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권주원(Joo Won Kwon),선정민(Joung Min Sun),김재민(jae Min Kim),정자요(Ja Yo Jeong),김봉화(Bong Hwa Kim),박승욱(Seung Wook Park),이두용(Doo Yong Lee),김종설(Chong Suhl Kim) 대한소화기학회 1994 대한소화기학회지 Vol.26 No.3
Many cases of Behcets disease with intestinal involvement have been reported in the world literatures since Bechgaards first case was reported in 1940. Several cases of the disease have also been reported in our country since Kims first case report in 1975. Recently we experienced a case of Behcets disease with intestinal involvement. A person who had past history of Behcets disease was admitted with chief complaint of the right lower quadrant abdominal pain. A large polypoid mass without macroscopical ulcerative lesion was seen at the ileocecal area on the colonoscopic observation. The patient underwent right hernicolectomy. Diagnosis of intestinal Behcets disease was made on the basis of the clinical and pathohistologic findings. To our knowledge, this is the first case report of intestinal Behcets disease presenting a polypoid mass at ileocecal valve without macroscopic ulceration in the intestine. (Korean J Gastroenterol 1994;26:579 585)
선정민(Joung Min Sun),강창규(Chang Gyu Kang),하헌돈(Heon Don Ha),권주원(Joo Won Kwon),김봉화(Bong Hwa Kim),박승욱(Seung Wook Park),이두용(Doo Yong Lee),김종설(Chong Suhl Kim) 대한소화기학회 1994 대한소화기학회지 Vol.26 No.2
The common cause of pancreatic fistula were trauma and pancreatic surgery. Pancreatic fistula due to pancreatitis is rare. Pseudocyst of the pancreas as a sequelae to pancreatitis or to abdominal trauma has been known, while hydrothorax (without fistula) occurs frequently in conjuntion with pseudocyst, however fistulization to the pleural cavity is a rare event. Authors experienced a case of pancreaticopleural effusion resulting from a pancre- aticopleural fistula demonstrated during ERCP and hereby reports the case with the review of the literature. (Korean J Gastroenterol 1994; 26: 384 388)
전소장과 대장 전체에서 발생한 원발성 위장관 림프종 1예
김영운,이두용,김종설,박승욱,하헌돈,강창규,권주원 대한소화기학회 1995 대한소화기학회지 Vol.27 No.5
Primary gastrointestinal lymphoma which is primarily confined to gastrointestinal tract without evidence of systemic involvement is a relatively rare disease. Non-Hodgkin's lymphoma has a tendency to involve extranodal areas as its primary site and the gastrointestinal tract is the most commonly involved extranodal site. Many cases of primary gastrointestinal lymphoma have been reported mostly of gastric origin followed by small howel, ileocecal portion and colon; however, the concurrent lymphoma of colon and small bowel is very rare in reported cases. This article is about a case of 55-year old male who was diagnosed as primary concurrent malignant lymphoma of the entire small bowel and colon. The colonoscopic finding revealed smootb pink-red colored multiple polypoid masses and ulcerations in the total colon. We suspected lymphoma by endoscopic punch biopsy, thereafter laparatomy was performed. Multiple subserosal nodules were scattered from Treitzs ligament to rectum, and mesenteric lymph node enlargement was also observed. As a result malignant lymphoma was confirmed pathohistologically. We report this case with a review of the related literature.
김영운,이두용,김종설,박승욱,하헌돈,강창규,오성광,황석주,권주원,선정민 대한내과학회 1995 대한내과학회지 Vol.49 No.1
Upper esophageal webs consist of thin mucosal membranes projecting into the esophageal lumen at level of just below the cricoid cartilage. A specfic syndrome characterized by a cervical esophageal web with dysphagia, mucosal lesions of the mouth and pharynx, and iron deficiency anemia is variably known as Plummer-Vinson syndrome, Paterson Kelly syndrome or sideropenic dysphagia, These terms are all used interchangeably. Recently we experienced a case of upper esophageal web with dysphagia and iron deficiency anemia. A 46-year-old women had complained of dysphagia for 15 years. Esophagogram showed a anterior diaphragm-like web protruding into the esophageal lumen at the level of the 4th-to-5th cervical vertebrae. Also esophagoscopy showed a eccentric circular web at 18cm from incisors. Bougienation under endoscopy with Savary-Gilliard dilatory was perfomed Successfully and she could well tolerate in swallowing of solid food after this procedure. Hereby we report a case of classical Plummer-Uinson syndrome together with a review of literatures.