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문성채(Sung Chae Moon),김병수(Byung Soo Kim),김동민(Dong Min Kim),최필선(Phil Sun Choi),한경문(Kyeong Moon Han),이성욱(Sung Ook Lee),이혜정(Hye Jung Lee),천종철(Jong Chul Chun),선병호(Byung Ho Sun),김혜숙(Hye Suk Kim) 대한소화기학회 1997 대한소화기학회지 Vol.29 No.1
Enteric duplications are rare congenital anomalies. These are eharacterized by finn attachment to at least one point of the alirnentary tract and a well-developed coat of smooth muscle, and the epithelial lining always resembles some part of the alinentaty tract. Stomach is the least frequent location for these anomalies. The vast majority of patients with gastric duplication presented in infancy have an abdominal mass causing pain, upper gastrointestinal obstruetion, and failure to thrive. However, some cases have not been diagnosed until later in childhood. To date, fewer than 20 eases of gastric duplication have been diagnosed in adults. The present case is a 51 year-old male presenting with mild upper abdominal discomfort for a few years. A gastroscopy revealed an about 1.5 * 1.5 cm sized round protruding rnass with smooth surface of normal mucosa at the lesser curvature of gastric antrum, which was removed by surgical operation. Postoperative pathologic examination disclosed a gastric duplication which was a muscle-coated, cystic and tubular structure invested with a common musculature on gross finding, and was lined with a gastric mucosa on microscopie finding. (Korean J Gastroenterol 1997; 29:118 - 121)
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건설정보공유를 위한 프로젝트 홈페이지 자동생성 시스템 구축
이승열,이우식,천종철,강인석 경상대학교 생산기술연구소 2002 工學硏究院論文集 Vol.2 No.-
Our construction markets recognize the necessity of an interchange of construction information. The construction information includes the project based data such as successful or unsuccessful information for the project and the non-project based data such as specifications or regulations. This study suggests a methodology for holding construction information in common among construction contractors by a standard construction project homepage. For the interchange of construction information by the construction project homepage, this study develops an auto-generating system of construction project homepage with some standard contents for representing a construction project. The auto-generating system of project homepage can minimize input data from the construction site and simplify the procedures for building project homepage.
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김동민,김혜숙,최필선,박순규,한경문,천종철,문성채,김건일,이성욱 대한내과학회 1996 대한내과학회지 Vol.51 No.5
Diffuse panbronchiolitis (DPB) is a recently described entity characterized by chronic inflammation localized just distal to the terminal bronchiole, known as the transitional zone between the airway and the pulmonary parenchyma. The chief manifestations of the disease are chronic cough, exertional dyspnea, wheezing and hypoxemia. The condition carries a poor prognosis in cases detected in earlier studies, probably because only advanced cases were diagnosed. With the development of better knowledge of the disease, milder forms with lesser symptoms and minimal signs are being recognized. Differential diagnosis from diseases which are ordinarily grouped as COPD is important, and it is possible to diagnose the disease by considering its characteristic clinical findings. However, the precise etiology of this disease remains unclear. In East Asia, this is not a newly occurring one, but in the past it had been diagnosed as COPD. DPB is not rare, and because of its poor prognosis and characteristic features, it is a very important entity in the treatment of pulmonary disease. An interesting fact about DPB is that similar diseases have not been described in English literature. Some cases of familial DPB were reported in Japan, and it is usual for some siblings of the patients to have chronic paranasal sinusitis only. This suggests that the disease may have a genetic background and racial susceptibility. We experienced two cases of DPB in monozygotic twins which is, to the best of our knowledge, the first in the world. We report that with literature review.
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간 전이 소견없이 유암 증후군을 동반한 십이지장 구부의 유암종 1예
배영진,이혜정,김혜숙,최필선,조강일,한경문,천종철,이성욱,박진곤,선병호,문성채 대한소화기내시경학회 1998 Clinical Endoscopy Vol.18 No.1
A primary duodenal carcinoid tumor causing carcinoid syndrome is rare. In case of accompanying carcinoid syndrome in a primary duodenal carcinoid tumor, it mostly suggests massive liver metastasis. In rare case, venous drainage of carcinoid tumor and systemic venous drainage are directly connected without passing through the portal system. Therefore, it is rare and interesting case which a primary duodenal carcinoid tumor accompanies carcinoid syndrome without liver metastasis. We experienced an occasion of a primary carcinoid tumor located in duodenal bulb in a 56 year-old woman. This patient came to our hospital because of intermittent diarrhea, epigastric pain and facial flushing. And it was surely diagnosed as carcinoid tumor by gastrointestinal endoscopic biopsy. She was hospitalized for surgery and we were able to confirm that carcinoid syndrome was accompanied through biochemical test. However, metastatic lesion was not found at liver, small and large intestine. We report this case with reference to documents due to rarity.
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이혜정,이성욱,배영진,박진곤,최필선,조강일,천종철,문성채,황은주 대한감염학회 1998 감염 Vol.30 No.3
V. fluvialis는 해양 및 담수 서식 세균으로서 드물게 인체에서 위장감염을 일으킨다. 현재까지 외국에서 보고된 예는 있으나 국내에 보고된 예는 없었다. 저자들은 여름철에 조개(고막)를 먹은 후 심한 복통과 설사 및 탈수증 등의 증상이 1주일간 지속된 55세의 간경변 남자 환자에서 대변배양 검사상 확진된 V. fluvialis에 의한 위장관염 1예를 적극적인 항생제 치료를 하였으나, 간경변 합병증으로 사망한 증례를 경험하였기에 이에 보고하는 바이다. V. fluvialis is a gram-negative, oxidase-producing, halophilic bacterium. It is normally found in coastal waters and seafoods. There have been a few reports on Vibrio fluvialis gastroenteritis in other countries, whereas as there has been no previous report of V. fluvialis infections in Korea. Reports from other countries showed that V. fluvialis was isolated mostly from infants and children. We experienced a race case of gastroenteritis due to V. fluvialis in a 55-year-old man with liver cirrhosis who ate an ark shell. He was admitted due to mild abdominal pain and severe watery diarrhea followed by rapidly progressive dehydration, electrolyte imbalance, and hepatorenal syndrome for a week. This patient was not improved by intensive care and antibiotic therapy.
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