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A Case of Strangulated Intussusception due to Small Intestinal Lipoma in Adult
김태희 ( Kim Tae Hui ),양성연 ( Yang Seong Yeon ),박정하 ( Park Jeong Ha ),지삼룡 ( Ji Sam Lyong ),박은택 ( Park Eun Taeg ),이상혁 ( Lee Sang Hyeog ),설상영 ( Seol Sang Yeong ),정정명 ( Jeong Jeong Myeong ),김운원 ( Kim Un Won 대한소화기학회 2003 대한소화기학회 추계학술대회 Vol.2003 No.-
성인 장중첩증은 소아에 비해 드물게 발생하며 전체 장중첩증의 5%를 차지한다. 성인에서는 증상과 징후가 매우 다양하여 복통을 주소로 내원한 환자에서 복부초음파나 복부전산화단층촬영으로 주로 진단되며 보고자에 따라 차이가 있으나 30~35%에서는 수술시야에서 진단된다. 성인 장중첩증의 원인으로는 소장의 평활근종, 지방종, 혈관종 등 양성종양이 보고되고 있으며 대장에서는 선암, 임파선암 등 악성종양이 관찰된다. 소장의 양성종양 중 3번째의 빈도로 발생하는 지
소화성 궤양 환자의 헬리코박터 파이로리 제균치료에서 Rabeprazole 삼제요법의 전향적 연구
최봉기 ( Choe Bong Gi ),양성연 ( Yang Seong Yeon ),박은택 ( Park Eun Taeg ),장윤식 ( Jang Yun Sig ),이연재 ( Lee Yeon Jae ),이상혁 ( Lee Sang Hyeog ),설상영 ( Seol Sang Yeong ),정정명 ( Jeong Jeong Myeong ) 대한소화기학회 2003 대한소화기학회지 Vol.42 No.2
Background/Aims: Rabeprazole sodium is a potent proton pump inhibitor. We assessed the efficacy, safety and compliance of one-week triple therapy including rabeprazole with amoxicillin and clarithromycin for eradication of Helicobacter pylori (H. pylori). Methods: Eighty-eight H. pylori-positive patients with peptic ulcer disease were received rabeprazole 10 mg bid, amoxicillin 1,000 mg bid and clarithromycin 500 mg bid for a week. Endoscopic examination with five biopsies (two specimens from the antrum, two from the gastric body, and one from the gastric angle) was performed. The status of H. pylori infection was assessed by histology (immunohistochemistry) of the biopsy specimens, 13C urea breath test, and CLO test at the beginning and 13C urea breath test 4 weeks after the completion of treatment. Results: H. pylori eradication rates were 74.71% by intention-to-treat analysis and 87.84% by per-protocol analysis. The percentage of side effects was 12.5% and these side effects were not serious. Conclusions: One-week rabeprzole based triple therapy is an effective and safe regimen for H. pylori eradication in patients with peptic ulcer. (Korean J Gastroenterol 2003;42:102-107)
궤양성 대장염 환자에서 발생한 우측 대장의 위막성 대장염 1예
주희린 ( Hee Rin Joo ),김태오 ( Tae Oh Kim ),김태균 ( Tae Gyoon Kim ),서은희 ( Eun Hee Seo ),박종하 ( Jongha Park ),박승하 ( Seung Ha Park ),양성연 ( Sung Yeon Yang ),문영수 ( Young Soo Moon ) 대한장연구학회 2011 Intestinal Research Vol.9 No.2
Clostridium difficile (C. difficile) is a cytotoxin-producing anaerobic gram-positive rod that is responsible for pseudomembranous colitis (PMC). The incidence of C. difficile is increasing in ulcerative colitis (UC) and inflammatory bowel disease patients and is associated with a more severe course, a longer hospital stay, higher financial costs, a greater likelihood of colectomy, and high mortality. PMC may occur anywhere along the intestinal tract, but it is often found in the distal colon. PMC involving the proximal colon with rectosigmoid sparing is rarely reported in patients with UC. We describe the case of a 35-year-old woman in remission from UC who presented with frequent diarrhea and abdominal pain. She was treated with ciprofloxacin for infectious enterocolitis at a local hospital; however, her symptoms did not improve. A colonoscopy revealed yellow-white plaques with edematous,erythematous from the proximal ascending colon to the cecum, and feces positive for C. difficile toxin. She was treated with metronidazole (500 mg, three times a day) for two weeks, and improved rapidly. Physicians should carefully examine the entire colon via colonoscopy, and perform stool exams for C. difficile in patients with UC who have been treated with antibiotics and in those who develop prolonged diarrhea despite medical treatment. (Intest Res 2011;9:144-147)
박지훈,이상혁,김희,이재호,박성재,지삼룡,양성연,박은택,이연재,설상영,정정명,강미선 白中央醫療院 2005 仁濟醫學 Vol.26 No.1
Fungus such as Candida albicans is a normal flora that is frequently found in the oral cavity, gastrointestinal tract, genitourinary tract, vaginal mucosa in a normal person. However, candida can cause opportunistic infection in an immune compromised host. Candidiasis has broad spectrum of disease from mucocutaneous infection to invasive or disseminated infection. But, it is rarely reported that candida is associaed with gastrointestinal tract disease in a healthy adult. The case of gastric ulcer associated with candida particularly in a health adult is reported with relevant literature.