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장결핵 및 결핵성복막염 - 최근 5년간 ( 1989년 - 1994년 ) 의 임상분석
유선경(Sun Kyung Liu),김진천(Jin Cheon Kim),김해련(Hae Ryeon Kim),김우성(Woo Sung Kim),김석구(Suk Ku Kim) 대한소화기학회 1997 대한소화기학회지 Vol.29 No.4
N/A Background/Aims: We must consider intestinal and peritoneal tuberculosis among differential diagnosis of inflammatory bowel disease regardless of pulmonary tuberculosis, The purpose of this study is to characterize the clinical feature of intestinal and peritoneal tuberculsis at the time of decreasing pulmonary tuberculosis. Methods: From June 1989 to December 1994, 130 cases of intestinal and peritoneal tuberculosis were diagnosed at the Asan Medical Center. Chest X-ray, colon study, colonofiberscopy, peritoneoscopy, and biopsy were used as diagnostic tools. Results: The sex ratio was 1:1.4 in favor of females. The peak incidence was among the fourth decade. Chief complaints were abdominal pain in the half of the cases, followed by abdominal distension, diarrhea, abdominal discomfort, abdominal rnass, and indigestion in descending order. The average symptom duration lasted 4.1 months. Fifty-seven percent of the patients had synchronous pulmonary tuberculosis. The sensitivity of barium enema and colonofiberscopy were 84.3% and 89.8% respectively. The ileocecal area was the most frequent location, and then ascending colon, sigmoid colon, transverse colon, rectum, jejunum, and descending colon in descending order. Thirty-two of the patients(23.9%) had an operation. The ileocecal lesion was prone to need surgical intervention than other lesions(P<0.0001). Surgery of intestinal and peritoneal tuberculosis did not affect comp]ication rate. Conclusions: We must consider intestinal or peritoneal tuberculosis in patients with atypical abdominal symptoms because intestinal and peritoneal tuberculosis is frequently met with the decrement of pulmonary tuberculosis. The colonofiberscopy was the most efficient diagnostic tool. Medical treatment must precede surgery and surgical intervention is used as indicated to treat complications. (Korean J Gastroenterol 1997;29:547-564)
자당분해효소 (蔗糖分解酵素) 측정에 의한 위암에서의 (胃癌) 장형화생의 (腸形化生) 의의
송인성 ( In Sung Song ),오인혁 ( In Hyeog Oh ),이계희 ( Kye Heui Lee ),김해련 ( Hae Ryeon Kim ),정형배 ( Hyeong Bae Jung ),김정룡 ( Chung Young Kim ) 대한소화기학회 1986 대한소화기학회지 Vol.18 No.2
Enzyme histochemistry of the gastric surface epithelium has been found to be valuable in diagnosing atrophic lesions with intestinal metaplasia of gastric mucosa. And interest in intestinal metaplasia of gastric mucosa as the origin of gastric carcinoma has increased considerably. To identify the type of intestinal metaplasia of stomach in gastric cancer by direct measurement of surcrase activity from gastric mucosa, we conducted this study. We obtained following results; 1) Intestinal metaplasia in atrophic gastritis showed two types, small intestinal type (46.1%) and colonic type (53.9%). Which was judged by direct measurement of sucrease activities from gastric mucosa. 2)In remnant stomach small intestinal type of metaplasia was observed in 55.6%, and 16.6% of gastric mucosa in benign gastric ulcer showed small intestinal type of metaplasia. 3)In gastric cancer, 37% of non-tumor bearing mucosa showed samll intestinal type of metaplasia. Our results suggest that degree of differentiation of intestinal metaplasia has no direct relationship with malignant potential in stomach.
김진천,홍원선,민영일,정훈용,하현권,양석균,정성애,유창식,이미화,원선영,김해련,최승목,김해경 대한소화기학회 1998 대한소화기학회지 Vol.30 No.4
Background/Aims: In recent years, the pattern of tuberculosis has been changed, demonstrating that extrapulrnonary tuberculosis appears to be increasing. The aim of this study was to investigate the clinical features to predict the factors related to the development of complications in patients with intestinal tuberculosis. Methods: A total of 95 patients with intestinal tuberculosis treated at the Asan Medical Center from June, 1989 to November, 1995 were included. The clinical characteristics of the patients cured by antituberculous medication alone were compared with those of patients who underwent operation due to complications developed during antituberculous medication. Results: Eighty one patients were treated with antituberculous drugs, among whom 66 patients(81%) were cured by antituberculous drugs alone. The reaining 15 patients(19%) received operations for the complications that developed during antituberculous medication. The median period from the beginning of antituberculous medication to the development of complications was 3 months. There was no significant difference in clinical features between the two groups except the location of the disease. Small bowel was evaluated radiologically in only 30 patients, of whom 15 patients revealed small bowel lesions. Six out of 15 patients(40%) with small bowel lesions had the perforation of bowel, while none of 15 patients(0%) without small bowel lesions experienced it(p$lt;0.05). Conclusions: Intestinal tuberculosis patients having small bowel lesions showed a tendency to develop bowel perforation more frequently than in those without small bowel involvement. However, to draw a definite conclusion whether small bowel involvement is the true risk factor for perforation, a prospective study should be performed.