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아칼라지아의 새로운 분류법: Chicago's Classification
김경오 ( Kyoung Oh Kim ) 대한내과학회 2018 대한내과학회지 Vol.93 No.4
고해상도 식도내압 검사는 우리에게 식도운동에 대한 보다 세밀하고 다양한 정보를 제공할 수 있으며 식도의 병태생리에 대한 이해를 높이는데 중요한 역할을 하고 있다. 식도 운동 질환의 경우 역류성 식도 질환이나 다른 심장 질환과 감별이 쉽지 않아 진단이 늦어지는 경우가 많았으나 새로운 검사장비와 분류법으로 인하여 질환의 조기 진단이 가능해졌으며 그동안 우리가 알지 못했던 식도의 비정상 상태를 파악할 수 있게 되어 식도운동 질환 환자의 삶의 질을 높일 수 있으리라 기대된다.
김수진 ( Su Jin Kim ),박철희 ( Cheol Hee Park ),김용민 ( Yong Min Kim ),김성열 ( Seong Yeol Kim ),천승연 ( Seung Yeon Chun ),권진우 ( Chin Woo Kwon ),박지원 ( Ji Won Park ),김경오 ( Kyoung Oh Kim ),백일현 ( Il Hyun Baek ),유교상 ( 대한장연구학회 2012 Intestinal Research Vol.10 No.2
Background/Aims: Intussusception is uncommon in adults compared with children. The present study aimed to review our experience of adult intussusceptions and discuss the preoperative diagnosis and management. Methods: A retrospective review was performed for 25 patients, at least 18 years old. These patients were diagnosed as intestinal intussusceptions at Hallym University Sacred Heart Hospital from January 1999 to October 2010. Results: There were 14 male and 11 female with a mean age of 55 years. The most common symptom was abdominal pain. The preoperative diagnostic rate was 92% because of the use of an abdominal computed tomography (CT) and an ultrasound. A total of 9 (36%) patients had enteroenteric intussusception, 8 had ileocolic, 1 had ileocecal and 7 patients had colocolic intussusception. A discrete pathologic process was present in 22 (88%) patients and the remaining 3 (12%) patients were idiopathic. There were 12 small bowel lesions and 10 colonic lesions. Neoplasms were the most common etiology of intussusceptions. Of the cases with a defined colonic cause, 8 (80%) were malignant. Overall, 12 (48%) patients underwent primary resection of the intussusception without prior reduction, 11 (44%) patients had reduction of their intussusception followed by resection. Conclusions: Adult colonic intussusception is usually associated with malignancy. All patients with obstruction of unknown cause or lead point on CT should consider surgical exploration. (Intest Res 2012;10:183-188)
위장관 , 10일간의 동시치료가 10일간의 순차치료보다 헬리코박터 파일로리 제균율이 우월하다
김수영 ( Su Young Kim ),박동균 ( Dong Kyun Park ),권광안 ( Kwang An Kwon ),김경오 ( Kyoung Oh Kim ),김윤재 ( Yoon Jae Kim ),정준원 ( Jun Won Chung ) 대한소화기학회 2014 대한소화기학회지 Vol.64 No.5
Background/Aims: Because the efficacy of standard triple therapy for Helicobacter pylori eradication has declined, new regimens such as sequential therapy (ST) and concomitant therapy (CoCTx) have been introduced. The aim of this study was to compare the efficacy of 10-day ST and 10-day CoCTx for H. pylori eradication. Methods: We retrospectively reviewed the medical records of 316 patients with proven H. pylori infection. They were assigned to one of 2 regimens, ST (n=191) consisted of, lansoprazole 30 mg and amoxicillin 1 g for 5 days followed by lansoprazole 30 mg, metronidazole 500 mg, and clarithromycin 500 mg for 5 days, and CoCTx (n=125) consisted of lansoprazole 30 mg, amoxicillin 1 g, metronidazole 500 mg, and clarithromycin 500 mg for 10 days. All drugs were administered twice a day. Bacterial eradication was checked by using a 13C-urea breath test at least 4 weeks after completion of treatment. Results: The mean age and male to female ratio was 51.74 and 1.03, respectively. Baseline characteristics were not different in both groups. Ten day CoCTx group (94.4%, 118/125) showed better eradication rate than ST group (82.2%, 157/191) (p=0.002). Drug compliances were not statistically different between the two groups (p=0.19). Side effects were more frequently reported in the CoCTx group than in the ST group (p=0.03). Conclusions: Ten-day CoCTx was superior to ST in terms of eradicating H. pylori infection. Although the CoCTx producing more side effects than ST, CoCTx can be thought to be a promising alternative to ST as a treatment regimen for H. pylori eradication. (Korean J Gastroenterol 2014,64:260-267)
18 간내담석증과 간내담관암에서의 Epidermal Growth Factor Receptor와 Matrix metalloproteinase-9 발현 양상
김효정 ( Hyo Jung Kim ),최창원 ( Chang Won Choi ),김경오 ( Kyoung Oh Kim ),연종은 ( Jong Eun Yeon ),박종재 ( Jong Jae Park ),심재정 ( Jae Jeong Shim ),김재선 ( Jae Seon Kim ),변관수 ( Kwan Soo Byun ),박영태 ( Young Tae Bak ),이창 대한소화기학회 2002 대한소화기학회 추계학술대회 Vol.2002 No.-
Propofol에 의한 수면유도 대장내시경 검사법의 안정성에 대한 연구
김종표 ( Jong Pyo Kim ),박철희 ( Cheol Hee Park ),정재원 ( Jae One Jung ),문준호 ( Joon Ho Moon ),신운건 ( Woon Geon Shin ),김경오 ( Kyoung Oh Kim ),한태호 ( Tae Ho Han ),유교상 ( Kyo Sang Yoo ),박상훈 ( Sang Hoon Park ),김종혁 ( 대한장연구학회 2005 Intestinal Research Vol.3 No.1
목적: 최근 하부위장관 질환의 증가에 따라 대장내시경 검사의 시행이 증가하고 있다. 수면유도 내시경은 내시경 검사의 장애요인이 되고 있는 피검자의 불쾌감이나 불안감 등을 감소시킬 수 있는 것으로 알려져 있다. 최근 propofol을 이용한 내시경 검사가 많이 이용되고 있으나 국내에서 수면유도 대장내시경 검사에 대한 효과는 많이 알려져 있지 않다. 본 연구에서는 propofol 단독요법을 이용한 수면유도 대장내시경 검사의 임상적인 안정성과 유용성을 알아보고자 하였다. 대상 및 방법: 2004년 8월부터 2005년 3월까지 한림대 성심병원 방문한 전신상태가 비교적 양호하고 복부 수술의 기왕력이 없는 총 92명의 피검자들을 대상으로 수면유도 대장내시경 검사법을 시행하였다. 대상환자들을 propofol단독요법군(51명)과 0.05 mg/kg의 저용량 midazolam군(41명) 두 군으로 나누어 연구를 진행하였고 혈역학적 지표의 변동이나 산소포화도의 변화, 피검자 및 검사자의 만족도, 부작용 등에 있어 양 군 간에 차이가 있는지 알아보았다. 결과: 양 군 간에 남녀 비나 연령에 있어 의미 있는 차이는 없었고 시술 전과 시술 중 또는 시술 후의 활력징후나 산소포화도의 변화에서 양군간에 의미 있는 차이는 없었다. 시술에 대한 기억상실의 정도는 propofol군이 유의하게 높았으며 피검자 또는 검사자의 만족도 역시 propofol군이 높았다. 심각한 부작용은 두군 모두에서 관찰되지 않았고 복부불쾌감과 같은 경도의 부작용이 midazolam군에서 높은 경향을 보였다. 결론: Propofol 단독요법을 이용한 수면유도 대장내시경 검사는 비교적 안전하였으며 저용량 midazolam요법과 비교하여 임상적으로 유용하였다. 따라서 propofol 단독요법을 이용한 수면유도 대장내시경 검사는 혈역학적 변화에 대한 적절한 감시가 이루어질 수 있다면 외래환자의 진단목적의 대장내시경 검사에서 유용하게 사용될 수 있다. Background/Aims: The usage of sedative agents like midazolam or propofol and a desire for efficient and safe endoscopy have contributed to changes in the practice of endoscopic sedation. The clinical efficacy and safety of propofol as premedication for outpatient colonoscopy is under evaluation in Korea. We compared propofol to low-dose midazolam for colonoscopy with conscious sedation. Methods: Outpatients undergoing colonoscopy were randomized to receive either propofol or low-dose midazolam (0.05 mg/kg). Total 92 patients were divided into 2 groups (propofol group: 51, low-dose midazolam group: 41). Induction of sedation, procedure and recovery time, patient`s and doctor`s satisfaction, complications were evaluated. Results: There was no significant difference between two groups in sex ratio and mean age. The changes in blood pressure, pulse rate, respiration rate and oxygen saturation were not significant in both groups. Patients receiving propofol tolerated colonoscopy much more than those with low-dose midazolam. Major complications such as hemodynamic instability or apnea did not occur in both groups. Conclusions: Propofol was safe and effective premedication for conscious sedation in colonoscopy. Propofol has several advantages over low-dose midazolam. (Intest Res 2005;3:11-17)
문선유 ( Sun You Moon ),김경오 ( Kyoung Oh Kim ),박상훈 ( Sang Hoon Park ),유교상 ( Kyo Sang Yoo ),박철희 ( Cheol Hee Park ),김종혁 ( Jong Hyeok Kim ),박충기 ( Choong Kee Park ),전선영 ( Sun Young Jun ) 대한소화기학회 2010 대한소화기학회지 Vol.55 No.5
Gastritis cystica profunda (GCP) is a rare disease which shows multiple cystic gastric glands within the submucosa of the stomach. GCP lesions mainly develop at the site of gastroenterostomy and exhibit benign behavior. However, there have been a number of debates over its malignant potential. Several reports have documented GCP accompanied by gastric carcinomas, but the relationship between the two conditions remains uncertain. Here we report two cases of GCP with dysplasia accompanied by synchronous multiple early gastric cancers without previous gastric surgery. (Korean J Gastroenterol 2010;55:325-330)
유병관 ( Byoung Kwan Yoo ),김종혁 ( Jong Hyeok Kim ),문홍주 ( Hong Ju Moon ),천원석 ( Won Seok Cheon ),유지연 ( Ji Youn Yoo ),김종표 ( Jong Pyo Kim ),김경오 ( Kyoung Oh Kim ),박철희 ( Cheol Hee Park ),한태호 ( Tae Ho Hahn ),유교상 대한소화기학회 2005 대한소화기학회지 Vol.45 No.5
Spontaneous perforation of the common bile duct (CBD) is a rare event in adults. Most cases of CBD perforation are iatrogenic after invasive procedures such as endoscopic retrograde cholangiopancreatography (ERCP) or cholecystectomy. We report a case of a