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위 십이지장질환 환자들의 위액내 Fungus 에 관한 연구
정정명(Jung Myung Chung),박주열(Joo Youl Park),문기석(Key Seack Moon),김병제(Byoung Je Kim),김동민(Dong Min Kim),최하진(Ha Jin Choi) 대한내과학회 1986 대한내과학회지 Vol.31 No.1
N/A It is widely known that with recent environmental changes and improved methods of diagnosis, infection of fungi in a number of human organ is steadily increasing. Despite a few reports made by scientists on the relationship between candida infection and gastroenteric diseases, the infection and growth of fungi in a stomach and gastric juices has been seldom reported. In cases of gastric and duodenal disease, however, enviornmental changes within a stomach such as changes of gastric juices, disturbances of gastric motility and impairment of gastric mucosa are likely to come about, it can, therefore, be assumed that the growth of various fungi in a stomach and gastric juices is possible. Recently we have investigated the fungal infection in gastric juices aspirated from various gastroduodenal disease patients and obtained following results. 1) 40 patients have vague epigastric pain complaints for a long duration, although no definite pathological findings are endoscopically recognizable in stomach and duodenum, 16 duodenal ulcer patients, 30 gastric ulcer patients and 30 stomach cancer patients were studied on fungal growth in their salivas and gastric juices aspirated from their mouth and stomach. 2) pH of gastric juices from 21 patients in whom fungus was grown in their stomach aspirates was 4.85±1.45, whereas pH of gastric juices from another 21 patients in whom no fungus was grown was 1.91±0.61. A rather striking difference in their acidity between those 2 groups is recognizable, as already reported previously, 3) The frequency of fungal growth in gastric juices was found in following order. 32.5% of cases of non-ulcer, non-cancer patients, 18.8% of cases of duodenal ulcer patients, 73.3% of cases of gastric ulcer patients, and 83.3% of cases of stomach cancer patients. Among those patients who have fungal growth in their gastric juice, candida was found. 25.0% of cases of non-ulcer, non-cancer patients 6.3% of cases of duodenal ulcer patients, 60.0% of cases of gastric ulcer patients, and 70.0% of cases of stomach cancer patients. It was revealed that the frequency was rather higher in gastric ulcer and stomach cancer patients than in duodenal ulcer and non-ulcer, non-cancer patients. 4) Ten non-ulcer, non-cancer patients who had fungal growth in their gastric aspirates were, 6 cases of acute gastroenteritis, 2 cases of cirrhosis, 1 case of Parkinson's disease, and 1 case of renal stone.
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문기석,강창일 인제대학교 1986 仁濟醫學 Vol.7 No.4
인슐린 투여가 필요한 입원 환자 40명의 N.P.H 인슐린에 대한 혈당 반응을 알기 위해 N.P.H. 인슐린을 이용, 공복에 투여함과 동시에 아침 식전(6AM), 점심 식전(11AM), 저녁 식전(4PM), 취침시(9PM)에 혈당을 측정한 결과 그 중 정상적 반응형이 20명(50.0%), 지연적 반응형이 13명(32.5%), 일시적 반응형이 7명(17.5%)이었다. To study the pattern of response to the intermediate acting N.P.H insulin, 40 patients who required insulin injection was evaluated with four times of blood sugar measurements. Each blood specimen obtained at the pre-breakfast, pre-lunch, pre-dinner and bed time respectively. And following results were obtained. 1.Among 40 diabetics studied, 20 cases (50.0%) had "B" type, 13 cases (32.5%) "C" type, 7 cases (17.5%) "A" type, respectively. 2."B" and "A" types were the most common in 7th decade and female as three times. "C" type was the most common in 6th decade and not observed sex difference. 3.In B type (20 patients), diabetes under 5 years was 10 cases (50%), from 5 years to 9 years was 5 cases (25%) and over 10 years was 5 cases (25%). In C and A types were showed imilar distribution. 4.In the mean doses of N.P.H. insulin, B types was injected 35 units daily, A type 44 units, C type 35 units. The difference was not significant (P>0.05)
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복부 초음파검사 및 간주사를 통한 위암 환자의 기 및 수술 여부 결정
김성록,정해철,문기석,최원락,김병제,박주열 인제대학교 1986 仁濟醫學 Vol.7 No.2
저자들은 1981년 1월부터 1985년 6월까지 인제의과대학 부산백병원에 입원하여 위내시경검사 및 직시하 생검에서 위선암으로 확인된 총 130예를 대상으로 근치적 절제술의 효과를 높이기 위하여 수술 전에 간주사법 및 복부초음파 검사를 시행한 61예와 둘 다 시행하지 않았던 69예를 대상으로 개복수술 시행 후 아래와 같은 성적을 얻었기에 문헌 고찰과 함께 이를 보고한다. The reliablity of physical examination, liver scan and abdominal ultrasonography in detecting Cancer metastasis has been evaluated 130 patients with histologically proven stomalch Cancer(61 cases was performed Liver scan and abdominal ultrasonography.) who had admitted to InJe Medical College, Pusan Paik Hospital from January 1981 to June 1985. Confirmation on Laparotomy showed the following results. 1) Ninety nine cases out of one hundred and thirty were over the age of 41 years (76.2%). 2) Liver scan and abdominal ultrasonography were 93.4% accurate and 90.2% accurate, respectively, in detecting liver metastasls. 3) Abdominal ultrasonography were 39.3% accurate in detecting lymph node Metastasis. 4) Abdominal ultrasonography were 65.6% accurate in detecting other organs' metastasis. 5) In a composite analysis on hepatic metastasis, the diagnostic accuracy was not improved by combining abdominal ultrasonography and liver scan examination. 6) The additional benefit of abdominal ultrasonography when liver scan was in error was an increase in accuracy of 9.8% for liver scan alone. 7) Borrmann's type IV had the highest incidence of TMN classification stage IV(75.7%). Those who had palpable epigastric mass show higher incidence of TMN classification stage IV compaired with these who had not. 8) Comparison of TMN classification between normal and not taken group of Liver scan and ultrasonograpny showed the highest incidence of TMN classification stage IV in broth groups.
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