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3 results on '"Chin Woo Kwon"'

1. A Clinical Review of the Intussusception in Adult

Author

Il Hyun Baek, Cheol Hee Park, Kyoung Oh Kim, Chin Woo Kwon, Kyo Sang Yoo, Choong Kee Park, Ji Won Park, Seung Yeon Chun, Yong Min Kim, Seong Yeol Kim, Su Jin Kim, and Jong Hyeok Kim

Subjects
medicine.medical_specialty, business.industry, Internal medicine, Gastroenterology, medicine, business
Abstract

목적: 성인 장중첩증은 소아에 비해 드문 질환이다. 이번 연구에서는 성인 장중첩증 환자를 조사하여, 성인 장중첩증의 진단방법과 치료에 대해 알아보고자 하였다. 대상 및 방법: 1999년 1월부터 2010년 10월까지 한림대학교성심병원에 입원하여 수술로 장중첩증이 확진된 성인 환자 25명을 대상으로 의무기록을 중심으로 후향적 조사를 통하여 분석하였다. 결과: 25예 중 남자가 14명, 여자가 11명이었고 평균 연령은 55세(23-94세)였다. 복통이 21예(84%)로 가장 흔한 증상이었다. 수술 전 복부CT와 초음파검사로 총 25명 중 23예(92%)에서 수술 전 장중첩증을 진단할 수 있었다. 소장소장형은 9예로 전체의 36%를 차지하였으며, 회장결장형이 8예, 회장맹장형이 1예, 결장결장형이 7예였다. 악성질환이 12예(48%)로 가장 많았고, 양성질환은 10예(40%)였으며, 특발성은 3예(12%)에 불과하였다. 악성의 빈도는 원발병소의 위치에 따라 분류하였을 때 대장에서 10예 중 8예(80%)로 소장에서 12예 중 4예(33%)에 비해 훨씬 높았다. 전 25예에서 개복 수술을 시행하여 12예(48%)는 장절제술, 11예(44%)는 도수정복술 이후 장절제술을 시행하였다. 결론: 성인의 장중첩증의 원인으로 악성종양이 차지하는 비율은 소장에 비해 대장에서 흔하며, 복부CT에서 선도점에 종괴가 보이거나 원인을 모르는 장폐색은 실험적 개복술을 고려해야 한다.

Published
2012

2. The Treatment of Massive Spontaneous Subcutaneous Emphysema by Multiple Intravenous Catheter and Continuous Suction Drainage

Author

Ki Suck Jung, Chin Woo Kwon, Dong Gyu Kim, Young Seok Lee, Sun Young Kim, Kyung Rim Huh, Kwang Seok Uom, and Seung Hun Jang

Subjects
Suction (medicine), medicine.medical_specialty, COPD, Continuous suction drainage, Exacerbation, business.industry, medicine.disease, respiratory tract diseases, Surgery, Respiratory failure, Anesthesia, Intravenous catheter, Catheter drainage, medicine, medicine.symptom, business, Subcutaneous emphysema
Abstract

A-61-year-old COPD patient was hospitalized due to dyspnea and was diagnosed with acute exacerbation of COPD. During the hospital stay, the patient's dyspnea was aggravated by massive spontaneous subcutaneous emphysema. Multiple 16 gauge intravenous catheters were inserted at the midclavicular line for drainage. Although subcutaneous catheter drainage was carried out, respiratory failure developed with an increased in massive subcutaneous emphysema. Continuous suction drainage with wall suction was applied resulting in the rapid resolution of the subcutaneous emphysema. We report a case of the that effective management of massive subcutaneous emphysema using multiple 16 gauge intravenous catheters with continuous suction. (Tuberc Respir Dis 2006; 61: 178-183)

Published
2006

3. A Clinical Review of the Intussusception in Adult.

Author

Su Jin Kim, Cheol Hee Park, Yong Min Kim, Seong Yeol Kim, Seung Yeon Chun, Chin Woo Kwon, Ji Won Park, Kyoung Oh Kim, Il Hyun Baek, Kyo Sang Yoo, Jong Hyeok Kim, and Choong Kee Park

Subjects
MEDICAL research, INTESTINAL intussusception, TOMOGRAPHY, INTUSSUSCEPTION in children, SYMPTOMS
Abstract

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. [ABSTRACT FROM AUTHOR]

Published
2012
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