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위 거대대상궤양 ( Trench ulcer ) 의 임상적 관찰
민영일(Young Il Min),방익수(Ik Soo Bang),장린(Rin Chang),김정아(Jung Ah Kim),박충기(Choong Gee Park) 대한소화기학회 1985 대한소화기학회지 Vol.17 No.2
N/A Clinical analysis was made of 40 cases of trench ulcer which was diagnosed by gastrofiberscopy at Kyung Hee University Hospital from January 1978 to March 1985. We analysed them in terms of age and sex distribution, clinical symptoms, UGI findings, number and site of ulcer, associated diseases, treatment and follow up. We got the followings as a result; 1) The sex distribution was 4:1(male: female) and we recognized that male patients predominated in number, and the age distribution showed that 90% of patients were over 40's. 2) Most common symptom was epigastric pain, but we observed UGI bleeding in 47.5% of patients. 3) The lesions were read falsely as malignant in 6 cases. 4) The most predicting sites of trench ulcer were the lesser curvature side (65%), and posterior wall (30%), and 62.5% of lesions was single. 5) We found out associated diseases in 57.5% of patients, in frequency of order, pulmonary tuberculosis, diabetcs, hepatobiliary disease, hypertension, COPD 4 asthma, FUO, gouty ar thritis.
한국 정상성인에서 호기수소측정법에 의한 유당불내성 진단
장린,민영일,장영운,방익수,박충기 대한내과학회 1986 대한내과학회지 Vol.30 No.5
The hydrogen breath test was performed in 35 Korean healthy adults by ingestion of 18 g lactose and analysis of end-expiratory air. The results were as follows; 1) Of the 35 subjects, 13 had symptoms and an increase in breath H₂ concentration of ≥20 p,p.m. at some interval during 5 hours collection period after oral 18 g lactose load. (Lactose intolerants) 2) The other 22 subjects did not have an maximal increase of ≥20 p.p.m. although 3 subjects had an increase of 71, 24 and 22 p.p.m. respectively. (Lactose tolerants) 3) The lactose tolerants had no symptoms induced by lactose load. 4) Most of the maximal increase in breath H₂ concentration (in 8 of 13 lactose intolerants) occured after 4th hour of a 5-hours-collection period. In conclusion, 13(37.5%) of Korean healthy adults could be determined as lactose intolerants by the results of subjective response and the breath H₂ test simultaneously. And breath H₂ test is a practically useful method for screening of lactose intolerance.
관장으로 유발된 궤양을 동반한 장염 (Enema-induced colitis) 1예
장린,민영일,신현호,유영길,방익수,박충기 대한소화기내시경학회 1984 Clinical Endoscopy Vol.4 No.1
Enemas are sometimes used in hospital and domicilliary practice and occasionally by patients themselves without a valid indication. The present repart is one in which enernas were done for 3 months by a patient himself to treat his hemorrhoid and resulted in severe inflamimatory change with large-siaed illdefined shallow ulceration in rectum and sigmoid colon. This patient, a 53 year old male, entered the hospital with the complaint of diarrhea with passage of bloody muct.. Colonoscopic examination revealed severe inflammatory change, friable mucosa and several relatively large-sized ill-defined shallow ulceration in rectum and sigmoid colon. A biopsy was performed and microscapic examination revealed intense infiltrates and plasma cells and crypt abscess with decreased goblet cells in the lamiina propria. The submucosa showed edema with infiltrates of chronic inflammatory cells and neutrophils. Conservative treatment with discontinue of enemas and fluid supply was performed. And his symptoms were improved. After second week, follow-up colonoscopy revealed inflammatory changes were improved.
Technetium-99m Diisopropyl Iminodiacetic Acid(Tc-99m DISIDA)를 이용한 십이지장위 역류검사
장린,민영일,장영운,우정택,장주희,방익수,박충기,최학림 대한내과학회 1986 대한내과학회지 Vol.30 No.4
For evaluation of diagnostic value and usefulness of the duodenogastric reflux test using Tc-99 m DISIDA in gastric ulcer disease, the scintigraphy was performed in 10 gastric ulcer patients, in 10 duodenal ulcer patients and 15 normal controls at Kyung Hee University Hospital during the period from Nov, 19$4 to SeP 1985. Results are summerized as follow; 1) Duodenogastric reflux was more commonly observed in patients with gastric ulcer than in duodenal ulcer(p$lt;0.25) and normal controls(p$lt;0.01). 2) Total radioactivity of refluxing Tc-99 m DISIDA in patients with gastric ulcer(6.76±3.42%) was higher than that in duodenal ulcer(2.68±2.39%) and normal controls(1.43±0.97%). In conclusion, duodenogastric reflux test using Tc-99m DISIDA can be a useful method to quantify duodenogastric reflux. And duodenogastric reflux may play 'a role in pathogenesis of gastric ulcer disease,