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내시경 유두부 풍선 확장술 후 과다 출혈로 인한 대사성 뇌병증
이준영 ( June Young Lee ),김지현 ( Jee Hyun Kim ),장승현 ( Seung Hyeon Jang ),강봉균 ( Bong Kyun Kang ),황인겸 ( In Kyeom Hwang ),이윤석 ( Yoon Suk Lee ),황진혁 ( Jin Hyeok Hwang ),김재환 ( Jai Hwan Kim ) 대한췌장담도학회 2014 대한췌담도학회지 Vol.19 No.2
Endoscopic retrograde cholangiopancreatography is widely used for diagnosis and treatment of pancreatobiliary diseases and associated with a spectrum of complications such as pancreatitis, hemorrhage, and so on. Endoscopic papillary balloon dilatation (EPBD) has an advantage over endoscopic sphincterotomy in complication of bleeding. We report here on a 68-year-old woman who developed metabolic encephalopathy due to massive bleeding after EPBD. Massive bleeding was controlled after selective embolization and metabolic encephalopathy was improved after conservative management. Metabolic encephalopathy due to massive bleeding after EPBD has not been reported. We report on this unusual case along with a review of the related literatures.
말초신경병증 통증 치료를 위해 투여한 Duloxetine 유발 저나트륨혈증 2예
이지은 ( Ji Eun Lee ),김현욱 ( Hyun Wook Kim ),서봉수 ( Bong Soo Seo ),라지은 ( Ji Eun Ra ),황인겸 ( In Kyeom Hwang ),이지경 ( Ji Kyoung Lee ),목영미 ( Young Mi Mok ) 대한내과학회 2012 대한내과학회지 Vol.83 No.6
Duloxetine is a balanced serotonin and norepinephrine reuptake inhibitor available for treating peripheral neuropathic pain. The occurrence of hyponatremia as an adverse event of duloxetine treatment, but it has not yet been reported in Korea. Here, we report two cases of hyponatremia induced by duloxetine for treatment of peripheral neuropathic pain. Our findings highlight the need for special attention when using duloxetine in elderly patients taking thiazide diuretics. (Korean J Med 2012;83:813-816)