http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
무증상 역류성 식도염의 자연 경과 -건강 검진자를 대상으로 한 후향적 연구-
손주익 ( Ju Ik Son ),김재준 ( Jae J. Kim ),박문경 ( Moon Kyung Park ),한성혁 ( Seong Hyeock Han ),김지은 ( Jee Eun Kim ),이재욱 ( Jae Wook Lee ),심상군 ( Sang Goon Shim ),이준행 ( Jun Haeng Lee ),손희정 ( Hee Jung Son ),김영호 ( Y 대한소화기기능성질환·운동학회 2004 Journal of Neurogastroenterology and Motility (JNM Vol.10 No.2
목적: 건강 검진이 늘어나면서 무증상이면서 내시경 검사상 역류성 식도염 소견을 보이는 환자들도 증가하고 있다. 그러나 아직까지 증상을 동반하지 않은 식도염의 자연 경과나 치료방침에 대해서는 체계적인 연구가 없는 실정이다. 이에 저자 등은 건강 검진자를 대상으로 시행한 상부소화관내시경 검사상 우연히 발견된 무증상 역류성 식도염 환자들의 의무 기록을 후향적으로 검토하여 자연 경과 및 경과에 영향을 미치는 인자들을 알아보고자 하였다. 대상 및 방법: 1994 Background/Aims: The natural history of endoscopically proven reflux esophagitis without any gastrointestinal symptom is not clear. The aim of the present study was to evaluate the natural course of asymptomatic reflux esophagitis without any specific tre
고압성 하부식도괄약근의 임상적 특징 및 위식도역류와의 연관성
유민규 ( Min Kyu Yu ),이풍렬 ( Poong Lyul Rhee ),정현욱 ( Kyun Wook Jung ),문원 ( Won Moon ),정규 ( Gyu Jeong ),이준행 ( Jun Haeng Lee ),손희정 ( Hee Jung Son ),김재준 ( Jae J. Kim ),백승운 ( Seung Woon Paik ),이종철 ( Jong Chul 대한소화기기능성질환·운동학회 2005 Journal of Neurogastroenterology and Motility (JNM Vol.11 No.1
목적: 고압성 하부식도괄약근은 주로 흉통이나 연하장애 등의 식도관련증상을 주소로 하는 비교적 드문 일차성 식도운동질환으로, 비정상적인 위식도역류와의 연관성에 대해 알려진 바가 많지 않다. 이에 본 연구에서는 고압성 하부식도괄약근의 임상적 특징 및 위식도역류와의 연관성에 대하여 알아보고자 하였다. 대상 및 방법: 1995년 3월부터 2004년 8월까지 본원 소화기내과를 방문하여 표준 식도내압검사에서 고압성 하부식도괄약근으로 진단된 69명을 대상으로 임상적 Background/Aims: A hypertensive lower esophageal sphincter (HLES) is an uncommon primary esophageal motility disorder that has been associated with chest pain and dysphagia, and the association of HLES and abnormal gastroesophageal reflux (GER) has not be
비미란성 위식도 역류질환의 진단에서 ZAP 분류의 유용성
김동희 ( Dong Hee Kim ),이풍렬 ( Poong Lyul Rhee ),조대현 ( Dae Hyun Cho ),채제욱 ( Jae Wook Chae ),김정환 ( Jeong Hwan Kim ),김지은 ( Jee Eun Kim ),손희정 ( Hee Jung Son ),김재준 ( Jae J. Kim ),백승운 ( Seung Woon Paik ),이종철 ( 대한소화기기능성질환·운동학회 2005 Journal of Neurogastroenterology and Motility (JNM Vol.11 No.2
목적: 위식도 경계부의 장상피화생은 식도선암의 발생과 연관이 있으며 Z선의 형태학적 모양에 따른 ZAP 분류는 위식도 역류질환을 가진 환자의 하부식도 상피의 장상피화생과 상관관계가 있다고 보고된 바 있다. 본 연구에서는 무증상 정상 성인과 위식도 역류증상을 호소하는 비미란성 위식도 역류질환군 및 미란성 위식도 역류질환군에서 ZAP 분류가 이들을 감별하는데 있어서 유용한지를 알아보고 역류증상의 정도와 ZAP 분류간의 상관관계를 알아보고자 하였다. 대상 및 방법: 2003년 10월부터 2004년 6월까지 위식도 역류증상을 주소로 삼성서울병원 소화기내과를 내원한 환자 50명과 역류증상을 보이지 않는 건강한 성인 23명을 대상으로 역류증상의 중증도, 빈도, 이환기간에 관한 설문과 내시경검사를 시행하였다. 위식도 역류질환 환자중 비미란성 위식도 역류질환군은 19명, 미란성 위식도 역류질환군은 31명이었다. 결과: 무증상 정상군, 비미란성 위식도 역류질환군, 미란성 위식도 역류질환군사이에 나이, 성별, 흡연, 음주력, 당뇨, 고혈압에서 각 군간에 유의한 차이는 보이지 않았다. ZAP 분류는 각군에서 통계적으로 유의한 차이를 보였다(p<0.05). 내시경적으로 역류성 식도염이 없는 환자에서 ZAP 분류가 양성인 경우 비미란성 위식도 역류질환(NERD)을 시사할 가능성이 무증상 정상군보다 3.66배 높았다. 위식도 역류증상이 있는 군 50명 중 ZAP 분류와 LA 분류는 다소 높은 양의 상관관계를 보였다(p<0.05). 역류증상의 중증도, 빈도, 이환기간과 ZAP 분류는 모두 유의한 상관관계를 보이지 않았다. 결론: ZAP 분류는 비미란성 위식도 역류질환과 미란성 위식도 역류질환사이에 유의한 차이를 보였으며 LA 분류와도 좋은 상관관계를 보였고 비미란성 위식도 역류질환을 진단하는데 정상인에 대한 우도비율도 높아 역류성 식도질환 진단에 사용할 수 있을 것으로 생각된다. Background/Aims: It has been documented that the Z-line appearance (the ZAP grade) was correlated with the prevalence of intestinal metaplasia. This study was performed to investigate whether there is any correlation between the ZAP grade and the severity of GERD, such as non-erosive reflux disease (NERD) and erosive reflux disease (ERD). Methods: Consecutive 50 patients with typical reflux symptoms (heartburn and acid regurgitation) and 23 asymptomatic healthy controls were enrolled in this study. The GERD group (n=50) was classified into 2 groups: ERD (n=31) and NERD (n=19). The symptom characteristics were collected by conducting face-to-face interviews with using a structured questionnaire. Endoscopy was performed to determine the ZAP grade and the LA classification. Results: There were significant differences in the ZAP grade among the controls, the NERD group, and the ERD group (p<0.05), although there was no significant difference in age, gender, body weight and smoking history among the three groups. Relatively high correlation was revealed between the ZAP grade and the LA classification (Spearman correlation factor: 0.445). The likelihood ratio to endoscopically diagnose NERD by the ZAP in the patient without reflux esophagitis was 3.66. There were no significant differences in the severity, duration and frequency of symptom according to the ZAP grade. Conclusions: The ZAP classification may give a clue to diagnosing NERD in the absence of erosive esophagitis, and it could be applied as a useful diagnostic tool for GERD. (Kor J Neurogastroenterol Motil 2005;11:97-103)
QFD를 활용한 AI 기반 해안감시시스템 개발모델에 대한 개념적 연구
권용수(Yong Soo Kwon),권준홍(Joon Hong Kwon),윤종준(Joung Jun Youn),정재욱(Jae Wook Jung),허정행(Jung Haeng Hur),김재준(Jae Wook Jung) 한국해군과학기술학회 2023 Journal of the KNST Vol.6 No.4
This paper describes an industrial company led conceptual study through a systems engineering approach. COIs were derived through the analysis of existing coastal surveillance system problems and the coastal infiltration cases, and the efficient system development model that can solve them using QFD tools was presented. It was derived critical functions required to perform the mission successfully by applying the QFD tool and identified applicable AI technology elements. It then proposed an AI-based coastal surveillance system that can efficiently detect and identify targets under the day and night and all weathers.
중증 궤양성 대장염에서 치료 성적의 예측인자와 Cyclooxygenase - 2 발현과의 관계
박동일(Dong Il Park),김영호(Young Ho Kim),성인경(In Kyung Sung),이용육(Yong Wook Lee),이준행(Jun Haeng Lee),김지은(Jee Eun Kim),현재근(Jae Geun Hyun),장재권(Jae Kwon Jang),손희정(Hee Jung Son),이풍렬(Poong Lyul Rhee),김재준(Jae J . K 대한소화기학회 2001 대한소화기학회지 Vol.38 No.1
Background/Aims: Percutaneous endoscopic gastrostomy (PEG) has been widely performed for patients who require prolonged tube feeding support. A retrospective study was conducted to evaluate the complications of PEG and determine the predictors of wound infection. Methods: Medical records of 144 cases of PEG that was per- formed between January 1996 and June 2000 were reviewed to examine the types and frequency of complication, difference in wound infection rates according to age, sex, and underlying diseases. We also analyzed the effects of antibiotics prophylaxis on wound infection and the result of culture from wound infection site. Results: In 28 of 144 PEG cases (19.4%), several complications developed after procedure. Wound infection was the most common complication and occurred in 22 of 144 cases (15.3%) and Pseudomonas aeruginosa was the most common pathogenic microorganism. Other complications included bleeding from gastrostomy site, stomal leaks, and gastroesophageal reflux. There was no statistical difference in wound infection rates according to underlying diseases and antibiotics prophylaxis. However, wound infection developed more frequently in diabetes patients (p<0.05). Old age and underlying diabetes were predictors for developing wound infection after PEG in multiple logistic regression analysis. Conclusions: Old age and DM can be predictors of wound infection associated with PEG. (Korean J Gastroenterol 2001;38:23-28)
Helicobacter pylori 양성 소화성 궤양 환자에서 구연산 라니티딘 비스무스 제제 4주일 투여를 기본으로 한 삼제 병합요법의 효능에 관한 전향적 연구
김영호,이용욱,손희정,김재준,김지은,최규완,박동일,백승운,이풍렬,이종철,임윤정,현재근 대한소화기학회 2000 대한소화기학회지 Vol.36 No.4
Background/Aims : We performed this study to assess the safety and efficacy of 1-week or 2-week course of triple therapy based on 4 week administration of ranitidine bismuth citrate (RBC) in eradicating Helicobacter pylori (H. pylori) infection. Methods : Fifty patients with gastric or duodenal ulcer were confirmed of having H. pylori infection. They were prospectively randomized to receive one of the following regimens: RBC 400 mg (4 weeks), amoxicillin 1g (1 week), clarithromycin 500 mg (1 week) twice daily or RBC 400 mg (4 weeks), amoxicillin 1g (2 weeks), clarithromycin 500 mg (2 weeks) twice daily. Histology and CLO test were performed to identify H. pylori positivity before randomization. Four weeks after completing the antibiotic therapy, the 13C-urea breath test (UBT) was performed to detect H. pylori in all cases. Results : Of the 25 patients of 1-week treated group, 19 patients underwent 13C-UBT. The eradication rate on per protocol analysis was 100% (19/19), and the eradication rate on intention-to-treat analysis was 76% (19/25). Out of the 25 patients of 2 week-treated group, 17 patients underwent 13C-UBT. The eradication rates on per protocol analysis and intention-to treat analysis were 100% (17/17) and 68% (17/25). There was no difference in H. pylori eradication rate between the two groups. Conclusions: One-week course of triple therapy based on 4-week administration of RBC was well tolerated and effective in eradicating H. pylori infection.
이미숙,손희정,강태욱,최규완,박동일,백승운,이준행,고광철,이종철,임윤정,이풍렬,김갑철,김재준 대한소화기내시경학회 2001 Clinical Endoscopy Vol.22 No.2
Background/Aims: Colonic ischemia is recognized as the most common vascular disorder of the intestines in the elderly. The severity of the disease may vary considerably with the prevalent benign transient forms, being amenable to conservative treatments and the severe gangrenous forms, requiring surgery. Correct diagnosis is usually made after the ischemic episode is over and colonic ischemia is frequently misdiagnosed. The aim of this study is to identify the clinical patterns and prognostic factors of ischemic colitis. Methods: We found 60 patients with nonoccusive ischemia of the large intestine, We analyzed age, sex, symptoms, signs, associated disease, location, endoscopy, hematologic, histologic, radiologic finding and treatment, retrospectively. Results: The mean age was 60.2±6.3 years. The most common symtoms were abdominal pain or bloody diarrhea. The most common sign was diffuse abdominal tenderness. The most common hematologic findings were anemia and leukocytosis. Associated medical illnesses wer diabetes, rhematoid arthritis and cerebrovascular accident, et al. Both computed tomography (CT) and endoscopy were useful diagnostic tools. The most common involved site was sigmoid colon. 46 patients were treated conservatively and 14 patients were managed surgically. Conclusions: Male gender, those with rebound tenderness, severe anemia, right or total colon involvement as well as rheumatoid arthritis had a poor prognosis. Both CT and endoscopy were useful in predicting prognosis.
이종철,김영호,이미숙,이순진,손희정,강태욱,이준행,박동일,김재준,최규완,백승운,이풍렬,임윤정,장재권 대한소화기내시경학회 2000 Clinical Endoscopy Vol.21 No.6
Background/Aims: Menetrier's disease is a poorly defined condition that is f unknown origin, characterized by giant folds in the stomach. The histoiogic fentures are foveolar hyperplasia and cystic dilatation of the gland. We presented the characteristic findings of Menetirer's disease in Korea with a review of literatures to understand the Menetirer's disease more precisely, Methods: The sixteen cases of Menetrier's disease was reported in Korea. We analyzed their age, sex, symptoms, signs, laboratory findings and treatments, retrospectively, Results: The average age was 46 years. There were 11 men and 4 women. The most common symptom was epigastric pain (94%). The most common sign were epigastric tenderness (69%) and pretibial pitting edema (63%). Patients were often associated with the hypoalbuminemia (73%). All patients showed hypertrophic folds on either gastrofiberscopy or upper gastrointestinal series, All patients showed foveolar hyperplasia histologically. Three patients were operated to control a massive upper gastrointesinal bleeding. Two patients were operated to control the intractable edema. Two patients were operated to exclude gastrie malignancy, Conclusions: Menetrier's disease showed broad clinical features such as epigastric pain, hypoalbuminemia, massive hematemesis and mimicking gastric malignancy. The giant gastric folds and foveolar hyperplasia were the most commom and important findings in the Menetrier's disease.
대장 선종과 Apolipoprotein E 유전형과의 관계
김영호,최윤호,손희정,강태욱,최규완,최봉준,이종철,박상종,이지민,배문희,김재준,이풍렬 대한소화기내시경학회 2001 Clinical Endoscopy Vol.23 No.1
Background/Aims: Apolipoprotein B polymorphism plays an important role in the metabolism of cholesterol. And bile acids, which may be related to the development of colorectal adenomas, An association between apolipoprotein B genotype and colonic adenomas bas been reparted in a western country. This study was designed to determine whether the apolipopratein S was genotype would be associated with proximal or distal colonic adenomas in Koreans. Methods: On the colonoscopy, colonic adenomas were found in 132 patients. Proxima1 colonic adenoma was found in 35 patients and distal colonic adenoma was found in 97 patients. Serum leveis of total cholesterol, LDL-cholesterol, HDL-cholesterol and trlglyceride were measured. Apolipoprotein E genotype was determined by PCR and allele specific oligonucleotide hybridization. 279 contro1 subjects without an adenoma on the screening sigmoidoscopy were se1ecfed randomly. Results: The serum levels of total choles0'rol, LDL-cholesterol, HDL-cholesterol and triglyceride did not significantiy differ between each adenoma group and control group. The individual frequencies of ε2, ε3 and ε4 alleles in patients with colonic adenomas did not differ from those in control subjects. The frequency of either heterozygote or homozygote for g 4 allele in patients with proximal adenoma was lower than that in control subjects (0.029 vs O.I68, p $lt; 0.05). Conclnsions: The data suggest that g 4 allele may be associated with a lower risk for the development of proximal colonic adenoma in Korean men.