct, nodular type on endoscopic retrograde cholangiography. It was incidentally detected by the slight elevation ofγ-glutamyl transpeptidase without any symptoms. An endoscopic retrograde cholangiography showed abrupt narrowing of the intrapancreatic portion of the common bile duct with irregular and nodular filling defect. The lesion was confined to mucosa on the endoscopic ultrasonography. This patient was diagnosed as early extrahepatic bile duct cancer and underwent Whipple's operation. A histopathologic examination of resected specimen revealed to be moderately differentiated adenocarcinoma at stage 1 (T1N0Mo) in the extrahepatic bile duct.
김정미,최호순,전대원,양선영,한성희,이항락,이오영 대한소화기내시경학회 2005 Clinical Endoscopy Vol.30 No.3
Esophageal perforation is uncommon, however, due to the lack of serosa, inflammation spread is rapid and common to neighboring structures, causing mortality and morbidity. Initial symptoms for esophageal perforation have not been clarified, but when the diagnosis and proper treatment is delayed, its clinical course is fatal. Prompt recognition and proper treatment of esophageal perforation or rupture is mandatory. We report a case of 21-year-old man patient with esophageal perforation after anterior fusion of the cervical spine. Diagnosis was made by clinical suspicion and confirmed by esophagography and esophagoscopy. The patient was successfully treated by primary closure with good clinical course. 식도 천공은 매우 드문 질환이며 장막층이 없는 식도의 해부학적 특성으로 인해 기관지, 대동맥, 심장 등 인접 주요장기로 염증파급이 쉽게 발생하여 적극적인 치료에도 불구하고 사망률이 높다. 식도 천공의 원인은 내시경 검사, 식도 확장술과 같은 인위적 조작시 발생하는 의인성, 식도 이물, 부식성 손상, 소화성 궤양, 종양 등에 의한 병인성 및 식도 내압의 상승에 의한 자연성 천공으로 대별할 수 있다. 식도 천공의 진단은 환자의 병력, 흉부 X-선 검사, 식도 조영술 및 식도 내시경 검사 등을 통해 직접적인 천공 부위나 간접 소견을 확인함으로써 가능하다. 식도 천공의 치료는 원인, 부위, 정도, 증상 및 증후, 방사선학적 소견에 따라 보존적 치료를 할 수도 있으며 수술이 필요한 경우도 있다. 저자들은 21세 남자 환자가 교통사고로 타 병원에서 제 6, 7번 경추 골절 및 탈구로 금속 나사를 이용한 경추부 전방유합술을 시행받은 후 발생한 지속적인 발열과 수술 부위의 통증으로 본원으로 전원되어 시행한 식도 내시경 검사에서 식도 천공을 진단한 1예를 경험하여 이를 보고한다.