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백서에서 5-FU에 의한 장관손상 및 장내세균전위에 대한 젖소초유의 효과
김정욱 ( Kim Jeong Ug ),전우규 ( Jeon U Gyu ),이승세 ( Lee Seung Se ),윤중원 ( Yun Jung Won ),박동일 ( Park Dong Il ),조용균 ( Jo Yong Gyun ),성인경 ( Seong In Gyeong ),박창영 ( Park Chang Yeong ),손정일 ( Son Jeong Il ),김병익 ( 대한소화기학회 2003 대한소화기학회 추계학술대회 Vol.2003 No.-
<목적> 5-FU는 소화기계 종양의 치료에 흔히 쓰는 약제이나 점막염과 같은 장손상이나 장내세균전위를 유발하여 감염성 합병증이 발생하며, 장내세균전위는 장투과성의 증가, 장내세균 과증식 및 면역감소 등에 의해 발생한다. 초유는 출산 후 처음으로 획득되는 우유로 각종 성장인자와 면역글로불린 및 항균성 펩티드들이 함유되어 있다. 본 연구에서는 실험동물에서 저지방 젖소초유의 5-FU에 의한 장관손상 및 장내세균전위에 대한 효과를 알아보기로 하였다. <대상 및
전성국(Seong Gook Jeon),손정일(Chong Il Sohn),김지은(Jee Eun Kim),박기호(Ki Ho Park),황일순(Il Soon Whang),김은주(Eun Joo Kim),박창영(Chang Young Park),김병익(Byung Ik Kim),전우규(Woo Gyu Jeon),정을순(Eul Soon Chung),이풍렬(Poong Lyu 대한내과학회 2000 대한내과학회지 Vol.58 No.2
N/A Background : Gastroesophageal reflux disease (GERD) is considered to be less common in the Orient compared to the West, but epidemiological data on GERD in Korea are rare. The aim of this study was to determine the prevalence of symptoms of gastroesophageal reflux in routine check-up subjects. Methods : We analyzed 2243 subjects (male 716, female 1527; age range 20-69 yr) visited health promotion center for routine check-up. Subjects were given a validated self-reported questionnaire, which measured the presence, duration and severity of typical symptoms (heartburn, acid regurgitation); and the presence of atypical symptoms. At least weekly symptoms of heartburn and/or acid regurgitation were characterized as the definition of GERD. Results : The prevalence of heartburn for at least monthly, at least weekly and at least daily episodes was 6.2%, 3.4% and 3.1%, respectively. The corresponding figures for acid regurgitation were 6.1%, 2.1% and 0.7%. The prevalence of GERD was 8.5%, and was more common in female (p<0.01). Sixty eight percent of subjects with GERD reported the symptoms as having been present for less than 5 years. Seventy four percent of subjects with GERD reported these symptoms to be mild to moderate in severity. Heartburn and acid regurgitation were significantly associated with dyspepsia, chest pain, dysphagia and globus sensation (p<0.01), but not with hoarseness or chronic cough. Conclusion : The prevalence of heartburn and/or acid regurgitation experienced at least weekly is 8.5% in routine check-up subjects. Heartburn and acid regurgitation were associated with epigastric pain, chest pain, dysphagia and globus sensation.(Korean J Med 58:145-151, 2000)
김정욱 ( Kim Jeong Ug ),전우규 ( Jeon U Gyu ),윤중원 ( Yun Jung Won ),박동일 ( Park Dong Il ),조용균 ( Jo Yong Gyun ),성인경 ( Seong In Gyeong ),박창영 ( Park Chang Yeong ),손정일 ( Son Jeong Il ),김병익 ( Kim Byeong Ig ),김은정 ( 대한소화기학회 2004 대한소화기학회지 Vol.43 No.2
Background/Aims: Increased intestinal permeability has been possible contributing factors to the pathogenesis of alcoholic liver disease. Moreover, it can contribute to the development of bacterial infection and intestinal endotoxemia in patients with liver cirrhosis. This study aimed to examine the difference of intestinal barrier dysfunction between alcoholic and viral liver disease patients through the comparison of the intestinal permeabilities of patients with clinical characteristics. Methods: Intestinal permeabilities were measured in 18 healthy controls, 41 patients with alcoholic liver disease (17 cases of alcoholic liver disease without cirrhosis and 24 cases of alcoholic liver cirrhosis) and 46 patients with viral liver disease (14 cases of chronic viral hepatitis and 32 cases of viral liver cirrhosis) by measuring 24 hour urine excretion of 51Cr-EDTA. Results: The intestinal permeability was significantly increased in the patients with alcoholic liver disease without cirrhosis (5.62±80%), alcoholic liver cirrhosis (5.29±48%) and viral liver cirrhosis (3.15±39%) compared with that in control subjects (1.99±53%). On the contrary, it was not increased in the patients with chronic viral hepatitis (2.05±57%) versus controls. The significant correlation was not found between intestinal permeability and clinical and laboratory findings. Conclusions: The intestinal permeability was elevated in patients with alcoholic liver disease compared to those with viral liver cirrhosis. The pathophysiology of liver injury secondary to intestinal epithelial damage may be different between alcoholic and viral liver diseases. (Korean J Gastroenterol 2004; 43:104-111)
갑상선 기능 저하증 환자에서의 혈중 Insulin과 C-peptide의 변화
이화영 ( Lee Hwa Yeong ),김광조 ( Kim Gwang Jo ),김천중 ( Kim Cheon Jung ),김병익 ( Kim Byeong Ig ),전우규 ( Jeon U Gyu ),이만호 ( Lee Man Ho ),정을순 ( Jeong Eul Sun ),이상종 ( Lee Sang Jong ) 대한내과학회 1993 대한내과학회지 Vol.44 No.1
연구배경 : 갑상선 호르몬이 인슐린과 C-peptide 대사에 영향을 미친다는 여러 연구결과들이 보고되고 있으나 아직 상반된 결과들이 많다. 방법 : 저자들은 1989년 3월부터 1992년 4월 사이에 본병원 내과에 입원한 정상대조군 14예와 갑상선 기능저하증 환자 19예에서 경구적 당부하후에 공복시, 1시간 및 2시간에 각각 혈청 C-peptide, 혈청 인슐린, 혈당치 및 C-peptide/인슐린비를 측정하였다. 결과 : 1) 혈청 C-peptide치는 갑상선 기능 저하증 환자군에서 공복시에는 정상대조군과 유사하였으나 당부하 2시간에서 의미있게 증가하였다(p<0.05). 2) 혈청 인슐린치는 갑상선 기능 저하증 환자군에서 정상대조군과 비교해 공복시보다는 당부하후 1시간, 2시간에 의미있게 증가되었다(p<0.05). 3) 혈당치는 갑상선 기능저하증 환자군에서 정상대조군과 비교시 당부하 1시간에 의미있게 증가되었다(p<0.05). 4) C-peptide/인슐린비는 양군에서 통계학적 의의는 없었다. 결론 : 이상의 결과에서 갑상선 기능저하증 환자군에서 정상대조군과 비교할 때 혈청C-peptide 및 혈청 인슐린의 충분한 분비에도 불구하고 혈당치가 증가되어 있음을 보여준다. 이는 혈청 C-peptide와 혈청 인슐린는 갑상선 기능저하증에 기인되는 대사율의 저하에 의한 결과로 추정되나 앞으로 이에 대한 연구가 계속되어야 할 것으로 생각된다. Background : Studies for the effect of thyroid hormones on secretion of insulin and glucose metabolism have been reported, but those results appear to be controversial. Methods : We have investignated the levels of serum C-peptide and insulin following the oral glucose load in 19 patients with hypothyroidism and 14 normal subjects. Results : 1) T도 mean fating level of serum C-peptide in hypothyroidism was somewhat elevated. The response of serum C-peptide was significantly enhanced 2 hours after oral glucose tolerance test in hypothyroid patients (5.16±2.31 Vs 2.01±1.05 ng/ml) (p<0.05). 2) Serum insulin response was exaggerated after oral glucose tolerance test in hypothyroidism. (GTT 1 hour : 90.74±33.56 Vs 61.19±22.91uU/ml, GTT 2 hour : 74.23±36.47 Vs 49.30±0.83 uU/ml) (p<0.05). 3) Blood glucose response has been significantly augmented in hypothyroid patients after oral glucose tolerance test. (GTT 1 hour : 129.47±40.20 Vs 98.21±9.10mg/dl) (p<0.05). 4) The ratio of C-peptide to insulin had no significant difference between patients with hypothyroidism and normal subjects statistically. Conclusion : These results suggested that the slowing of C-peptide and insulin degradation due to hypometabolism in hypothyroidism could be contributed to higher serum levels of the C-peptide and insulin.
항암화학요법 환자에서 51Cr-EDTA을 이용한 장투과성 측정과 점막염과의 관계
최권 ( Choe Gwon ),최효선 ( Choe Hyo Seon ),김영춘 ( Kim Yeong Chun ),김정욱 ( Kim Jeong Ug ),오석중 ( O Seog Jung ),전우규 ( Jeon U Gyu ),김은정 ( Kim Eun Jeong ),신명숙 ( Sin Myeong Sug ),이승세 ( Lee Seung Se ) 대한내과학회 2003 대한내과학회지 Vol.65 No.6
목적: 점막염은 항암화학요법의 가장 흔한 부작용 중의 하나이며 요량 제한의 주요 원인이다. 구강내 점막에 발생하는 구내염은 쉽게 관찰할 수 있는 부위에 발생하기 때문에 임상적으로 유용하게 이용되고 있는데, 원위 부위의 소화기관 및 점막염의 판단에 주관적인 판단이 많이 작용하는 문제점이 있다. 장관장벽의 손상을 알아보는 객관적 방법으로 51Cr-EDTA를 이용한 장투과성 검사를 통해 항암화학요법에 의해 유발되는 점막염의 정도와 증상과의 상관관계를 평가하고 Background: Administration of anticancer drugs may damage gastrointestinal epithelium, thereby increasing the permeability of the gastrointestinal mucosa. It is known that intestinal permeability test using 51Cr-EDTA is a useful test to assess the damage
대간간학회지 제6차 춘계학술대회 초록집 : 포스터 전시 ; 만성 비대상성 간경변증, 만성간염, 간세포성 간암환자에서 혈청 Thrombopoietin과 비장종대와의 관계
구은실 ( Gu Eun Sil ),김병익 ( Kim Byeong Ig ),조용균 ( Jo Yong Gyun ),김창섭 ( Kim Chang Seob ),박창영 ( Park Chang Yeong ),손정일 ( Son Jeong Il ),전우규 ( Jeon U Gyu ),정을순 ( Jeong Eul Sun ) 대한간학회 2000 Clinical and Molecular Hepatology(대한간학회지) Vol.6 No.1(S)
췌장의 고형 가유두상 종양의 수술 후 추적 기간 중 발생한 주위림프절 및 다발성 간전이 1예
김유경 ( You Gyung Kim ),김병익 ( Byung Ik Kim ),김슬기 ( Seul Ki Kim ),김학수 ( Hak Soo Kim ),김홍주 ( Hong Ju Kim ),조용균 ( Yong Kyun Cho ),전우규 ( Yu Gyu Jeon ) 대한간암학회 2018 대한간암학회지 Vol.18 No.2
Solid pseudo-papillary neoplasm (SPN) of pancreas is a rare epithelial neoplasm of pancreas with a low malignant potential, occurs most commonly in young females. Here, we report a rare case of woman who has severe hepatomegaly due to multiple hepatic metastases of SPN of pancreas. At the time of diagnosis, a SPN was detected at only pancreas and there was no evidence of metastasis. So, she received subtotal pancreatectomy and total splenectomy. After 2 years of follow up, multiple small hepatic metastases were presented. In spite of three times of radiofrequency ablation, the burden of hepatic metastasis has increased continuously and multiple intra-abdominal lymph nodes metastases were detected, and ascites and peripheral edema occurred. However, because of benign feature of SPN and extremely rare incidence of recurrence and metastasis, there is no specific treatment guideline for metastatic SPN. Through multidisciplinary care service, we planned to do radiotherapy followed by a transarterial chemoembolization (TACE). But the patient could not have a scheduled radiation therapy due to deterioration of liver function. So changing the strategy of treatment, followed by TACEs were done alone. Although the size of SPN is not reduced, the extent of SPN and complication of SPN (ascites, peripheral edema, abdominal pain and so on) are being controlled. (J Liver Cancer 2018;18:168-174)
대한간학회지 제8차 춘계학술대회 초록집 : 포스터 발표 ; Lamivudine 치료 후 만성 B형 간염환자의 혈청내 Nitric Oxide(NO) 대사체 농도의 감소
조용균 ( Jo Yong Gyun ),김병익 ( Kim Byeong Ig ),황상태 ( Hwang Sang Tae ),김정욱 ( Kim Jeong Ug ),이준행 ( Lee Jun Haeng ),박창영 ( Park Chang Yeong ),손정일 ( Son Jeong Il ),전우규 ( Jeon U Gyu ),모지원 ( Mo Ji Won ),박창신 ( Pa 대한간학회 2002 Clinical and Molecular Hepatology(대한간학회지) Vol.8 No.2(S)
비스테로이드 항염제에 의한 장내세균전위에 대한 글루타민의 효과
안지용 ( Ji Yong Ann ),김상중 ( Sang Jung Kim ),한상표 ( Sang Pyo Han ),김정욱 ( Jeong Wook Kim ),김형준 ( Hyung Joon Kim ),도재혁 ( Jae Hyuk Do ),김재규 ( Jae Gyu Kim ),장세경 ( Sae Kyung Chang ),전우규 ( Woo Kyu Jeon ) 대한소화기학회 2004 대한소화기학회지 Vol.44 No.5
Background/Aims: NSAIDs induce gut damage throughout the entire gastrointestinal tract and bacterial translocation. The aim of this study was to examine if administration of glutamine was able to prevent the NSAID-induced gut damages and bacterial translo