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위장관출혈부위와 혈청 Urea와 Creatinine 비의 관련성
이성걸(Seong Geol Lee),최창환(Chang Whan Choi),문현웅(Hyun Woong Moon),정영호(Young Ho Jeong),이호심(Ho Sim Lee),김용기(Yong Ki Kim),김종숙(Chong Sook Kim) 대한소화기학회 1994 대한소화기학회지 Vol.26 No.3
N/A We evaluated the usefulness of serum urea and creatinine ratios to differentiate bleeding sites in 63 patients vith gastrointestinal bleeding from August 1991 to Viay 199Z, The follow- ing results were obtained: Serum urea and creat.inine ratios in the upper gastrointestinal group were significantly higher than those in t.he lower gastrointestinal bleeding and control. The ratios were higher in proportion to the volume of blood loss in the upper gastrointestina! Bleeding group. The percent of patients over 80 in the ratios was 77 % in t.he uppcr gastrointestinal bleeding gr oup, whereas was 6.2 % in the lower gastrointestinal bleeding. Thc upper gastrointestinal bleeding, the ratios below 80 were obtained in 11 cases which ha<l cases of small amount bleeding, shortening of intestinal transit tirne, correction of body I'luid arid electrolyte imbalance, and other unknown causes. Result,s of above studies indicated that de terrnination of serum urea and creatinine ratios was a simple and useful procedure fr diagno sis, but we need further study t.o det,ermine the presence of factors to the rat.io variability.(Ko rean J Gastroenterol 1994; 26: 432 436)
이호심(Ho Sim Lee),이성걸(Seong Geol Lee),이정선(Jeong Sun Lee),최창환(Chang Whan Choi),김용기(Young Ki Kim),김종숙(Jong Sook Kim),우제호(Je Ho Woo) 대한소화기학회 1991 대한소화기학회지 Vol.23 No.4
Solid and papillary epithelial tumor that occurs chiefly in young woman. It is amenable to surgical resection and cure. Recurrence after operation and distant metastasis are rare. But, a few cases with recurrence or distant metastasis have been reported. We have encounted a case of solid and papillary tumor of the pancreas with distant metastasis and recurrence 7 years after resection in 34 years old female, so report it.
2 형 당뇨병 환자의 공복시 유리지방 농도에 대한 연구
박문규(Moon Kyu Park),이정선(Jeong Sun Lee),이성걸(Seong Geol Lee),이호심(Ho Sim Lee),김용기(Yong Ki Kim),이기호(Ki Ho Lee) 대한내과학회 1991 대한내과학회지 Vol.40 No.3
N/A After Randle has suggested glucose-fatty acid cycle in 1962, it has been inferred that elevated free fatty acid can impair glucose utilization through the Randle cycle in type II diabetes mellitus. However, in Korea, there are few reports concerning this matter, so we measured plasma glucose, FFA, c-peptide and triglycerides in 68 type II diabetic patients without insulin therpy and 42 normal controls after 12hrs fasting. The results were as follows; 1) FBS was significantly higher in the diabetic group (226.48 mg%) than that of the normal control group (95. 66mg%). (p<0.05) 2) FFA was significantly higher in the diabetic group (667.98 μEq/L) than in the normal control group (541.59 μEq/L). (p<0.05) 3) C-Peptide showed not significantly different between diabetic group (2.48 ng/ml) and the normal control group (2.55 ng/ml) (p>0.05). 4) Triglyceride was significantly higher in the diabetic group (143.09 mg/dl) than in the normal control group (113.38 mg/dl) (p < 0. 05). 5) There was significant correlation between FBS and FFA the in diabetic qroup(r=0.502). So, we can say that fasting blood sugar was affected by plasma FFA through the randle cycle, and insulin resistancs exists also in free fatty acid metabolism.
총장골정맥과 하대정맥 전장이 폐쇄된 Budd-Chiari 증후군
최창환(Chang Whan Choi),정영호(Young Ho Jeong),문현웅(Hyun Woong Moon),김광철(Kwang Chul Kim),박무영(Mu Yeong Park),이성걸(Seong Geol Lee),이호심(Ho Sim Lee),김종숙(Jong Sook Kim) 대한소화기학회 1994 대한소화기학회지 Vol.26 No.3
Budd-Chari syndrome is a rare clinical entity characterized by post-sinusoidal portal hypertension caused by the obstruction to the hepatic vein outflow. Membranous obstruction of the hepatic inferior vena cava is one of the common causes of Budd-Chiari syndrome. The diagnosis is usually confirmed by hepatic vena graphy, inferior vena cavography and biopsy. We have experienced a case of Budd-Chiari syndrome associated with complete obstruction of the inferior vena cava through various radiologic findings. This case of Budd-Chiari syndrome was confirmed by inferior venacavography, abdorninal CT, songoraphy and color doppler sonography. Radiologic findings showed right, left and mid hepatic vein obstruction, complete IVC obstruction, azygos & hemiazygos circulation and multiple collateral circulation via superficial route. We report this case of Budd-Chairi syndrome with review of literature. (Korean J Gastronterology 1994; 26: 601 606)
정영호(Young Ho Jeong),김광철(Kwang Chul Kim),박무영(Mu Yeong Park),문현웅(Hyun Woong Moon),최창환(Chang Whan Choi),이성걸(Seong Geol Lee),서양관(Yang Kwan Seo),김종숙(Chong Sook Kim) 대한소화기학회 1994 대한소화기학회지 Vol.26 No.2
Since Abrikossoff first reported five cases of granular celll tumor of the tongue in 1926, this tumor has been reported in many different locations throughout the body. The purpose of this paper is to discuss the clinical and pathologic features in a case of gran- ular cell tomor of the esophagus. A case of granular cell tumor of the esophagus is reported. This 36 year old female patient was admitted to the hospital because of vomiting. She was re- vealed esophageal rnass on gastrofibroscopy and demonstrated granular cell tumor in histo- pathologic examination of esophageal biopsy. (Korean J Gastroenterol 1994; 26: 327-331)