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삼킴곤란과 위식도 역류 증상을 가진 환자에서 호산구 식도염의 유병률
유연화 ( Yeon Hwa Yu ),조윤주 ( Yun Ju Jo ),정미연 ( Mi Yeon Jung ),손병관 ( Byoung Kwan Son ),전대원 ( Dae Won Jun ),김성환 ( Seong Hwan Kim ),박영숙 ( Young Sook Park ),이원미 ( Won Mi Lee ),김은경 ( Eun Kyoung Kim ) 대한소화기기능성질환·운동학회 2009 Journal of Neurogastroenterology and Motility (JNM Vol.15 No.1
목적: 성인에서의 호산구 식도염은 삼킴곤란과 음식 막힘, 치료가 잘되지 않는 위식도역류질환 환자에서는 반드시 고려해야 할 질환이다. 본 연구의 목적은 삼킴곤란과 위식도 역류질환과 관련된 증상에서 호산구 식도염의 빈도를 고찰하는 것이다. 대상 및 방법: 을지의과대학 을지병원에서 2007년 7월부터 2009년 2월까지 삼킴곤란, 음식 막힘, 양자펌프 억제제에 반응없는 위식도역류질환이 의심이 되는 환자를 대상으로 중부식도를 포함하여 조직 검사를 시행하였다. 결과: 연구에 포함된 환자는 108명이었으며, 호산구 식도염으로 진단받은 환자는 2명(1.8%)이었다. 그 외, 호산구 위장관염 2예, 약제 의인성 호산구 위장관염 1예가 있었다. 주된 증상은 삼킴곤란(37.9%), 상복부 통증(25.9%), 역류(23.1%) 순이었다. 대상 환자의 내시경 소견은 Z-line blurring (28.7%), 정상(17.5%), 발적(16.6%) 등 이었으나, 호산구 침착을 보이는 경우는 동심원 주름, 종축 방향의 골, 다수의 점막 결절 혹은 흰색 반점 등이 보였다. 조직 소견은 경한 만성 염증(33.3%), 상피 세포 증식(16.6%), 호산구 침착(3.7%) 등이었다. 결론: 국내에서 삼킴곤란과 역류 관련 식도 증상을 환자에서 호산구 식도염의 유병률은 1.8%였으며, 증상과 내시경 소견을 염두에 두고, 호산구 관련 위장 질환진단에 생검을 적극 활용하여야겠다. Background/Aims: In adult patients with dysphagia, food impaction and non-responsiveness to proton pump inhibitor, eosinophilic esophagitis (EoE) should be considered. We aimed to investigate the prevalence of EoE in Korean patients. Methods: From July 2007-February 2009, 108 patients presenting with dysphagia and reflux related symptoms were enrolled. The mid-esophageal region was randomly biopsied. Results: Of the 108 patients, two cases of EoE, two cases of eosinophilic enterocolitis and one case of drug-induced eosinophilic enterocolitis were diagnosed. The most frequent symptom was dysphagia (37.9%), followed by epigastric pain (25.9%) and regurgitation (23.1%). Endoscopic findings of eosinophilic infiltration in the esophagus were ring esophagus, linear furrow, nodularities and whitish patches. Histologic findings showed chronic inflammation (33.3%), epithelial cell hyperplasia (16.6%), eosinophilic infiltration (3.7%) and a few eosinophil infiltration (1.8%). Conclusions: EoE was detected in 1.8% in Korean patients with dysphagia and reflux related symptoms. Esophageal random biopsy should be considered especially in young patients with a history of allergic disease and esophageal symptoms. (Kor J Neurogastroenterol Motil 2009;15:15-22)
제2형 당뇨병환자들이 사용하는 그릇 용량과 식사 섭취량과의 관계
안희정 ( Hee Jung Ahn ),구보경 ( Bo Kyung Koo ),정지연 ( Ji Yeon Jung ),권휘련 ( Hwi Ryun Kwon ),정미연 ( Mi Yeon Chung ),구윤희 ( Yun Hyi Ku ),김진택 ( Jin Taek Kim ),한경아 ( Kyung Ah Han ),민경완 ( Kyung Wan Min ) 대한당뇨병학회 2009 Diabetes and Metabolism Journal Vol.33 No.4
연구배경: 식품의 1회 섭취 분량이나 담는 그릇의 용량은 섭취량에 영향을 미친다. 이에 본 연구는 제2형 당뇨병환자들에서 밥 중심의 식사하는 횟수와 식사에 사용하는 그릇의 용량을 조사하였고, 그릇 용량과 섭취량과의 관계를 조사하고자 하였다. 방법: 제2형 당뇨병환자 203명을 대상으로 식사 형태와 장소는 7일 기록지로 조사하였고, 사용 중인 밥그릇, 국그릇, 반찬 그릇의 용량은 메스실린더로 측정하였다. 식사에너지와 영양소 섭취량은 3일 식사 기록지를 통해 조사하였다. 결과: 연구 대상자(남자: 76명, 여자: 127명)들의 평균 나이는 53.9±9.1세, 비만도는 25.6±4.2 kg/m2였다. 하루 세 끼니를 모두 섭취하는 환자 중 2끼 이상 밥으로 섭취하는 경우는 96.4%였다. 사용하는 밥그릇 용량의 중앙값은 350 cc였으며 국그릇은 530 cc, 반찬 그릇은 260 cc였다. 밥그릇, 국그릇, 반찬 그릇 용량과 비만도는 유의한 상관관계가 없었고, 밥그릇과 국그릇의 용량은 남자에서 더 컸다(P<0.001). 남자에서 밥그릇 용량은 밥의 에너지 섭취량(kcal/kg/day)과 상관관계가 있었으나(P=0.018), 식사 에너지 섭취량(kcal/kg/day)과는 상관관계가 없었다. 결론: 제2형 남자 당뇨병환자에서 밥그릇 용량은 밥의 에너지 섭취량과 상관관계가 있었으나 식사 에너지 섭취량과는 상관관계를 보이지 못하였다. 이러한 결과로 미루어 그릇을 활용한 식사계획법이 교육에 활용되기 위해서는 식기용량과 다른 임상적 지표들과의 관계, 성별을 고려한 섭취량에 영향을 미치는 요인들과의 관계를 밝히는 추후 연구가 필요할 것으로 보인다. Background: The results of previous studies suggest that portion size is a major factor dictating dietary energy intake. We investigated the relationship between frequencies of rice meals, bowl volumes, and dietary energy intake in a sample of patients with type 2 diabetes. Methods: A total of 203 type 2 diabetes patients were enrolled in the study. A one-week food diary was collected from each patient and used to assess the types of meal consumed as well as the context of consumption. The volumes of the eating vessels (rice, soup and side dish bowls) used by each patient were obtained by comparisons to measuring cylinders, and dietary energy and macronutrient intake were estimated for each patient by consulting three-day dietary records. Results: The mean age of the 203 subjects (male: 76, female: 127) was 53.9±9.1 years and the average body mass index (BMI) was 25.6±4.2 kg/m2. Among the subjects who ate three times per day, 96.4% consumed rice more than twice out of three meals. The median volume of rice bowls used by patients was 350 cc, of soup bowls was 530 cc and of side dish bowls was 260 cc. Portion size, as estimated by rice bowl volume, was not associated with BMI. Male subjects tended to eat out of larger rice and soup bowls (P<0.001). Portion size was correlated with energy intake from rice (P=0.021), but not with total energy intake (kcal/kg/day), especially in male subjects. Conclusion: Portion size of rice bowl was correlated with energy intake from rice, but not with total energy intake in male subjects with type 2 diabetes. To design effective meal planning methods for patients with type 2 diabetes, further prospective studies are warranted to investigate causative relationships between portion size andmetabolic conditions as well as variation by gender. (Korean Diabetes J 33:335-343, 2009)
혈액종양 ; 신경섬유종증 환자에서 종격동과 복강 내 양측을 침범한 총상 신경섬유종 1예
안건희 ( Gun Hee An ),전병연 ( Byung Yeon Jun ),정미향 ( Mi Hyang Jung ),정희경 ( Hee Kyoung Jeong ),진종률 ( Jong Yul Jin ),이기현 ( Kee Hyun Lee ) 대한내과학회 2010 대한내과학회지 Vol.79 No.4
Plexiform neurofibroma is a benign proliferation that arises from the peripheral nerves and represents one of the diagnostic features of neurofibromatosis type I (NF-1). They are commonly found in the gastrointestinal tract, and intrathoracic neurofibroma is relatively uncommon. Ultimately, this tumor grows along the length of any single nerve and may involve multiple fascicles or branches of major nerves. Here, we report a case of multiple-site plexiform neurofibromas in a 40-year-old man previously diagnosed with NF-1. Although he had no perceptible symptoms, contrast-enhanced CT revealed massive diffuse neurofibromas that involved the mediastinum, periportal region, retroperitoneal space, and the mesentery. Histopathological studies of the neck, skin, and intra-abdominal soft tissue showed loose spindle cells and collagen bundles. The microscopic appearance was typical of a plexiform-type neurofibroma. It was decided that we would observe the patient without surgical management, because the neurofibromas were asymptomatic. (Korean J Med 79:443-447, 2010)
김선웅 ( Sun Wung Kim ),김상일 ( Sang Ii Kim ),정병순 ( Byeong Sun Jeong ),나도삼 ( Do Sam La ),민현석 ( Hyun Suk Min ),이준호 ( Jun Ho Lee ),오정현 ( Jeong Hyun Oh ),정미연 ( Mi Yeon Jung ),정수인 ( Su In Jeong ),이동은 ( Dong Eu 서울시정개발연구원 2007 연구보고서 Vol.2007 No.39
This report aims to support planners and decision makers by reviewing the status and environment of CBD, analysing major issues related the CBD management policy, and offering the spatial vision of CBD that integrates strategies in land use, industrial promotion, and historical/cultural reservation. This report consists of 1) reviews and recommendations of relevant plans, 2) summary and analysis result on status and environment of CBD, 3) discussion on 8 major issues, 4) vision and strategies of CBD This report reviews major plans for CBD management and development such as ``Comprehensive Plan 2020``, ``CBD Management Plan (2000, 2004)``, ``Urban Renewal Master Plan (2004)``, and etc.. It also reviews the CBD plans of other cities such as Tokyo, Chicago, London, Atlanta. This reports offers the statistics that shows the status and change of CBD in population and households, land use, urban management plan, industry, historical heritage, cultural diversity. This reports tries to answer some questions on 1) urban growth, 2) development demand and supply, 3) the centrality, 4, 5) the contributions of urban redevelopment projects on the office floor supply and housing 6) land use characteristics of industrial location, 7) industrial restructuring direction, 8) historical reservation policy in CBD. This reports also tries to suggest the spatial vision of CBD and recommend the stratiges for land use, industrial promotion and historical/cultural place making. CBD needs to share the role as the floor supplier with YongSan Sub-CBD and intensify historial and cultural place making for citizen``s quality of life. In CBD, the integrated measures should be applied that consists of land use regulation and industrial promotion. Historical and cultural resources and surroundings should be the place which is networking as axis and area with context.