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김규표 ( Kim Gyu Pyo ),김명환 ( Kim Myeong Hwan ),이윤정 ( Lee Yun Jeong ),송문희 ( Song Mun Hui ),박도현 ( Park Do Hyeon ),이상수 ( Lee Sang Su ),서동완 ( Seo Dong Wan ),이성구 ( Lee Seong Gu ),민영일 ( Min Yeong Il ),송동은 ( So 대한소화기학회 2004 대한소화기학회지 Vol.43 No.2
Background/Aims: Autoimmune pancreatitis is a distinctive type of chronic pancreatitis with reversibility. We analyzed the largest number of patients with autoimmune pancreatitis among the studies carried out at a single institution in Korea. Methods: We retrospectively analyzed the clinical, radiologic, laboratory and histologic features in 17 patients who were diagnosed as autoimmune pancreatitis. Results: The patients were predominately elderly men who presented with jaundice or nonspecific gastrointestinal symptoms. In most of the patients, serum pancreatic enzymes were normal or mildly elevated with an accompanying cholestatic biochemical profile. Elevated IgG levels and detection of autoantibodies were observed in 47% (8/17) and 35% (6/17), respectively. Thirteen patients showed histologic findings of lymphoplasmacytic infiltration and fibrosis, and one patient showed predominant infiltration of eosinophils. Fifteen patients revealed radiologic images of diffuse swelling of pancreas and the sclerosing pattern on direct pancreatogram. All of the features improved in response to oral steroid therapy. Two cases showed focal narrowing with upstream duct dilatation and thus, they were diagnosed as focal type. Diabetes mellitus concurred in 13 cases and primary sclerosing cholangitis and Sjoren`s syndrome were present in 1 case, respectively. Conclusions: The recognition of autoimmune pancreatitis allows patients to avoid unnecessary surgery and recover with the administration of oral steroid. (Korean J Gastroenterol 2004; 43:112-119)
표성희 ( Pyo Seong Hui ),최은광 ( Choe Eun Gwang ),김명환 ( Kim Myeong Hwan ),서동완 ( Seo Dong Wan ),이성구 ( Lee Seong Gu ),이상수 ( Lee Sang Su ),김규표 ( Kim Gyu Pyo ),한지민 ( Han Ji Min ),손현영 ( Son Hyeon Yeong ),정진욱 ( 대한내과학회 2003 대한내과학회지 Vol.65 No.4
목적: 담석증은 복통의 원인으로 흔하며 복강경 담낭절제술의 활발한 이용으로 담낭절제술의 시행이 늘고 있다. 무증상 담낭담석의 경우 경과를 관찰하는 것이 치료원칙이다. 그러나 현재 무증상이라고 하더라도 향후 담도성 동통이나 담석과 연관된 합병증(급성 담낭염, 췌장염, 담도염)을 초래할 가능성이 높은 담석을 예측할 수 있다면 이들 환자를 선별적으로 담낭절제술을 시행하여 합병증 발생을 예방할 수 있을 것이다. 이에 본 연구의 저자들은 어떤 담석이 이와같은 위 Background: Gallstone is one of the most common cause of acute abdominal pain and is increasingly managed by laparoscopic cholecystectomy. Silent gallstones are usually managed expectantly and are considered for surgery only if the haracteristic biliary p