정상성인 및 신장질환례에 있어서의 혈청 Protein , Glycoprotein 및 Lipoprotein 분획상과 면역전기영동상의 비교

김정용 ( Chung Yong Kim ),최동엽 ( Dong Yup Choi ),김재하 ( Jae Ha Kim ),김노경 ( Noe Kyeong Kim ),김관엽 ( Kwan Yop Kim ) 대한내과학회 1968 대한내과학회지 Vol.11 No.11

The authors investigated the changes of electrophoretic patterns of serum protein, glycoprotein and lipoprotein in the patients with glomerulolnephritis and nephrotic syndrome by the method of agar-gel microelectrophoresis, These `patterns were compared to

유방 결핵을 병발한 결핵성 복막염

이진호(Jin Ho Lee),김관엽(Kwan Yup Kim),신원창(Won Chang Shin),이희승(Hee Sung Lee),전수영(Su Young Jeon),조혜제(Hae Je Cho),고일향(Il Hwyang Koh) 대한소화기학회 1993 대한소화기학회지 Vol.25 No.2

Tuberculosis rarely involve the mammry gland. This gland appears to have peculiar resistance to tuberculous infection. Active tuberculosis is present in other sites of the body, in 25-84% of patients with tuberculosis. of the breast. We report a case of tuberculous peritonitis accompanied with mammary tuberculosis in a 33-year-old woman.

저혈당증과 고콜레스테롤혈증을 동반한 간세포암

이진호(Jin Ho Lee),김관엽(Kwan Yup Kim),김용균(Yong Kyun Kim),황성보(Sung Be Whang),최원충(Won Choong Choi) 대한소화기학회 1991 대한소화기학회지 Vol.23 No.4

The hepatocelluar carcinama is the most common cancer in the liver with various paraneoplastic syndromes. The hypoglycemia or hypercgolesterolemia are found in a third of hepatocellular car-choose patients independently. The combined cases of the hypoglycemis, and hypercholesterolemia were rare in the hepatocellular carcinama. So we report one cases of 66 years old male of hepatocellular carcinoma. with hypoglycemis and hypercholesterolemia presenting unconciousness initialy.

활성탄 및 광촉매 복합시스템을 이용한 도장공정 배기가스 내 VOC의 처리

이찬(Chan Lee),차상원(Sang Won Cha),이태규(Tae Kyu Lee),김관엽(Kwan Yup Kim) 한국에너지학회 2004 한국에너지공학회 학술발표회 Vol.2004 No.-

간장 ( 肝臟 ) , 담도 ( 膽道 ) 및 췌장 ( 膵臟 ) : 비만도와 체지방의 분포에 따른 간기능 장애

이진호(Jin Ho Lee),손영돈(Young Don Son),김관엽(Kwan Yup Kim) 대한소화기학회 1991 대한소화기학회지 Vol.23 No.3

N/A There were more frequent detection of asymptomatic hepatic dysfunction because of easy check up of biochemical liver function tests. The most common cause of the biochemical abnormality was the fatty liver except chronic B heaptitis in Korea. So, 150 cases of clinically diagnosed fatty liver were analyzed according to total body fat mass and fat distribution as the diagnostic paramete#r for the fatty liver. These hepatic dysfunction group irrespective serum lipid profiles (Group III) were compared with 111 cases of normal control group (Group I) and 65 cases of hyperlipidemia group without hepatic dysfunctian (Group II). 1) Total body fat mass was measured with body mass index (BMI). The BMI of male younger than 40 years old were 18.9 +- 1.3 (mean+S.E) in group I, 16.9 +- 2.9 in group II, and 24.9 +- 0.5 in group III with significant difference (p<0,001). In female younger than 40 years old, the BMI we#re different significantly as 16,9 +- 1,5, 21.7 +- 1,4, and 26.3 +- 1,0 m each group respectively (p<0,001). In male older than 40 year of age, the BMI were different significantly as 16.3 +- 2.4, 24.6 +- 0.7, and 23.0 +- 1.2 in each group respectively (p<0.001), but not different between group II and group III. In female older than 40year of age, the BMI were not different as 23.9 +- 1.8, 21.5+1.8, 22.6 +- 2.0 in each group respectively (p>0.05). 2) Body fat distribution was measured with waist to hip ratio (WHR). The WHR in male younger than 40 years old were 0.822 +- 0.008 in group I, 0,837 +- 0,016 in group II, and 0.901 +- 0.006 in group III with significant difference (p<0.001). In female younger than 40 years old, the WHR were different significantly as 0.771 +- 0.009, 0.776 +- 0,026, and 0.846 +- 0.027 in each group respectively (p< 0.01). In male older than 40 year of age, the WHR were not different as 0,816 +- 0.013, 0.853 +- 0,057, 0.871 +- 0.011 in each group respectively(p>0.05). 3) Serum cholesterol level were significantly higher in group II and III of both sex younger than 40 year of age without difference between both group (p <0,001). In both sex older than 40 years of age, the serum cholesterol were highest in group II, next in group III (p<0,001). The serum triglyceride level were different between three groups of male subjects (p<0,01). Group II and III of the female patients were higher than group i (p<0.01) without difference between both group (p > 0. 05). The low density lipoprotein (LDL) cholesterol were lowest in the male group III (p < 0.001) but not different in three groups of female subjects(p>0.05). 4) The sensitivity of BMI 25 was 57.5% the specificity 76.9% and the accuracy 68.3% The WHR 0.9 in male, 0.8 in female showed the sensitivity 67.7%, the specificity 67.7% and accuracy 67.1%, The diagnostic values of WHR in normal BMI were 63.3%, 80, 0% and 75.0 % respectively but in increased BMI 68.3% 26.7% and 54.4, respectively. In conclusion, the WHR was a valuable diagnostic index for hepatic dysfunction due to overweight complementing the diagnostic efficacy of BMI and serum triglyceride level.

이중유문

양은수(Eun Soo Yang),박태준(Tae Joon Park),박태군(Tae Gun Park),류종철(Jong Cheol Ryu),신원창(Won Chang Shin),최원충(Won Choong Choi),이진호(Jin Ho Lee),김관엽(Kwan Yup Kim) 대한소화기학회 1994 대한소화기학회지 Vol.26 No.2

The double pylorus is a fistulous communication between the gastric antrum and duodenal bulb. Although its incidence is rare, reports concerning double pylorus are increasing with the recent development of upper gastrontestinal endoscopy. In most instances, it is believed to be a complication of peptic ulcer disease. We recently experienced a case of double pylous in 63- year old male presenting as epigastric pain and melena. Endoscopy revealed an ulcer on the lesser curvature side of gastric antrum and the opening of gastroduodenal fistula within the antral ulcer. We showed the fistula connecting antral ulcer with the duodenal bulb by passing the cathter through it. W e reported this case as a double pylorus accompanied by gastric an- tral ulcer with review of the literature. (Korean J Gastroentero11994; 26: 343 347)

간성 방선균증 1예

이진호,임창영,조혜제,차순주,김관엽,류종철,양은수 대한소화기학회 1992 대한소화기학회지 Vol.24 No.2

Actinomycosis is chronic suppurative and granulomatous disease caused by Actinomyces specises and characterized by sulfur granule formation which frequently discharged via draining sinus. Primary hepatic actinomycosis, which was not found possible source or associated disease, is a rare form of actinomycosis and has not yet been reported in Korea. We report a case of primary hepatic actinomycosis presenting right upper quadrant abdominal pain with high fever as a chief complaint in a 32-year-old man. Primary hepatic actinomycosis was demonstrated with ultrasonography, computed tomography, and peritoneoscopy and was confirmed by identification of sulfur granule, which was obtained by ultrasonography-guided percutaneous needle aspiration and biopsy.

脚 Block에 對한 臨床的 觀察

신이철,김병천,서성모,김관엽,최진학 한일병원 1972 한일병원 임상잡지 Vol.3 No.1

식도정맥류 치료의 경화요법과 내시경적 결찰요법의 비교

문귀애,조홍집,신원창,최원충,이진호,김관엽 인제대학교 1998 仁濟醫學 Vol.19 No.1

내시경적 경화요법(Endoscopic Injection Sclerotherapy: 이하 EIS라 함) 및 내시경적 결찰요법(Endoscopic Variceal Ligation: 이하 EVL라 함)은 응급 지혈과 재출혈 예방에 효과적인 방법으로. 심각한 합병증이 없이 시행할 수 있다. 본 연구는 내시경적으로 확인된 식도정맥류 출혈에 대하여 EIS 및 EVL을 시행한 후, 추적 관찰이 가능하였던 44예에서 그 각각에 대해 응급 지혈 효과, 정맥류 근절율, 재발율, 재출혈의 빈도 및 생존율을 조사하여 각 방법의 치료 효과를 비교하였고, 합병증의 종류 및 빈도를 조사하여 각 방법의 안정성을 비교하였다. 시술 당시의 활동성 출혈에 대한 응급 지혈율은 EIS 군이 83.5%, EVL 군이 85.7%로, EVL 군이 EIS 군보다 높았으나, 두 방법간에 차이가 없었다. 정맥류의 근절율은 EIS 군은 62.5%, EVL 군은 67.8%로 다른 보고와 유사하였다. 식도정맥류의 재발율은 EIS군은 37.5%, EVL 군은 32.1%에서 재발하였으나, 두 군간에 유의한 차이는 없었다. 재출혈율은 EIS 군은 25.0%, EVL 군은 17.8%로, 두 군간에 통계적인 차이는 관찰되지 않았다. 추적 기간 중 사망한 환자는 EIS 군에서 2명(11%)과 EVL 군에서 2명(7%)이 식도정맥류의 재출혈로 사망하였다. 즉 EIS와 EVL은 식도정맥류 출혈 환자에 있어서, 단기적 및 장기적 치료 효과가 우수한 방법으로 사료된다. 한편, 내시경적 치료의 합병증으로는, EVL 군에서 식도 궤양이 7%에서 발생하여 EIS 군의 31.2%보다 훨씬 드물게 발생하였으나, overtube의 사용으로 인한 식도 천공이 1례 발생하여 치명적일 수 있다. 즉 EIS와 EVL은 식도정맥류 출혈을 치료하는데 효과적이며, 비교적 안전한 방법으로 사료된다. 그러나, 각각의 장단점을 고려하여 치료 초기에는 EVL을 시행하고, 후기에는 EIS를 시행하는 것이 합당할 것으로 사료된다. The endoscopic injection sclerotherapy(EIS) and endoscopic variceal ligation(EVL) have been widely used in the treatment and eradication of acute bleeding esophageal varix, and in prevention of rebleeding without severe complications. To compare the effectiveness of EIS with that of EVL in patients with bleeding of esophageal varix, we evaluated the bleeding control rate, the eradication rate of varix, the recurrance rate of varix, the rebleeding rate in 44 patients with liver cirrhosis and the bleeding of esophageal varices. Also, we evaluated the complication of each method to compare the safety of the procedure between them. Active bleeding was controlled with EVL(85.7%) as efficiently as with EIS(83.5%). Esophageal varices were eradicated or improved by more grade I in 62.5% of 16 patients managed with EIS and in 67.3% of 28 patients managed with EVL, and these results were as efficient as other studies. Recurrence rates of varices were founded as 37.5% in EIS and 32.1% in EVL, and there was no difference in recurrence rate between each method. Rebleeding rate were 25.0% in EIS, and 17.8% in EVL respectively. The uncontrolled bleeding of varix resulted in death in 2 patients(11%) in EIS. and in 2 patients(7%) in EVL. Then, EIS and RVL might be efficient modality to manage bleeding esophageal varices Also, the safely of endoscopic treatment was assesed by the frequency of complication. The esophageal ulcerations were founded in 7% of EVL, and in 31.2% of EIS. But, In 1 case of EVL, there was esophageal perforation by the insertion of overture, which may be life-threathening. EIS and EVL might be efficient and relatively safe method to manage esophageal varices. But it might be recommended that EVL be employed in early period and followed by EIS to obtain the complete eradication.