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한국인에서의 만성적 궤양을 동반하는 대장염에 대한 임상적 고찰
이풍렬,윤한두,김나영,정숙향,유권,정현채,이효석,윤용범,송인성,최규완,김정룡,최상운 대한내과학회 1990 대한내과학회지 Vol.38 No.3
The purpose of this study is to compare the differences of the symptoms, signs and laboratory findings among colitis with chronic ulceration, such as ulcerative colitis, Behcet's colitis, tuberculous colitis and Crohn's disease in Korea. Were studied in Seoul National University Hospital from August 1982 to Oocober 1988. Forty-two cases of ulcerative colitis, 23 cases of Behcet's colitis, 53 cases of tuberoulous colitis and four cases of Crohn's disease were analyzed in terms of age, sex, symptomatology, laboratory findings and consequence of treatment. 1) The sex ratio of ulcerative colitis, Behcet's, colitis tuberculous colitis and Crohn's disease was 1 : 1.63, 4.74 : 1, 1 : 1. 30, and 3 : 1, respectively, and the mean age was 36.1, 34.3, 33.4, 22.5 years, respectively. 2) The duration of symptoms in tuberculous colitis was significantly shorter than in other diseases. 3) The items of symptoms and signs showed that significant differences were rectal bleeding, diarrhea, weight loss, tenesmus, oral ulcer, skin lesion and genital ulcer. 4) The items of laboratory findings revealed that significant differences were anemia, increased ESR, hypoalbuminemia and the evidenoe of tuberculous lesion on chest X-ray. 5) In view of the anatomical distribution of the lesions, the rectums of all the cases were involved in ulcerative colitis. In most cases of Behcet's colitis and tubercuious colitis, the right colon, including the cecum and the ileum, was involved. In Crohn's disease, the ileum and the jejumum were frequently involved. 6) From a discriminant analysis, we could find several items that differentiated the four diseases. There were rectal bleeding, diarrhea, oral ulcer, hypoalbuminemia and evidence of tuberculosis on chest X ray.
송인성,최규완,김정룡,임판식,임경욱,윤한두 대한소화기내시경학회 1987 Clinical Endoscopy Vol.7 No.1
The purpose of this study is to review the clinical and pathological features of pseudomembranous colitis in Korea. Ten cases of psedomembranous colitis, which were diagnosed by sigmoidoscopy and biopsy at the Seoul National University Hospital from May 1982 to occtober 1985, were analyzed in terms of the age and sex distribution, underlying diseases, presumptive causative antimicrobials, symptomatology, involved site and tratment. 1) The disease was more prevalent above sixth decade with a slight preponderance on the female. 2) The underlying diseases of the patients were the uterine cervix cancer in 3 cases and one case each of the nasal polyp, cataract, degenerative arthritis, tuberculous gradmuloma, SLE with menngitis, CVA and gingival abscess. 3) As for the presumptive causative drugs, cephalosporin were assaciated in 6 cases, aminoglycoside m 7 cases, penlcillin in 3 cases, Bactrim in 3 cases, antituberculosis drugs in 1 case and anticancer drugs in 1 case. 4) As for the anatotmical distribution of the lesion, the rectum was involved in 5 cases, the rectum and sigmoid colon in 4 cases and up to the descending colon in 1 case. 5) All the cases were cured by medical treatment. In 5 cases, discontinuation of the antimicrobial drugs and supportive care only were effective and in other 5 cases, vancamycin and/or metronidazole together vrith cholestyramine were added to the regimen.
만성 간질환 환자에서의 , 소화성 궤양에 대한 Misoprostol ( Cytotec ) 의 치료 효과
이효석(Hyo Suk Lee),유권(Kwon Yoo),윤한두(Handoo Youn) 대한소화기학회 1989 대한소화기학회지 Vol.21 No.4
N/A The present study was designed to evaluate the efficacy of misoprostol (Cytotec) for the healing of gastroduodenal ulcer by double blind clinical trial. Twenty four patients with endoscopically- proven gastric or duodenal ulcer complicating chronic liver disease were randomized to receive misoprostol 200 ug or placebo 4 times a day for 4 weeks. Endoscopic, clinical and laboratory assessments were made before, during and after 4 weeks' treatment. The results were summerized as followitng; 1) After 4 weeks' treatment with misoprostol or placebo, complete healing rates of gastroduodenal ulcer were 36.4%, 0%, respectively and marked improvement (at least 3 endoscopic stages of the ulcer state,) was observed in 72.7%, 15.4%, respectively(p<0.03). 2) One patient treated with misoprostol suffered from mild watery diarrhea, which was transient in spite of continued administration. Another patient complained of mild lower abdominal discomfort. There was no evidence of significant drug-related hepatocellular injury and the precipitation of hepatic failure or encephalopathy by the misoprostol. We conclude that misoprostol 200 ug 4 times a day is effective as well as safe for the healing of gastroduodenal ulcer in patients with chronic liver disease.