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조직학적으로 진단된 호산구성 간농양 19 예의 임상적 특성 단일 센터 경험
장재권 ( Jae Kwon Jang ),최규완 ( Kyoo Wan Choi ),백승운 ( Seung Woon Paik ),최문석 ( Moon Seok Choi ),이준혁 ( Joon Hyoek Lee ),고광철 ( Kwang Cheol Koh ),이풍렬 ( Poong Lyul Rhee ),이종철 ( Jong Chul Rhee ),최동철 ( Dong Chul 대한소화기학회 2001 대한소화기학회지 Vol.38 No.1
Background/Aims: Up to 29% of patients with severe ulcerative colitis (UC) fail to respond to steroids acutely and thus, require surgery. The aims of this study were to elucidate the predicting factors suggesting medical treatment failure in patients with severe UC and to evaluate whether cyclooxygenase (COX)-2 expression can predict the prognosis of these patients. Methods: Thirty-six patients with severe UC were enrolled in this study. After seven-day-treatment with high-dose intravenous steroids, they were classified into three groups according to the level of respondence: complete responders (CR), incomplete responders (IR), and treatment failures (TF). Then, clinical, laboratory, histological (including COX-2 expression), and endoscopic indices of those 3 groups were compared. Results: Distal colitis tended to be more frequent in the CR. However, the other clinical, laboratory, histological and endoscopic indices of the three groups were similar. The expression rates of COX-2 were similar in the three groups and showed a significant correlation with the histological severity. Conclusions: The extent of disease can be a good predictor of outcome of steroid therapy for severe UC but COX-2 expression can not predict the outcome of the therapy. (Korean J Gastroenterol 2001;38:29-36)
심전도 변화와 심한 혈압의 변동을 보인 갈색 세포종 1 예
정태호(Tae Ho Jung),장재권(Jae Kwon Jang),정홍수(Hong Su Jung),김성기(Sung Kee Kim),안종운(Jong Woon An),장경호(Kyung Ho Jang),조용근(Yong Keim Jo),오용구(Yong Koo Oh) 대한내과학회 1993 대한내과학회지 Vol.45 No.6
Pheochromocytoma is a surgically curable, functioning chromaffin cell tumor, causing hypertension and metabolic derangements. A 36 year old female was admitted presenting striking electrocardiographic changes mimicking ischemic heart disease and wide fluctuations of blood pressure. Coro- nary angiographic findings were normal. Urinary excretion of catecholamine and its metabolites were elevated, and pheochromocytoma was strongly suspected. Abdominal CT scan revealed a huge, round mass in the left upper abdomen. After surgical removal of the mass, the patient has become totally asymptomatic with complete disappearance of the electrocardiographic abnormalities and the fluctuations of blood pressure, and urinary excretion of catecholamines have been normalized.
기능성 소화불량증에서 13C - 요소호기검사의 DOB30 와 위근위부 운동기능과의 상관관계
심상군(Sang Goon Shim),이풍렬(Poong Lyul Rhee),현재근(Jae Gun Hyun),김지은(Jee Eun Kim),성인경(In Kyung Sung),장재권(Jae Kwon Jang),류광현(Kwang Hyun Ryu),김영호(Young Ho Kim),김재준(Jae J . Kim),고광철(Kwang Cheol Koh),백승운(Seung 대한소화기학회 2001 대한소화기학회지 Vol.38 No.6
Background/Aims: 13C-urea breath test (UBT) is accepted as an accurate test to detect Helicobacter pylori (H. pylori) infection. The results of UBT could be correlated with the extent of H. pylori colonization density or the severity of the gastric mucosal inflammation. We examined whether UBT values correlated with some parameters for proximal gastric motor functions in functional dyspepsia (FD). Methods: Twelve patients with FD and H. pylori infection confirmed by UBT were included. Breath samples were taken before and 30 min after 75 mg 13C-urea ingestion and analyzed by isotope mass spectrometry. The results of UBT were expressed as the difference between value at 30 min and value at baseline (DOB30). Gastric emptying scintigraphy and gastric barostat study were performed to measure the proximal gastric motor functions. Results: No significant correlation was found between DOB30 and proximal half-emptying time (r=-0.34, p=0.28), DOB30 and proximal gastric distribution of meal at 1 min images (r=0.03, p=0.93). According to the gastric barostat study, basal tone (r=0.53, p=0.07), compliance (r=-0.05, p=0.86), and gastric accommodation (r=-0.08, p=0.79) were not associated with DOB30. Conclusion: DOB30 does not correlate with proximal gastric motor parameters in patients with FD. (Korean J Gastroenterol 2001;38:405-410)
최규완(Kyoo Wan Choi),이종철(Jong Chul Rhee),장재권(Jae Kwon Jang),김재준(Jae J . Kim),이준행(Jun Haeng Lee),김영호(Yong Ho Kim),손희정(Hee Jung Son),이풍렬(Poong Lyul Rhee),백승운(Seung Woon Paik),오영륜(Young Lyun Oh) 대한소화기학회 2001 대한소화기학회지 Vol.38 No.1
Background/Aims: Telomerase activity has been detected not only in human cancers but also in precancerous lesion (e.g., intestinal metaplasia). It suggests that telomerase activation may be an early event in carcinigenesis, but it is not clear how telomerase is activited. Recently, Helicobacter pylori infection is known to be closely associated with intestinal metaplasia and gatric cancer. Thus, it is possibile that H. pylori infection may induce telomerase activation in intestinal metaplasia. In this study, we evaluated the relationship between telomerase activation and H. pylori infection. Methods: For 129 patients with gastric ulcer (n=20), chronic gastritis (n=34), gastric polyp (n=15), and intestinal metaplasia (n=60), telomerase activity was measured by Telomerase PCR ELISAR kit and H. pylori infection was determined by CLOR kit. Results: Telomerase activity was not detected in the patients with gastric ulcer, and chronic gastritis, gastric polyp, regardless of H. pylori infection. However, in 60 cases of intestinal metaplasia, telomerase activity was detected in 17 samples (28%). Among them, 12 samples were H. pylori positive, and the remaining 5 were H. pylori negative. The telomerase positivity was a little higher in the patients with H. pylori-positive intestinal metaplasia than in those with H. pylori-negative intestinal metaplasia, but the difference was not statistically significant (32% vs. 23% p=0.468). Conclusions: These results indicate that H. pylori infection can play a role partially, but is not the only cause of telomerase activation in intestinal metaplasia. (Korean J Gastroenterol 2001;38:15-22)
정태호(Tae Ho Chung),정홍수(Hong Soo Jeong),장재권(Jae Kwon Jang),김성기(Sung Ki Kim),안종운(Jong Woon Ahn),장경호(Kyeong Ho Jang),김성록(Sung Rok Kim),오용구(Yong Gu Oh) 대한소화기학회 1994 대한소화기학회지 Vol.26 No.4
Melanosis coli is the brownish discoloration of the colon associated with prolonged administration of anthraquinone type laxatives. The pigmentation of the colonic mucosa is due to the accumulation of lipofuscin pigment in macrophages located in the lamina propria. The diagnosis is made by endoscopy and is virtually specific for anthraquinone abuse. This is the one of the complications of laxative abuse, but the pigments disappear by withdrawing the lax- atives. We present a case of melanosis coli in a 39 year old female with histologica! Confirm by sigmoidoscopic biopsy consuming anthraquinone type laxative for 2 years. (Korean J Gas- troenterol 1994; 26: 746 750)
기능성 소화불량증 환자에서 자율신경 기능장애에 관한 연구
박동일(Dong Il Park),이풍렬(Poong Lyul Rhee),이용욱(Yong Wook Lee),김지은(Jee Eun Kim),현재근(Jae Geun Hyun),김창섭(Chang Sup Kim),장재권(Jae Kwon Jang),심상군(Sang Goon Shim),성인경(In Kyung Sung),김영호(Young Ho Kim),손희정(Hee Jun 대한소화기기능성질환·운동학회 2000 Journal of Neurogastroenterology and Motility (JNM Vol.6 No.2
N/A Background/Aims : The role of autonomic dysfunction in patients with functional dyspepsia has not been completely understood. The purposes of our study are (1) to prospectively assess the abnormalities of the autonomic function in patients with functional dyspepsia and (2) to assess whether the presence of autonomic dysfunction in patients with functional dyspepsia correlates with the presence of visceral hypersensitivity or with the severity of dyspeptic symptoms. Methods : Twenty eight patients with functional dyspepsia (4 men and 24 women; age range, 29-57) and 14 healthy volunteers without gastrointestinal symptoms (6 men and 8 women; age range, 23-61) were included in this study. All patients and controls were submitted to a battery of five standard cardiovascular autonomic reflex tests and gastric barostat tests. A modified version of the Glasgow Dyspeptic questionnaire was used in this study. Results : (1) Autonomic function tests showed that both sympathetic and parasympathetic scores of dyspeptic patients were significantly higher than those of the control group. (2) Visceral hypersensitivity could be confirmed in some of our dyspeptic patients in response to proximal gastric distension, demonstrating lower pain threshold in this group. (3) We could not find significant association between the presence of autonomic dysfunction and the presence of visceral hypersensitivity or severity of dyspeptic symptoms in patients with functional dyspepsia. Conclusion: Autonomic dysfunction was more prevalent in dyspeptic patients than in the control group. However, it did not correlate with the presence of visceral hypersensitivity or severity of dyspeptic symptoms. It is suggested that a defect in the spinal region or at the CNS level may be a major mechanism of visceral hypersensitivity in functional dyspepsia.
중증 궤양성 대장염에서 치료 성적의 예측인자와 Cyclooxygenase - 2 발현과의 관계
박동일(Dong Il Park),김영호(Young Ho Kim),성인경(In Kyung Sung),이용육(Yong Wook Lee),이준행(Jun Haeng Lee),김지은(Jee Eun Kim),현재근(Jae Geun Hyun),장재권(Jae Kwon Jang),손희정(Hee Jung Son),이풍렬(Poong Lyul Rhee),김재준(Jae J . K 대한소화기학회 2001 대한소화기학회지 Vol.38 No.1
Background/Aims: Percutaneous endoscopic gastrostomy (PEG) has been widely performed for patients who require prolonged tube feeding support. A retrospective study was conducted to evaluate the complications of PEG and determine the predictors of wound infection. Methods: Medical records of 144 cases of PEG that was per- formed between January 1996 and June 2000 were reviewed to examine the types and frequency of complication, difference in wound infection rates according to age, sex, and underlying diseases. We also analyzed the effects of antibiotics prophylaxis on wound infection and the result of culture from wound infection site. Results: In 28 of 144 PEG cases (19.4%), several complications developed after procedure. Wound infection was the most common complication and occurred in 22 of 144 cases (15.3%) and Pseudomonas aeruginosa was the most common pathogenic microorganism. Other complications included bleeding from gastrostomy site, stomal leaks, and gastroesophageal reflux. There was no statistical difference in wound infection rates according to underlying diseases and antibiotics prophylaxis. However, wound infection developed more frequently in diabetes patients (p<0.05). Old age and underlying diabetes were predictors for developing wound infection after PEG in multiple logistic regression analysis. Conclusions: Old age and DM can be predictors of wound infection associated with PEG. (Korean J Gastroenterol 2001;38:23-28)
원발성 담즙성 경변증 16예의 임상상 : 단일 센터 경험
박동일(Dong Il Park),고광철(Kwang Cheol Koh),이준혁(Jun Hyek Lee),최문석(Moon Seok Choi),강태욱(Tae Wook Kang),문원(Won Moon),류민규(Min Kyoo Ryu),이용욱(Yong Wook Lee),김지은(Jee Eun Kim),현재근(Jae Geun Hyun),장재권(Jae Kwon Jang) 대한내과학회 2000 대한내과학회지 Vol.59 No.6
Background : Primary biliary cirrhosis (PBC) is a chronic cholestatic liver disease of unknown etiology. The disease is relatively common in western countries, but so far, only about 20 cases have been reported in Korea. Thus, the purpose of our prospective study was to evaluate the clinical characteristics of PBC in Korea. Methods : Between October 1994 and February 1999, 16 patients diagnosed as PBC at our department were enrolled in this study. We analyzed these patients for the distribution of age and sex, initial symptoms and signs, associated disorders, laboratory, endoscopic, and radiologic and histologic findings. Results : Of the 16 patients, the ratio of male to female was 1:7 and the average age was 57.5 years. Pruritus (37.5%) was the most frequent presenting symptom followed by xerostomia and xerophthalmia (12.5%), jaundice (6.3%), chronic fatigue (6.3%), melena (6.3%). Associated disorders were Sj gren's syndrome (25%), arthropathy (12.5%), Raynaud's phenomenon (6.3%) and diabetes (6.3%). Abnormalities of liver function were found frequently. Antimitochondrial antibody (100%), antinuclear antibody (31.25%) and rheumatoid factor (31.25%) were found. Long-term administration of UDCA improved both clinical and biochemical signs in most patients, however, 2 patients experienced exacerbation during UDCA therapy. Conclusions : We experienced 16 cases of PBC within a short period. It is expected that we can find these patients more frequently if we suspect this disease in patients with pruritus and unexplained obstructive pattern of liver function abnormality.(Korean. J. Med 59:634-640, 2000)