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이재욱 ( Jae Uk Lee ),김영호 ( Young Ho Kim ),이선영 ( Sun Young Lee ),김갑현 ( Kap Hyun Kim ),정정환 ( Chung Hwan Chung ),김경희 ( Kyung Hee Kim ),손희정 ( Hee Jung Son ),이풍렬 ( Poong Lyul Rhee ),김재준 ( Jae J. Kim ),이종철 ( 대한소화기학회 2004 대한소화기학회지 Vol.43 No.5
Background/Aims: Ascites that can be induced by various causes is not a rare finding in Crohn`s disease. The clinical implication of ascites in Crohn`s disease remains unknown in the cases without any specific cause of ascites except Crohn`s disease itself. The purpose of this study was to investigate the clinical implication and characteristics of ascites in Crohn`s disease. Methods: We reviewed the medical records of the patients with Crohn`s disease who underwent abdominal CT scan. Patients were categorized into two groups: patients with ascites (22 cases) and without ascites (23 cases). We compared clinical features, disease activities and clinical courses of the two groups. Results: Serum albumin level was significantly lower and the C-reactive protein level was significantly higher in the ascites group than in the control group. Harvey & Bradshaw index was significantly higher in the ascites group (8.32±2.51) than in the control group (6.09±2.07) (p=0.002). The average dose of prednisolone was higher in the ascites group. On the other hand, there was no significant difference in the number of cases requiring surgery due to complication between two groups. Conclusions: Our results suggest that the presence of ascites in Crohn`s disease is associated with increased disease activity and inflammations requiring more aggressive treatment. (Korean J Gastroenterol 2004; 43:304-308)
알코올 중독자 및 장기 입원 환자에서 thiamine 결핍의 빈도
장철순(Cheol Soon Jang),서동범(Dong Bum Seo),박우상(Woo Sang Park),김일권(Il Kwon Kim),정정환(Chung Hwan Chung),이주희(Ju Hee Lee),이경오(Kyoung O Lee),채민병(Min Byoung Chae),박현민(Hyun Min Park),서영환(Young Hwan Seo),이선영(Sun Y 대한내과학회 2002 대한내과학회지 Vol.62 No.1
Background: As socioeconomic status has improved, malnutrition has become rare in Korea and generally it is no longer considered as a serious problem in medical practice. However, contrary to the above general belief we managed four patients with beriberi in 1999 and it became apparent that malnutrition might remain a problem in certain groups of patients. In this study, we assessed the nutritional state, especially with respect to thiamine deficiency, in chronic alcoholics and in patients residing at a long-term care facility (LTCF). Methods: Fourteen chronic alcoholic patients and twenty patients being hospitalized in a long-term care facility were assigned as the study groups. The subjects mean ages and standard deviations were 48.9±10.2 and 50.6±6.7, respectively. Medical records were reviewed t o determine other aspect s of their nutritional status and their dietary patterns. Ten peoples who visited the health promotion center at Inha University Hospital, for routine check- ups were allocated to the control group. Blood total thiamine levels were measured by high-performance liquid chromatography. Results: Body mass indices were significantly lower in chronic alcoholics and in patients at the LTCF than in the control group (p=0.0065). Serum albumin levels were within the reference range in all three groups, but were significantly lower in patients at the LT CF than in the control group (p =0.0013). Moreover no difference was detected between the alcoholic group and the control group in terms of thiamine levels. However, the mean thiamine level in patients at the LTCF was statistically lower than that of the control group and four (20%) patients in the LTCF group showed subnormal blood thiamine levels. The thiamine level tended t o decrease with age in both alcoholics and patient s at the LT CF. No correlation was found between thiamine level and the other variables examined, namely, hospital stay, body mass index, and serum albumin level. Conclusion: A consider able portion of patients in a long term care facility showed thiamine deficiency, however, no evidence of thiamine deficiency was found among alcoholics. This result suggest s that thiamine deficiency in patient s at long- term care facility may be more prevalent and that thiamine supplementation may be warranted, especially for those with other thiamine deficiency risk factors.(Korean J Med 62:69-76, 2002)
김영수,박우상,김인한,김형길,정정환,장재남,유종길,이돈행,김범수 대한소화기내시경학회 2001 Clinical Endoscopy Vol.23 No.2
Mucosa-associated lymphoid tissue (MALT) lymphoma of colon usually presents with a solitary lesion of polypoid appearance but may rarely present with multiple polypoid lesions. MALT lymphoma of colon presented as multiple polypoid lesions are not easy to differentiate from multiple lymphomatous polyposis. We experienced a case of MALT lymphoma of colon with a large mass in proximal ascending colon involving ileocecal valve and multiple polypoid lesions in entire colon.