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각종 간질환에서 C형 간염바이러스 항체 양성율에 관한 연구
심상군 ( Sim Sang Gun ),이재구 ( Lee Jae Gu ),신원호 ( Sin Won Ho ),최진현 ( Choe Jin Hyeon ),이삼철 ( Lee Sam Cheol ),김영채 ( Kim Yeong Chae ),최진학 ( Choe Jin Hag ),하우송 ( Ha U Song ),김선영 ( Kim Seon Yeong ) 대한내과학회 1992 대한내과학회지 Vol.42 No.4
The prevalence of antibody against hepatitis C virus (anti-HCV) was investigated in 218 patients with various liver diseases from May 1989 to July 1990. The presence of anti-HCV was detected by Ortho HCV antibody ELISA test. The results were summarized as follows: 1) Overall, antibody to HCV (anti-HCV) was detected in twenty-eight (12.8%) of 218 patients with various liver diseases. 2) Of twenty-eight anti-HCV-positive cases, eleven (13.3%) of 83 patients with chronic hepatitis. eight (32%) of 25 patents with liver cirrhosis, eight (18.6%) of 13 patients with hepatocellular carcinoma. and one (7.1%) of 14 patients with acute hepatitis were positive for anti-HCV. But, none of all 53 HBsAg carriers were anti-HCV positive. 3) In 5 patients with presumed acute NANB hepatitis, who had no IgM anti-HAV, IgM anti-HBc, anti-HDV, & HBsAg, none of them had detectable anti-HCV. Six (15.0%) of 40 patients with chronic NANH hepatitis were positive for anti-HCV. 4) Eleven (16.2%) of 68 HBsAg-negative patients had anti-HCV: six (15.0%) of 40 patients with chronic hepatitis, three (33.3%) of 9 patients with liver cirrhosis, & two (14.3%) of 14 patients with hepatocellular carcinoma. 5) The prevalence of HBsAg positivity in patients who had anti-HCV was 45.5%(5/11) in patients with chronic hepatitis. 62.5%(5/8) in patients with liver cirrhosis, 75%(6/8) in patients with primary hepatocellular carcinoma, & 100%(1/1) in patient with acute hepatitis. 6) Only five (17.9%) of 28 anti-HCV positive-patients had a history of blood transfusion. Our data show that the prevalence of anti-HCV is low in patients with NANB hepatitis and HBsAg-negative chronic liver diseases in contrast to other reports. And among patients with anti-HCV-positive chronic liver disease, most of them had no discernable history of parenteral exposure.
췌장암과 염증성 췌장질환의 감별진단에 있어서 혈청 CA 19 - 9 의 진단적 가치
정기문(Ki Mun Jung),장세호(Se Ho Chang),심상군(Sang Gun Sim),우성경(Sung Kyung Woo),이재구(Jae Gu Lee),조중현(Joong Hyeon Cho),김영채(Young Chai Kim),최진학(Jin Hak Choi) 대한내과학회 1990 대한내과학회지 Vol.39 No.3
N/A To evaluate the diagnostic value of CA 19-9 in pancreatic cancer, serum levels of 19 subjects with pancreatic cancer and 15 subjects with inflammatory pancreatic diseases were measured by sandwiched radioim-munometric assay. We also studied the influence of serum alkaline phos-phatase and serum bilirubin to CA 19-9 levels in the same subjects. The results were as follows; 1) With a recommended reference cut off value of 37 U/ml, serum CA 19-9 differentiate pancreatic cancer from inflammatory pancreatic diseases with 84%. sensitivity, 67% specificity, and 67% negative predictive value. With a higher cut off value of 100 U/ml, the diagnostic specificity was increased up to 89%, 2) A significant linear correlation was observed between serum bilirubin and serum CA 19-9 (r=0.3764, p<0.05), between serum alkaline phrosphatase, and serum CA 19-9 (r=0.6531, p<0.0001). We concluded that the measurement of serum CA 19 -9 was a simple and useful method in differential diagnosis of pancreatic cancer, and by increasing the cut-off value up to 100 U/ml, its diagnostic specificity was markedly increased. Our study also revealed that there was a significant correlation bewteen serum CA 19-9 and serum bilirubin and serum alkaline phosphatase.
최진학(Jin Hak Choi),조중현(Joong Hyeon Cho),김영채(Young Chai Kim),정기문(Ki Mun Jung),심상군(Sang Gun Sim),우성경(Sung Kyeong Woo),도문홍(Moon Hong Doh) 대한소화기학회 1990 대한소화기학회지 Vol.22 No.2
Salmonella infection have long been known to lead to diffuse organ involvement, including such organs as thyroid, bone, heart, pericardium but has rarely been reported acute pancreatitis as a complication. Earlier reports of confirmed or probable acute pancreatitis associated with typhoid fever were published in the Korean literature. We describe a patient with typhoid fever who developed acute pancreatitis proved by laboratory and radiologic findings. His blood and stool grew Salmonella typhi. At the end of 2 weeks, body temperature and amylase level in the blood came down. In this point of views, acute pancreatitis with prolonged fever despite of treatment may be related to typhoid fever. Thus, proper diagnosis and effective treatment produced patients good outcome.
김흥업 ( Kim Heung Eob ),김영호 ( Kim Yeong Ho ),최원혁 ( Choe Won Hyeog ),김정환 ( Kim Jeong Hwan ),육청미 ( Yug Cheong Mi ),이재욱 ( Lee Jae Ug ),심상군 ( Sim Sang Gun ),손희정 ( Son Hui Jeong ),이풍렬 ( Lee Pung Lyeol ),김재준 대한소화기학회 2003 대한소화기학회지 Vol.42 No.5
In western countries, symptomatic diverticulitis develops in about 20% of the population with colonic diverticula, and it is mainly located at the left-sided colon. The clinical characteristics of diverticulitis have rarely been investigated although its incidence is increasing in Asia including Korea. The aim of this study was to compare diverticulitis with asymptomatic diverticulosis and to compare the clinical characteristics of right-sided diverticulitis with those of left-sided diverticulitis. Methods: We retrospectively investigated the medical records of the patients who had symptoms and signs of diverticulitis. Their diagnosis was confirmed with computed tomography, barium study, colonoscopy and/or operations at Samsung Medical Center from September 1998 to February 2002. The control cases of asymptomatic and incidental diverticulosis were randomly selected during routine health check-up after matching age and sex. Results: Twenty-seven patients with diverticulitis (male:female=14:13) were included. The mean age was 53 (27~86). The ratio of right and left diverticulitis was 20:7, which was similar to the ratio of diverticulosis. The complications, especially perforation, were more frequent in the patients with left-sided diverticulitis (p<0.05). Conclusions: Colonic diverticulitis is more prevalent at the right colon and left colonic diverticulitis has more complications than right colonic diverticulitis in Korea. (Korean J Gastroenterol 2003;42:363-368)
상부위장관내시경검사 중 관상동맥 혈관경축으로 심정지를 일으킨 후 회복되었던
조대현 ( Jo Dae Hyeon ),박정호 ( Park Jeong Ho ),권정훈 ( Kwon Jeong Hun ),김현서 ( Kim Hyeon Seo ),김재희 ( Kim Jae Hui ),오주현 ( O Ju Hyeon ),심상군 ( Sim Sang Gun ) 대한내과학회 2003 대한내과학회지 증례 특집호 65-5 부록3 Vol.0 No.-
The incidence of serious cardiac complications associated with esophagogastro-duodenoscopic examination is very rare. An episode of cardiac arrest developed in 49-year-old during endoscopic examination. The patient had no history of pulmonary or ischemic
이석호,이상구,류광현,고광철,이규택,김재준,최규완,이남용,백승운,이종균,이준혁,이종철,심상군,이풍렬,조승렬 대한소화기학회 1999 대한소화기학회지 Vol.34 No.4
Intestinal capillariasis is caused by Capillaria philippinensis. Among them, only 4 species have been found in humans: Capillaria hepatica, C. aerophila (Eucoleus aerophilus), C. plica and C. philippinensis. Reports of human infections with C. hepatica, C. aerophila and C. plica are rare, but reports of C. philippinensis infections are increasing and spreading geographically. Human infestation by C. philippinensis is a rare parasitic disease. We experienced a case of intestinal capillariasis which was misdiagnosed for intestinal tuberculosis or Crohn's disease at first but correctly diagnosed later by detection of numerous eggs of C. philippinensis on the stool examination. The eggs were found in stool only after ingestion of prednisolone for treatment of misdiagnosed Crohn's disease. The 42 year-old patient had a journey to Saipan island in Pacific ocean 6 months ago and ate sliced raw eels. Abdominal pain, watery diarrhea were subsided after therapy of albendazole.