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호지킨림프종에 병발된 간내담관 소멸증후군의 자연관해 1예
한우식,정은석,김연호,김청호,박성철,이지연,장윤정,연종은,변관수,이창홍 대한간학회 2005 Clinical and Molecular Hepatology(대한간학회지) Vol.11 No.2
Cholestasis in a patient with Hodgkin’s disease is uncommon, and the causes of cholestasis are mainly direct tumor involvement of the liver, hepatotoxic effects of drugs, viral hepatitis, sepsis and opportunistic infections. Vanishing bile duct syndrome (VBDS) represents a very rare cause for cholestasis in this disease. We report here on a case of a 45-year-old man who developed VBDS during the complete remission stage of Hodgkin’s lymphoma. There was no history of hepatitis or intravenous drug abuse, and the patient had negative results for hepatitis A virus, hepatitis B virus, hepatitis C virus, cytomegalovirus, and human immunodeficiency virus. The serological studies for antinuclear antibodies, anti-mitochondrial antibodies and anti-smooth muscle antibodies were also negative. Liver biopsy disclosed the absence of interlobular bile ducts in 9 of 10 portal tracts without any active lymphocyte infiltration and there were no Reed-Sternberg cell in the liver. The patient’s cholestasis was in remission and the serum bililrubin level was normalized after two months without treatment, but tumor recurrence was noted at multiple sites of the abdominal lymph nodes on follow-up abdomino-pelvic computed tomogram.
한우식,박종재,이범재,오주연,김연호,정성우,김재선,박영태 대한소화기내시경학회 2007 Clinical Endoscopy Vol.35 No.1
An esophageal perforation is a potentially life threatening condition with a high mortality rate. Although primary surgical repair is the mainstay of treatment, non-surgical management can be attempted in selected patients. The successful endoscopic closure of an esophageal perforation with metallic clips was recently reported. We report a case of an esophageal perforation caused by a dog bone and mediastinitis treated by non-surgical management consisting of parenteral nutrition, antibiotics therapy and endoscopic clipping. (Korean J Gastrointest Endosc 2007;35:28-32) 식도천공은 비교적 드문 질환이며 치료가 지연되는 경우에는 치명률이 매우 높아 조기 진단 및 적극적인 치료가 필요하다. 일단 천공이 진단되면 적절한 치료를 선택해야 하는데, 수술적 방법이 주된 치료이다. 그러나 최근 식도천공이 발생한 환자 중 일부에 있어서는 비수술적인 방법으로 클립을 이용한 내시경 봉합술이 보고되고 있다. 이에 저자 등은 개 뼈에 의하여 식도천공 및 종격동염이 발생한 78세 남자 환자에서 클립을 이용한 내시경 봉합술과 전신적 항생제 투여, 비경구적 영양요법 등의 비수술적 치료로 치유한 1예를 경험하였기에 문헌 고찰과 함께 이를 보고한다.
한우식,김관민 대한흉부외과학회 2012 Journal of Chest Surgery (J Chest Surg) Vol.45 No.4
Postpneumonectomy empyema is a life-threatening complication, which is often related with a bronchopleural fistula. After surgical repair of fistula, sterilization of infected pleural cavity is important and usually carried out by long-term cyclic irrigation. We report a case in which vacuum-assisted closure device was successfully applied to sterilize the pleural cavity and obliterate bronchopleural fistula.
한우식,강병근 대한건축학회 2001 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.21 No.1
This study inquired the notion and the theory of the general conservation around England by the theoretical consideration of the conservation of a historically cultural environment. And this study investigated the requirement of a historic environment, the method of the selection of a subject and also, related theory. This study compared Korea with Japan which they have had the similar system of conservation historic environment system and the specific character of the conservation instance. By the present process, this study indicates a historic environment system and a problem, and proposes the better historic conservation of a methodology.
Result of Surgical Resection for Pulmonary Metastasis from Urothelial Carcinoma
한우식,김관민,박준석 대한흉부외과학회 2012 Journal of Chest Surgery (J Chest Surg) Vol.45 No.4
Background: Treatment of pulmonary metastasis from urothelial cell carcinoma has been mostly palliative chemotherapy and the role of pulmonary metastasectomy has not been investigated much. Materials and Methods: This study is a retrospective interim review of pulmonary metastasectomy from urothelial carcinoma at single institution between 1998 and 2010. Overall 16 patients underwent pulmonary metastasectomies. Results: There was no postoperative complication or hospital mortality. Mean hospital stay was 6 days. Overall and disease-free 5-year survival were 65.3% and 37.5%, respectively. Conclusion: In selected patients with pulmonary metastasis from urothelial carcinoma, surgical treatment is feasible and could contribute to long-term survival in selected patients.