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노인환자의 기도가역성 검사에서 FEV<sub>6</sub>의 보완적 지표로서의 역할
김새희,이양덕,이정윤,조용선,나동집,한민수,Kim, Sae Hee,Lee, Yang Deok,Lee, Jung Yun,Cho, Yong Seon,Na, Dong Jip,Han, Min Soo 대한결핵및호흡기학회 2006 Tuberculosis and Respiratory Diseases Vol.61 No.3
연구배경: 기도가역성 측정시, 1초간 노력성 호기량(forced expiratory volume in one second, $FEV_{1}$)과 노력성 폐활량(forced vital capacity, FVC)은 흔히 사용되는 지표인데 양성반응의 권장기준은 기저치보다 증가치가 절대량이 200ml이상 그리고 백분율로는 12%이상의 두 조건을 다 만족하는 것이다. 그러나 노인 환자는 천식에 합당한 병력을 가지고 있어도 기도가역성의 진단기준을 만족시키지 못하는 경우가 종종 있다. 저자들은 6초간 노력성 호기량($FEV_{6}$)이 노인의 기도가역성 검사에서 역할을 알아보고자 하였다. 방 법: 65세 이상의 노인환자 중 폐기능검사에서 $FEV_{1}$/FVC가 80%미만인 236명에게 폐활량측정법으로 기도가역성 검사를 시행하였다. 기저 $FEV_{1}$에 따라 다음과 같이 세 군으로 분류하였으며 각 군에서의 FVC, $FEV_{6}$, $FEV_{1}$의 지표에 따른 기도가역성를 비교분석하였다. 제1군 : $$FEV_{1}{\geq_-}80%$$, 제2군 : $FEV_{1}$ 60~80%, 제3군 : $$FEV_{1}{\leq_-}60%$$ 결 과: 전체 환자에서 기도가역성은 각각의 지표에 따라 $FEV_{1}$에서는 33명(14.0%), $FEV_{6}$는 55명(23.3%), FVC는 55명(23.3%)로 양성반응을 보였고, 제3군($$FEV_{1}{\leq_-}60%$$)에서는 $FEV_{1}$을 지표로 할 때는 15명(22.4%), $FEV_{6}$는 30명(44.8%), FVC는 32명(47.8%)으로 나타났다. 결 론: 본 연구에서는 $FEV_{6}$가 노인환자에서 기도가역성 검사의 새로운 보완적 지표로서의 역할을 보여줬지만 이의 일반화를 위해서는 좀 더 많은 연구가 필요할 것이다. Background: In the measurement of bronchodilator reversibility, the forced expiratory volume in one second($FEV_{1}$) and the forced vital capacity(FVC) are commonly used parameters and recommended criteria for the reversibility requiring an increase of more than 200ml and 12% above the baseline, respectively. However, aged patients do not often meet the criteria of an increase in volume(>200ml) even though the medical history of that patient is adequate for asthma. This study investigated the role of the forced expiratory volume in six seconds($FEV_{6}$) in the bronchodilator reversibility test in elderly patients. Methods: A total of 236 patients more than 65 years of age with a $FEV_{1}$/FVC ratio<80% were enrolled in this study. The bronchodilator revesibility tests were examined. With the setting $FEV_{1}$ as the baseline, the patients were divided into three groups; Group I : $$FEV_{1}{\geq_-}80%$$ of the predicted value, Group II : 60%<$FEV_{1}$<80% of the predicted value, Group III : $$FEV_{1}{\leq_-}60%$$ of the predicted value. Results: Positive reversibility in the $FEV_{1}$, $FEV_{6}$, and FVC was in 33(14.0%), 49(20.8%) and 55(23.3%). However, Group III presented with reversibility in the $FEV_{1}$, $FEV_{6}$, and FVC in 15(22.4%), 30(44.8%) and 32(47.8%) respectively. Conclusions: The $FEV_{6}$ might be used as a complementary parameter in bronchodilatror reversibility in elderly patients. However, more study will be needed to determine the usefulness of $FEV_{6}$ in bronchodilator reversibility test.
Clostridium difficile 관련 설사의 진단에서 S상결장경 검사의 유용성
김새희 ( Sae Hee Kim ),정성희 ( Sung Hee Jung ),이윤정 ( Yun Jung Lee ),현우진 ( Woo Jin Hyeon ),유영욱 ( Young Wook Yoo ),이향이 ( Hyang Ie Lee ),양현웅 ( Hyeon Woong Yang ),김안나 ( An Na Kim ),차상우 ( Sang Woo Cha ) 대한내과학회 2010 대한내과학회지 Vol.78 No.3
Background/Aims: Clostridium difficile is an important cause of diarrhea in hospitalized patients. C. difficile-associated diarrhea (CDAD) is usually diagnosed following a stool test for C. difficile cytotoxin or stool culture for the presence of toxigenic C. difficile. However, the reported sensitivities of these tests are variable. Sigmoidoscopy may be an effective diagnostic method in patients with a false-negative stool test for cytotoxin. This study examined the role of flexible sigmoidoscopy in the diagnosis of CDAD. Methods: Among the patients who had diarrhea and were examined with sigmoidoscopy in Eulji University Hospital between January 2005 and July 2008, 102 patients suspected of having antibiotic-associated diarrhea (AAD) based on their clinical symptoms were enrolled. Of the 102 patients, 74 were diagnosed with CDAD based on C. difficile cytotoxin or sigmoidoscopic findings of pseudomembranous colitis. The medical records of these 74 patients were reviewed retrospectively. Results: Of the 74 patients, sigmoidoscopic findings revealed a pseudomembrane in 63 patients (85.1%) and colitis in nine (12.2%), while two patients (2.7%) appeared normal. Of the 63 patients with pseudomembranous colitis at sigmoidoscopy, the stool C. difficile cytotoxin assay was negative in 27 (42.9%). Conclusions: Flexible sigmoidoscopy was highly sensitive in pseudomembranous colitis and is useful in diagnosing patients with a delayed or negative stool test for C. difficile cytotoxin. Therefore, we recommend flexible sigmoidoscopy in patients suspected of having C. difficile-associated diarrhea for the diagnosis of CDAD. (Korean J Med 78:318-324, 2010)
노인환자의 기도가역성 검사에서 FEV6의 보완적 지표로서의 역할
김새희 ( Sae Hee Kim ),이양덕 ( Yang Deok Lee ),이정윤 ( Jung Yun Lee ),조용선 ( Yong Seon Cho ),나동집 ( Dong Jip Na ),한민수 ( Min Soo Han ) 대한결핵 및 호흡기학회 2006 Tuberculosis and Respiratory Diseases Vol.61 No.3
연구배경 : 기도가역성 측정시, 1초간 노력성 호기량(forced expiratory volume in one second, FEV1)과 노력성 폐활량(forced vital capacity, FVC)은 흔히 사용되는 지표인데 양성반응의 권장기준은 기저치보다 증가치가 절대량이 200㎖이상 그리고 백분율로는 12%이상의 두 조건을 다 만족하는 것이다. 그러나 노인 환자는 천식에 합당한 병력을 가지고 있어도 기도가역성의 진단기준을 만족시키지 못하는 경우가 종종 있다. 저자들은 6초간 노력성 호기량(FEV6)이 노인의 기도가역성 검사에서 역할을 알아보자고 하였다. 방법: 65세 이상의 노인환자 중 폐기능검사에서 FEV1/FVC가 80%미만인 236명에게 폐활량측정법으로 기도가역성 검사를 시행하였다. 기저 FEV1에 따라 다음과 같이 세 군으로 분류하였으며 각 군에서의 FVC, FEV6, FEV1의 지표에 따른 기도가역성을 비교 분석하였다. 제1군 : FEV1≥80%, 제2군 : FEV1 60~80%, 제3군 : FEV1≤60% 결과: 전체 환자에서 기도가역성은 각각의 지표에 따라 FEV1에서는 33명(14.0%), FEV6는 55명(23.3%), FVC는 55명(23.3%)로 양성반응을 보였고, 제3군(FEV1≤60%)에서는 FEV1을 지표로 할 때는 15명(22.4%), FEV6는 30명(44.8%), FVC는 32명(47.8%)으로 나타났다. 결론: 본 연구에서는 FEV6가 노인환자에서 기도가역성 검사의 새로운 보완적 지표로서의 역할을 보여줬지만 이의 일반화를 위해서는 좀 더 많은 연구가 필요할 것이다. Background: In the measurement of bronchodilator reversibility, the forced expiratory volume in one second(FEV1) and the forced vital capacity(FVC) are commonly used parameters and recommended criteria for the reversibility requiring an increase of more than 200㎖ and 12% above the baseline, respectively. However, aged patients do not often meet the criteria of an increase in volume(>200㎖) even though the medical history of that patient is adequate for asthma. This study investigated the role of the forced expiratory volume in six seconds(FEV6) in the bronchodilator reversibility test in elderly patients. Methods: A total of 236 patients more than 65 years of age with a FEV1/FVC ratio<80% were enrolled in this study. The bronchodilator revesibility tests were examined. With the setting FEV1 as the baseline, the patients were divided into three groups; Group I : FEV1≥80% of the predicted value, Group II : 60%<FEV1<80% of the predicted value, Group III : FEV1≥60% of the predicted value. Results: Positive reversibility in the FEV1, FEV6, and FVC was in 33(14.0%), 49(20.8%) and 55(23.3%). However, Group III presented with reversibility in the FEV1, FEV6, and FVC in 15(22.4%), 30(44.8%) and 32(47.8%) respectively. Conclusions: The FEV6 might be used as a complementary parameter in bronchodilator reversibility in elderly patients. However, more study will be needed to determine the usefulness of FEV6 in bronchodilator reversibility test. (Tuberc Respir Dis 2006; 61: 227-232)
무증상 다발성 골수종(Asymptomatic Multiple Myeloma)에서 발생한 위장관 아밀로이드증 1예
김새희 ( Sae Hee Kim ),이윤정 ( Yun Jung Lee ),정성희 ( Sung Hee Jung ),현우진 ( Woo Jin Hyeon ),이향이 ( Hyang Ie Lee ),양현웅 ( Hyeon Woong Yang ),김안나 ( Anna Kim ),차상우 ( Sang Woo Cha ),강동욱 ( Dong Wook Kang ) 대한장연구학회 2009 Intestinal Research Vol.7 No.2
Amyloidosis is a disorder characterized by extracellular deposition of amyloid materials in multiple organs and tissues. Amyloidosis commonly shows a systemic involvement. Gastrointestinal involvement is common in amyloidosis and is usually asymptomatic. The gastrointestinal manifestations include gastroparesis, diarrhea, steatorrhea, constipation, intestinal pseudo-obstruction, and bleeding. The diagnosis of amyloidosis is difficult because there are absence of systemic symptoms and nonspecific endoscopic findings. Asymptomatic multiple myeloma is an asymptomatic plasma-cell proliferative disorder associated with a high risk of progression to symptomatic multiple myeloma or amyloidosis. Recently, we experienced a 60-year-old man who presented with hematochezia and weight loss as manifestations of gastrointestinal amyloidosis involving the stomach and the colon induced in asymptomatic multiple myeloma confirmed by endoscopic biopsies and bone marrow biopsy. We report a case with a review of the literature. (Intest Res 2009;7:123-128)
십이지장 구부에 담관의 이소성 개구를 가진 환자에서 위내시경을 이용한 내시경 역행성 담췌관 조영술과 직접 담도조영술: 3개의 증례
장지웅 ( Ji Woong Jang ),김새희 ( Sae Hee Kim ),정성희 ( Sung Hee Jung ),김안나 ( An Na Kim ) 대한췌담도학회 2016 대한췌담도학회지 Vol.21 No.2
십이지장 구부로의 총담관의 이소성 개구는 매우 드물며, 담도 질환이나 재발성/불응성 십이지장 궤양과 관련이 있는 경우가 많다. 저자들은 직시경으로 확인하고 일부는 직시경을 이용한 내시경 역행성 담췌관 조영술로 동반된 담관염을 치료했던 3명의 환자들을 보고한다. 일부 환자에서는 직시경이 시술에 있어 더 효과적이고 유리한 시술환경을 제공할수 있다. Ectopic openings of the common bile duct into the duodenal bulb, which are associated with biliary tract disease or recurrent/refractory duodenal ulcers, are rare. We report three such cases, all of which were documented with gastroscope, and two of which were managed with endoscopic retrograde cholangiopancreatography (ERCP) via gastroscope. We suggest that ERCP can be performed with gastroscope, since it may offer a better working position in certain cases.
유영욱 ( Young Wook Yoo ),정성희 ( Sung Hee Jung ),이윤정 ( Yun Jung Lee ),이성훈 ( Sung Hoon Lee ),김새희 ( Sae Hee Kim ),이향이 ( Hyang Ie Lee ),양현웅 ( Hyeon Woong Yang ),김안나 ( Anna Kim ),차상우 ( Sang Woo Cha ),강동욱 ( Do 대한장연구학회 2008 Intestinal Research Vol.6 No.1
Ulcerative colitis is associated with various extraintestinal manifestations. Skin lesions can occur in 9-19% of patients with ulcerative colitis. Pyoderma gangrenosum is the most severe dermatologic complication that is associated with ulcerative colitis. It is a painful, chronic ulcerating skin disease of unknown cause. The lesions usually appear on the pretibial area, but may also be found elsewhere. Diagnosis is clinical as there are no accepted histological diagnostic criteria. Systemic steroid therapy remains the treatment of choice in most patients, but various other agents have been used with occasional success including topical antibiotics, cyclosporine and infliximab. We experienced a case of pyoderma gangrenosum that developed on both pretibial areas in a 41-year-old female patient with active ulcerative colitis. The patient was treated with a corticosteroid and sulfasalazine. We report this case with a review of the literature. (Intest Res 2008;6:80-84)
황규엽 ( Kyu Yeop Hwang ),양현웅 ( Hyeon Woong Yang ),김새희 ( Sae Hee Kim ),김안나 ( An Na Kim ),정성희 ( Sung Hee Jung ),이윤정 ( Yun Jung Lee ),차상우 ( Sang Woo Cha ) 대한내과학회 2008 대한내과학회지 Vol.74 No.3
Background/Aims: Colonic diverticulitis is an uncommon disease in young patients. However, the frequency appears to have increased in Korea among young patients. The purpose of this study was to determine the diagnosis, treatment and clinical course of young patients with diverticulitis of the colon. Methods: The hospital records of 70 patients with diverticulitis between July 1997 and April 2006 from the Eulji university hospital were reviewed. We analyzed the clinical course and outcomes of patients according to age. Results: In the 36 patients below the age of 40, the male to female ratio was 2:1. Thirty-four young patients had right uncomplicated colonic diverticulitis. Twenty-four young patients treated with antibiotics did not require surgery or develop complications. Conclusion: The majority of young patients with diverticulitis were in their fourth decade of life and it was predominantly seen in males. Diverticulitis in young patients at our hospital did not appear to take a more aggressive clinical course than it did in older patients. Bowel rest and antibiotic treatment were safe and effective treatments for acute uncomplicated colonic diverticulitis in young patients. (Korean J Med 74:250-257, 2008)