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장결핵의 조기 진단을 위한 대장 내시경적 검사의 유용성
황기은(Kie Eun Hwang),장남수(Nam Soo Jang),박창영(Chang Young Park),임시영(Si Young Lym),김병익(Byung Ik Kim),전우규(Woo Kyu Jeon),정을순(Eul Soon Jung),이상종(Sang Jong Lee) 대한소화기학회 1997 대한소화기학회지 Vol.29 No.4
N/A Background/Aims: Tuberculosis is a well-known disease as manifested by multi-organ involve- ment. Although the incidence of tuberculosis has reduced recently because of the advance of anti-tuberculosis chemotherapy, improvement of public health, and early diagnosis, it is still higher in developing countries. However, intestinal tuberculosis escapes early diagnosis due to its infrequency, vague manifestation, and difficulty in confirming the disease process. The advent of flexible colonoscopy has provided an opportunity to confirm the diagnosis of intestinal tuberculosis but the biopsy results were frequently false negative. Another difficulty encountered in confirming the diagnosis of intestinal tuberculosis by endoscopy was the frequent failure to Mycobacterium culture from tissue. Therefore, we examined histopathologic feature, acid-fast stain, and Mycobacterium culture with tissue section obtained by co]onoscopy at the same time. Methods: We studied and analyzed 118 cases of intestinal tuberculosis that was suspected by clinica] features and colonoscopic gross findings from January 1, 1991 to December 31,1995. All cases used an acid-fast stain with a tissue section obtained by colonoscopy. Results: We found 37 cases of caseous necrosis or granuloma (42%) and found 58 cases of AFB stain positivity (60%), and 12 cases of Mycobacterium culture positivity (14%) in 93 cases of intestinal tuberculosis. Conclusions: This study suggests that early diagnosis of intestinal tuberculosis will be much improved by histopathologic feature, tissue AFB stain obtained by colonoscopic tissue biopsy. (Korean J Gastroenterol 1997;29:449-456)
간 및 위 , 장관을 침범한 특발성 과호산구 증후군 치험
정을순(Eul Soon Chung),이상종(Sang Jong Lee),김향(Hyang Kim),김병익(Byung Ik Kim),황기은(Kie Eun Hwang),성기철(Ki Chul Sung),조용균(Yong Kyun Cho),이희무(Hee Moo Lee),금주섭(Joo Seob Keum) 대한소화기학회 1997 대한소화기학회지 Vol.30 No.3
Marked eosinophilia is found in many kinds of disease state, It usually occur in allergic and parasitic conditions and occ assionally in autoimmune disease, blood dyscrasias, or certain malignancics. Idio- pathic hypereosinophilic syndrome is characterized by markedly elevated peripheral blood eosinophil count without explainable etiology. Eosinophilopoiesis is related with T-lymphocyte activation and cytokine cascade controlling eosinophilic production. It shows tissue infiltration in many organs including endomyocardium, lung, liver, gastrointestinal tract. We have recently experienced a case with idiopathic hypereosinophilic syndrome of a 65-year-old woman who had of complained anorexia, weight loss and diarrhea during the past month and half. Persistantly increased eosinophil count was shown in her peripheral blood, the count averaging 3480/mm'(41% in differential count). Abdominal computer tomography disclosed multiple small relatively ill-defined hypoechoic lesions in the liver. Microscopically, the needle biopsy of the liver revealed heavy infiltration by eosinophilis especially in the portal tracts. On reviewing, previously perfomed endoscopic biopsies from the stomach and terminal ileum also had mild to moderate eosinophilic infiltration, respectively. No evidence of parasitic infection was present on the clinical history and laboratory test. Corticosteroid was administered ard brought marked improvement of clinical manifestations including both hematologic and radiologic abnormalities. (Korean J Gastroenterol 1997; 30:397- 403)
박창영,이상종,김병익,정을순,김기택,성기철,전경홍,황기은,장남수,편유장 대한소화기학회 1998 대한소화기학회지 Vol.30 No.2
Background/Aims: The term, carcinoid, is derived from $quot;Karznoid$quot; coined by Oherndorfer in 1907, which means carcinoma like lesion with no malignant potential. However, it is now generally accepted that these innocuous neoplasms potentially can produce widespread metastasis. Although the carcinoid tumor is relatieve]y rare, it continue to be of special clinical interest because of the endocrine potential, the malignant potential and the recent appearance of the composite carcinoma-carcinoid tumor. Methods: We reviewed the recorded clinical rnanifestations of twenty-two patients with carcinoid tumor, which had been treated from the Kang Book Samsung Hospital for 17 years frorn August 1979 to Septernher 1996. Results: The peak incidence was in the 5th decade occup- ying 9 cases(42%) and male predominence with a ratio of 2.1:1. The common site of the tumors was the rectum(8 cases) and appendix(5 cases). The incidence ot' carcinoid tumors according to the embryologic origin were foregut 6 cases(27%), midgut 7 cases(32%), hindgut 9 cases(41%). The hepatic metatasis was presented in 3 cases. There was no case with classic carcinoid syndrome. Thirty-two percent cases had carcinoma with carcinoid tumor, and nine percent cases had malignant carcinoid tumor. Conclusions: Comparing the age and tumor location, some difference was observed between 22 cases carcinoid tumor experienced at our hospital and those of foreign studies, but other difference was not observed.
김경수,박창영,박정로,김향,이상종,정을순,유종현,황기은,장남수,편유장,전우규 대한소화기학회 1998 대한소화기학회지 Vol.31 No.1
Ischemic colitis is a well-known disease entity. It is caused by inadequate tissue perfusion secondary to either occlusive or nonocclusive conditions which result in relative hypoxia of the colon. Mostly the cl.inical course is transient and self-limiting, but less commonly it may show fulminant transmural necrosis necessitating surgical manipulation. Recently, we have experienced three patients who complained of acute cramping abdominal pain and bloody diarrhea. On colonoscopy, the descending, sigmoid, and rectosigmiod colon showed hyperemic mucosae with petechiae alternating with pale area, the margins of which were sharply demarcated. Well-defined superficial ulceration was also present. Microscopically, the colonic mucosae of three patients revealed congestion, hemorrhage, hemosiderin-laden macrophages, coagulation necrosis, and fibrinous thrombus in the lamina propria, which were compatable with ischemic colitis of acute and/or healing phase. After conservative treatment with antibiotics and electrolyte correction for two weeks each, the colonic mucosae were nearly completely healed on follow-up examination. Above clinical, colonoscopic and histopathologic features were well compatible with transient ischemic colitis in all patients. We report three cases of transient ischemic colitis those were successfully treated with conservative management.