http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
von Recklinghausen ` s Disease 환자의 위에서 동시 발생한 신경 섬유종 및 평활근종
한석원(Suk Won Han),지영희(Young Hee Jee),김욱(Wook Kim),박태훈(Tae Hoon Park),원종만(Jong Man Won),원용성(Yong Sung Won),한남익(Nam Ick Han),장은덕(Eun Duk Jang) 대한소화기학회 1991 대한소화기학회지 Vol.23 No.2
Neurofibromatosis, first described by von Recklinghausen in 1882, is a dominantly inherited mesodermal and ectodermal dysplasia with a broad spectrum of clinical findings. Most clinicians know that von Recklinghausens neurofibromatosis denotes more than the dermatologic curiosity of cafe-au-lait spots. In this disease, neurofibroma can be found everywhere in the body, but gastrointestinal neurofibroma associated with von Recklinghausens disease is infrequently reported. Patients with this disease may experienee gastrointestinal hemorrhage, small bowel obstruction, malignant degeneration of neurofibromas. Recently, the authors experienced a case of simultaneously developed gastric neurofibroma and leiomyoma in a patient with von Recklinghausens disease and associated literatures were reviewed.
이성원(Sung Won Lee),이영석(Young Sok Lee),한석원(Suk Won Han),한남익(Nam Ik Han),김욱(Wook Kim),원종만(Jong Man Won),장은덕(Eun Deok Chang),이해규(Hae Giu Lee) 대한소화기학회 1993 대한소화기학회지 Vol.25 No.3
Malignant fibrous histiocytoma is the major subset of soft tissue sarcomas which occurs most commonly in the extremities and trunk, but rarely in the visceral organs. This report documents a case of malignant fibrous histiocyoma arising in the omentum in 36 year-old female whose chief complaints were growing non-tender masses. After surgical resection, there are no evidences of recurrencee or metastasis during 4 months follow up period. Electron microscopic study of the tumor showed irregular, spindle-shaped histiocyte with large indented nuclei and prominent nucleoli. The cytoplaem was abundant with microfilament and distended mitochondria. There was no evidence of myofibril in the tumor.
정규원(Kyu Won Chung),선희식(Hee Sik Sun),정진우(Jin Woo Jeong),심규식(Kyu Sik Shim),채현석(Hyun Suk Chae),강숙영(Sook Young Kang),한석원(Sun Won Han),박영민(Yong Min Park),주상용(Sang Yong Ju),심상인(Sang In Shim) 대한소화기학회 1987 대한소화기학회지 Vol.19 No.2
Chronic pancreatitis is mainly caused by chronic alcohol abuse and increases in incidence. The disease is characterized as epigastric pain radiating to back which is precipitated by alcohol inges- tion, and there may be nausea, vomiting, constipation, and mild jaundice with dark urine. The complications of chronic pancreatitis are diabetes mellitus, steatorrhea, pancreatic calcifica- tion, biliary obstruction, pseudocyst, peptic ulcer, abscess, carcinoma of pancreas, ascites and GI bleeding, etc. Since Riedel reported the case of common bile duct obstruction in chronic pancreatitis in 1892, there have been reported allmost 100 cases of common bile duct obstruction in pancreatitis. We report 2 cases of common bile duct obstruction caused by chronic pancreatitis without above complications.
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.
위궤양에 대한 Misoprostol ( Cytotec ) 과 Cimetidine 의 효과
정규원(Kyu Won Chung),선희식(Hee Sik Sun),정인식(In Sik Chung),한석원(Suk Won Han),이영석(Young Suk Lee) 대한소화기학회 1987 대한소화기학회지 Vol.19 No.1
N/A This double blind study was undertaken to evaluate the efficacy of misoprostol and cimetidine for the healing of peptic ulcer. Twenty nine patients with gastric ulcer were randomized to receive misoprostol 50mcg or 200mg, or cimetidine 300mg gid for eight weeks. Endoscopic, clinical and laboratory assessment were made before treatment and after four weeks and eight weeks of treatment. Mean ulcer sizes were decreased significantly in all treat.ment group after four and eight weeks of treatment (p<0.05). After 4 weeks of treatment, healing rates of gastric ulcer in the misoprostol .50mcg, 200mcg and cimetidine 300mg groups were 20%, 33% and 40%, respectively. After 8 weeks of treatment, healing rates of gastric ulcer in the misoprostol 50mcg, 200mcg and cimetidine 300mg groups were 60%, 78% and 70%, respectively. There was no statistically significant difference in the healing rates between misoprostol and cimetidine at four weeks and eight weeks of treatment. Only one patients treated with misoprostol 200mcg suffered from severe diarrhea and withdrew the drug. These results indicate that misoprostol 50mcg and 200mcg, and cimetidine 300mg four times daily are effective and safe for the treatment of peptic ulcer disease.
정규원(Kyu Won Chung),선희식(Hee Sik Sun),정인식(In Sik Chung),한석원(Suk Won Han),이영석(Young Suk Lee),안병민(Byung Min Ahn),김재광(Jae Kwang Kim),안성홍(Sung Hong Ahn) 대한소화기학회 1988 대한소화기학회지 Vol.20 No.3
N/A Nizatidine is a newly introduced potent and specific H2-receptor antagnoist which showed similar potency and duration of inhibitory action in acid secretion to ranitidine and approximately 4 times as potent as cimetidine. This study was designed to evaluate the efficacy and safety of nizatidine in treatment of peptic ulcer. Twenty patients with endoscopically diagnosed duodenal ulcer and eleven patients with gastric ulcer were treated with nizatidine 300 mg at bed time orally for 4 and 8 weeks. The results were as follows. 1) The rate of complete endoscopic healing of duodenal ulcer was 80.0% at 4 weeks and 95.0% at 8 weeks, and 54.6% of gastric ulcer at 4 weeks and 81.8% at 8 weeks. The overall healing rate of peptic ulcers was achieved in 70.9% at 4 weeks and 90.3% at 8 weeks. 2) Clinical symptoms disappeared in 70%, 80% and 85% of patients with duodenal ulcer and 45.5%, 7Z.7%, and 81.8% of patients with gastric ulcer at 2, 4, and 8 weeks respectively. 3) No patient developed any side effects of drug including blood count, renal and liver functions except for mild anorexia in one patient. This study demonstrated that nizatidine 300 mg PO, HS could be effective and safe in treatment of peptic ulcer disease.
남관우 ( ksan Woo Nam ),채현식 ( Hiun Suk Chae ),김해림 ( Hae Rim Kim ),곽승기 ( Seung Ki ksok ),이무현 ( Moo Hyun Lee ),이보인 ( Bo In Lee ),조영석 ( Young Seok Cho ),김성수 ( Sung Soo Kim ),한석원 ( Sok Won Han ),이창돈 ( Chang 대한소화기학회 2002 대한소화기학회지 Vol.40 No.6
Pancreatic pseudocyst is a complication of acute pancreatitis. It usually develops in or around the pancreas, but rarely involves extra-abdominal organs. Mediastinal pancreatic pseudocyst is extremely rare among the complications of pancreatitis. Sometimes spontaneous regression may occur and surgical drainage is the most effective treatment method. However, a supportive therapy with octrotide has been reported to be effective in some cases. We experienced a case of mediastinal pancreatic pseudocyst presenting with pneumonia in a 25-year-old male patient. It was found on chest and abdominal computed tomography. He was successfully treated by the supportive octreotide therapy. (Korean J Gastroenterol 2002;40:414-418)
호두까기 식도증과 동반된 Steakhouse Syndrome 1 예
김영환(Young Hwan Kim),채현석(Hiun Suk Chae),김순섭(Sun Sub Kim),이태규(Tae Kyu Lee),이동건(Dong Gun Lee),추교영(Kyo Young Choo),김병욱(Byung Wook Kim),김성수(Sung Soo Kim),한석원(Sok Won Han),이창돈(Chang Don Lee),최규용(Kyu Yong Ch 대한소화기기능성질환·운동학회 2001 Journal of Neurogastroenterology and Motility (JNM Vol.7 No.2
The most common type of food-related foreign body in esophagus is impacted meat bolus and sudden esophageal obstruction after eating poorly chewed meat has been called the steakhouse syndrome . It is frequently caused by underlying esophageal stenosis including abnormal ring, the sequalae of reflux esophagitis, malignancy and rarely esophageal motility disorders. A 55-year-old male patient was admitted to our hospital complaining swallowing difficulty after ingestion of a lump of chicken 3 days ago. Impacted meat bolus was found at distal esophagus on emergency endoscopy. However, there was no definite anatomical stenotic lesion after removal of meat with the polypectomy snare. Esophageal manometry showed segmental, high amplitude of esophageal pressure at lower esophagus with normal peristalsis and occasional triple peaked waves. The manometry finding was consistent with nutcracker esophagus. We report a case of steakhouse syndrome associated by nutcracker esophagus without abnormality on endoscopy and esophagography. (Korean Journal of Gastrointestinal Motility 2001;7:233-238)
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)