1.Bowel Stricture Caused by Acute Ischemic Colitis after Intraaortic Balloon Counterpulsation.
Hyun Seog LEE ; Tae Hun KIM ; Yong Bum CHO ; Chan Il MOON ; Jae Woong CHOI ; Chang Seob SONG
Korean Circulation Journal 1999;29(12):1373-1373
Intraaortic balloon counterpulsation (IAB) has been shown to prolong survival in the critically ill cardiac patients. Originally developed for use in the patients with cardiogenic shock, the indications have been expanded. But despite technical advances, the complication rate associated with IAB remains high. The most commonly reported complications include damage to the femoral artery and distal embolization. Other reported major complications are balloon rupture, limb loss, bleeding, systemic infection and bowel infarction. We report a patient complicated by ischemic colitis causing stenosis and intestinal obstruction after IAB insertion.
Colitis, Ischemic*
;
Constriction, Pathologic*
;
Counterpulsation*
;
Critical Illness
;
Extremities
;
Femoral Artery
;
Hemorrhage
;
Humans
;
Infarction
;
Intestinal Obstruction
;
Rupture
;
Shock, Cardiogenic
2.Comparision of bone mineral density in acromegalic pateints according to the gonadal status.
Seog Won PARK ; Young Soo KIM ; Woon Sok CHUNG ; Kyung Mi LEE ; Eun Jig LEE ; Sung Kil LIM ; Kyung Rae KIM ; Hyun Chul LEE ; Kap Bum HUH
Journal of Korean Society of Endocrinology 1993;8(2):149-156
No abstract available.
Bone Density*
;
Gonads*
3.Small Cell Cancer of the Duodenum.
Ki Seog LEE ; Bum Joon LIM ; Sang Hoon LEE ; Young Up CHO ; Kyung Rae KIM ; Yong Woon SHIN ; Lucia KIM
Journal of the Korean Surgical Society 2003;65(5):457-460
Primary small cell cancer of the duodenum is very rare. Only six cases have been reported previously. The patient of this case report was a twenty-year-old male who suffered from frequent nausea and vomiting being accompanied by weight loss. The poorly differentiated neuroendocrine cancer was initially diagnosed by endoscopic biopsy and the patient underwent pancreaticoduodenectomy. The diagnosis was refined as primary small-cell neuroendocrine cancer of which the histological appearance was identical to pulmonary and extrapulmonary small-cell carcinoma. The neuroendocrine differentiation was demonstrated by the positive immunoreactions for neuron-specific enolase. This case emphasizes the need to include the duodenum as a possible primary site when metastatic small cell neuroendocrine carcinoma is seen in the absence of apparent pulmonary disease.
Biopsy
;
Carcinoma, Neuroendocrine
;
Diagnosis
;
Duodenal Neoplasms*
;
Duodenum
;
Humans
;
Lung Diseases
;
Male
;
Nausea
;
Pancreaticoduodenectomy
;
Phosphopyruvate Hydratase
;
Vomiting
;
Weight Loss
4.Empty sella syndrome associated with diabetes insipidus: report of two cases.
Jae Hee CHUNG ; Eun Jig LEE ; Yoon Seog CHUNG ; Eui Suk WHANG ; Kwang Jin AHN ; Sung Kil LIM ; Kyung Rae KIM ; Hyun Chul LEE ; Kap Bum HUH
Journal of Korean Society of Endocrinology 1992;7(1):66-70
No abstract available.
Diabetes Insipidus*
;
Empty Sella Syndrome*
5.The relationship between polymorphism of glucose transporter gene and the metabolic profiles such as glucose utilization and insulin secretory capacity in the offsprings of non-insulin dependent diabetic patients.
Hyun Chul LEE ; Young Sik LEE ; Seog Won PARK ; Yoon Sok CHUNG ; Sung Kil LIM ; Kyung Rae KIM ; Kap Bum HUH ; Tae Yeun KIM ; Jung Soo RHIM
Korean Journal of Medicine 1993;45(1):12-24
No abstract available.
Glucose Transport Proteins, Facilitative*
;
Glucose*
;
Humans
;
Insulin*
;
Metabolome*
6.Risk Factors for Recurrent Pneumothorax after Primary Spontaneous Pneumothorax.
Jai Kun YU ; Seog Ki LEE ; Hong Joo SEO ; Min Bum SEO
The Korean Journal of Thoracic and Cardiovascular Surgery 2008;41(6):724-728
BACKGROUND: The purpose of this study was to identify factors associated with recurrent pneumothorax after wedge resection in primary spontaneous pneumothorax in our hospital. MATERIAL AND METHOD: Two hundred thirty-five consecutive patient (98% males; mean age, 23.9+/-4.5 years) who had undergone video-assisted thoracoscopic surgery (VATS) were reviewed retrospectively. The two groups were divided as follows: group A, non-recurrent patients (225 patients [96%]); and group B, recurrent group (10 patients [4%]); the risk factors were compared between the two groups. The single and multiple factors that influenced the recurrence rate were analyzed using Cox's proportional hazard model. RESULT: There were no significant differences between the recurrent and non-recurrent groups in terms of gender, smoking, site of recurrence, degree of collapse, operative time, and number or weight of resected bullae. The recurrence rate was significantly more common in the following: younger ages, increased height/weight ratio, longer initial air leakage period, and shorter duration of chest drainage. Early aggressive exercise (<30 days) of patients after wedge resection increased the tendency for recurrence. CONCLUSION: Thoracoscopic wedge resection does not have a higher recurrence rate than open thoracotomy. However, young age, height/weight ratio, continuous air, and duration of chest tube placement were risk factors for a recurrent pneumothorax.
Blister
;
Chest Tubes
;
Drainage
;
Humans
;
Operative Time
;
Pneumothorax
;
Proportional Hazards Models
;
Recurrence
;
Retrospective Studies
;
Risk Factors
;
Smoke
;
Smoking
;
Thoracic Surgery, Video-Assisted
;
Thoracotomy
;
Thorax
7.Simultaneous bilateral tubal pregnancies following in - vitro fertilization and embryo transfer.
Hee Chul KIM ; Bum Chae CHOI ; Jae Hoon LEE ; Kwang Moon YANG ; Soo Jung HONG ; Hye Sun KIM ; Seog Hun KIM ; Chang Heon KIM ; Inn Soo KANG
Korean Journal of Obstetrics and Gynecology 2000;43(4):751-754
Over the last 20 years, the frequency of multiple pregnancy has increased mainly because of the introduction of exogenous pituitary gonadotropins in the treatment of infertility. Since the advent of assisted reproductive technology, the concern about ectopic implantation of embryos has increased dramatically and it continues to be a major complication of in vitro fertilization and embryo transfer (IVF-ET). Bilateral tubal pregnancy is the least common type of ectopic implantation of two embryos. Of all extrauterine pregnancies, 1:725~1:1580 are bilateral1,2. Simultaneous tubal pregnancies have been reported in natural cycles, recently, after ovulation induction, in-vitro fertilization2,3. The high incidence of ectopic pregnancy associated with IVF-ET continues to be a problem and frequencies of between 2.4 and 12.4% have been only a few reports of simultaneous bilateral tubal pregnancies following IVF-ET4. This paper describes a case of a simultaneous bilateral tubal pregnancy after IVF-ET in a 33 year old patient. The diagnosis was confirmed by diagnostic laparoscopy performed 25 days after embryo transfer(sixth week of gestation), which revealed bilateral tubal pregnancy. Bilateral salpingectomy was performed. With a review of the literature on this topic, diagnostic aspects and treatment options are discussed.
Adult
;
Diagnosis
;
Embryo Transfer*
;
Embryonic Structures*
;
Female
;
Fertilization in Vitro
;
Fertilization*
;
Gonadotropins, Pituitary
;
Humans
;
Incidence
;
Infertility
;
Laparoscopy
;
Ovulation Induction
;
Pregnancy
;
Pregnancy, Ectopic
;
Pregnancy, Multiple
;
Pregnancy, Tubal*
;
Reproductive Techniques, Assisted
;
Salpingectomy
8.Different Clinical Features of Organophosphate Insecticides Intoxication According to The Route of Administration: Disparity Between Clinical Severity And Plasma Cholinesterase Level.
Bum Jin OH ; Sung Oh HWANG ; Kang Hyun LEE ; Eun Seog HONG ; Jong Chun LIM ; Hyun KIM ; Jun Hwi CHO ; Jun Sub SHIN ; Ki Chul YOO
Journal of the Korean Society of Emergency Medicine 1998;9(1):135-141
BACKGROUND: Organophosphate insecticides poisoning is one of the most common toxicologic emergencies in Korea. There have been few reports of organophosphate intoxication via parenteral route, although many reports on organophosphate intoxication by oral ingestion were present in the literature. This study aimed to validate the clinical characteristics of organophosphage intoxication according to the route of administration to the body. METHOD: Data were collected retrospectively by the review of the medical records from 49 patients with organophosphate intoxication. Severity of intoxication was classified by the Namba's Classification. Collected data were analysed and compared on the clinical features and laboratory findings between the patient intoxicated by inhalation or contact(parenteral group, n=23) and the other oral ingestion(enteral group, n=26). RESULTS: Severity class by clinical features was higher in enteral group than parenteral group. Severity class by serum cholinestetrase level was not positively correlated with severity class by clinical manifestations. Cholinesterase level tended to overestimate the severity of intoxication in parenteral group. Ventilator therapy and admission to intensive care unit were more frequently needed in enteral group than parenteral group in case that the severity class by clinical features was equal. CONCLUSION: In patients with organophosphate intoxication by parenteral route, serum cholinesterase level of the patient had disparity with clinical severity of intoxication. Considering this disparity, clinical severity should be considered as a more important indicator for treatment of organophosphate intoxication including atropinization, rather than serum cholinesterase level in patients intoxicated by parenteral route.
Cholinesterases*
;
Classification
;
Eating
;
Emergencies
;
Humans
;
Inhalation
;
Insecticides*
;
Intensive Care Units
;
Korea
;
Medical Records
;
Plasma*
;
Poisoning
;
Retrospective Studies
;
Ventilators, Mechanical
9.Filtration Effects of Leukocyte Removal Filter for Platelet Concentrates.
Hyun Sook CHI ; Seog Woon KWON ; Won Il OH ; Mi Kyung LEE ; Hyun Jun PARK ; Tae Jin HAN ; Bum Ryoul CHOI ; Tae Hee MIN
Korean Journal of Blood Transfusion 1996;7(2):241-245
Some variables can influence the efficiency of leukocyte removal filter for red cell concentrates. We performed this study to evaluate whether the filtration efficiency for platelet concentrates(PCs) can be influenced by bedside filter(PXL8K, Pall Corporation, USA) used, platelet storage time and transient stopping of platelet agitation, and to measure the amount of cytokines released from donor leukocytes in PCs during the storage time. In addition, we examined the effect of leukocyte reduction by filtration before the storage of PCs on the subsequent generation of cytokines. Any of the above mentioned variables did not make significant differences. From day 1 to day 5, there were significant increases in IL-1 beta (<1 vs. 8.6 pg/mL, p<0.05), IL-8 (<10 vs. 455.3 pg/mL, p<0.05) and TNF-alpha (<4 vs. 16.6 pg/mL, p<0.05) in unflltered PCs, whereas no increased revels of cytokines were found in the cases of prestorage filtration.
Blood Platelets*
;
Cytokines
;
Dihydroergotamine
;
Filtration*
;
Humans
;
Interleukin-1beta
;
Interleukin-8
;
Leukocytes*
;
Tissue Donors
;
Tumor Necrosis Factor-alpha
10.Wilson`s Disease with Abnormal Secretion of Pituitary Hormones.
Dae Hyun KIM ; Bum Chan KWEON ; Han Keun LEE ; Keun Ha NAM ; Seog Jun KIM ; Dong Wook LEE ; Chan Gyu PARK ; Chang Gi LEE ; Sang Moon LEE ; Choong Ki LEE
Korean Journal of Medicine 1997;52(3):429-435
Wilson`s disease is a hereditary disorder in hepatic excretion of copper that results in toxic accumulations of the metal in liver, brain and other organs. Though there have been some reports of Wilson's disease with hepatic, neurologic, psychiatric symptoms, or hemolytic anemia, a case of Wilson's disease with abnormal secretion of pituitary hormones is, to our best knowledge, the first report in Korea. We report a case of Wilson`s disease with abnormal secretion of pituirary hormones, chronic active hepatitis with feature of early cirrhosis and hemolytic anemia in 18-year-old man showing delayed puberty. And also we describe a case of successful desensitization to penicillamine in a penicillamine hypersensitivity.
Adolescent
;
Anemia, Hemolytic
;
Brain
;
Copper
;
Fibrosis
;
Hepatitis, Chronic
;
Hepatolenticular Degeneration
;
Humans
;
Hypersensitivity
;
Korea
;
Liver
;
Penicillamine
;
Pituitary Hormones*
;
Puberty, Delayed