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만성 간질환 치료의 최신 지견 ; 만성 C형 간염의 치료 동향: 치료대상 및 지침을 중심으로
김윤준 ( Yoon Jun Kim ) 대한내과학회 2009 대한내과학회지 Vol.77 No.3
Hepatitis C virus (HCV) infection remains a serious health problem, and an estimated 170 million people are infected worldwide. Hepatitis C is the principal cause of death from liver disease and is the one of the main indications for liver transplantation. The primary goal in the treatment of HCV infection is to reduce mortality by preventing liver-related deaths associated with the development of hepatocellular carcinoma and decompensated cirrhosis. PEGylated interferons, together with ribavirin, are currently the standard of care for patients with chronic hepatitis C. This review discusses the current indications and standard treatment of hepatitis C virus infection. (Korean J Med 77:275-281, 2009)
김윤준(Yoon Jun Kim),김병관(Byeong Gwan Kim),박동영(Dong Young Park),이한주(Han Chu Lee),윤용범(Yong Bum Yoon),송인성(In Sung Song),김정룡(Chung Yong Kim) 대한소화기학회 1997 대한소화기학회지 Vol.29 No.4
N/A Background/Aims: Gallstone disease has been presumed to be a sequellae of gastrectomy. Although high incidences have been reported, it has not been conclusively shown that gastrectomized patients have a higher rate of gallstone formation and there has been no well organized studies about the prevalence and the complications of cholelithiasis after gastrectomy. The aim of this study was to evaluate the incidence of cholelithiasis after gastric resection, the cornplications of cholelithiasis, and high risk group for gallstone formation. Methods: The inclusion criteria were follow-up of more than 3 years, no cholelithiasis preoperatively by ultrasonography, and ultrasonographic postoperative control once a year at least and a total of 302 patients who had undergone gastrectomy at Seoul National University Hospital(S.N.U.H.) for gastric cancer between January 1, 1990 and December 31, 1991 were studied. The expected frequency of cholelithiasis was calculated, by sex and age, using prevalence data of an ultrasonographic result for gallstones of 366 visitors of S.N.U.H. Center for Health Promotion. Results: The 3-year cumulative incidence after gastrectomy was 10.8% in tnen and 10.1% in women. The 3-year postoperative point prevalence was 12.6% in men and 16.7% in women. Before surgery, the difference between the expected frequency and the observed frequency was not statistically significant(p>0.05) either in men or wotnen. After surgery, the observed frequency of gallstones was significantly higher than the expected frequency both in men(p=0.015) and women(p=0.02). The risk of cholelithiasis was significantly higher(p=0.019) in obese(body mass index>=25) patients, and the risk was independent of age, sex, and operation methods. Conclusions: The 3-year postoperative point preva1ence of cholelithiasis was significantly higher than the expected frequency both in men and women. The risk of cholelithiasis was significantly higher in obese patients, and none of age, sex, and operation rnethods were risk factors. From these results, we suggest that prophylactic cholecystectomy should be considered at the time of gastrectomy and further study should be performed. (Korean J Gastroenterol 1997;29:506-514)