http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
증례 : 소화기 ; 내시경 췌관 배액술로 완치된 췌장-흉막루
이항락 ( Hang Lak Lee ),이오영 ( Oh Young Lee ),윤병철 ( Byung Chul Yoon ),최호순 ( Ho Soon Choi ),정명호 ( Myung Ho Jeong ),심성곤 ( Sung Gon Shim ),조승철 ( Sung Cheol Jo ) 대한내과학회 2009 대한내과학회지 Vol.77 No.5S
췌장-흉막 누공은 만성·급성 췌장염, 수술에 의한 합병증 또는 외상에 의해 일어날 수 있는 매우 드문 합병증이다. 췌장이 우측보다는 좌측 횡격막에 가깝게 위치하고 있기 때문에 흉막 삼출의 위치는 주로 좌측에 위치한다. 만성 췌장염의 합병증으로 흉막 삼출이 발생한 환자의 대부분은 복부 불편감과 같은 복부 증상을 호소하지만, 복부 증상없이 대량의 흉막 삼출이 발생한 경우에는 원인 규명을 위해 많은 검사가 필요하다. 저자들은 3년 전 알코올성 만성 췌장염으로 진단받고 약물 치료 중 기침 시 심해지는 흉통과 호흡곤란으로 내원한 56세 남자 환자에서 다량의 늑막 삼출을 동반한 췌장-흉막루를 진단하고 금식, 흉관삽입 등의 보존 치료 및 내시경 비-췌관 배액술 및 내시경 췌관 스텐트 삽입을 통해 치료한 증례를 경험하였기에 보고한다. A pancreaticopleural fistula is a rare complication of acute or chronic pancreatitis or traumatic destruction of the pancreatic duct. The pleural effusions related to pancreatitis are usually left-sided because the pancreas is closer to the left hemidiaphragm than to the right. A pancreatic pleural effusion is often misdiagnosed as pulmonary disease rather than abdominal disease because of the predominance of pulmonary complaints. After chest X-rays, the diagnosis is usually made on thoracentesis, when the pleural fluid contains markedly elevated amylase and lipase levels and a high albumin content. We report a case of pancreaticopleural fistula that presented with a huge pleural effusion as a complication of pancreatitis, and that was treated successfully with endoscopic nasopancreatic drainage and pancreatic duct stenting. (Korean J Med 77:S1148-S1152, 2009)
송인성(I S Song),최규완(K W Choi),김정룡(C Y Kim),정현채(H C Jung),윤용범(Y B Yoon),양석균(S K Yang),임용철(Y C Lim),윤병철(Byung Cheol Kim),노임환(I H Roe),유권(K Yoo) 대한소화기학회 1989 대한소화기학회지 Vol.21 No.4
N/A A total of 486 cases of upper gastrointestinal bleeding admitted to Seoul National University Hospital via emergency room from Jan. 1986 to Jun. 1988 were clinically reviewed and the following results were obtained: 1) The male to female ratio was 4.7:1 and peak incidence was in the 6th and 5th decades. The sex and age had no prognostic value. 2) The causes of bleeding were esophageal varix (35.2%), gastric ulcer (17.7%), duodenal ulcer (13.4%), stomach cancer (6.6%), gastritis (5.15), Mallory-Weiss syndrome (2.7gp), miscellaneous causes (l.0%), and unknown causes (18.3%). Variceal bleeders had the highest mortality rate. 3) There was no past history of bleeding in 61.5% overall, and it had no prognostic value. But variceal bleeders had past history of bleeding in, 50.3% and the first episode of bleeding offered higher mortality rate. 4) Three types of bleeding hefore admission were hematemesis in 27.85, melena in 25.7% and both of them in 46.5%, which had no prognostic value if variceal and nonvariceal bleeders were considered respectively. 5) Systolic blood pressure and pulse rate had some prognostic value, that is, high pulse rate on admission carried higher morthalty rate in variceal bleeders and low systolic blood pressure did in nonvariceal bleeders. 6) The three patterns of bleeding after admission were single bleeding in 63.0%, repeated bleeding in 21.0% and continuous bleeding in 16.0%. The mortality rate of repeated and continuous bleeding was higher than that of single bleeding. 7) The patients who received transfusion were 86.8% and the amount of blood transfused was more than 10 pints in 24.1%. The mortality rate increased as the amount of blood transfused increased. 8) Esophageal varix ivas the cause of the first bleeding in 76.4% of patients with chronic liver disease with esophageal varix. If the cause of the first bleeding was the esophageal varix in patients with chronic liver disease with esophageal varix, the cause of the second bleeding was also esophageal varix in 93.5%.
한성희 ( Sung Hee Han ),이오영 ( Oh Young Lee ),양선영 ( Sun Young Yang ),전대원 ( Dae Won Jun ),이항락 ( Hang Lak Lee ),전용철 ( Yong Cheol Jeon ),한동수 ( Dong Soo Han ),손주현 ( Joo Hyun Sohn ),윤병철 ( Byung Chul Yoon ),최호순 대한소화기학회 2006 대한소화기학회지 Vol.48 No.1
In Crohn`s disease, neurologic complications such as cerebrovascular accident, headache, peripheral neuropathy have been reported sporadically. The pathogenesis of these neurologic complications is still unknown and controversial. We experienced a 22-year-old man, with Crohn`s disease accompanied by optic neuritis. Loss of visual acuity was developed during the worsening course of enterocutaneous fistula. After high dose steroid treatment, his visual acuity and neurologic symptoms improved immediately. (Korean J Gastroenterol 2006;48:42-45)
상기도 감염 후 연하곤란을 호소한 제 9, 10 뇌신경 마비
박호용 ( Ho Yong Park ),이오영 ( Oh Young Lee ),양선영 ( Sun Young Yang ),천승민 ( Seung Min Cheon ),이항락 ( Hang Lak Lee ),한동수 ( Dong Soo Han ),전용철 ( Yong Cheol Jeon ),손주현 ( Joo Hyun Sohn ),윤병철 ( Byung Chul Yoon ) 대한소화기기능성질환·운동학회 2005 Journal of Neurogastroenterology and Motility (JNM Vol.11 No.1
Oropharyngeal dysphagia is characterized by difficulty in transferring food from the mouth through the upper esophageal sphincter into the upper esophagus. Lesions involving the vagus and glossopharyngeal nerve may cause dysphagia and dysphonia. On rare o
만성 B 형 간염환자에서 인터페론 치료 중 발생한 급성 신부전 1 예
김종철,박경남,한동수,이민호,강경원,최호순,윤병철,이동후,손주현,이오영,함준수,이원미,박문향,전용철,기춘석 대한내과학회 2001 대한내과학회지 Vol.61 No.1
Hepatitis B virus infection is known to be associated with various types of glomerulonephritis (GN), including membranous GN, membranoproliferative GN, and mesangial proliferative GN. Although there has been considerable experiences with interferon in clinical trials during the past decade, acute renal failure as a complication of interferon treatment has rarely been reported. We report a case in which acute renal failure with proteinuria was associated with interferon-alpha treatment. A 33-year-old man with chronic hepatitis B presented with diarrhea and RUQ pain. Two weeks after INF-alpha treatment, Oliguria and proteinuria suddenly occurred, although the hepatic function was improved. With discontinuation of interferon treatment and ultrafiltration, his renal function was improved. (Korean J Med 61:59-63, 2001)
박경남,이용욱,이민호,조윤주,최호순,윤병철,손주현,함준수,전용철,전규영,박영석,기춘석,이동후 대한소화기학회 2000 대한소화기학회지 Vol.35 No.2
Background/Aims: Changes of bile acid concentration may play an important role in the carcino genesis of colorectal cancer. We intended to assess the difference in bile acid concentrations between patients with colorectal cancer and controls. Methods: In 18 patients with colorectal cancer and 10 controls, gallbladder bile was obtained by direct gallbladder puncture and analyzed by high performance liquid chromatography combined with an enzyme method (JASCO method). Results: There was a significant increase in the concentration of chenodeoxycholic acid (CDCA) (41.02±18.42 ㎎/㎖) and total bile acids (72.97± 37.60 ㎎/㎖) (p$lt;0.05) of patients with colorectal cancer as compared with those of controls (CDCA 22.99±18.65 ㎎/㎖, total bile acids 42.74±35.29 ㎎/㎖) The concentrations of primary bile acids and the proportion of secondary bile acids in total bile acid were also higher in patients with colorectal cancer than in controls. Conclusions: Concentrations of CDCA and total bile acids in patients with colorectal cancer were higher than those in controls These results suggest that the changes in bile acid concentration is related to the pathogenesis o colorectal cancer in Korea.
Billroth II 수술 후 발생한 소장의 세균과다증식에 의한 흡수장애 1예
최창렬,박경남,한동수,이민호,이정익,강태영,윤병철,이동후,이오영,전용철,은창수,함준수,기춘석,정청일 대한소화기학회 2001 대한소화기학회지 Vol.37 No.2
A large number of disorders have been associated with proliferation of enteric microorganisms in the small intestine. Billroth II partial gastrectomy is one of the factors that can develop bacterial overgrowth of small intestine. This bacterial overgrowth can lead to malabsorption or disturbed metabolism of intestinal contents. Many cases of bacterial overgrowth after partial gastrectomy have been reported in America and European literature. However, no case has been reported in Korea. Here, we describe a 44-year-old male patient with malabsorption who compalined of abdominal discomfort and peripheral edema. He had a history of Billroth II operation due to perforated gastric ulcer which had occurred 10 years before visiting our hospital. Jejunal biopsy was performed for differential diagnosis. In the aspirated jejunal fluid culture, $gt;10^5 organisms/mL were observed. After sensitivity based antibiotics therapy, clinical improvement was observed and he recovered well.