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김태동 ( Kim Tae Dong ),오희주 ( O Hui Ju ),김국현 ( Kim Gug Hyeon ),김성목 ( Kim Seong Mog ),김준환 ( Kim Jun Hwan ),장병익 ( Jang Byeong Ig ),김태년 ( Kim Tae Nyeon ),정문관 ( Jeong Mun Gwan ) 대한소화기학회 2004 대한소화기학회지 Vol.43 No.1
Background/Aims: Pancreatic cancer is fatal with a dismal 6-month median survival from diagnosis. Diabetes mellitus is reported to be present up to 33.3 percent of patients with pancreatic cancer. The reason for the high frequency of diabetes is unknown. We studied the prevalence and duration of diabetes in patients with pancreatic cancer and the relationship between the two diseases. Methods: A total of 152 patients with pancreatic cancer diagnosed at Yeungnam University Hospital from January 1999 to December 2001 were enrolled in this study. Clinical features, family history, smoking history, and characteristics of the tumor were compared between diabetic and non-diabetic groups. Results: Among 152 patients with pancreatic cancer, 43 patients (28.3%) had diabetes. In diabetic group, mean age of diagnosis was significantly younger than non- diabetic group (62.0±7.2 vs. 65.0±8.8, p<0.05). Most of the patients with diabetes had non-insulin dependent diabetes mellitus (NIDDM) and did not have family history. Diabetes was diagnosed within 2 years after the diagnosis of pancreatic cancer in 35 patients (74.3%) of the diabetic group. There were no differences in the location and stage of tumor, chief complaints, presence of weight loss, and body mass index between the two groups. Conclusions: Diabetes mellitus occurs frequently in patients with pancreatic cancer and does not influence clinical features of pancreatic cancer. Pancreatic cancer should be suspected in patients with recent onset diabetes, especially in patients without family history of diabetes and with type of NIDDM. (Korean J Gastroenterol 2004;43:35-40)
Klebsiella pneumoniae가 간농양에서 차지하는 임상적 의의
임상우 ( Im Sang U ),이은주 ( Lee Eun Ju ),이상원 ( Lee Sang Won ),김성목 ( Kim Seong Mog ),김준환 ( Kim Jun Hwan ),김봉준 ( Kim Bong Jun ),장병익 ( Jang Byeong Ig ),김태년 ( Kim Tae Nyeon ),정문관 ( Jeong Mun Gwan ) 대한소화기학회 2003 대한소화기학회지 Vol.42 No.3
Background/Aims: Klebsiella pneumoniae (K. pneumoniae) has been emerging as the leading cause of liver abscess although the most common pathogen was Escherichia coli in the past. Our study was to clarify the significance of K. pneumoniae as a pathogen of pyogenic liver abscess. Methods: We reviewed 157 cases of pyogenic liver abscess treated at Yeungnam University Hospital from 1996 to 2001. They were classified into two groups: K. pneumoniae group and non-K. pneumoniae group. The clinical presentations, characteristics of liver abscess, laboratory findings and the results of bacteriological studies were compared. Results: The K. pneumoniae group included 60 (60.6%) cases among 99 cases with positive culture. We found higher incidence of alcoholics (45.0%) or diabetes millitus (35.0%) in K. pnemoniae group. Cryptogenic cause (61.7%) was the most frequent portal entry in K. pneumoniae liver abscess. On the other hand, in non-K. pneumoniae group, the cause of portal entry was usually the secondary (23.1%) following biliary disease (61.5%). Statistically, there was no significant difference in age, sex, symptom, characteristics of abscess, laboratory findings except total bilirubin level between the two groups. Conclusions: Liver abscess caused by K. pneumoniae has emerged as an important infectious disease with new clinical significance. When clinicians see pyogenic liver abscess in patients with alcoholics or diabetes millitus, K. pneumoniae should be considered first as a cause of liver abscess. (Korean J Gastroenterol 2003;42:226-231)
포스터 전시 : 췌담도 ; 급성췌장염 발생으로 진단할 수 있었던 조기 췌장암 1예
오희주 ( O Hui Ju ),최재원 ( Choe Jae Won ),김국현 ( Kim Gug Hyeon ),이은주 ( Lee Eun Ju ),오현아 ( O Hyeon A ),이형철 ( Lee Hyeong Cheol ),김준환 ( Kim Jun Hwan ),김태년 ( Kim Tae Nyeon ),정문관 ( Jeong Mun Gwan ) 대한소화기학회 2003 대한소화기학회 추계학술대회 Vol.2003 No.-
<서론> 원발성 췌장암과 전이성 췌장암은 드물게 급성췌장염을 유발할 수 있으며 췌장암 환자 중 급성췌장염은 3%까지 보고되고 있다. 급성췌장염은 종양의 췌관 폐쇄나 췌관 상피세포의 파괴에 의해 유발되며 심한 경우 췌장 가성낭종이나 복수를 유발할 수 있다. 저자들은 급성췌장염으로 입원하여 조기 췌장암으로 진단할 수 있었던 환자 1예를 경험하였기에 보고하는 바이다. <증례> 70세 여자환자가 내원 당일 시작된 상복부 통증과 오심, 구토를 주소로 내원하였다.