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  • Jeong, Yeong Joo  (3)
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  • 1
    Online Resource
    Online Resource
    Removal of a Small Bowel Bezoar Causing Bowel Obstruction via Mechanical Compression after Metal Stent Placement
    Korean Association of Internal Medicine ; 2021
    In:  The Korean Journal of Medicine Vol. 96, No. 1 ( 2021-02-01), p. 53-58
    Details
    In: The Korean Journal of Medicine, Korean Association of Internal Medicine, Vol. 96, No. 1 ( 2021-02-01), p. 53-58
    Abstract: Small bowel obstructions (SBOs) that develop for various reasons often require prompt medical treatment. Migration of a gastric bezoar (indigestible foreign material that has accumulated in the stomach) is a rare cause of SBO. Treatment of a symptomatic SBO caused by a bezoar requires a multidisciplinary approach that considers the patient’s physical status and comorbidities and the bezoar volume, location, and pathology. Although surgery is the treatment of choice, endoscopic treatments such as fragmentation and retrieval may serve as alternatives. We present the first case of resolution of a large phytobezoar via mechanical compression after covered metal stent insertion, followed by stent retrieval, in a patient with a symptomatic SBO that persisted even after two sessions of push-endoscopic fragmentation.
    Type of Medium: Online Resource
    ISSN: 1738-9364 , 2289-0769
    URL: Article
    DOI: 10.3904/kjm.2021.96.1.53
    Language: English
    Publisher: Korean Association of Internal Medicine
    Publication Date: 2021
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    Online Resource
  • 2
    Online Resource
    Online Resource
    Pyoderma Gangrenosum of the Chest Wall in a Male Patient with Ulcerative Colitis
    Korean Association of Internal Medicine ; 2021
    In:  The Korean Journal of Medicine Vol. 96, No. 1 ( 2021-02-01), p. 59-63
    Details
    In: The Korean Journal of Medicine, Korean Association of Internal Medicine, Vol. 96, No. 1 ( 2021-02-01), p. 59-63
    Abstract: Ulcerative colitis, an inflammatory bowel disease, often exhibits extra-intestinal manifestations including various dermatological problems. Pyoderma gangrenosum (PG) is a painful ulcerative cutaneous disorder characterized by the development of rapidly enlarging nodules. The lesion may become aggravated when ulcerative colitis is active, and it commonly affects the extensor surfaces of the lower extremities but rarely the upper extremities, face, periauricular area, anterior chest, back, or buttocks. We encountered a rare case of PG of the chest wall near the left breast, on the face and pretibial area of a male patient with ulcerative colitis. He had not undergone breast surgery and had no history of trauma. The lesion and symptoms were successfully treated by steroid and mesalazine; there was no need for surgery or more potent drugs.
    Type of Medium: Online Resource
    ISSN: 1738-9364 , 2289-0769
    URL: Article
    DOI: 10.3904/kjm.2021.96.1.59
    Language: English
    Publisher: Korean Association of Internal Medicine
    Publication Date: 2021
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    Online Resource
  • 3
    Online Resource
    Online Resource
    Three Cases of Difficult Bile Duct Stone Removal by EUS-guided Choledochoduodenostomy
    Korean Pancreatobiliary Association ; 2020
    In:  The Korean Journal of Pancreas and Biliary Tract Vol. 25, No. 2 ( 2020-07-31), p. 128-134
    Details
    In: The Korean Journal of Pancreas and Biliary Tract, Korean Pancreatobiliary Association, Vol. 25, No. 2 ( 2020-07-31), p. 128-134
    Abstract: After failed removal of common bile duct or intrahepatic bile duct (IHD) stones by endoscopic retrograde cholangiopancreatography (ERCP), percutaneous lithotripsy is well-known as an effective procedure. However, it is time-consuming because multiple sessions of transhepatic tract dilatation are required. Endoscopic ultrasound (EUS)-guided choledochoduodenostomy (CDS) has been recently used to approach IHD to remove difficult bile duct stones. We recently experienced EUS-guided CDS performed with metal stent. Common bile duct or IHD stones were removed by retrieval accessories after initial failed or inadequate ERCP in three patients. Serious complications including bleeding, infection, and perforation were not noted. The duration of hospital stay from EUS-guided procedure to discharge ranged from 10 to 14 days. Although this result is interim and ongoing, it suggests that EUS-guided CDS might be an effective and safe procedure after failed ERCP to remove difficult bile duct stones through the tract.
    Type of Medium: Online Resource
    ISSN: 2288-0941
    URL: Article
    DOI: 10.15279/kpba.2020.25.2.128
    Language: English
    Publisher: Korean Pancreatobiliary Association
    Publication Date: 2020
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    Online Resource
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