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대장의 거대 용종절제술에서 박리성 올가미의 임상적 유용성
허진국 ( Jin Gook Huh ),김유선 ( You Sun Kim ),권선옥 ( Sun Ok Kwon ),장원철 ( Won Cheol Jang ),옥경선 ( Kyung Sun Ok ),정태엽 ( Tae Yeob Jeong ),류수형 ( Soo Hyung Rye ),이정환 ( Jung Hwan Lee ),문정섭 ( Jeong Seop Moon ) 대한장연구학회 2007 Intestinal Research Vol.5 No.2
Background/Aims: A large colonic polyp is a challenge for endoscopists due to the risk of serious hemorrhage, perforation or incomplete resection. We examined whether endoscopic resection of large polyps using a detachable snare is a feasible and safe procedure. We also examined the sizes of a polyp that could be removed. Methods: We retrospectively reviewed 65 cases of endoscopic resection of large colonic polyps using a detachable snare. Results: The sizes of the polyps included 3.5 cm (n=3), 3.0 to 3.4 cm (n=8), 2.0 to 2.9 cm (n=16) and 1.0 to 1.9 cm (n=38). The mean polyp size was 1.8 cm. The pathologic diagnoses of the resected polyps included 20 adenocarcinomas (30.8%), 38 adenomas (58.5%), three hyperplastic polyps, two inflammatory polyps, one hamartomatous polyp and one lymphangioma. The complete resection rate was 98.5% (64/65). There were no complications such as perforation, delayed bleeding or the need for additional surgery. Six complications of immediate bleeding (9.2%) developed after resection, but the bleeding was easily controlled by endoscopic treatment. Conclusions: According to our study, endoscopic resection of large polyps using a detachable snare can reduce not only complications of bleeding but also incomplete resection. Therefore, polyp size alone is rarely a contraindication to the endoscopic resection of a colonic polyp. (Intest Res 2007;5:151-157)
김유선 ( You Sun Kim ),허진국 ( Jin Gook Huh ),김일 ( Il Kim ),류수형 ( Soo Hyung Ryu ),이정환 ( Jung Whan Lee ),문정섭 ( Jeong Seop Moon ) 대한소화기학회 2004 대한소화기학회지 Vol.44 No.6
Tuberculous colitis, an important extra-pulmonary tuberculosis, is still prevalent in the developing countries and has been resurging in the Western world. The duration and dose of anti-tuberculous therapy have not yet been clarified in the tuberculous co
송정훈 ( Jung Hoon Song ),허진국 ( Jin Gook Huh ),김유선 ( You Sun Kim ),이진호 ( Jin Ho Lee ),장원철 ( Won Cheol Jang ),옥경선 ( Kyung Sun Ok ),류수형 ( Soo Hyung Ryu ),이정환 ( Jung Hwan Lee ),문정섭 ( Jeong Seop Moon ) 대한장연구학회 2008 Intestinal Research Vol.6 No.2
Background/Aims: Although colonic diverticular disease is less common in Koreans than in Western people, its incidence has been on the increase in Korea. We investigated the clinical characteristics and related complications of colonic diverticular disease in Koreans. Methods: We retrospectively reviewed the medical records of 9,006 patients who underwent colonoscopy at the Seoul Paik hospital between July 2002 and January 2008. Results: Of the 9,006 patients, there were 654 cases (7.3%) of colonic diverticulosis (472 men, 182 women). The mean age of the patients was 54.6±12.0 years. The right colon was involved in 535 cases, the left colon was involved in 86 cases and both the left and right colon was involved in 33 cases. Among the patients, a single diverticulum was seen in 253 cases and two or more diverticuli were seen in 401 cases. Related complications were diverticulitis (11 cases, 1.7%) and diverticular bleeding (3 cases, 0.5%). Conclusions: The incidence of colonic diverticular disease in Korea shows an increasing trend. Colonic diverticular lesions are frequently found in the right colon. (Intest Res 2008;6:110-115)
정태엽 ( Tae Yeob Jeong ),김유선 ( You Sun Kim ),박경준 ( Kyung Jun Park ),이종성 ( Jong Sung Lee ),허진국 ( Jin Gook Huh ),류수형 ( Soo Hyung Ryu ),이정환 ( Jung Hwan Lee ),문정섭 ( Jeong Seop Moon ) 대한소화기학회 2008 대한소화기학회지 Vol.51 No.3
Leiomyosarcoma is a rare tumor of the liver. It usually arises from many other organs including uterus, gastrointestinal tract, retroperitoneum, and soft tissues. Primary hepatic leiomyosarcoma progresses very slowly and is not associated with chronic liver disease. When the tumor is detected early enough to be treated by operation, the prognosis is favorable. While several cases of primary hepatic leiomyosarcoma have been reported in Korea, there was no case associated with acute bleeding. We report a 80-year old male patient with huge primary hepatic leiomyosarcoma, who presented with acute bleeding and IVC obstruction. The patient was treated by embolization and IVC stenting. (Korean J Gastroenterol 2008;51:194-198)
이진호,허진국,나종천,김의석,이혜경,신보문,김석호,고행일 대한감염학회 2004 감염과 화학요법 Vol.36 No.4
비장티푸스 살모넬라증에 의한 장열과 장천공은 매우 드물다 저자들은 방어기전의 손상이 없는 건강한 성인에서 비장티푸스성 D군 살모넬라 장열에 동반된 장천공이 발생한 예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다. The case of enteric fever and bowel perforation caused by nontyphoidal Salmonella spp. is extremely rare. We report a case of a 28-year-old man who suffered from enteric fever with complicated a small bowel perforation, which is a known complication of S. typhi and S. paratyphi infections. The culprit later proved to be nontyphoidal group D Salmonella spp. in our case.
자가면역성 용헐성빈혈 환자에서 Parvovirus B19 감염에 의해 발생한 일시적 골수형성부전발증 1예
김준희,김영관,허진국,박두관,이재승 인제대학교 백병원 2003 仁濟醫學 Vol.24 No.1
Human parvovirus Bl9 is a single-strand DNA virus which causes erythema infectiosum, arthralgia, aplastic crisis in patients with red cell defect, iron deficiency anemia, chronic anemia in immunocompromised patients, and fetal hydrops in pregnant women. A 34-year-old man was admitted to our hospital with fever, myalgia and incidental finding of pancytopenia. In peripheral blood, spherocytosis and reticulocytopenia were observed. Bone marrow smear showed many giant pronormoblasts with prominent inclusion bodies and deeply blue cytoplasm. Osmotic fragility of patient's red cells was increased. Human parvovirus B19 DNA was detected by polymerase chain reaction and dot blot hybridization. Pancytopenia was spontaneously resolved with supportive therapy.