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채식자와 비채식자에서 동맥경화성 심장질환 위험도 비교연구
홍상인(Sang In Hong),박흥진(Heung Jin Park),곽성진(Seong Jin Kwak),박순희(Soon Hee Park),유해진(Hae Jin Yu),원동준(Dong Jun Won),박정식(Jeong Shik Park),이중건(Choong Keun Lee),안승혜(Seung Hye Ahn),구종수(Jong Soo Koo) 대한내과학회 1996 대한내과학회지 Vol.51 No.1
N/A Objectives: Hyperlipidemia is well-known as one of the major risk factors of atherosclerotic heart disease. Previous reports indicate that reduction of meat and dairy product consumption has reduced development of coronary heart disease. This study was designed to assess prospectively the difference in blood level of various lipids and coronary artery disease risk between vegetarian and non-vegetarian in Korean adults. Methods :100 vegetarians and 82 non-vegetarians were recruited for lipid test including total cholesterol, triglyceride, HDL-cholesterol, Apo A-I and Apo B during annual routine physical examination. Coronary risk and relative risk were analyzed according to the Framingham study data base using computerized calculation with variables including cholesterol, age, sex, blood pressure, smoking history and diabetes. To evaluate the influence of diet to coronary disease risk, 42 vegetarians and 97 non-vegetarians without other coronary risk factors were analyzed same manner, Result: 1) Total cholesterol was significantly lower in vegetarian groups (group A: 161.4mg/d1±6.76, group C: 160.62mg/dl±28.8) compared to non-vegetarians groups(group B: 180.65mg/dl±5.13, group D: 189.05 mg/dl 37.8)(p<0.01). 2) Other lipid values did not show significant difference. 3) Coronary risk was significantly lower in vegetarian groups compared to non-vegetarians(group A : 1.48% vs. group B: 1.78%; group C: 2.0% vs. group D: 6%). 4) Relative risk was also significantly lower in vegetarian groups compared to non-vegetarian groups (group A: 0.75±0.31 vs. group B: 1.00±0.41; group C: 0.74±0.2 vs. group D: 1.09±0.44) Conclusion: This study shows vegetarian group has significantly lower total cholesterol level and reduced coronary heart disease risk compared to non-vegetarian group.
내시경적 " O "-형 밴드 결찰술로 제거된 식도 과립세포종 1예
이효진,박종욱,이재동,오인택,곽현철,석윤철,홍상인,박흥진,곽성진 대한소화기내시경학회 1996 Clinical Endoscopy Vol.16 No.1
The first case report of granular cell tumor was by Abrikossoff in 1926, the tumor has been named with more than 20 different synonyms. It is found usually in the tongue, oral cavity, and the skin. It occurs rarely in the esophagus. Esophageal granular cell tumor is a benign lesion which can be diagnosed by endoscopic biopsy. Large symptomatic lesion can be removed by polypectomy. A 29-year-old female visited our hospital for intermittent epigastric pain and anterior chest discomfort. Endoscopy showed a 0.6 *0.4 cm whitish yellow nodule in the mid-esophagus, 25 cm from the incisor teeth. Endoscopic polypectomy was performed with $quot;O$quot;-type rubber band for endoscopic variceal ligation(EVL). A case of esophageal granular cell tumor conformed by S-100 protein stain is reported with the review of literature.