Nonspecific and idiopathic ulcer of the small bowel or colon is a rare condition, and it is the so called “simple ulcer” when the patients do not have systemic symptoms of Behcet’s syndrome. Differentiation of simple ulcer from intestinal Behcet...
http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
https://www.riss.kr/link?id=A101603874
2010
Korean
KCI등재,SCOPUS,ESCI
학술저널
56-60(5쪽)
0
0
상세조회0
다운로드다국어 초록 (Multilingual Abstract)
Nonspecific and idiopathic ulcer of the small bowel or colon is a rare condition, and it is the so called “simple ulcer” when the patients do not have systemic symptoms of Behcet’s syndrome. Differentiation of simple ulcer from intestinal Behcet...
Nonspecific and idiopathic ulcer of the small bowel or colon is a rare condition, and it is the so called “simple ulcer” when the patients do not have systemic symptoms of Behcet’s syndrome. Differentiation of simple ulcer from intestinal Behcet's disease according to the endoscopic and pathologic findings is often impossible and the clinical course of the 2 maladies is similar. A 51-year-old man presented with low abdominal pain, and colonoscopy revealed a huge deep ulceration with an entero-enteric fistula in the terminal ileum. He was diagnosed with simple ulcer without the constitutional symptoms of Behcet’s syndrome. He was refractory to conventional therapy with corticosteroids and antibiotics, and so he required surgical resection. Monoclonal antibody against tumor necrosis factor-α (Infliximab) was administered at 0, 2 and 6 weeks. His symptoms were relieved after the therapy and the ulceration had completely resolved after 1 year. He was entirely asymptomatic at the 36 month follow up.
국문 초록 (Abstract)
소장이나 대장에서 발생하는 비특이적 궤양은 드물게 발생한다. 내시경이나 병리 소견으로 베체트 장염과 구분하기 어려울 뿐 아니라 임상 경과도 매우 유사하다. 따라서 베체트병의 다른 ...
소장이나 대장에서 발생하는 비특이적 궤양은 드물게 발생한다. 내시경이나 병리 소견으로 베체트 장염과 구분하기 어려울 뿐 아니라 임상 경과도 매우 유사하다. 따라서 베체트병의 다른 전신 증상이 없는 경우를 단순 궤양(simple ulcer)이라고 부른다. 이번 증례는 지속적인 우하복부 통증을 호소한 51세 남자 환자에서 대장내시경검사를 실시하였고, 회장 말단부에 크고 깊은 궤양 병변과 함께 소장 누공이 관찰되었다. 베체트 장염과 유사하였지만, 전신 증상이 없어 단순 궤양으로 진단하고, 스테로이드와 항생제 요법을 실시하였으나 임상 경과의 호전이 없었다. TNF-α 단클론항체인 infliximab을 사용하여 증상의 호전을 보였고 내시경에서 완전 치유 소견을 보였다. 이후 36개월 동안 재발 없이 관찰하고 있어 문헌 고찰과 함께 보고한다.
참고문헌 (Reference)
1 곽승기, "베체트 증후군 환자의 말초혈액단핵구에서 종양괴사인자(Tumor Necrosis Factor)-α의 자극에 의한 Macrophage Migration Inhibitory Factor의 생산 증가" 대한류마티스학회 14 (14): 112-117, 2007
2 최석규, "난치성 포도막염에서 종양괴사인자항체의 치료효과" 대한안과학회 48 (48): 273-278, 2007
3 Hassard PV, "Vasiliauskas EA. Antitumor necrosis factor monoclonal antibody therapy for gastrointestinal Behçet's disease: a case report" 120 : 995-999, 2001
4 Jung HC, "Temporal changes in the clinical type or diagnosis of Behcet's colitis in patients with aphthoid or punched-out colonic ulcerations" 6 : 313-318, 1991
5 Wayte DM, "Small bowel ulceration--iatrogenic or multifocal origin?" 49 : 26-40, 1968
6 Evereklioglu C, "Serum levels of TNF-alpha, sIL-2R, IL-6, and IL-8 are increased and associated with elevated lipid peroxidation in patients with Behcet's disease" 11 : 87-93, 2002
7 Jung Hoon Lee, "Remission of intestinal Beh?et's disease treated with anti-tumor necrosis factor α monoclonal antibody (Infliximab)" 대한내과학회 22 (22): 24-27, 2007
8 Kim JS, "Prediction of the clinical course of Behçet's colitis according to macroscopic classification by colonoscopy" 32 : 635-640, 2000
9 Tanaka M, "Observer variation of diagnoses based on simple biopsy criteria differentiating among Crohn's disease, ulcerative colitis, and other forms of colitis" 16 : 1368-1372, 2001
10 Chou SJ, "Intestinal perforations in Behcet's disease" 11 : 508-514, 2007
1 곽승기, "베체트 증후군 환자의 말초혈액단핵구에서 종양괴사인자(Tumor Necrosis Factor)-α의 자극에 의한 Macrophage Migration Inhibitory Factor의 생산 증가" 대한류마티스학회 14 (14): 112-117, 2007
2 최석규, "난치성 포도막염에서 종양괴사인자항체의 치료효과" 대한안과학회 48 (48): 273-278, 2007
3 Hassard PV, "Vasiliauskas EA. Antitumor necrosis factor monoclonal antibody therapy for gastrointestinal Behçet's disease: a case report" 120 : 995-999, 2001
4 Jung HC, "Temporal changes in the clinical type or diagnosis of Behcet's colitis in patients with aphthoid or punched-out colonic ulcerations" 6 : 313-318, 1991
5 Wayte DM, "Small bowel ulceration--iatrogenic or multifocal origin?" 49 : 26-40, 1968
6 Evereklioglu C, "Serum levels of TNF-alpha, sIL-2R, IL-6, and IL-8 are increased and associated with elevated lipid peroxidation in patients with Behcet's disease" 11 : 87-93, 2002
7 Jung Hoon Lee, "Remission of intestinal Beh?et's disease treated with anti-tumor necrosis factor α monoclonal antibody (Infliximab)" 대한내과학회 22 (22): 24-27, 2007
8 Kim JS, "Prediction of the clinical course of Behçet's colitis according to macroscopic classification by colonoscopy" 32 : 635-640, 2000
9 Tanaka M, "Observer variation of diagnoses based on simple biopsy criteria differentiating among Crohn's disease, ulcerative colitis, and other forms of colitis" 16 : 1368-1372, 2001
10 Chou SJ, "Intestinal perforations in Behcet's disease" 11 : 508-514, 2007
11 Yang SK, "Intestinal Behcet's disease" 3 : 1-10, 2005
12 Blundell CR, "Idiopathic cecal ulcer. Diagnosis by colonoscopy followed by nonoperative management" 25 : 494-503, 1980
13 Muto T, "Historical review of so called "simple ulcer" of the intestine" 14 : 739-748, 1979
14 Takaki Y, "Comparison of radiographic and endoscopic findings in simple ulcer and intestinal Behcet's disease. The difference between the GI tract lesions" 38 : 229-242, 2003
15 Khawaja FI, "Colonoscopy as an aid in the diagnosis of nonspecific ulcers of the colon" 33 : 43-45, 1987
16 Lee CR, "Colonoscopic findings in intestinal Behçet's disease" 7 : 243-249, 2001
17 Tada M, "Clinical picture and course of Behcet's disease and simple ulcer: concerning the difference between the disorders" 27 : 313-318, 1992
18 Kram MT, "Behcet's ileocolitis: successful treatment with tumor necrosis factor-alpha antibody (infliximab) therapy: report of a case" 46 : 118-121, 2003
모호한 복부 통증의 환자에서 대장내시경으로 진단된 충수돌기염 3예
밴드결찰술 및 올가미를 이용하여 내시경 점막절제술을 시행한 직장 유암종 3예
학술지 이력
연월일 | 이력구분 | 이력상세 | 등재구분 |
---|---|---|---|
2023 | 평가예정 | 해외DB학술지평가 신청대상 (해외등재 학술지 평가) | |
2020-01-01 | 평가 | 등재학술지 유지 (해외등재 학술지 평가) | ![]() |
2011-12-21 | 학술지명변경 | 한글명 : 대한소화기내시경학회지 -> Clinical Endoscopy외국어명 : The Korean Journal of Gastrointestinal Endoscopy -> Clinical Endoscopy | ![]() |
2010-01-01 | 평가 | 등재학술지 유지 (등재유지) | ![]() |
2007-01-01 | 평가 | 등재학술지 선정 (등재후보2차) | ![]() |
2006-06-22 | 학술지명변경 | 한글명 : 대한소화기내시경학회 -> 대한소화기내시경학회지 | ![]() |
2006-06-21 | 학술지등록 | 한글명 : 대한소화기내시경학회외국어명 : The Korean Journal of Gastrointestinal Endoscopy | ![]() |
2006-01-01 | 평가 | 등재후보 1차 PASS (등재후보1차) | ![]() |
2004-07-01 | 평가 | 등재후보학술지 선정 (신규평가) | ![]() |
학술지 인용정보
기준연도 | WOS-KCI 통합IF(2년) | KCIF(2년) | KCIF(3년) |
---|---|---|---|
2016 | 0.23 | 0.22 | 0.23 |
KCIF(4년) | KCIF(5년) | 중심성지수(3년) | 즉시성지수 |
0.21 | 0.18 | 0.38 | 0.25 |