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위궤양에 대한 Teprenone ( Selbex ) 의 효과
윤종만(Chong Mann Yoon),범희승(Hee Seung Bom),최성규(Sung Kyu Choi),박일종(Il Chong Park),박해옥(Hae Ok Park),류종선(Jong Sun Rew),양대현(Dae Hyun Rang),조정곤(Jong Kon Cho) 대한소화기학회 1987 대한소화기학회지 Vol.19 No.2
The balance of mucosal defensive factors and aggressive factors is important for ulcerogenesis. Gastrointestinal mucus is a complex glycoprotein which is secreted from variable types of cells in the gastrointestinal tract. Glycoprotein plays an important role as a mucosal defensive factor.We have treated 30 cases of endoscopically diagnosed gastric ulcers with teprenone (Selbex) for the evaluation of the therapeutic efficacy. Every patient was treated with teprenone 50 mg t.i.d. for 8 weeks and underwent endoscopic, clinical and laboratory assessments before and after 8 weeks of the treatment. Aiajor symptoms of gastric ulcer have been improved in 2 out :30 cases (83.4%) after 8 weeks of the medication with teprenone. While, the improvement of gastric ulcer evaluated by endoscopy was observed in 21 out of 30 cases (70.0%). No significant side effects were observed except a mild elevation of SGOT in one patient.
윤종만(Chong Mann Yoon),유종선(Jong Sun Rew),박일종(Il Jong park),서순팔(Soon Pal Suh),유주용(Joo Yong Yoo) 대한소화기학회 1989 대한소화기학회지 Vol.21 No.3
N/A The biological characteristics and the genesis of gastric carcinoma, the most common malignancy in Korean adult male, have not been established so far. Estrogen receptors (ER) have been idnetified in many hormone-dependent cancer such as breast cancer, prostate cancer and ovarian cancer and utilized clinically to provide hormonal therapeutic manipulation. In order to find any hormonal relation in gastric cancer, the presence of ER was examined in 38 patients with primary gastric carcinoma, six with benign stomach lesions and 17 normal gastric tissues, using monoclonal antibody by enzyme immunoassay in cystosol. The results obtained were as follows; 1) ER concetration (Mean+SD) in cytosol from noraml gastric tissue, benign gastric lesion and gastric cancer tissue were 5.6+4.6, 14.617.7 and 20.1+41.7 fmol/mg protein, respectively. Positivities of ER in normal gastric tissue, benign gastric lesion and gastric cancer tissue were 0, 16.7 and 21.1%, respectively. Concentration and positivity of ER were higher in gastric cancer tissue, especially in female gastric cancer tissue, than noraml gastric tissue and benign gastric lesion. 2) Highest value of ER concentration and ER posiitvity according to the macroscopic classification of the gastric carcinoma was observed in Borrmann type II. There was an increasing tendency in ER positivity as the size of the cancer increase. 3) ER concentration and positivity according to the histologic pattern were higher in poorly and well differentiated tubular adenocarcinoma than mucinous adenocarcinomas, signet ring cell carcinoma and moderately differentiated tubular adenocarcinomas. 4) Concentration and postitivity of ER from cancerous tissue of the postmenopausal patients were more higher than that of the premenopausal patients. These results suggested that there was close reation between the presence of ER and the evolution of gastric carcinoma, but not with the degree of histologic malignancy.
위내시경으로 (胃內視鏡) 진단된 각종 위질환 (胃疾患) 에서의 장상피화생의 (腸上皮化生) 유형에 관한 연구
윤종만(Chong Mann Yoon),박광숙(Kwang Sook Park),범희승(Hee Seung Bom),박일종(Il Chong Park),류종선(Jong Sun Rew),양대현(Dae Hyun Yang),조정곤(Jung Kon Cho) 대한소화기학회 1987 대한소화기학회지 Vol.19 No.1
N/A To evaluate the significance of intestinal metaplasia as a guide for precancerous lesions in gastric cancer, we studied the frequency and subtypes of intestinal metaplasia in 189 patients including 64 cases of chronic gastritis, 45 with gastric ulcers and 80 with gastric cancer who underwent gastroscopic biopsies in the department of internal medicine of Chonnam Univerity Hospital. The results were the following: 1) The overall positivity of intestinal metaplasia in 189 patients with various gastric lesions was 57 percents with 47 percents in chronic gastritis, 62 percents in gastric ulcer and 61 percents in gastric cancer. 2) The positivity of intestinal metaplasia in gastric cancer in well differentiated types (69%) was not so higher than in undifferentiated types (48%). But the positivity of intestinal metaplasia in gastric cancer of intestinal type (84%) was higher than in gastric type (21%) with statistical significance (p<0.005). 3) The frequency of intestinal metaplasia showed increasing tendency with aging. 4) According to the Hematoxylin-Eosin, PAS and Alcian-Blue stain, intestinal metaplasia is divided into 3 subtypes. Type II enterocolic metaplasia is not detected in chronic gastritis but in only one case of gastric ulcer. The presence of enterocolic metaplasia is 20 out of 49 patients with gastric cancer, with 44 percents in intestinal type and 0 percent in gastric type. The result of this study suggests that type II. Benterocolic type of intestinal rnetaplasia plays a significant role as a precancerous lesion in intestinal type of gastric cancer.
Percutaneous Balloon Membranotomy로 성공적으로 치료된 하대정맥 (下大靜脈) 막성폐쇄 (膜性閉鎖)
김세종(Sei Jong Kim),윤종만(Chong Mann Yoon),최성규(Sung Kyu Choi),김석빈(Suk Bin Kim),양건호(Kun Ho Yang),박일종(Il Chong Park),박해옥(Hae Ok Park),남광우(Kwang Woo Nam),김재규(Jae Kyn Kim),나병식(Byung Sik Ra) 대한소화기학회 1987 대한소화기학회지 Vol.19 No.1
Idiopathic membranous obstruction of the inferior vena cava (MOVC) is the most common cause of hepatic outflow obstruction world-wide, especially among Orientals, and this lesion at its hepatic portion might be one of the common cause of portal hypertension in Korea, though having not been reported till now. Most of the symptoms and signs of the MOVC are those referable to portal hypertension, collateral circulation being the most prominent feature. Distribution and direction of collaterals of MOVC are, however, different from those observed in other causes of portal hypertension in that the collateral veins channels carry blood up-words to reach the superior vena caval system. So, large truncal collateral vessels, particulary on the back, strongly suggest MOVC. Final cliagnosis of MOVC comes from inferior vena caval catheterization and angiography using two catheters simultaneously inserted through the basilic and femoral vein by demonstrating web-like membranous structure in the IVC. The classical therapeutic approach has been transcardiac membranotomy by means of finger fracture technique, but percutaneous translumina1 angioplasty using balloon catheter has recently been recommended before proceeding to operative treatment because of its simplicity and safety. We have recently been confronted by one case of idiopathic membranous obstruction of the inferior vena cava (MOVC) that was successfully managed by percutaneous balloon membranotomy, which has prompted this report with a review of this relatively rare condition.
김세종(Sei Jong Kim),윤종만(Chong Mann Yoon),박일종(Il Chong Park),김석빈(Suck Bin Kim),범희승(Hee Seoung Bom),김성렬(Seoung Ryul Kim),양건호(Kim Ho Yang) 대한소화기학회 1986 대한소화기학회지 Vol.18 No.1
Benign tumors of the liver are rare, and Henson and associates collected only 34 hemangiomas between 1907 and 1954 at the Mayo Clinic. Most of the cavernous hemangiomas of the liver are small in size, and produce no symptoms during life, but some can reach massive proportions and often present as abdominal masses or causes symptoms by encroachment on adjacent viscera. We have recently been confronted by two case of those large tumors, which has prompted this report with a review of this relatively rare condition. 1) A 32-year-old woman was admitted because of anorexia and indigestion associated with headache, myalgia, mild elevation of fever and weight loss of 5kg in two months. Examination of the abdomen disclosed one finger breadth palpable liver which was slightly tender. A large intrahepatic space-occupying lesion was discovered on radionuclide scan, ultrasonography and computed tomography of the abdomen. Selective hepatic angiography revealed characteristic features of puddling of contrast media along the branches of right and middle hepatic arteries throughout the arterial and venous phase of the angiograms. The resected specimen using Cavitron Ultrasonic Surgical Aspirator was proved to a giant cavernous hemangioma of the liver on microscopic exam. A 32-year-old man came to the hospital because of abdominal pain and a extremely huge mass nearly occupying the whole of his belly. The lesion was found to be a multiloculated highly echogenic mass in the left lobe of the liver on ultrasonography, and a huge hypodense, well-circumscribed homogeneous one with central low density component in the liver on computed tomography of the abdomen. Extensive pooling of contrast media was found throughout the markedly enlarged liver with persistence of tumor stain wliich was measured to be about 25cm in diameter until the late venous phase of the selective hepatic arteriograms. The tumor was considered to be an unresectable one, and we recommended radiation therapy.
각종 간질환에서 혈청 Adenosine Deaminase 활성도
최성규(Sung Kyu Choi),양대현(Dae Hyun Yang),조정곤(Jong Kon Cho),박해옥(Hae Ok Park),박일종(Il Jong Park),범희승(Hee Seung Bom),류종선(Jong Seon Rew),윤종만(Chong Mann Yoon) 대한내과학회 1988 대한내과학회지 Vol.34 No.5
N/A To evaluate the clinical significance of serum ADA activity, serum ADA acitivities and their correlation with other liver function tests were analyzed in various hepatitic diseases, Sera of 30 normal adults, 18 patients with acute viral hepatitis R, 3 fulminant hepatitis, 13 chronic persistent hepatitis, 17 chronic active hepatitis, 47 liver cirrhosis, 15 primary hepatoma and 7 metastatic hepatoma were analyzed with colorimetric method of Guisti for serum ADA activity. The result obtained are as follows 1) In normal adults, the mean value of serum ADA activity is 18.84±4,00 U/L. 2) The mean value of serum ADA activity are 48,94±14.68 U/L in acute B viral hepatitis, 40.14±14.20 U/L in chronic persistent hepatitis, 56.02±3.61 U/L in chronic active hepatitis, 60.31±23.22 U/L in liver cirrhosis, 45. 82±21.09 U/L in primary hepatoma, 26.67±9.01U/L in metastatic hepatoma. There is significant difference between normal and various hepatic diseases. But there is no significant difference among various hepatic diseases. 3) There is no significant correlation between serum ADA activity and liver function test(AST, ALT, ALP) in various hepatic diseases. 4) In acute viral hepatitis B, serum ADA activity is decreased with time lapse. And as liver function test returns to normal, serum ADA activity is also normalized. 5) In one expired cases of fulminant hepatitis, serum ADA activity is decreased before death, while other liver function test (AST, ALT) are not reduced. But, in survived cases serum ADA activity and other liver function tests are not decreased for 3 weeks.
간장 및 담도 : 만성간질환 및 간외담도폐쇄 환자에서 99mTc - DISIDA 간담도스캔을 통한 간세포기능의 평가
최성규 ( Sung Kyu Choi ),범희승 ( Hee Seung Bom ),양건호 ( Kun Ho Yang ),윤종만 ( Chong Mann Yoon ),김석빈 ( Suk Bin Kim ),박일종 ( Il Chong Park ),박해옥 ( Hae Ok Park ) 대한소화기학회 1986 대한소화기학회지 Vol.18 No.1
N/A Scintigraphic studies were performed in 15 normal subjecte, and 33 patients suffering from chronic parenchymal liver disease(liver cirrhosis 7, chronic hepatitis 5, hepatocellular carcinoma 1), and extrahepatic biliary obstruction(CBD stone 8, postoperative CBD stricture 4, pancreatic head ca 4, CBD ca 3, ampullary ca 1) using 99mc-DISIDA. Extraction and excretory functions of hepatocytes were evaluated with respect to liver-to-cardiac blood pool ratio(LCBPR) and washout index(WI). And relationships between these indexs and SGOT, total bilirubin levels were evaluated also. LCBPR was reduced in both patients groups(p< VVI was reduced only in those with extrahepatic biliary obstruction. LCBPR and WI were inversely correlated with total bilirubin levels(r=-0.49,-0 33, respectively).