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裵振善,睦愚均 충남대학교 의과대학 지역사회의학연구소 1987 충남의대잡지 Vol.14 No.2
A clinical study was undertaken on the 35 cases of acalculous cholecystitis among 392 cases operated for the biliary disease during the period from. January 1980 through June 1987 admitted in the department of surgery Chungnam National University Hospital. The results obtained were as followings; 1. The incidence of acalculous cholecystitis was 8.9% and extragallbladder biliary stone 3.1% among all cholecystitis. 2. The incidence of acalculous cholecystitis was slight more prevalent in female in contrast to many reports, i. e. the ratio of male to female was 1 : 1.2. 3. In regard of the age distribution, 5th decade was most prevalent, followed by 7th, 4th, & 6th decade in order of frequency; 91.4% of all patients were older than 30 years. 4. Right upper quadrant pain (74%) was most frequent clinical symptom, followed by nausea and vomiting (57%), fever & chillness (54%), & epigastric pain (37%) in order of frequency. 5. 37% of patiients was within one week of duration of symptoms, 14% between 1∼2 weeks, & 63% of patients within 4 weeks, 6. Right upper quadrant tenderness (77%) was most frequent positive physical finding, followed by jaundice (26%), & right upper quadrant mass (20%). 7. The elevated SGPT(74%) was most frequent positive laboratory finding, followed by elevated SGOT (69%), elevated serum bilirubin above 1. 5mg% (66%), above 3.0mg% (40%), leukocytosis (37%) & elevated alkaline phosphatase (37%). 8. Ileus on simple abdomen (60%) was most frequent finding as diagnostic measures, nonvisualisation of gallbladder in oral cholecystography or cholescintigraphy (17%) ; in most cases, the findings were nonspecific, therefore it can be said that clinical findings were most important in the diagnosis of acalculous cholecystitis. 9. Preoperatively, it was diagnosed as chronic cholecystitis (37%), empyema gallbladder (11%), gallbladder stone (11%), choledocholithiasis (9%), & acalculous cholecystitis (6%). i. e. the preoperative diagnostic accuracy was very low. 10. The most frequent operation underwent was cholecystectomy with or without T-tube drainage (86%), followed by cholecytostomy (9%), & choledochojejunostomy (5. 7%). 11. Bile culture was performed in 14 cases, 79% being positive, among them E. coli was most frequent (29%), followed by Klebsiella (21%), Proteus mirabilis, Streptococcus intermidius, & Streptococcus epidermidis. 12. Regarding etiologic and predisposing factors, ascaris was found in 14% of cases, Clonorchis sinensis (9%), & common bile duct cancer (9%), gallblader cancer (9%), pancreas head cancer (6%), & unclear(37%). 13. Postoperative complications were developed in 8 cases (23%), among them wound infections were most frequent (4 cases), followed by wound dehiscence (1 case), intraabdominal abscess (1 ,case), biliary fistula (1 case), & cholangitis (1 case).
배진선,목우균 충남대학교 의과대학 지역사회의학연구소 1988 충남의대잡지 Vol.15 No.2
113 patients who were admitted and treated under the diagnosis of intestinal obstruction in the department of surgery, Chungnam National University Hospital from 1985. 3. 1. to 1987. 12. 31. , are analyzed, The results are as followings: 1) The sex ratio of male to female was 2 : 1. 2) As to the age distribution, 1st decade was most prevalent (43%), followed by 6th decade (14%), 3rd decade(12%), & 5th decade(12%). 3) 6% of patients was treated previously due to intestinal obstruction. 4) Most frequent symptoms were abdominal pain, vomiting, & abdominal distention. 5) Most frequent physical signs were abdominal distention, abdominal tenderness, followed by hyperperistalsis. 6) The most frequent cause of ileus was postoperative adhesion (50%), followed by intussusception(39%), & cancer(6%). 7) As to the method of treatment, 2/3 of patients with intestinal adhesion were successfully treated with tube decompression, and 2/3 of patients with intussusception with barium enema. 8) As to the method of operation, adhesiolysis was carried out in 40% of patients, and segm ental resection and anastomosis in 36% of patients. 9) Among the patients who had response to nasogastric or nasointestinal tube decompression, 80% of patients was improved within 48 hours, and 96% of patients within 72 hours. 10) Postoperation complications were occured in 24% of patients, such as pleural effusion, enterocutaneous fistula, paralytic ileus, & pneumonia.
A case of malignant otitis externa caused by Candida glabrata in a patient receiving haemodialysis
Bae, Woo Kyun,Lee, Kyun Sang,Park, Jeong Woo,Bae, Eun Hui,Kwon, Seong,Kim, Nam Ho,Choi, Ki Chul,Shin, Jong Hee,Cho, Hyong Ho,Cho, Yong Bum,Kim, Soo Wan Informa Healthcare 2007 Scandinavian journal of infectious diseases Vol.39 No.4
<P> A 74-y-old male receiving haemodialysis presented with right-sided otalgia, otorrhoea and diffuse swelling on the right external auditory canal. Following an initial successful treatment with prolonged intravenous antibiotics, the patient relapsed with a secondary infection in the same site due to Candida glabrata. We report an unusual case of malignant otitis externa caused by the fungus C. glabrata.</P>
19-nor-1α-25-Dihydroxyvitamin D2 (Paricalcitol) Induces Apoptosis in Gastric Cancer Cells
Woo Kyun Bae,이지희,Myung Suk Park,Jae Sook Ahn,Jun Eul Hwang,Hyun Jeong Shim,Sang Hee Cho,Ik-Joo Chung 대한암예방학회 2009 Journal of cancer prevention Vol.14 No.4
The active metabolite of vitamin D3 (1,25-dihydroxyvitamin D3, calcitriol) has shown potent antitumor activity for multiple cancers in vitro and in vivo models. Concerns about causing hypercalcemia by calcitriol and the desire for more potent agents have prompted the development of low-calcemic vitamin D analogs. The compound 19-nor-1α-25-dihydroxyvitamin D2 (paricalcitol) demonstrated anticancer effects on gastric cancer cell lines expressing vitamin D receptor (VDR). The expression of the VDR protein was increased by paricalcitol in a dose-dependent manner. Paricalcitol inhibited gastric cell growth and induced apoptosis in AGS, SNU719 and MKN45 cell lines. Paricalcitol increased the expression of the caspase-3 cleaved protein and decreased the expression of the anti-apoptotic Bcl-2 protein. Furthermore, paricalcitol promoted early and late apoptosis. This low-calcemic vitamin D analog was effective in vitro and is a promising agent for the prevention and treatment of gastric cancer.
Bae, Woo-Kyun,Hong, Chang-Soo,Park, Mi-Ra,Sun, Eun-Gene,Lee, Ji-Hee,Kang, Keunsoo,Ryu, Kyung-Hyun,Shim, Hyun-Jeong,Hwang, Jun-Eul,Cho, Sang-Hee,Chung, Ik-Joo Elsevier 2018 Cancer letters Vol.415 No.-
<P><B>Abstract</B></P> <P>p73 is a member of the p53 family of transcription factors and, like p53, plays a role as a tumor suppressor. p73 is involved in development, proliferation, apoptosis and metastasis. However, the precise molecular mechanisms underlying its function in inhibiting metastasis remain largely unknown. Here, we show that induction of TAp73 decreased invasion and migration activity of colorectal cancer cells, whereas knockdown of TAp73 led to increased invasion and migration activity. KAI1 was identified as a transcriptional target of TAp73 and its expression is indispensable for TAp73-mediated inhibition of cell invasion and migration. Furthermore, induction of TAp73 in colorectal cancer cells elevated KAI1 expression and decreased the frequency of hepatic metastasis <I>in vivo</I>. Whereas, the decreased invasion and migration activities caused by TAp73 induction were abrogated by knockdown of KAI1. Interestingly, <I>TAp73</I> and <I>KAI1</I> are overexpressed in primary colorectal cancers and a significant correlation between <I>TAp73</I> and <I>KAI1</I> expression was detected, but their expressions were significantly down-regulated in metastatic cancers. Taken together, our results support a novel role for TAp73 in controlling colorectal cancer cell invasion, migration and metastasis by regulating transcription of KAI1.</P> <P><B>Highlights</B></P> <P> <UL> <LI> TAp73 inhibits invasion, migration and metastasis of colorectal cancer cells. </LI> <LI> TAp73 directly binds to the <I>KAI1</I> promoter and induces its expression. </LI> <LI> KAI1 is indispensable for TAp73-mediated inhibition of cell invasion and migration. </LI> <LI> <I>TAp73</I> and <I>KAI1</I> expression levels are positively correlated in human colorectal cancer. </LI> </UL> </P>