http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
Helicobacter pylori 감염진단을 위한 13C - 효소호기검사의 유용성 평가 : 다기관 공개 비비교 임상시험
조주영(Joo Young Cho),심찬섭(Chan Sub Shim),진윤태(Yoon tae Jeen),전훈재(Hoon Jai Chun),이구(Goo Lee),이성준(Sung Joon Lee),김광희(kwang Hee Kim),현진해(Jin Hai Hyun),최종영(Jong Young Choi),양영상(Young Sang Yang),박두호(Doo Ho Par 대한내과학회 1999 대한내과학회지 Vol.56 No.6
Objective : Helicobacter pylori(H. pylori) infection plays an importanat role in the pathophysiology of gastrointestinal diseases, and its diagnosis is crucial in clinical practice. Currently many diagnostic methods are introduced for its simple, and accurate diagnosis. 13C urea breath test(13C-UBT) is a convenient, non-invasive and reliable test for the diagnosis of H. pylori infection. To assess the clinical value of the 13C-UBT, we examined the sensitivity, specificity of 13C-UBT with regard to other tests. Methods : A prospective multicenter study was done in 107 subjects(mean age 36 years, 55 males, 52 females) presenting for endoscopy from three university hospitals. We tested for H. pylori infection by 13C-UBT, serum IgG antibody level, and multiple biopsies for rapid urease testing and histology. Either a positive histology result or a combined positive CLO test and IgG ELISA in the presence of a negative histology results, was interpreted as a positive finding for H. pylori infection. 13C-UBT was performed after 4hrs fast. Breath samples were collected at 0 and 30 minutes after giving 75mg 13C-urea. Results: Results were analysed by isotope ratio mass spectrometry and expressed as units of delta( 13C, 13CO2 /12CO2) and considered as positive for H. pylori if delta value was greater than 4.0. Sensitivity and specificity of 13C-UBT were 94.5%, and 100% respectively. No significant adverse events were noted. Conclusions : The 13C-UBT offers an easy, safe and accurate approach to the diagnosis of H. pylori infection in routine clinical practice
Isosorbide Dinitrate(Isoket)의 구강 내 분무가 내시경적 유두부풍선확장술에 의한 총담관결석제거술에 미치는 영향
이문성,조영덕,김연수,문종호,심찬섭 대한소화기학회 2000 대한소화기학회지 Vol.36 No.5
Background/Aims: Recently, endoscopic removal of common bile duct (CBD) stones by medical dilatation of sphincter of Oddi with nitric oxide donor (NOD) spray and drip infusion of NOD has been reported. The aim of this study was to evaluate the role of oral spray of isosorbide dinitrate in the removal of CBD stones by endoscopic papillary balloon dilatation (EPBD). Methods: Forty-one patients with CBD stones confirmed by endoscopic retrograde cholangiopancreatography were included in the study. The patients were divided into 2 groups [group I: oral spray of isosorbide dinitrate+EPBD (n=20), group II: EPBD only (n=21)] The size of stones in both groups ranged from 9 to 15 mm. A mean of 3.5 (range 2.5 to 3.75) mg of isosorbide dinitrate were sprayed into mouth of patients of the group I. Results: In the group I, complete clearance of CBD stones was achieved without major procedure-related complications. Rates of complete removal of CBD stones in one endoscopic session were 95% (19/20) in the group I and 90.4% (19/21) in the group II. Duration of time required for complete stone removal in the group I and the group II was 31 (10-48) and 35 (13-55) minutes, respectively (p=0.06). Complications occurred in 2 patients (10%) of the group I and in 3 patients (14.3%) of the group II. In the group I, there was no significant change in serum amylase level before and after therapy (p$gt;0.05). In the group II, however, there was a significant increase in serum amylase level before and after therapy (p$lt;0.01). Conclusions: For the removal of CBD stones, EPBD alone is as effective as EPBD combined with oral spray of isosorbide.