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황규엽,김안나,윤상정,정성희,고병성,양현웅,전병민 대한소화기내시경학회 2005 Clinical Endoscopy Vol.31 No.1
Limy bile is characterized by excessive precipitation of calcium carbonate, and generally preceded by gallbladder obstruction. Three case reports have been found in the domestic literatures. It is rare that limy bile syndrome associates cholangitis or calcified gallbladder. We report the case of a patient with limy bile, located in the gallbladder, common bile duct, and intrahepatic duct, with association of calcified gallbladder. This case showed characteristic radiologic and endoscopic findings. The patient was treated by endoscopic sphincterotomy and laparoscopic cholecystectomy. 석회유 담즙은 탄산석회의 침강이 특징이며, 발생원인은 정확히 밝혀져 있지 않았지만 담낭관의 폐쇄와 동반되는 경우가 많다. 국내에서는 3예가 보고되었다. 주로 담낭에 발생하며 드물게 담관염을 동반하거나 석회화 담낭이 병발한다. 저자들은 간내담관, 담낭, 간외담관에 발생하고 석회화 담낭이 합병된 석회유 담즙 1예를 경험하였다. 환자는 내시경 유두괄약근 절개술 후에 복강경 담낭절제술로 치료를 받았다. 이에 문헌 고찰과 함께 보고하는 바이다.
韓國에서 1990年 發生한 급성 전염성 출혈성 질환의 血淸疫學的 調査
황규엽,송기준,우영대,백락주,이용주,이호왕 고려대학교 의과대학 1993 고려대 의대 잡지 Vol.30 No.3
Acute hemorrhagic diseases that occurred in Korea have been confirmed as Hemorrhagic fever with renal syndrome(HFRS), Rickettsiosis and Leptospirosis among suspect hemorrhagic disease patients. In this study, we report the results of serologic test of 3,409 sera from suspect hemorrhagic disease patients in Korea, 1990. 1. Of 3,409 sera from acute hemorrhagic disease patients tested in 1990, 538 HFRS, 198 Murine typhus, 685 Scrub typhus, 50 Spotted fever and 174 Leptospirosis were confirmed serologically. 2. It was confirmed that the majority of HFRS patients occurred in Kyunggi-do, Seoul city, Chungcheongnam-do and Cheollanam-do. Murine typhus occurred mostly in Seoul, Kyunggi-do, Chungcheongnarr-do and Cheollanam-do. Scrub typhus occurred mostly in Cheollanan-do, next in Kyungsangnan-do, Seoul and Kyunggi-do, Spotted fever mostly in Seoul and Kyunggi-do, Leptospirosis in Cheollanam-do and Kyunggi-do. 3. According to the monthly incidence of acute hemorrhagic diseases, HFRS occurred mostly between October and December, Murine typhus occurred with small peak in March and April and large peak between September and December and Scrub typhus with peak between October and December same as HFRS. 4. In the sex and age distribution of acute hemorrhagic disease patients, HFRS occurred mainly in adult and the incidence of male was twice as much as that of female. Murine typhus also occurred in adult but incidence of male to female was nearly same, and Scrub typhus occurred in all age groups and there was no definite difference between the incidence of female to male. In Spotted fever incidence of male is much more than that of female, and Leptospirosis occurred chiefly in male adult patients. 5. In 1990, HFRS patient was 73 and Leptospirosis patient was 34 but only 2 Scrub typhus patients were identified in the Korean Army. Only 1 HFRS patient and 1 Spotted fever patient were confirmed in the U. S. Army. Above results revealed that in addition to HFRS patients, a large number of Murine typhus, Scrub typhus, Spotted fever and Leptospirosis patients occurred in Korea. Further seroepidemiologic study on acute hemorrhagic diseases in Jeju-do is demanded because the number of sera tested from acute hemorrhagic diseases in Jeju-do was so small.
황규엽 ( Kyu Yeop Hwang ),양현웅 ( Hyeon Woong Yang ),김새희 ( Sae Hee Kim ),김안나 ( An Na Kim ),정성희 ( Sung Hee Jung ),이윤정 ( Yun Jung Lee ),차상우 ( Sang Woo Cha ) 대한내과학회 2008 대한내과학회지 Vol.74 No.3
Background/Aims: Colonic diverticulitis is an uncommon disease in young patients. However, the frequency appears to have increased in Korea among young patients. The purpose of this study was to determine the diagnosis, treatment and clinical course of young patients with diverticulitis of the colon. Methods: The hospital records of 70 patients with diverticulitis between July 1997 and April 2006 from the Eulji university hospital were reviewed. We analyzed the clinical course and outcomes of patients according to age. Results: In the 36 patients below the age of 40, the male to female ratio was 2:1. Thirty-four young patients had right uncomplicated colonic diverticulitis. Twenty-four young patients treated with antibiotics did not require surgery or develop complications. Conclusion: The majority of young patients with diverticulitis were in their fourth decade of life and it was predominantly seen in males. Diverticulitis in young patients at our hospital did not appear to take a more aggressive clinical course than it did in older patients. Bowel rest and antibiotic treatment were safe and effective treatments for acute uncomplicated colonic diverticulitis in young patients. (Korean J Med 74:250-257, 2008)
췌관석을 동반한 IVa형 담관 낭종 및 췌담관 합류이상 1예
이정윤,양현웅,황규엽,조욱,안주의,차상우,김안나,윤상정,정성희,박영아 대한소화기내시경학회 2006 Clinical Endoscopy Vol.33 No.2
Pancreatic duct stones are commonly associated with recurrent pancreatitis. They are believed to develop as a result of the calcification of an intraductal protein plug. A choledochal cyst is a relatively rare anomaly usually presenting with abdominal pain, jaundice and palpable mass. APBDU (anomalous pancreaticobiliary ductal union) is frequently associated with various pancreatobiliary diseases, including choledochal cyst, biliary tumor, pancreatitis and pancreas divisum. We report a 48-year-old woman who presented with right upper quadrant pain with a pancreatic duct stone, a choledochal cyst and APBDU. She underwent endoscopic pancreatic sphincterotomy, a surgical choledochal cyst excision and Roux-en-Y choledochojejunostomy. (Korean J Gastrointest Endosc 2006;33:130-134) 췌관 결석은 흔히 재발성 췌장염과 연관이 있으며, 췌관 내 단백질 덩어리의 석회화로 발생한다. 그리고 담관 낭종은 비교적 드문 이상으로 복통, 황달 및 복부 종괴로 나타난다. 또한, 췌담관 합류이상은 담관 낭종, 담도계 종양, 췌장염 및 분할 췌장같은 다양한 췌담도계 질병과 연관이 있다. 저자들은 복통을 주소로 내원한 48세 여자에서 췌관 결석이 합병된 담관 낭종, 췌담관 합류이상 1예를 경험하였다. 환자는 내시경 췌관 괄약근 절개술, 담낭과 낭종 절제술 및 Roux-en-Y 담도-공장 문합술을 시행하였다. 이에 문헌 고찰과 함께 보고하는 바이다.