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위장관 ( 胃腸管 ) : 과민성 대장증상증후군 증상과 성격특성
현진해(Jin Hai Hyun),박현철(Hyun Chul Park) 대한소화기학회 1991 대한소화기학회지 Vol.23 No.1
N/A The irritable bowel syndrome (IBS) is the most common problem in gastroenterological practice, but there have been few satisfactory data about the relationship between the symptom and personality. So we analyzed 151 IBS and 38 functional gastrointestinal disorder (FGID) patients through the Minnesota Multiphasic Personality Inventory (MMPI). In this analysis there were no differences between IBS and FGID on MMPI scales. IBS patients who had suffered from abdominal pain showed the personality that tended to be more selfish, immature, and somatic. And those who had suffered from alternative bowel habit change showed the personality that were more hysteric and somatic. In conclusion, these results suggest that there need to have a more sincere psychological interest in IBS patients with adominal pain or/and alternative bowel habit change.
현진해(Jin Hai Hyun),김열홍(Yeul Hong Kim),송태진(Tae Jin Song),진윤태(Yoon Tae Jeen),박현철(Hyun Chul Park),김재선(Jae Seon Kim),박종재(Jong Jae Park) 대한소화기학회 1991 대한소화기학회지 Vol.23 No.1
Behcet's disease is a multisystem disorder presenting with recurrent oral and genital ulceration as well as uveitis often leading to blindness. While intestinal Behcets disease most commonly affects the ileocecal region, esophageal involvement is v ry uncommon. A 42-year-old male patient was admitted to Haewha hospital because of dysphagia. There was a history of recurrent aphthous stomatitis and genital ulcers. Irregularly marginated ulcer surrounded with hyperermic edematous mucosa was found at mid esophagus in the gastrofiberscopic examination. The pathologic finding was chronic ulcerative inflammation with vasculitis. So he was diagnosed to have Behcet's disease and treated with steroid. We report a case of esophageal Behcet's disease which had been diagnosed by gastrofiberscopy and reviewed literature briefly.
현진해(Jin Hai Hyun),류호상(Ho Sang Ryu),최향희(Hyang Hee Choi),송태진(Tae Jin Song),백세현(Sai Hyun Park),정성채(Seong Chae Jeong),김현위(Hyuen Wie Kim),김창덕(Chang Duck Kim) 대한소화기학회 1988 대한소화기학회지 Vol.20 No.3
Tuberculosis of the pancreas is a rare disorder, little reported in the literature. It may not develop primarily within the pancreas, and may occur secondary to a focus elsewhere in the body. A 50-year-old woman presented with weight loss, epigastric pain and palpable abdominal mass. A diagnosi of inoperab]e carcinoma of the panceas was made after radiologic evaluation. But tubercu- losis of the pancreas was confirmed by sono guided fine needle aspiration biopsy. Completely recovery resulted following the admmistration of antituberculous chemotherapy.
현진해(Jin Hai Hyun),류호상(Ho Sang Ryu),이중건(Choong Keun Lee),김창덕(Chang Duck Kim),박균철(Kyun Chul Park),조인식(In Sik Cho),김의경(Eui Kyeong Kim),김남성(Nam Seong Kim),이재동(Jae Dong Lee) 대한소화기학회 1988 대한소화기학회지 Vol.20 No.3
It is common to define double primary cancer as the case of primary malignant tumors of different histologic site origins in each other. Etiology of double primary cacer is not known exactly but there are many contributing factors and theories about double primary cancer development. Owing to advancement of diagnostic procedure, reported cases of double primary malignant tumors have been increased in number. But occurance rate of multiple prirnary malignant tumors is relatively rare. We report the two cases, which we have confirmed double promary malignant tumors of different site origins such as esophageal squamous cell carcinoma and stomach adenocarcinoma with gastric fiberoptic endoscopic biopsy.
장중첩증을 (腸重疊症) 을 동반한 Peutz - Jeghers 증후군 (症候群) 2예
현진해(Jin Hai Hyun),유호상(Ho Sang Ryu),김숙주(Sook Joo Kim),최재현(Jae Hyun Choi),설익주(Ik Joo Shul) 대한소화기학회 1984 대한소화기학회지 Vol.16 No.2
Peutz-Jeghers syndrome characterized by mucocutaneous pigmentation, intestinal polyps and autosomal dominant inheritance. The complication is intussusception and intestinal bleeding. The treatment is resection of intestinal tract. We expirienced two cases of Peutz-Jeghers syndrome associated with intussusception and report.
위장관 ( 胃腸管 ) : 소화성 궤양에서 H2 차단제와 정온제 투여가 위내산도에 미치는 영향
현진해(Jin Hai Hyun),진윤태(Yoon Tae Jeen) 대한소화기학회 1991 대한소화기학회지 Vol.23 No.1
N/A Ambulatory long term pH monitoring is a suitable method to assess the physiologic pattern of gastric acidity and the effect of antisecretory drugs. Twenty four patients with peptic ulcer under- went continuous intraluminal pH monitoring for three days to compare the effects on 24-h intragas- tric acidity of standard meal only (1st day), standard meal, famotidine 20 mg (2nd day), standard meal, famotidine 20 mg and tranxene 10 mg (3rd day). The purpose of this study is to evaluate the effects of combined therapy of H2 antagonist and tranquilizer on gastric acidity in peptic ulcer patients. The results were as follows: 1) Gastric pH was 1.73 +- 0.15 during daytime and 1.57 +- 0.18 during noghttime on the 1st day. 2) Gastric pH was 2.37 +- 0.28 during daytime and 4.54 +- 2.26 during nighttime on the 2nd day. 3) Gastric pH was 2.17 +- 0.23 during daytime and 4.76 +- 2.46 during nighttime on the 3rd day. 4) In conclusion, the administration of famotidine at night caused remarkable elevation of gastric pH for a long time continuously, and there was more elevation of gastric pH observed when applied in combination with tranquillizer. So more studies are still needed about the effects of increaing dosage of H, antagonists tranquilizer, and timing of administration of tranquilizer.