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배중호,한동수,백창희,정용우,김종표,손주현,전용철,함준수 대한소화기내시경학회 2006 Clinical Endoscopy Vol.32 No.2
대장의 지방종은 소아에서 장폐색의 흔한 원인이나 성인에서는 장폐색을 유발하는 원인 중 1% 미만의 빈도를 보이는 매우 드문 임상 질환이다. 대장의 지방종은 대부분의 경우 크기가 작고 주로 우측대장, 특히 맹장에서 발생하는데, 고령의 여성에서 호발한다. 간헐적인 장중첩은 대장 지방종 환자에서 드물지 않게 보고되는데, 주로 크기가 큰 유경성 지방종에 의해 장중첩이 발생한다. 거의 대부분의 위장관 지방종은 점막하 또는 장막하에서 발생하며, 무증상인 경우가 많으나 드물게 복통이나 장폐색, 그리고 위장관 출혈을 유발한다. 응급 수술이 필요할 정도로 심각한 대장 지방종은 드물지만, 증상이 있거나 합병증이 동반된 지방종은 수술이나 내시경적인 시술이 반드시 필요하다. 저자들은 증상이 동반되어 수술이 필요했던 거대 유경성 점막하 지방종에 의한 결장결장형 장중첩을 경험하여 이를 보고하고자 한다. Intussusception is a relatively common cause of intestinal obstruction in children. However, it is quite uncommon in adults, representing ≤1% of intestinal obstructions in this patient population. Colonic lipoma is rare, usually small, and occurs mainly in the right colon, particularly in the cecum. They often occur in elderly women. Intermittent episodes of intussusception are not uncommon in patients with colonic lipoma but they are usually caused by larger pedunculated lipomas. Almost all gastrointestinal lipomas are submucosal or subserosal, and most are asymptomatic, even though they can cause abdominal pain, bowel obstruction, and gastrointestinal bleeding. Colonic lipoma with a dramatic presentation requiring urgent surgery is rare. Symptomatic lipomas or complicated cases require surgical or endoscopical intervention. We report a case of symptomatic giant pedunculated colonic lipoma causing intussusception requiring surgical intervention, with a successful recovery after surgery. (Korean J Gastrointest Endosc 2006;32:147-151)
메티실린 저항성 포도상구균 장염 후 발생한 림프구 장염 1예
배중호 ( Joong Ho Bae ),한동수 ( Dong Soo Han ),박혜선 ( Hye Sun Park ),현일식 ( Yil Sik Hyun ),김태엽 ( Tae Yeob Kim ),은창수 ( Chang Soo Eun ),전용철 ( Yong Cheol Jeon ),손주현 ( Joo Hyun Sohn ) 대한장연구학회 2011 Intestinal Research Vol.9 No.2
Staphylococcus aureus (S. aureus) is occasionally a normal inhabitant of the gastrointestinal tract, and rarely considered a cause of enterocolitis. Methicillin-resistant Staphylococcal enterocolitis may cause persistent diarrhea leading to severe complications and even death, without appropriate treatment. Lymphocytic colitis (LC), a subtype of microscopic colitis, is a relatively common cause of chronic watery diarrhea. We report the case of a 73-year-old woman with profuse watery diarrhea caused by methicillin-resistant S. aureus. Soon after treatment of her enterocolitis with vancomycin the patient`s general condition and symptoms improved, although the diarrhea persisted. Through colonoscopic biopsy and immunohistochemical staining, overt LC was diagnosed, and prompt therapy with budesonide was initiated. (Intest Res 2011;9:139-143)
배중호(Joongho Bae),윤경한(Kyonghan Yoon),용기중(Geejoong Yong),이건복(Gunbok Lee) 한국자동차공학회 2009 한국자동차공학회 학술대회 및 전시회 Vol.2009 No.11
An automobile has become essential in our daily life. Rapid motorization has adverse effects in safety and envirionment domestically as well as internationally. Thus world-wide regulatory communities endeavor to improve safety, to protect environment, and to save energy by internationally harmonizing vehicle technical regulations. Automotive markets have become global without borders after WTO was established. Vehicle technical regulations emerge as technical barriers to trade(TBT) while customs barrier gave away. From the TBTs point of view international harmonization becomes increasingly important. In this paper the activities of United National Economic Commission for Europe Working Party 29 (UN/ECE/WP29, World Forum for Harmonization of Vehicle Regulations) and trends of development of vehicle technical regulations under 1958 Agreement and 1998 Agreement have been studied.