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위장관 ( 胃腸管 ) : 과민성 대장증상증후군 증상과 성격특성
현진해(Jin Hai Hyun),박현철(Hyun Chul Park) 대한소화기학회 1991 대한소화기학회지 Vol.23 No.1
N/A The irritable bowel syndrome (IBS) is the most common problem in gastroenterological practice, but there have been few satisfactory data about the relationship between the symptom and personality. So we analyzed 151 IBS and 38 functional gastrointestinal disorder (FGID) patients through the Minnesota Multiphasic Personality Inventory (MMPI). In this analysis there were no differences between IBS and FGID on MMPI scales. IBS patients who had suffered from abdominal pain showed the personality that tended to be more selfish, immature, and somatic. And those who had suffered from alternative bowel habit change showed the personality that were more hysteric and somatic. In conclusion, these results suggest that there need to have a more sincere psychological interest in IBS patients with adominal pain or/and alternative bowel habit change.
현진해(Jin Hae Hyun),류호상(Ho Sang Ryu),김창덕(Chang Duck Kim),김혜랑(Hye Rang Kim),박종재(Jong Jae Park),김광희(Kwang Hee Kim) 대한소화기학회 1991 대한소화기학회지 Vol.23 No.4
With progress in diagnostic procedures such as endoscopy and dye method, early diagnosis of esophageal cancer has become possible. Esophageal cancer shows poor prognosis generally, but shows variable outcome according to tumor invasion to underlying tissue. Esophageal cancer not infiltrated beyond submucosal layer without lymphatic invasion shows excellent postoperative outcome because of high curability of early esophageal cancer. We experienced a case of multiple, early esophageal cancer in a asymptomatic patient who visited for general check up, and was diagnosed by endoscopy and surgical specimen. The lesions were a polypoid lesion with irregular erosive surface and slightly elevated lesion on middle and lower esophagus respectively. The histopathologic finding revealed the moderately differentiated squamous carcinoma infiltrated to the level of submucosa. The patient was treated with surgical operation and discharged with cured condition.
위장관 ( 胃腸管 ) : 소화성 궤양에서 H2 차단제와 정온제 투여가 위내산도에 미치는 영향
현진해(Jin Hai Hyun),진윤태(Yoon Tae Jeen) 대한소화기학회 1991 대한소화기학회지 Vol.23 No.1
N/A Ambulatory long term pH monitoring is a suitable method to assess the physiologic pattern of gastric acidity and the effect of antisecretory drugs. Twenty four patients with peptic ulcer under- went continuous intraluminal pH monitoring for three days to compare the effects on 24-h intragas- tric acidity of standard meal only (1st day), standard meal, famotidine 20 mg (2nd day), standard meal, famotidine 20 mg and tranxene 10 mg (3rd day). The purpose of this study is to evaluate the effects of combined therapy of H2 antagonist and tranquilizer on gastric acidity in peptic ulcer patients. The results were as follows: 1) Gastric pH was 1.73 +- 0.15 during daytime and 1.57 +- 0.18 during noghttime on the 1st day. 2) Gastric pH was 2.37 +- 0.28 during daytime and 4.54 +- 2.26 during nighttime on the 2nd day. 3) Gastric pH was 2.17 +- 0.23 during daytime and 4.76 +- 2.46 during nighttime on the 3rd day. 4) In conclusion, the administration of famotidine at night caused remarkable elevation of gastric pH for a long time continuously, and there was more elevation of gastric pH observed when applied in combination with tranquillizer. So more studies are still needed about the effects of increaing dosage of H, antagonists tranquilizer, and timing of administration of tranquilizer.
간경섭증에 (肝硬燮症) 합병된 (合病) 회장정맥류 (回腸靜脈瘤) 출혈 1예 보고
현진해(Jin Hai Hyun),최재현(Jae Hyeun Choi),이현구(Hyeun Koo Lee),최종수(Jong Su Choi) 대한소화기학회 1982 대한소화기학회지 Vol.14 No.2
N/A We experiened a case of massive lower gastrointestinal bleeding due to variceal rupture of the terminal ileum. The ileal varices due to portalhypertension resulted from liver cirrhosis is very rare cases of massive low gastrointestinal bleeding. Ileal varices can be formed by a number of fine communicatioris between small portal tributaries in the bowel wall and mesenty and the retroperitoneal vein. In this case, the diagnosis was confirmed and the site of varices localized on the venous phase of selective mesenteric angiography. We think that the cause of ileal varices were the pronounciation of preexisting venous communications between superior mesenteric vein and vesical vein, which was formed by interruption of venous drainage due to fibrosis band on terminal ileum, by portal hypertension.
현진해(Jin Hai Hyun),송치욱(Chi Wook song),김열홍(Yeul Hong Kim),심경보(Kyung Bo Sim) 대한소화기학회 1986 대한소화기학회지 Vol.18 No.2
Tuberculosis of stomach is very rare disease and diagnosis is difficult without histologic examination. This study is a case report of tuberculosis of the stomach, of which diagnosis was confirmed by histologic finding of biopsy specimen obtained from the site of ulceration and cytologic finding of sonoguided fine needle aspiration from the intraabdominal mass. Patient is a 50-year-old female who was admitted with a chief complaint of poor appetite and weight loss. Submucosal tumor and ulceration was found at antrum of the stomach by both endoscopy and upper GI study. Multiple cystic masses were found at periaortic, retroperitoneal and pancreatic area by sonogram and CT scan. Histologic finding of biopsied specimen and cytologic finding of aspirated tissue was compatible with that of tuberculosis. Administration of antituberculous agent resulted in good response.