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감염 ; 당뇨병 발생 고위험군에서 체중 변화와 인슐린저항성의 연관성
최경진 ( Kyung Jin Choe ),김원준 ( Won Jun Kim ),신사영 ( Sa Young Shin ),우영민 ( Yeongmin Woo ),이기훈 ( Ki Hun Lee ),김은정 ( Eun Jung Kim ),심명숙 ( Myoung Sook Shim ),김진엽 ( Jin Yeob Kim ) 대한내과학회 2015 대한내과학회지 Vol.89 No.6
Background/Aims: The present study aimed to investigate the associations between a change in body weight from 20 years of age to the present with insulin resistance and several parameters of metabolic syndrome in individuals at an increased risk of diabetes. Methods: From patients with a diagnosis related to an increased risk of diabetes who were examined at our endocrinology clinic from January 2012 to December 2014, the present study recruited 125 individuals between 30 and 64 years of age with hemoglobin A1c levels from 5.7 to 6.4%. The change in body weight of each patient from 20 years of age to the present was retrospectively determined, and the associations of this change with insulin resistance and several parameters of metabolic syndrome were analyzed. Results: The average gain in body weight after 20 years of age was 11.3 kg and there was no significance difference between the male and female patients. The proportion of overweight and obese patients at 20 years of age was 14%, but was 74% at the time of the visits to our endocrinology clinic. A change in body weight was significantly correlated with body mass index, insulin resistance, and waist circumference. Additionally, as the tertile of change in body weight increased, fasting insulin levels, insulin resistance, and the prevalence of abdominal obesity significantly increased. Conclusions: In the present study, an increase in body weight from 20 years of age to the present was correlated with insulin resistance and several parameters of metabolic syndrome in individuals at an increased risk of diabetes. (Korean J Med 2015;89:681-689)
신사영 ( Sa Young Shin ),서현일 ( Hyun Il Seo ),한군희 ( Koon Hee Han ),우영민 ( Yeongmin Woo ),최경진 ( Kyung Jin Choe ),한명식 ( Myeong Sik Han ),엄대운 ( Dae Woon Eom ) 대한내과학회 2016 대한내과학회지 Vol.90 No.4
Anorectal cancer is traditionally treated via abdominoperineal resection and/or chemoradiation. Currently, endoscopic submucosal dissection (ESD) is widely used to treat early gastrointestinal epithelial neoplasias. However, the use of ESD to treat lesions of the anal canal raises concerns that do not arise when treating lesions of the stomach and colorectum. Therefore, particular care is needed when treating lesions in the anal area. We recently treated a 75-year-old woman who was scheduled for surgical resection to treat anorectal cancer. The lesion was successfully removed using ESD. This is the first report of the use of ESD to treat anorectal cancer in Korea. Here, we present our case report and review the relevant literature. (Korean J Med 2016;90:313-317)