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계봉현 ( Bong-hyeon Kye ) 한국정맥경장영양학회 2016 한국정맥경장영양학회지 Vol.8 No.1
Underweight and specific nutrient deficiencies are frequent in adult patients with inflammatory bowel disease (IBD). In addition, a significant number of children with IBD, particularly Crohn’s disease (CD) have impaired linear growth. Nutritional support is important in patients with IBD and nutritional problems. Enteral nutrition (EN) can reduce CD activity and maintain remission in both adults and children. Given that the ultimate goal in the treatment of CD is mucosal healing, this advantage of EN over corticosteroid treatment is valuable in therapeutic decision-making. EN is indicated in active CD, in cases of steroid intolerance, in patient’s refusal of steroids, in combination with steroids in undernourished individuals, and in patients with inflammatory stenosis of the small intestine. EN should be the first choice compared to total parenteral nutrition. However, EN does not have a primary therapeutic role in ulcerative colitis. In conclusion, it appears that the role of nutrition as supportive care in patients with IBD should not be underestimated. The aim of this comprehensive review is to provide the reader with an update on the role of nutritional support in IBD patients.
이소성 췌장 조직을 동반한 반전된 메켈게실에 의한 성인의 장중첩증
전예원(Ye-Won Jun),계봉현(Bong Hyun Kye),김형진(Hyung Jin Kim),조현민(Hyeon-Min Cho),유창영(Changyoung Yoo),황성수(Seong Su Hwang) 대한외과학회 2010 Annals of Surgical Treatment and Research(ASRT) Vol.79 No.6
Adult intussusception is rare involving of only 1% of the causes of bowel obstruction. We report a case of a 39-year-old female with intussusceptions due to inverted Meckel’s diverticulum. She visited our hospital for diffuse abdominal pain during 1 week and aggravated abdominal pain for 2 days. Vital signs were stable, and there was periumbilical tenderness. She had no history of abdominal operation. CT scan showed a 3.7×2.1 ㎝ of fatty mass with focal intussusception in the distal ileum. When the emergency operation was performed, the patient was found to be suffering from ileocolic intussusception. A manual reduction of intussusception showed inverted Meckel’s deverticulum at 65 ㎝ proximal to the ileocecal valve, and the segmental resection of small bowel including a Meckel’s diverticulum was performed. Pathologic examination revealed a Meckel’s diverticulum containing a 0.6×0.6 ㎝ sized aberrant pancreas.
김수홍(Soo Hong Kim),김형진(Hyung Jin Kim),이재임(Jae Im Lee),계봉현(Bong Hyeon Kye),이인규(In Kyu Lee),이윤석(Yoon Suk Lee),강원경(Won Kyung Kang),김준기(Jun Gi Kim),오승택(Seong Taek Oh) 대한외과학회 2010 Annals of Surgical Treatment and Research(ASRT) Vol.78 No.4
Purpose: This study was performed to evaluate clinicopathologic features in anal canal carcinoma. Methods: Among the 43 patients who were diagnosed with anal cancer at Kangnam St. Mary’s Hospital, from June 1990 to June 2008, 31 patients were analyzed retrospectively. Concurrent chemoradiotherapy was performed on twenty-one patients with anal cancer. Chemotherapy with 5-FU/mitomycin and radiotherapy were started at the same time. An external beam radiation dose to the primary lesion and pelvis was modified from 4,500 to 6,000 cGy. Results: Among the 31 patients with anal cancer, the dominant histologic type was squamous cell carcinoma (n=25), followed by adenocarcinoma (n=6). Twenty-nine (93.5%) of these cancers were located in the anal canal and 2 (6.5%) in the anal margin. Among the 25 patients with squamous cell carcinoma, 20 cases were treated by concurrent chemoradiotherapy. The 5-year survival rate among squamous cell carcinoma cases was 83.3% for the concurrent chemoradiation group and 50.0% for the no concurrent chemoradiation group, which was statistically significant (P=0.05). Among the squamous cell carcinoma patients, there was no significant difference in survival rates between concurrent chemoradiation group (n=17) and concurrent chemoradiation with surgical resection group (n=8) (87.5% vs 68.8%; P=0.596). Conclusion: In the squamous cell carcinoma treatment, concurrent chemoradiation therapy can offer better outcomes.