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김지연,김재덕,백종성,손경준 조선대학교 구강생물학연구소 2002 口腔生物學硏究 Vol.26 No.2
Impaction and ectopic eruption of Permanent teeth can cause various clinical Problems. These teeth are not hopeless. It is possible to use the remaining teeth as anchorage, surgically uncover the impacted tooth, and orthodontically move the tooth into the arch. The specific surgical procedure and the orthodontic mechanics, however, will vary depending upon the type of tooth and its position relative to the remaining erupted teeth. There are different surgical techniques for the surgical exposure of the impacted teeth. These case reports described the surgical exposure using the apically positioned flap(APF) and closed eruption technique ,
김병규;전태주;박지영;서희영;오태훈;김현정 인제대학교 2011 仁濟醫學 Vol.32 No.-
Syphilis is a chronic systemic infectious disease caused by Treponema pallidum. Syphilitic involvement of the stomach can occur via the blood flow in the primary or secondary period of syphilis, but its incidence is very rare. Gastric syphilis should be considered in patients at risk of sexually transmitted disease who complains of abdominal pain, nausea and vomiting and in whom unusual endoscopic or radiographic features are found. Because gastric syphilis has no pathognomic clinical findings and it can simulate gastric cancer or lymphoma, it’ s not so easy to diagnose. If diagnosed, however, gastric syphilis can be easily treated with proper antibiotics. We report on a case of gastric syphilis that manifested epigastric pain, anorexia and weight loss. It was initially thought to be lymphoma, but it was correctly diagnosed by serologic testing and progress.
수술로 호전되지 않은 췌장 농양을 내시경 치료로 완치한 1 예
서희영;전태주;김선영;강미선;허란;박지영;서동대;오태훈 인제대학교 백병원 2011 仁濟醫學 Vol.32 No.-
Necrotizing pancreatitis develops in about 10-20% of patients with acute pancreatitis, and pancreatic abscesses develop in 3% of them. The mortality of pancreatic abscess has been reported up to 40% in one study. Recently, there are several reports that show good results with n on-surgical therapy, such as percutaneous drainage and endoscopic drainage, but if the non-surgical drainage fails, surgical therapy are recommended. However, there is no definite therapeutic method which is suggested yet so far after the failure of the surgical drainage. So we report the case in which we experienced successful treatment of pancreatic abscess by endoscopic removal of necrotic tissue through the gastrocystostomy, after the failure of the surgical debridement and internal drainage through gastrocystostomy.
강미선;박상훈;박지영 서희영;허란;김상현 인제대학교 백병원 2011 仁濟醫學 Vol.32 No.-
Acute fatty liver of pregnancy (AFLP) was first described as a specific clinical entity in 1940 and thought to be universally fatal. Maternal mortality in the past approached 75 percent. However early diagnosis and prompt delivery have dramatically improved the prognosis, and maternal mortality rate is now less than 18 percent. A early diagnosis, a prompt delivery, and a intensive supportive care have improved maternal and perinatal outcome. We report a 30—year—old woman at 37 weeks gestation who have multiple complications including acute pancreatitis in AFLP. She was complicated with acute renal failure, disseminated intravascular coagulation, duodenal ulcer bleeding, spontaneous bacterial peritonitis, pulmonary edema and acute pancreatitis.
Incessant bi-ventricular tachycardia associated with cosmetic herbal powder
( Ji Bak Kim ),( Hong Euy Lim ),( Seung Young Roh ),( Yang Gi Ryu ),( Seung Yong Shin ),( Un Jung Choi ),( Cheol Ung Choi ),( Seong Hwan Kim ),( Jin Won Kim ),( Eung Ju Kim ),( Seung Woon Rha ),( Chan 대한내과학회 2009 대한내과학회 추계학술발표논문집 Vol.2009 No.-
( Ji Won Kim ),( Jae Seon Kim ),( Ho Kim ),( Yong Jeoung ),( Jin Sung Koh ),( Jung Wan Choe ),( Hyo Jung Kim ),( Beom Jae Lee ),( Jong Jae Park ),( Hong Sik Lee ),( Chang Duck Kim ),( Young Tae Bak ) 대한내과학회 2014 대한내과학회 추계학술발표논문집 Vol.2014 No.1
Background: Although some pancreatic cystic neoplasms(PCNs) is a surgical indication, slow-growing and favorable prognosis have been suggested in contrast to ductal adenocarcinomas. The aim of this study was to evaluate natural course of PCNs and the detection of malignant transformation according to risk factor during follow up. Methods: We retrospectively reviewed a record of patients diagnosed with incidental PCNs from March 2000 to June 2013 in Guro and Anam hospital, Korea University College of Medicine, Seoul. Results: Of enrolled 301 patients, 19 patients were excluded (15 patients with less than 1 year of follow up, 4 patients with operation due to malignancy at initial cyst diagnosis). Data from total 282 patients was analyzed (Mean age: 59.4 years, median follow up: 28.5 months) and 97 patients had the risk factors such as more than 3cm in diameter or presence of mural nodule/solid portion. 41 patients (41/282, 14.5%) had changes in followed imaging CT (median duration of event in follow up imaging was 24 months), 32 cases showed increase of size and 9 cases changed in characteristics of cyst. Cyst-related malignancy was occurred in 5 patients (1.8%, 5/282). All these patients had risk factor and increase of size. Post-operative morbidity was observed in 31 of 93 cases (33.3%). 2 patients were died (1; intra-abdominal infection, 1; mechanical obstruction due to post operative adhesion). Motality during study period was in 9 patients but disease specifi c mortality was only one patient. Conclusions: Although the risk of malignant transformation of incidental PCNs was higher than the general population, detection of malignancy or disease specifi c mortality during surveillance was low, even if high risk group. Under surveillance the regular imaging follow up is seemed to be important especially in 2 years after initial cyst diagnosis.
( Ji Hyun Kim ),( Jin Ki Hwang ),( Ju Hyung Kim ),( Sehe Dong Lee ),( Beom Jae Lee ),( Jae Seon Kim ),( Young Tae Bak ) 대한내과학회 2008 The Korean Journal of Internal Medicine Vol.23 No.3
Background/Aims: Important lesions related to gastroesophageal reflux disease (GERD) are located around the gastroesophageal junction (GEJ). This study examined the distribution of endoscopic findings around the GEJ and elucidated their relationship to each other and esophageal manometric features. Methods: Endoscopic data were collected prospectively from 2,450 consecutive diagnostic upper gastrointestinal endoscopies. The presence and degree of hiatal hernia (HH), columnar-lined esophagus (CLE), and reflux esophagitis (RE) were recorded. Esophageal manometric data were collected from 181 patients. Results: The prevalence of HH, CLE, and RE was 9.8, 18.8, and 9.9%, respectively. Of all HH and CLE cases, 62.8 and 98.9%, respectively, were of the short-segment variety. Of all RE cases, 95.0% were mild. Younger age, male gender, the presence of HH, and a higher gastroesophageal flap valve (GEFV) grades were associated with the presence of RE. Increased ZAP grades were associated with increased prevalence and grades of HH, CLE, and RE. Higher GEFV grades were associated with increased prevalence and grades of HH, CLE, and RE. Lower esophageal sphincter pressure (LESP) decreased in patients with HH or RE compared to those without HH or RE. Conclusions: Endoscopic findings around the GEJ revealed that a substantial proportion of our patients showed features potentially related to GERD. In combination with other recent reports, our study implies that Korea is no longer a very-low-prevalence area of GERD, although it may predominate in silent or milder forms.
Bak, Dong-Ho,Na, Jungtae,Choi, Mi Ji,Lee, Byung Chul,Oh, Chang Taek,Kim, Jeom-Yong,Han, Hae Jung,Kim, Moo Joong,Kim, Tae Ho,Kim, Beom Joon D.A. Spandidos 2018 International journal of molecular medicine Vol.42 No.5
<P>Apoptosis and oxidative stress are essential for the pathogenesis of acute liver failure and fulminant hepatic failure. Human placental hydrolysate (hPH) has been reported to possess antioxidant and anti-inflammatory properties. In the present study, the protective effects of hPH against D-galactosamine (D-GalN)- and lipopolysaccharide (LPS)-induced hepatocyte apoptosis were investigated <I>in vivo</I>. In addition, the molecular mechanisms underlying the anti-apoptotic activities of hPH against D-GalN-induced cell death <I>in vitro</I> were examined. Male Sprague-Dawley rats were injected with D-GaIN/LPS with or without the administration of hPH. Rats were sacrificed 24 h after D-GaIN/LPS intraperitoneal injection, and the blood and liver samples were collected for future inflammation and hepatotoxicity analyses. Changes in cell viability, apoptosis protein expression, mitochondrial mass, mitochondrial membrane potential, reactive oxygen species generation, and the levels of proteins and mRNA associated with a protective mechanism were determined in HepG2 cells pretreated with hPH for 2 h prior to D-GalN exposure. The findings suggested that hPH treatment effectively protected against D-GalN/LPS-induced hepatocyte apoptosis by reducing the levels of alanine aminotransferase, aspartate aminotransferase, lactate dehydrogenase, interleukin-6, and tumor necrosis factor-α, and increasing the level of proliferating cell nuclear antigen. It was also found that hPH inhibited the apoptotic cell death induced by D-GalN. hPH activated the expression of antioxidant enzymes, including superoxide dismutase, glutathione peroxidase, and catalase, which were further upregulated by the Kelch-like ECH2-associated protein 1-p62-nuclear factor-erythroid 2-related factor 2 pathway, a component of oxidative stress defense mechanisms. Furthermore, hPH markedly reduced cytosolic and mitochondrial reactive oxygen species and rescued mitochondrial loss and dysfunction through the reduction of damage-regulated autophagy modulator, p53, and C/EBP homologous protein. Collectively, hPH exhibited a protective role in hepatocyte apoptosis by inhibiting oxidative stress and maintaining cell homeostasis. The underlying mechanisms may be associated with the inhibition of endoplasmic reticulum stress and minimization of the autophagy progress.</P>