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급성하벽심근경색 환자에서 흉부유도 ST 절하강의 임상적 의의
이성구(Sung Ku Lee),백효종(Hyo Jong Baek),서상문(Sang Moon Suh),천병도(Byung Do Chun),이중기(Choong Ki Lee),김신우(Shin Woo Kim),우언조(Eon Jo Woo),강승완(Seung Wan Kang),채성철(Shung Chull Chae),전재은(Jae Eun Jun),박의현(Wee Hyun P 대한내과학회 1992 대한내과학회지 Vol.43 No.4
N/A The prognostic significance of precordial ST segment depression during early stages of acute inferior myocardial infarction is controversial. To examine this problem, electrocardiographic findings on admission were compared with the clinical variables in 50 patients with a first transmural inferior infarction. Patients were classified according to the admission ECG obtained an average of 7.0hours after the onset of chest pain. Twenty-five patients (group I) had≥1.0mm ST depression in at least one of leads V1 to V6 and 25 (group II) did not. There were no significant differences between the two groups in peak creatinine kinase activity, prevalence of in-hospital complications (i, e., congestive heart failure, hypotension, arrhythmias requiring treatment and death), and maximal ST elevation in inferior lead. A weak correlation existed between the quantities (mV) of inferior ST segment elevation and precordial ST depression (r=0.43, p<0.05). Thus, precordial ST depression during acute inferior infarction is not a reliable marker of the extent of myocardial damage or an adverse hospital course. Precordial ST segment depression might represent a benign electrical phenomenon.
구성모(Seong Mo Koo),김용민(Yong Min Kim),정기제(Gih Jah Jeong),조봉기(Bong Kee Cho),백효종(Hyo Jong Baek),이중기(Choong Ki Lee) 대한소화기학회 1996 대한소화기학회지 Vol.28 No.6
Malrotation of rnidgut occurs when the normal rotational process and fixation of intestine fail to take p]ace. The second stage during which midgut loop starts returning to abdomen from urnbilical cord is the rnost frequent period of intestinal malrotation. Malrotation is the most common anomaly in this group. Non-descent of cecum, in which this structure remains in the subhepatic position is the best known example. Most symptomatic anomalies of intestinal malrotation are found in the neonatal period and many remain asymptomatic and are incidentally found either during laparotomy or investigation of unrelated symptoms in adult life. We report a case of intestinal malrotation who has been relatively asymptomatic during his life. His presenting left lower abdominal pain and constipation is far from typical symptoms of intestinal malrotation. Only conservative treatment is needed to relieve his symptoms. (Korean J Gastroenterol 1996;28: 884 - SS7)
이상문(Sang Moon Lee),김인기(In Ki Kim),김대현(Dae Hyun Kim),서화령(Hwa Ryoung Suh),백효종(Hyo Jong Baek),이중기(Choong Ki Lee),김학근(Hak Geum Kim),이동환(Dong Hwan Lee) 대한소화기학회 1997 대한소화기학회지 Vol.29 No.3
Eosinophilic gastroenteritis is uncommon and characterized by infiltration of gut wall with eosinophiis, peripheral blood eosirephilia, abnormal symptoms or signs following ingestion of specific foods. The pathogenesis of this disease is not clearly understood, but several studies support allergic or immunologic etiology. The typical clinical features consist of abdominal cramps, diarrhea, nausea and vomiting either as a single subacute episode or with an intermittent history for months or years. Recently we experienced a case of eosinophilic colitis with periumbilical pain and peri 1 blood eosinophilia. On barium enema examination, there was an irregular luminal narrowing in the distal ascending colon. Colonoscopic findings revealed smooth and hyperemic circumferential linear wall thickening in the distal ascending colon. These symptoms and signs were all eleared up within 3 weeks without any specific therapy. (Korean J Gastroenterol 1997; 29: 394 - 398)
긴 유경성의 Gastritis Cystica Profunda 1 예
이중기,이덕현,권범찬,백효종,박진석,신경순 대한소화기내시경학회 1999 Clinical Endoscopy Vol.19 No.1
Gastritis cystica profunda (GCP) is a rare disease which is mainly observed at the site of gastroenterostomy. However, it may occur in the stomach without a previous history of surgery. Under histologic examination GCP shows hyperplastic and cystic dilatation of the pseudopyloric glands with submucosal invasion. GCP with sessile polypoid pro-trusion is most commonly found but, submucosal tumors, giant gastric mucosal folds and pedunculated forms are occasionally found. We present the case of GCP showing a large sized polyp (3 2.5 2.5 cm) with a long pendulous pedicle that had developed in the fundus of the stomach without previous surgical history. Endoscopic polypectomy was performed for confirmation.