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송치욱,현진해 대한내과학회 1987 대한내과학회지 Vol.32 No.3
Examination of the colon with a flexible fiberoptic colonoscope has added a new dimension in the diagnosis and treatment of many colonic disorders. In this report, we analysed the clinical findings of 3, 116 cases (3,502 times) who performed total colonscopic examination from July, 1980 to August, 1986. The results were followings; 1) The most common age groups were 30`s and 40`s and they were 48,4% of total patients, The sex ratio of male to female was 1.2:1. 2) The purpose of toal colonoscopic examinations was diagnostic in 3,170 cases (90.5%) and therapeutic in 332 cases (9.5%) and was urgent in 28 cases (0.8%). 3) The patients chief complaints were abdomonal pain (48%), diarrhea (29%), bloody stool (14.4%), and bowel habit change (11.3%) in the order. 4) Among of the 3,116 cases of total colonoscopic findings, colitis was seen in 384 cases (12.3%), hemorrhoid in 310 cases (9.9%), polyp in 303 cases (9.7%) and colon cancer in 152 cases (4.8%) and normal in 1,860 cases (59.7%). 5) The success rate of total colonoscopy was 97% and failure in 3%. The causes of the failure of toal colonscopic examination were pain in 56 cases (53%) and poor preparation in 40 cases (38.5%). 6) There was minor bleeding in 2 cases (0.06%) following total colonoscopic examination.
수소호기검사와 소장통과 신티그라피의 구강 , 맹장 통과시간 비교
송치욱,문정섭,현진해,최재걸 대한소화기학회 1998 대한소화기학회지 Vol.30 No.5
Background/Aims: Patients with gastrointestinal symptoms, and motility disorclers are considered a main part of disease entities. Various motility tests have been used but the motility of the small bowel is hard to evaluate directly. Measurement of oro-cecal transit time u:;ing the hydrogen breath test has been used for the evaluation of small bowel motility, but critericn to indicate cecal arrival was different arnong many studies. We aimed to identify the criterion of cecal amval in hydrogen breath test compared with radionuclide scintigraphy. Methods: Subjects were 30 volunteers with no gastrointestinal symptom and no past history of diarrhea, enema, or antibiotic intake for three weeks before the study. We performed hydrogen breath tests and enteric radionuclide scintigraphy simultaneously every fifteen minutes for six hours after the intake of the test meal composed of an egg sandwich with 1mCi 99mTc sulfur colloid:md lactulose. We compared the results of oro-cecal transit time by scintigraphy with the hydro,;en breath test, in which cecal arrival was defined by various criteria of H2 concentration incri:ment above basal level(eg. 3, 5, 10 ppm and double of baseline). Results: Oro-cecal transit time by scintigraphy was 87.5±20.1 minutes in healthy volunteers and their positive rate of breath hyd-ogen was 80% in criterion of 10ppm, 66.6% in criterion of 20pprn. Oro-cecal transit time by the hydrogen breath test in which each criterion was defined by 3, 5, 10 ppm and double increase above baseline was 91.8±24.6, 106.9±32.2, 117.9±37.7 and 92.4±30.2 minutes respectively. Relationship of oro-cecal transit time by scintigraphy and hydrogen breath test was greatest in criterion of 3ppm increase above basal level in the hydrogen breath test. Conclusions: Oro-cecal transit time by the hydrogen breath test was convenient and was also a non-invasive method to evaluate small bowel motility and the most accurate criterion to show cecal arrival was 3ppm increase above baseline compared with the results of radionuclide scintigraphy.