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김병관 ( Byeong Gwan Kim ),김지원 ( Ji Won Kim ),이국래 ( Kook Lae Lee ),이재경 ( Jae Kyung Lee ),정지봉 ( Ji Bong Jeong ) 대한장연구학회 2012 Intestinal Research Vol.10 No.2
Background/Aims: We investigated the clinical features, and treatment outcomes in patients with non-traumatic small bowel perforations and compared these results to the previous study with patients who were diagnosed between 1997 and 2002. Methods: Patients who diagnosed non-traumatic small bowel perforation between January 2003 and December 2008 were reviewed retrospectively. Results: Of 38 patients of non-traumatic small bowel perforation, the most common etiologies were Crohn’s disease (CD) (36.8%), followed by intestinal tuberculosis (ITB) (28.9%) and primary malignancy (15.8%). In the study of 2002, however, the most common etiologies were idiopathic (39.3%), followed by mechanical obstruction (28.6%) and infectious enteritis (14.3%). Of 38 cases, 8 perforation sites were found in the jejunum and 30 in the ileum. The number of perforations was single in 20, two in 15, and over 2 in 3 cases. Twenty-five patients were treated with resection and anastomosis, nine patients with primary closure, and four patients with both procedures. The site and number of perforations, surgical methods, and post-operative complication rates were similar to those of 2002. The perforation patients with ITB had more frequent night sweats and pulmonary tuberculosis findings than those with CD. Conclusions: Although the clinical features and surgical outcomes in the 2009 study were similar to those of the previous study conducted in 2003, the etiologies of perforations were different; CD and ITB were two most common etiologies. In addition, clinical characteristics such as night sweats or pulmonary tuberculosis were suggestive findings for the diagnosis of ITB. (Intest Res 2012;10:189-195)
유당분해효소 결핍증의 진단을 위한 십이지장 점막의 자당분해효소 대 유당분해효소 활성도 비
김병관(Byeong Gwan Kim),김선미(Sun Mi Kim),김유선(You Sun Kim),문선희(Sun Hi Moon),이국래(Kook Lae Lee),정현채(Hyun Chae Jung),송인성(In Sung Song),김정룡(Chung Yong Kim) 대한소화기학회 1997 대한소화기학회지 Vol.29 No.2
N/A Background/Aims: Jejunal biopsy with direct quantitative analysis of mucosal enzyme activities is the standard diagnostic method of lactase deficiency. But this test is seldom used in the clinical setting, because it is incovenient and cumbersome. On the contrary, sucrase to lactase activities ratio in duodenal mucosa is easy to measure and comp]iant with patients. We performed this study to investigate the value of sucrase to lactase activities ratio in duodenal mucosa as a diagnostic method of lactase deficiency. Methods: The 36 cases(22 men, 14 women) of this study were selected from healtby adults free from gastrointestinal symptom. We performed H breath test and syptom analysis after lactose load. And then, we obtained the duodenal mucosa by endoscopic biopsy and measured enzyme activities of the duodenal mucosa. Results: In 36 subjects, there were 21 subjects(58%) who had the intolerant symptoms and had more than a 20ppni increase in breath hydrogen. Sucrase to lactase activities ratio of the 21 subjects was more than 8. By the definition of sucrase to lactase activities ratio, the prevalence of lactase deficiency was 86 percent. This result was sirnilar to the previous prevalence(84%) defined by jejunal mucosa enzyme assay in Korean adults. Conclusion: Sucrase to lactase activities ratio of duodenal mucosa is a useful diagnostic tool for lactase deficiency. (Korean J Gastroenterol 1997;29:175 -181)
김병관 ( Byeong Gwan Kim ),김유선 ( You Sun Kim ),김주성 ( Joo Sung Kim ),정현채 ( Hun Chae Jung ),송인성 ( In Sung Song ) 대한소화기학회 2002 대한소화기학회 춘계학술대회 Vol.2002 No.-
<목적> ASCA는 크론병에, 그리고 pANCA는 궤양성대장염에 비교적 특이한 자가항체로 알려져 있으나 아직 논란이 있는 실정이다. 본 연구에서는 크론병, 궤양성 대장염, 베체트 장염 그리고 장결핵환자와, 그 가족들을 대상으로 ASCA와 pANCA를 측정하여 진단적 유용성에 대하여 평가하고자 하였다. <방법> 1999년 1월부터 2000년 12월까지 서울대학교병원에서 치료를 받고 있는 크론병 85명, 궤양성 대장염 77명, 베체트 장염 36명, 장결핵
김수환 ( Kim Su Hwan ),강현우 ( Kang Hyeon U ),윤원재 ( Yun Won Jae ),김진현 ( Kim Jin Hyeon ),김지원 ( Kim Ji Won ),황진혁 ( Hwang Jin Hyeog ),정지봉 ( Jeong Ji Bong ),김병관 ( Kim Byeong Gwan ),장동경 ( Jang Dong Gyeong ),김진욱 대한내과학회 2004 대한내과학회지 Vol.66 No.1
Background:The proportion of the aged (>60 years old) population is increasing in South Korea and it is expected to reach 30.8% in 2030. The aim of this study was to analyze the clinical characteristics of peptic ulcer disease in the aged population in So
한국인 염증성 장질환에서 Tumor Necrosis Factor-α와 Interleukin-10 유전자의 다형성에 관한 연구
김태호 ( Kim Tae Ho ),김병관 ( Kim Byeong Gwan ),신형두 ( Sin Hyeong Du ),김지원 ( Kim Ji Won ),김찬규 ( Kim Chan Gyu ),김주성 ( Kim Ju Seong ),정현채 ( Jeong Hyeon Chae ),송인성 ( Song In Seong ) 대한소화기학회 2003 대한소화기학회지 Vol.42 No.5
Although the importance of genetic susceptibility to inflammatory bowel disease (IBD) has been established by epidemiological studies, the genes involved remain poorly understood. The aim of this study was to assess the role of single nucleotide polymorphisms of tumor necrosis factor-α (TNF-α) and interleukin-10 (IL-10) genes in genetic susceptibility of IBD. Methods: Blood samples were obtained from 91 patients with ulcerative colitis (UC), 63 patients with Crohn`s disease (CD), and 200 healthy controls (HC). DNA was extracted from blood leukocytes for IL-10 and TNF-α genotyping by single base extension reaction. Genotypes and allelic frequencies were compared between IBD patients and HC, and among subgroups of the patients. Results: The frequency of -308A allele of TNF-α was significantly lower in CD patients than in HC (p=0.005). The frequency of -238A allele of TNF-α was significantly higher in CD patients with perianal lesion than those without perianal lesion. On the other hand, the frequency of -308A allele of TNF-α was significantly higher in ANCA-positive IBD patients than ANCA-negative IBD patients. There were no significant differences in allelic frequencies in the promoter region of IL-10 between IBD patients and HC. Conclusions: The TNF-α gene polymorphisms at positions -308 and -238 may have influences on the susceptibility to CD or the behavior of CD. (Korean J Gastroenterol 2003;42:377-386)
크론병에서 항문 주위 병변의 임상상과 치료에 대한 반응
김현대 ( Kim Hyeon Dae ),김찬규 ( Kim Chan Gyu ),김지원 ( Kim Ji Won ),김상균 ( Kim Sang Gyun ),김병관 ( Kim Byeong Gwan ),김주성 ( Kim Ju Seong ),정현채 ( Jeong Hyeon Chae ),송인성 ( Song In Seong ) 대한소화기학회 2003 대한소화기학회지 Vol.42 No.2
Background/Aims: The aim of this study was to assess the clinical features and therapeutic responses of perianal lesions in Crohn`s disease. Methods: We retrospectively reviewed medical records of 94 cases with perianal lesions among 231 cases registered as Crohn`s disease in Seoul National University Hospital between January 1975 and June 2001. The cases were investigated after dividing into two different groups. One group included the cases registered between January 1975 and December 1996 and the other group between January 1997 and June 2001. Results: The perianal lesions were observed in 41% of the cases. Perianal lesions were more frequent in colonic Crohn`s disease after 1997, but not before 1996. Fistula was significantly prevalent, followed by abscess, fissure, and stricture. Perianal lesions preceded intestinal symptoms such as abdominal pain and diarrhea in 25% of the cases. The remission rate with non-specific conservative treatment (10%) was lower than that before 1996. The remission rate after specific treatment (77%) was higher than that after surgery (53%). In cases of specific treatment, cumulative relapse rates were 7% in 1 year and 39% in 5 years. Conclusions: Crohn`s disease should be considered in young male patients who have the refractory perianal lesions. Perianal lesions should be managed initially with medical treatment. (Korean J Gastroenterol 2003;42:128-133)
김찬규 ( Chan Gyoo Kim ),김현대 ( Hyeon Dae Kim ),김지원 ( Ji Won Kim ),김병관 ( Byeong Gwan Kim ),김주성 ( Joo Sung Kim ),정현채 ( Hyun Chae Jung ),송인성 ( In Sung Song ) 대한소화기학회 2002 대한소화기학회 춘계학술대회 Vol.2002 No.-
<목적> 크론병은 한국에서 아직 드문 질환이지만 점차 발병빈도가 증가하고 있는 질환이다. 본 연구는 이전의 국내보고에 비해 다수의 환자를 관찰하여 한국에서의 크론병의 임상적 특징을 알아보고자 하였다. <방법> 1975년 1월부터 2000년 12월까지 서울대학교병원에서 관찰한 크론병 213례를 대상으로 의무기록지 열람과 전화대담을 통해 후향적 분석을 시행하였다. <결과> 1)1990년 이전 16년간 26례에 불과하던 크론병은 이후 점차 증가하여 1991년
반월형 사구체신염이 병발된 T 림프구 기원의 원발성 간림프종 1 예
김선미(Seon Mie Kim),이기형(Ki Hyeong Lee),김홍빈(Hong Bin Kim),소영(Young So),김병관(Byeong Gwan Kim),박동영(Dong Young Park),정철원(Chul Won Jung),허대석(Dae Seong Heo),김성권(Suhng Gwon Kim),이효석(Hyo Suk Lee),김노경(Noe Kyeong 대한내과학회 1997 대한내과학회지 Vol.53 No.1
The primary lymphoma of the liver is a rare disease. We report a case of primary hepatic T-cell lymphoma associated with crescentic glomerulonephritis. The case, a 53-year-old male was presented with a 2-year history of hepatic mass and a 1-month history of foamy urine, rapidly progressive azotemia, and oliguria. The kidney biopsy revealed diffuse crescentic glomerulonephritis. The result of immunohistochemical study of liver biopsy specimen was consistent with non-Hodgkin's lymphoma in T-cell lineage. Because renal function was deteriorated rapidly and there were signs of volume overload, hemodialyses were performed. Although the patient received 2 cycles of combination chemotherapy with CHOP(cyclophosphamide, vincristine, prednisolone, and doxorubicin), he did not respond and died of sepsis.
염증성 장질환에서 IL-10과 TNF-α 유전자의 단염기 다형성
김지원 ( Ji Won Kim ),김찬규 ( Chan Gyoo Kim ),김현대 ( Hyeon Dae Kim ),김병관 ( Byeong Gwan Kim ),김태호 ( Tae Ho Kim ),이국래 ( Kook Lae Lee ),이동호 ( Dong Ho Lee ),김주성 ( Joo Sung Kim ),정현채 ( Hyun Chae Jung ),송인성 ( In 대한소화기학회 2002 대한소화기학회 춘계학술대회 Vol.2002 No.-
<목적> 염증성 장질환의 병태생리에 중요한 역할을 하는 IL-10과 TNF-α유전자의 단염기 다형성과 염증성 장질환과의 연관성을 살펴봄으로써 염증성 장질환의 발생에 관여하는 유전적 원인을 규명하고자 하였다. <방법> 궤양성 대장염 환자 76명(남 37, 여 39), 크론병 환자 60명(남 41, 여 19)과 정상 대조군 203명(남 1129, 여 84)을 대상으로 혈액을 채취하였다. IL-10 유전자 촉진자의 일부인 ?082, -819,-592 및 +1