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분절성 호두까기 식도와 비효과적 식도 수축 형태를 동반한 Steakhouse Syndrome 1 예
심미령 ( Mi Ryeong Sim ),최창수 ( Chang Soo Choi ),염주진 ( Joo Jin Yeom ),오효정 ( Hyo Jeong Oh ),임윤혁 ( Yun Hyuk Yim ),서검석 ( Geom Seog Seo ),김태현 ( Tae Hyeon Kim ),최석채 ( Suck Chei Choi ),나용호 ( Yong Ho Nah ) 대한소화기기능성질환·운동학회 2005 Journal of Neurogastroenterology and Motility (JNM Vol.11 No.1
An impacted meat bolus is the most common type of food-related foreign body, and this is usually seen in elderly patients. Acute esophageal obstruction caused by eating poorly chewed meat has been called the Steakhouse syndrome or the Backyard barbecue
풍선 확장술을 시행받았던 식도 이완불능증 환자에서 발생한 식도암
염주진 ( Joo Jin Yeom ),심미령 ( Mi Ryeong Sim ),조은영 ( Eun Young Jo ),최창수 ( Chang Soo Choi ),서검석 ( Geom Seog Seo ),김상욱 ( Sang Wook Kim ),김태현 ( Tae Hyeon Kim ),최석채 ( Suck Chei Choi ),나용호 ( Yong Ho Nah ) 대한소화기기능성질환·운동학회 2004 Journal of Neurogastroenterology and Motility (JNM Vol.10 No.1
Achalasia is believed to be a predisposing factor for the development of esophageal cancer in achalasia. Esophageal cancer has been reported as a late complication in 3~7% of patients with achalasia. The presumed mechanism responsible for the development of cancer are food stasis and gastroesophageal reflux. We experienced a case of esophageal carcinoma in a 61-year-old woman, who had been diagnosed as achalasia fourteen years ago, and who had undergone pneumatic balloon dilatation. Esophagogram, esophagoscopy with biopsy, esophageal manometry, and chest computerized tomography scanning revealed achalasia and esophageal carcinoma. (Kor J Neurogastr oenter ol Motil 2004;10:72-75)
항 우울제 치료로 호전을 보인 흉통이 동반된 호두까기 식도증 1 예
최석채(Suck Chei Choi),이상열(Sang Yeol Lee),최지훈(Ji Hun Choi),심미령(Mi Ryeong Sim),염주진(Joo Jin Yeom),박정현(Jung Hyeon Park),김태현(Tae Hyeon Kim),나용호(Yong Ho Nah) 대한소화기기능성질환·운동학회 2001 Journal of Neurogastroenterology and Motility (JNM Vol.7 No.2
Nutcracker esophagus is thought to be a common cause of noncardiac chest pain although has not been clearly established, and the effective treatment is lacking. The usual forms of therapy for noncardiac chest pain by nutcracker esophagus have been directed traditionally toward reducing esophageal hypermotility and muscle tone such as nitrate and calcium channel blocker. However, the results of this treatment in the long term care of patient with esophageal symptoms have been generally disappointing and often unsatisfactory. Recently, psychosomatic aspect of esophageal motility disorder including antidepressant treatment has been accepted in the treatment of noncardiac chest pain. We report a 48 year old female with nutcracker esophagus associated chest pain by ambulatory 24 hour esophageal manometry who failed diagnosis by conventional manometry. The symptoms of chest pain, quality of life, and depression of the patient were improved after antidepressant medication. (Korean Journal of Gastrointestinal Motility 2001;7:227-232)
최지훈 ( Ji Hun Choi ),최석채 ( Suck Chei Choi ),이상열 ( Sang Yeol Lee ),심미령 ( Mi Ryeong Sim ),염주진 ( Joo Jin Yeom ),김태현 ( Tae Hyeon Kim ),나용호 ( Yong Ho Nah ) 대한소화기학회 2002 대한소화기학회 춘계학술대회 Vol.2002 No.-
<목적> 궤양성 대장염 환자에서 정서 증상인 불안 및 우울을 알아보고 정서증상과 감정표현불능증 및 분노와의 연관성을 알아보아 생물정신사회적 측면에서 치료에 도움이 되고자 하였다. <방법> 궤양성 대장염환자 20명(이하 UC군), 기능성 소화불량증환자 24명(이하 FD군)과 정상인 37명을 대조군으로, 기질적 집단, 기능성 집단, 정상대조군 으로 불안 및 우울, 감정표현불능증 및 분노를 평가하였다. 먼저 각 집단간 불안 및 우울, 감정표현불능증, 상태 및
최석준 ( Suck Jun Choi ),채정룡 ( Jeong Ryong Chae ),문용식 ( Yong Shig Moon ),최태석 ( Tae Suck Choi ),심미령 ( Mi Ryeong Sim ),최석채 ( Suck Chei Choi ) 한국운동영양학회 2004 Physical Activity and Nutrition (Phys Act Nutr) Vol.8 No.2
The purpose of this study was to determine the effect of long distance running on the level of gastrointestinal hormones such as gastrin which stimulates the secretion of gastric acid, insulin and glucagon which affect glucose metabolism as well as the level of glucose. Method: Twenty four long distance runners (male 16, female 8) participated in this study. Studies were performed after an overnight fasting. The levels of gastrin, insulin, glucagon, and glucose in blood were measured at 30min before and after exercise, and then they were measured again at 24 hr after 10 km race. Result: Plasma gastrin level was increased immediately after exercise (p<0.05), while no significant changes were observed before and after 24 hours of exercise. Plasma insulin level was decreased immediately after exercise (p<0.05). Plasma glucagon level was elevated immediately after exercise (p<0.05). However, there was no significant difference in the level of plasma glucose level during the study period. Conclusion: These results indicate that the elevated level of gastrin in long distance runner may be involved in acid-related gastrointestinal disease. The changes of insulin and glucagon levels may represent the constant blood glucose level and further imply the fine regulatory mechanism of glucose homeostasis in blood during short time exercise in long distance runners.