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이양덕(Yang Deok Lee),송은기(Eun Kee Song),최정기(Jeong Ki Choi),이승옥(Seung Ok Lee),이수택(Soo Teik Lee),안득수(Deuk Soo Ahn) 대한소화기학회 2001 대한소화기학회지 Vol.38 No.2
Although Meckel’s diverticulum is the most prevalent congenital abnormality of the gastrointestinal tract, it is often difficult to diagnose. It may remain completely asymptomatic, or it may mimic disorders such as Crohn’s disease, appendicitis, and peptic ulcer disease. Approximately 50 percent of all Meckel’s diverticula contain ectopic tissue, which consists of gastric tissue in 60 to 85 percent of the cases and pancreatic tissue in 5 to 16 percent. Meckel’s diverticulum should be considered in diagnosing patients with unexplained abdominal pain, nausea and vomiting, or intestinal bleeding. Major complications include bleeding, obstruction, intussusception, diverticulitis, and perforation. It can be treated by surgical resection. Here, we report a case of chronic intussusception induced by Meckel’s diverticulum in adult which we recently experienced. (Korean J Gastroenterol 2001;38:132-135)
이길홍 ( Kil Hong Lee ),마명신 ( Myung Sin Ma ),이승옥 ( Seung Ok Lee ),이정민 ( Jeong Min Lee ),이수택 ( Soo Teik Lee ),김대곤 ( Dae Ghon Kim ),안득수 ( Deuk Soo Ahn ) 대한소화기학회 2002 대한소화기학회 춘계학술대회 Vol.2002 No.-
<Background/Aims> To describe the treatment efficacy and safety of radiofrequency ablation (RFA) to treat hepatocellular carcinoma (HCC) and metastatic liver tumors. Most patients with HCC are not candidates for resection because of multifocality, advance
증예(症例) : Hemoclip요법으로 치료한 직장 Dieulafoy 병변 1예
이기훈 ( Ki Hoon Lee ),고강훈 ( Kang Hun Koh ),박승용 ( Seung Yong Park ),오호준 ( Ho Jun Oh ),황정환 ( Heong Hwan Hwang ),이태환 ( Tae Hwan Lee ),김상욱 ( Sang Wook Kim ),이승옥 ( Seung Ok Lee ),이수택 ( Soo Teik Lee ) 전북대학교 의과학연구소 2005 全北醫大論文集 Vol.29 No.1
직장의 Dieulafoy 병변은 하부 위장관 출혈의 매우 드문 원인이다. 최근 대장내시경의 발달로 진단과 치료가 용이하여 성공적인 지혈이 가능하게 되었다. 내시경적인 치료 방법에는 전기응고, hemoclip요법, 에피네프린과 경화제 주입, 밴드 결찰술 등이 있으며 상부위장에서의 지혈술과 크게 다르지 않다. 저자들은 68세 남자에서 직장의 Dieulafoy 병변으로 인한 대량 출혈을 내시경으로 진단하고 hemoclip요법으로 성공적으로 치료하여 문헌고찰과 함께 보고하는 바이다. Dieulafoy`s lesion is an uncommon cause of gastrointestinal bleeding that occurs after rupture of an exposed submucosal artery. The majority of lesions are found in the stomach, but less commonly similar lesions have also been identified in the duodenum, jejunum, colon, and in rare cases, the rectum. A 68-year-old man with chronic renal failure who presented with massive hematochezia was subsequently found to have a Dieulafoy lesion in the rectum. The bleeding was successfully managed by endoscopic hemoclipping. We report a case of rectal Dieulafoy lesion in which bleeding was comtrolled by endoscopic hemoclipping.
김상욱 ( Sang Wook Kim ),이수택 ( Soo Teik Lee ),이승옥 ( Seung Ok Lee ),최석채 ( Suck Chei Choi ) 대한소화기학회 2006 대한소화기학회지 Vol.47 No.6
Recent reports have demonstrated a negative association between appendectomy and ulcerative colitis. Many retrospective studies have shown that appendectomy appears to be protective against ulcerative colitis. Although the function of appendix is not known, all these studies have suggested that alterations in mucosal immune responses leading to appendicitis or resulting from appendectomy may negatively affect the pathogenic mechanisms of ulcerative colitis. Herein, we report a 45-year-old man who was diagnosed as severe ulcerative colitis 2 years ago. Colonoscopy revealed a feature of pancolitis. He has been treated with several courses of corticosteroids over 2 years. However, dosage of steroid was not tappered down because of the recurrence of symptoms. He was admitted with a diagnosis of acute appendicitis, and underwent appendectomy. Two months after the appendectomy, clinical symptoms and colonoscopic findings improved gradually. Two years after the appendectomy, the patient improved without the recurrences of symptoms, and is stably treated with sulfasalazine alone. (Korean J Gastroenterol 2006;47:463-466)