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중심성 폐암환자에서 악성 기도폐쇄에서 전기 탐침과 투열올가미를 사용한 전기 소작술의 효과
유홍준 ( Hong Jun You ),최평락 ( Pyoung Rak Choi ),박은호 ( Eun Ho Park ),양재홍 ( Jae Hong Yang ),( In Su Choi ),김형준 ( Hyoung Jun Kim ),김주훈 ( Joo Hoon Kim ),옥철호 ( Chul Ho Oak ),조현명 ( Hyun Myung Cho ),장태원 ( Tae W 대한결핵 및 호흡기학회 2005 Tuberculosis and Respiratory Diseases Vol.59 No.5
전이성 대장암에서 1차 치료로 FOLFOX-4 또는 FOLFIRI 복합화학약물 치료 후의 예후 인자 분석
김재현 ( Jae Hyun Kim ),최평락 ( Pyoung Rak Choi ),박선자 ( Seun Ja Park ),박무인 ( Moo In Park ),문원 ( Won Moon ),김성은 ( Sung Eun Kim ),이규원 ( Gyu Won Lee ) 대한소화기학회 2014 대한소화기학회지 Vol.63 No.4
Background/Aims: Information on prognostic factors for metastatic colorectal cancer is an important basis for planning the treatment and predicting the outcomes of the patients; however, it has not been well established. The aim of this study was to identify factors that predict results of chemotherapy and to establish a plan for treatment of patients whose tumors are inoperable due to metastatic colorectal cancer. Methods: We conducted a retrospective review of records from 75 patients treated for colorectal cancer in Kosin University Gospel Hospital, from October 2004 to September 2008. Patients with inoperable tumors due to metastasis at the time of diagnosis who were treated with oxaliplatin or irinotecan as the first-line treatment were included in this study. We investigated the factors that might have an effect on overall survival. Results: A total of 75 patients were included in this study. Results of univariate analysis showed that hemoglobin (Hb) ≥10 g/dL at the time of diagnosis, no increase in CEA on the follow-up examination after chemotherapy, chemotherapy plus surgery, and better response to chemotherapy were significant prognostic factors. Results of multivariate analysis showed that Hb ≥10 g/dL at the time of diagnosis (p<0.001), surgery after chemotherapy (p=0.001), and better response to chemotherapy (p=0.014) were significant prognostic factors. Conclusions: In this study, Hb ≥10 g/dL at the time of diagnosis, surgery after chemotherapy, and better response to chemotherapy were significant prognostic factors for metastatic colorectal cancer.
박찬복 ( Chan Bok Park ),문원 ( Won Moon ),최평락 ( Pyoung Rak Choi ),임동한 ( Dong Han Im ),신은경 ( Eun Kyung Shin ),김규종 ( Kyu Jong Kim ),박무인 ( Moo In Park ),박선자 ( Seun Ja Park ) 대한소화기학회 2009 대한소화기학회지 Vol.53 No.4
Pancreatitis has been occasionally associated with Crohn`s disease (CD). A definite etiology of pancreatitis can be identified in most patients, but a very small proportion remain idiopathic. We report a case of idiopathic pancreatitis resolved along with the clinical improvement of CD in a 25-year-old man. He presented with abdominal pain and diarrhea for 8 years. Ileocolonoscopy and enteroclysis showed multiple, longitudinal ulcers and strictures at the ileojejunum. The laboratory findings showed elevated serum amylase (951 IU/L) and lipase (326 IU/L) without positive autoantibodies. Esophagogastroduodenoscopy, enhanced pancreatic CT, and MRCP showed no abnormalities at ampulla of Vater, pancrease, and pancreaticobiliary duct. With the treatment with antibiotics, 5-aminosalicylic acid, steroid, and azathioprine, as a whole, decreasing pattern and intermittent fine coordinated fluctuation of the levels of amylase and lipase along with the decrease of Crohn`s disease activity index (CDAI) and the CRP levels were observed. Then, three months after the start of the treatment, normalization of the pancreatic enzymes was observed, and there was recurrent elevation of pancreatic engyme during 12 months maintenance therapy. This report supports the concept of an association between idiopathic pancreatitis and CD, based on a significant and close relation between the levels of serum amylase and lipase, and CDAI. (Korean J Gastroenterol 2009;53:251-256)
증례 : 소화기 ; 간 좌외하구역 형성부전을 동반한 좌측담낭 1예
이재남 ( Jae Nam Lee ),한병훈 ( Byung Hoon Han ),이지숙 ( Jee Suk Lee ),신은경 ( Eun Kyung Shin ),최평락 ( Pyoung Rak Choi ),윤병철 ( Byung Cheol Yun ),이상욱 ( Sang Uk Lee ) 대한내과학회 2010 대한내과학회지 Vol.78 No.3
좌측 담낭이 내장역위증과 무관하게 발생하는 경우는 매우 드물며, 더욱이 좌측 담낭이 간의 부분적 형성부전을 동반하는 경우는 더욱 드물 것으로 생각된다. 저자들은 오랜 기간 동안 만성 B형 간염으로 치료받는 것 이외에는 어떤 췌장담도계 질환도 나타나지 않았던 환자에서 간 3분절 형성부전을 동반한 좌측담낭 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. A left-sided gallbladder occurring in the absence of situs inversus is a rare anomaly. This anomaly was found in a 50-year-old man without any evidence of pancreatobiliary disease. Epigastric transverse ultrasonography showed a normal gallbladder with its