http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
Hyojin Lee,Kihwan Kim,Inseok Park,Hyunjin Cho,Geumhee Gwak,Keunho Yang,Byung-Noe Bae,Hong-Ju Kim,Young Duk Kim 한국간담췌외과학회 2016 Annals of hepato-biliary-pancreatic surgery Vol.20 No.4
Backgrounds/Aims: We investigated patients’ clinical and radiological data to determine preoperative factors that predict cholesterol gallbladder (GB) polyps of large size, which can be helpful for decision on further diagnostic tools. Methods: In this study, we retrospectively analyzed 126 patients who underwent laparoscopic cholecystectomy for GB polyps >10 mm diagnosed preoperatively by abdominal ultrasonography between February 2002 and February 2016 in Department of Surgery, Sanggye Paik Hospital. Patients were divided into non-cholesterol polyps group and cholesterol polyps group, based on the postoperative pathologic diagnosis. Clinical and radiological data, such as gender, age, body weight, height, body mass index (BMI), laboratory findings, size, number and shape of the polypoid lesions, and presence of the concurrent GB stone were compared between the two groups. Results: Of the 126 cases, 73 had cholesterol polyps (57.9%) and 53 cases were non-cholesterol polyps (42.1%). The younger age (<48.5 years), size of polyp <13.25 mm and multiple polyps were independent predictive variables for cholesterol polyps, with odd ratios(OR) of 2.352 (p=0.045), 5.429 (p<0.001) and 0.472 (p<0.001), respectively. Conclusions: Age, size and polyp number were used to predict cholesterol GB polyp among polypoid lesions of the gallbladder >10 mm. For cases in which these factors are not applicable, it is strongly recommended to evaluate further diagnostic tools, such as computed tomography, endoscopic ultrasonography and tumor markers.
Morphologic Restoration After Peroral Endoscopic Myotomy in Sigmoid-type Achalasia
( Hong Jin Yoon ),( Jeung Eun Lee ),( Da Hyun Jung ),( Jun Chul Park ),( Young Hoon Youn ),( Hyojin Park ) 대한소화기 기능성질환·운동학회 2020 Journal of Neurogastroenterology and Motility (JNM Vol.26 No.1
Background/Aims Achalasia is a chronic, progressive motility disorder of the esophagus. The sigmoid-type achalasia is an advanced stage of achalasia characterized by severe dilatation and tortuous angulation of the esophageal body. Peroral endoscopic myotomy (POEM) has been reported to provide excellent clinical outcomes for achalasia, including the sigmoid type, but the restoration of esophageal morphology and function remain poorly described. The aim of our study is to investigate esophageal restoration after POEM for sigmoid-type achalasia. Methods From 98 patients with achalasia who underwent POEM in the Yonsei University Health System from 2013 to 2018, we recruited 13 patients with sigmoid-type achalasia (7 male; mean age 53.3 years) and assessed morphological and manometric changes in the esophagus. Results Clinical success (Eckardt score < 3) was achieved in all cases. After POEM, the average angle of esophageal tortuosity became more obtuse (91.5° vs 114.6°, P = 0.046), esophageal body diameter decreased (67.6 vs 49.8 mm, P = 0.002), and esophagogastric junction opening widened (6.4 vs 9.5 mm, P = 0.048). Patients whose esophageal tortuosity did not improve had longer durations of symptoms than patients with improvement (80.2 vs 636 months, P < 0.001). An absence of peristalsis was observed in all patients pre- and post-POEM. Conclusions POEM resulted in excellent clinical outcomes and morphologic improvement in sigmoid-type achalasia. These results suggest that the improvement of esophageal tortuosity through POEM reflects a reduced esophageal burden.
Non-Plague Yersiniosis 32예에 대한 임상적 고찰
홍천수,홍창호,박효진,이원영,김 응,김용범,김준명,정윤섭 대한감염학회 1987 감염 Vol.19 No.1
The case records of 32 patients infected with Yersinia enterocolitica or Yersinia psuedotuberculosis during the period of July 1979 to Jun 1986 were retrospectively analysed. The following results were obtained. 1) The age was distributed between 1 and 60 years (median age 20.5). Male to female ratio was 1.7:1. 2) The seasonal incidences were spring 43.8%, summer 15.6%, autumn 3.1%, and winter 37.5%. 3) The most common initial symptom in these patients was diarrhea (84.4%). The additional cardinal symptoms were fever (65.6%), abdominal pain (56.3%), vomiting (25.0%) and arthralgia (3.1%). 4) Twenty-nine cases of infection were caused by Y. enterocolitica and three cases by Y. pseudotuberculosis. 5) The isolated organism of 21 cases of Y. enterocolitica were grouped into two Wauters biotypes; the one group of 18 isolates was Wauters biotype 3 and the other group of 3 isolates was biotype 2. 6) In the antibiotic sensitivity test, most of isolates were sensitive to tetracycline, co-trimoxazole and aminoglycosides such as gentamicin, but resistant to ampicillin (78.1%) and cephalothin (81.3%). 7) Most of patients showed improved clinical courses within 3.5 days after taking conservative and/or antimicrobial regimen, but two septic patients with serious underlying conditions showed fatal courses.
A retroperitoneal dedifferentiated liposarcoma mimicking an ovarian tumor
( Hyojin Kim ),( Taewon Jeong ),( Yeongho Lee ),( Gyeonga Kim ),( Sanggi Hong ),( Sukyung Beck ),( Jeongbeom Mun ),( Kyongjin Kim ),( Myeongjin Ju ) 대한산부인과학회 2017 Obstetrics & Gynecology Science Vol.60 No.6
A 74-year-old postmenopausal woman visited our gynecology clinic complaining of a palpable abdominal mass. Physical and radiological evaluation indicated that the mass exhibited features of a left ovarian neoplasm showing heterogeneous enhancement. Surgical resection was performed to confirm this suspicion. During surgery, a mass was observed only in the left ovary with no invasive growth, but adhesions to the surrounding peritoneum were seen. Given the patient's age, large mass size, and accompanying uterine myoma and right ovarian cyst, total abdominal hysterectomy with bilateral salpingo-oophorectomy was performed. The final pathologic diagnosis was dedifferentiated liposarcoma. The liposarcoma was suspected to originate from retroperitoneal adipose tissue rather than the ovary. Radiotherapy was planned if a gross lesion indicating recurrence followed 6 months later. This case required a considerable multi-disciplinary approach for diagnosis and treatment because of its ambiguous clinical and radiological findings.
Vaginal leiomyoma in an adolescent woman
( Hyojin Kim ),( Taewon Jeong ),( Gyeongjin Kim ),( Yeongho Lee ),( Gyeonga Kim ),( Sanggi Hong ),( Sukyeong Beak ),( Jeongbeom Moon ),( Juhyang Lee ) 대한산부인과학회 2016 대한산부인과학회 학술대회 Vol.102 No.-
We report a case of vaginal wall leiomyoma in a young lady. Vaginal wall is a rare area that leiomyoma occurs which has reported approximately 300cases until now whose average age is 35~50years old. But, the patient we report is 18 years old adolescent women with sexually virgin. She presented first at local gynecology clinic with frequent(every two weeks) menstruation and for excluding organic causes rectal ultrasonography was done. Through ultrasonography, 3.5 cm sized vaginal wall mass was observed. The patient was referred to Jesus hospital gynecology clinic. Digital rectal examination was done and it is confirmed that there was no rectal mucosal invasion and there is no tenderness. To know the character of the mass and relationship with surrounding organs, MRI was done. The mass was probably seen leiomyoma and located in rectovaginal septum. The surgery was planned for the pathologic diagnosis and, because the patient was sexually virgin, the mass removal was done by rectovaginal approach. The patient was recovered without complications and final pathologic diagnosis was vaginal wall leiomyoma.
Hong, Jang Hee,Jin, Eun-Heui,Kang, Hyojin,Chang, In Ae,Lee, Sang-Il,Sung, Jae Kyu MDPI AG 2019 INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES Vol.20 No.13
<P>We evaluated the association between prostate cancer non-coding RNA 1 (PRNCR1) polymorphisms and the risk of developing gastric cancer (GC) and GC subgroups in Korea. A case-control study was conducted with 437 GC patients and 357 healthy controls using a TaqMan genotyping assay. A chi-squared test, binary logistic regression, and genetic models were used to explore the association between five PRNCR1 polymorphisms and GC risk. After adjusting for gender and age, overall analyses using the recessive model indicated that the rs13252298 GG genotype was significantly associated with increased risk of intestinal-type gastric cancer (IGC). In the stratification analyses, the recessive model indicated that the rs1016343 TT genotype was significantly associated with decreased GC risk in individuals aged <60 years showing lymph node metastasis (LNM)-negative results. The rs13252298 GG genotype in the recessive model showed increased GC risk in subjects aged ≥60 years showing LNM-positive results and those aged ≥60 years in tumor stage III. In the dominant model, the rs16901946 combined genotype (AG/GG) was significantly associated with increased GC risk in subjects aged <60 years with tumor stage III. In the recessive model, the rs16901946 GG genotype was associated with decreased risk of GC and IGC in males aged ≥60 years. Thus, genetic variations in PRNCR1 may contribute to susceptibility to GC.</P>
Hong Jin Yoon,Young Hoon Youn,Sung Hwan Yoo,Seyeon Jeon,Hyojin Park 대한소화기 기능성질환∙운동학회 2022 Journal of Neurogastroenterology and Motility (JNM Vol.28 No.2
Background/AimsFood retention, which is a characteristic observed in patients with achalasia, can interfere with peroral endoscopic myotomy (POEM). However, there is no established guideline for esophageal preparation for POEM. A previous study has shown that drinking warm water may reduce the lower esophageal sphincter pressure in patients with achalasia. This study aims to evaluate the possibility of proper preparation of POEM by instructing the patient to drink warm water. MethodsThe warm water preparation was performed in 29 patients with achalasia who underwent POEM. The patients drank 1 L of warm water (60oC) the night before POEM. We evaluated the esophageal clearness and determined the preparation quality. Twentynine patients were prospectively recruited and compared to control group. The control cohort comprised achalasia patients whose endoscopic image was available from the achalasia database of our institution. A 1:2 propensity score-matched control cohort was established from the database of achalasia subjects (n = 155) to compare the outcome of the preparation. ResultsIn the warm water preparation group, only 1 patient (3.4%) had some solid retention, but it did not interfere with the POEM procedure. The grade of clearness (P = 0.016) and quality of preparation (P < 0.001) were significantly better in the warm water preparation group than in the matched control group. There was no any adverse event at all related to warm water preparation protocol. ConclusionsDrinking warm water dramatically reduces esophageal food retention and significantly improves the quality of esophageal preparation. This simple protocol is quite useful, safe, and cost-effective in the preparation of achalasia patients for POEM.