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1.
The Ewha Medical Journal ; : 124-128, 2012.
Artigo em Coreano | WPRIM | ID: wpr-211920

RESUMO

Surgery is the primary treatment for adenocarcinoma originating from the esophagogastric junction. However, many physicians attempt various endoscopic treatments for the cases of early adenocarcinoma and high-grade dysplasia of esophagogastric junction in order to avoid the high risk of complications associated with surgical resection. Recently, there is an increasing tendency to use endoscopic mucosal resection for the management of early esophageal cancer due to low morbidity and mortality rates. We report here on a case of early adenocarcinoma at esophagogastric junction successfully treated with endoscopic mucosal resection.


Assuntos
Adenocarcinoma , Endoscopia , Neoplasias Esofágicas , Junção Esofagogástrica
2.
Korean Journal of Bone Metabolism ; : 53-58, 2012.
Artigo em Coreano | WPRIM | ID: wpr-130868

RESUMO

Recombinant human parathyroid hormone 1-34 (rHPTH; 1-34, teriparatide) increases bone mass and increases osteoporotic fracture by stimulating new bone formation. It was approved in the United States for treatment of osteoporosis in men and women, and its effectiveness and safety was proved. Mild hypercalcemia was observed, but persistent and severe hypercalcemia was not observed in the studies of teriparatide. In this case, severe hypercalcemia was developed from patient having gait disturbance who was treated with vitamin D, calcium and teripartide for two months to treat osteoporosis after subtrochanteric fracture. Hypercalcemia was resolved with discontinuation of teriparatide. Severe hypercalcemia is not a common complication of teriparatide and monitoring of serum calcium level is routinely not recommended. But it is necessary to pay close attention to patients who were treated with teriparatide, especially in immobilized patients.


Assuntos
Feminino , Humanos , Masculino , Cálcio , Marcha , Hipercalcemia , Osteogênese , Osteoporose , Fraturas por Osteoporose , Hormônio Paratireóideo , Teriparatida , Estados Unidos , Vitamina D
3.
Korean Journal of Bone Metabolism ; : 53-58, 2012.
Artigo em Coreano | WPRIM | ID: wpr-130865

RESUMO

Recombinant human parathyroid hormone 1-34 (rHPTH; 1-34, teriparatide) increases bone mass and increases osteoporotic fracture by stimulating new bone formation. It was approved in the United States for treatment of osteoporosis in men and women, and its effectiveness and safety was proved. Mild hypercalcemia was observed, but persistent and severe hypercalcemia was not observed in the studies of teriparatide. In this case, severe hypercalcemia was developed from patient having gait disturbance who was treated with vitamin D, calcium and teripartide for two months to treat osteoporosis after subtrochanteric fracture. Hypercalcemia was resolved with discontinuation of teriparatide. Severe hypercalcemia is not a common complication of teriparatide and monitoring of serum calcium level is routinely not recommended. But it is necessary to pay close attention to patients who were treated with teriparatide, especially in immobilized patients.


Assuntos
Feminino , Humanos , Masculino , Cálcio , Marcha , Hipercalcemia , Osteogênese , Osteoporose , Fraturas por Osteoporose , Hormônio Paratireóideo , Teriparatida , Estados Unidos , Vitamina D
4.
Korean Journal of Gastrointestinal Endoscopy ; : 108-112, 2010.
Artigo em Coreano | WPRIM | ID: wpr-110450

RESUMO

Duodenal tumors may pose diagnostic difficulties in asymptomatic young patients because the duodenum may be overlooked during routine upper gastrointestinal endoscopy and because duodenal tumors are rare and present non-specific signs and symptoms. Although adenomas are the most common duodenal tumors, adenocarcinoma arising from sporadic tubulovillous adenoma without familial adenomatous polyposis is an uncommon condition in young patients. In patients with sporadic duodenal adenomas, the prevalence of colorectal adenomas is higher than prevalence for the general population. Herein, we report the case of a 27-year male with adenocarcinoma arising from a sporadic tubulovillous adenoma of the duodenum. The tumor was completely resected by endoscopic resection. Synchronous colon adenoma was also detected and treated by endoscopic mucosal resection.


Assuntos
Humanos , Masculino , Adenocarcinoma , Adenoma , Polipose Adenomatosa do Colo , Colo , Duodeno , Endoscopia Gastrointestinal , Prevalência
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