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급성 췌장염의 진단에 있어서 Urinary Trypsinogen-2 Dipstick 검사의 유용성
황성준 ( Seoung Joon Hwang ),정준표 ( Jun Pyo Chung ),김영균 ( Young Gyun Kim ),송대훈 ( Dae Hoon Song ),이재성 ( Jae Sung Lee ),백승석 ( Seung Seok Baek ),김도연 ( Do Yun Kim ),이덕용 ( Dok Yong Lee ),정연수 ( Yon Soo Jeong ) 대한소화기학회 2004 대한소화기학회지 Vol.43 No.6
Background/Aims: The clinical usefulness of urinary trypsinogen-2 dipstick test is still in controversy. We evaluated the usefulness of urinary trypsinogen-2 dipstick test in patients with acute pancreatitis. Methods: Urinary trypsinogen-2 dipstick test was prospectively performed in 50 patients with acute pancreatitis, 50 patients with non-pancreatic abdominal pain, and 50 healthy controls. Results: On admission, urinary trypsinogen-2 dipstick test was positive in 36 of 50 patients with acute pancreatitis (sensitivity, 72%) and in 4 of 50 patients with non-pancreatic abdominal pain (specificity, 92%). On the other hand, it was all negative in controls. The sensitivity and specificity of serum lipase were 78% and 94%, respectively. At 24 hours after admission, the positive rate of urinary trypsinogen-2 dipstick test rose from 72% to 94% (p=0.02). The results of urinary trypsinogen-2 dipstick test was positive in 14 of 15 patients with severe pancreatitis and 22 of 35 patients with mild pancreatitis according to the criteria by Atlanta International Symposium, 1992. Conclusions: Urinary trypsinogen-2 dipstick test is comparable to serum lipase in diagnosing acute pancreatitis. Delayed measurement and severe pancreatitis are more likely to yield positive results with urinary trypsinogen-2 dipstick test. Thus, we suggest that the cut-off value of urinary trypsinogen-2 dipstick test should be lowered to increase its sensitivity. (Korean J Gastro-enterol 2004;43:364-369)
표준 내시경유두괄약근절개술에서 사용 전류에 따른 합병증 발생의 비교
이세준 ( Lee Se Jun ),송기섭 ( Song Gi Seob ),정준표 ( Jeong Jun Pyo ),이덕용 ( Lee Deog Yong ),정연수 ( Jeong Yeon Su ),지상원 ( Ji Sang Won ),백용한 ( Baeg Yong Han ),박승우 ( Park Seung U ),송시영 ( Song Si Yeong ),이관식 ( Lee 대한소화기학회 2004 대한소화기학회지 Vol.43 No.3
Background/Aims: The blended current is usually used for endoscopic sphincterotomy (EST) to minimize bleeding. The pure cutting current may induce less edema of the ampulla and therefore result in less injury to the pancreas theoretically. The aim of this study was to evaluate effects of electric currents used on the development of serum pancreatic enzyme evaluation, clinical pancreatitis or bleeding after EST. Methods: One hundred and eighteen consecutive patients who underwent EST with standard papillotome alone for the treatment of choledocholithiasis were reviewed. All EST had been performed by two endoscopists whose experience on EST was similar: one uses blended current(BC group, n=74), while the other uses pure cutting current (PC group, n=44). Results: Baseline clinical, laboratory, and procedural parameters were similar in both groups. The incidences of hyperamylasemia and hyperlipasemia were similar between two groups. There was no significant difference in the incidence of clinical pancreatitis between two groups (BC 6.8% vs PC 0.0%, p=0.1557). All episodes of pancreatitis were mild. No episodes of significant bleeding occurred after EST. The incidences of sepsis, cholangitis and perforation were also not different between two groups. Conclusions: Development of complications after standard EST such as hyperamylasemia, clinical pancreatitis, and bleeding may not depend on the electric current used. (Korean J Gastroenterol 2004;43:204-210)
남수연(Su Youn Nam),정준표(Jun Pyo Chung),김응(Eung Kim),이종화(Jong Hwa Lee),김기황(Ki Whang Kim),정현주(Hyeon Joo Jeong),정재복(Jae Bock Chung),한지숙(Jee Sook Hahn),강진경(Jin Kyung Kang),박인서(In Suh Park) 대한소화기학회 1994 대한소화기학회지 Vol.26 No.5
Primary pancreatic lyrnphoma is a rare but treatable malignancy that may present as an isolated pancreatic mass. The authors report a case of primary pancreatic lymphoma in a 52- year-old female patient who had a 15-day history of epigastric pain. The CT scan showed a well defined isodense mass, about 5crn in diarneter, in the head of the pancreas and the second portion of duodenum is streched and displaced toward the right side. By percutaneous needle biopsy, histologic diagnosis was made as malignant lymphoma, mixed large and small cells, T cell type according to the Working Formulation. The patient had received combination chemo- therapy with CHOP(cyclophosphaide, doxorubicin, vincristine, predinisone). Epigastric pain and jaundice which was developed during the diagnostic work-up period were improved after one cycle of CHOP. However, the patient died of septic shock on the 56th day after the diag- nosis.(Korean J Gastroenterol 1994; 26: 892 898)
급성 췌장염의 진단에 있어서 Urinary trypsinogen-2 검사의 유용성
황성준 ( Hwang Seong Jun ),정준표 ( Jeong Jun Pyo ),이덕용 ( Lee Deog Yong ),정연수 ( Jeong Yeon Su ),지상원 ( Ji Sang Won ),백용한 ( Baeg Yong Han ),박승우 ( Park Seung U ),이세준 ( Lee Se Jun ),송시영 ( Song Si Yeong ),이관식 ( 대한소화기학회 2003 대한소화기학회 추계학술대회 Vol.2003 No.-
<목적> 급성 췌장염의 진단에 있어 전통적으로 혈중 amylase가 이용되어 왔으나 그 진단 예민도 및 특이도에는 한계가 있으며, 이를 보완하기 위하여 혈중 lipase가 이용되기도 하나 역시 예민도 및 특이도에 문제가 있고 그나마 모든 병의원에서 측정이 가능한 검사 종목이 아니다. 따라서 급성 췌장염을 신속, 간편 및 정확하게 검사할 수 있는 방법이 요구되고 있다. 최근에 개발된 urinary trypsinogen-2 strip test는 급성 췌장염
Peutz-Jeghers 증후군의 과오종에서 Cyclooxygenase-2의 과발현
송대훈 ( Song Dae Hun ),정준표 ( Jeong Jun Pyo ),홍순원 ( Hong Sun Won ),이덕용 ( Lee Deog Yong ),정연수 ( Jeong Yeon Su ),지상원 ( Ji Sang Won ),백용한 ( Baeg Yong Han ),이세준 ( Lee Se Jun ),이관식 ( Lee Gwan Sig ),김원호 ( Kim 대한소화기학회 2003 대한소화기학회 추계학술대회 Vol.2003 No.-
<목적> Peutz-Jeghers (P-J) 증후군은 위장관의 과오종성 용종증과 피부점막의 색소침착을 특징으로 하는 상염색체 우성으로 유전하는 비교적 드문 질환이다. 본 질환은 용종에 의한 장폐쇄, 장중첩증 및 출혈 등의 증상과 용종의 악성 변환 위험 때문에 용종을 최대한 제거하여야 하지만, 수술 및 내시경을 통한 용종의 물리적 제거에는 한계가 있고 결국 환자는 수 차례의 개복 수술을 피할 수 없게 된다. 따라서 지속적으로 발생하고 성장하는 P-J 증후
손주익(Ju Ik Son),이준희(Jun Hee Lee),이상인(Sang In Lee),정준표(Jun Pyo Lee),송기섭(Kee Sup Song),박진아(Jin A Park),최성우(Sung Woo Choi),이정일(Jung Il Lee),이관식(Kwan Sik Lee),유정식(Jeong Sik Yoo),최승호(Seung Ho Choi),박찬일(Chan 대한소화기학회 2001 대한소화기학회지 Vol.38 No.4
Gastroduodenal intussusception is a rare condition caused by the prolapse of a gastric tumor and subsequent invagination of the gastric wall into the duodenum. The lead point of the intussusception is usually a benign gastric tumor such as adenoma, lipoma, and leiomyoma. Only a small number was attributed to gastric carcinoma, giant solitary gastric heterotopia, Menetrier's disease, and Peutz-Jeghers syndrome. In Korea, only two cases of gastroduodenal intussusception caused by adenoma and by leiomyoma have been reported. We experienced a case of gastroduodenal intussusception caused by gastric carcinoid tumor in a 76-year-old woman. Interestingly, she had been diagnosed as having gastric carcinoid tumor metastasized to the liver 5 years and 3 months before this gastroduodenal intussusception occurred. This rare clinical setting of gastroduodenal intussusception by a rare cause is reported with a review of the literature. (Korean J Gastroenterol 2001;38:288-291)
박영수(Young Soo Park),서정훈(Jeong Hun Suh),고준상(Jun Sang Ko),정재복(Jae Bock Chung),김명진(Myung Jin Kim),박승우(Seung Woo Park),이세준(Se Joon Lee),정준표(Jun Pyo Chung),송시영(Si Young Song),강진경(Jin Kyung Kang) 대한내과학회 2002 대한내과학회지 Vol.63 No.3
Background : Extrahepatic bile duct stones can be classified into two types. Primary stones are formed de nevo in the bile duct, whereas secondary stones migrate from the gallbladder into the bililary tree. The differentiation between primary and secondary stones is very difficult before operation. The aim of this study is to determine the origin of extrahepatic bile duct stones by analyzing MRC features. Methods : MRC was obtained in 38 patients with stones in both the common duct and gallbladder. MRC findings were compared for gross characteristics and MR signal patterns between common duct stone and gallbladder stone pairs. The gross morphologic characteristics of gallstones on MRC were classified into oval, polygonal, round, rod, sandy and mixed shape. Gallstone patterns seen on heavily T2-weighted images were categorized into one of two patterns: dark, and mixed signal. Results : According to the morphologic characteristics on MRC images, the common duct stones were oval (n=9), polygonal (n=15), round (n=6), sandy (n=4), mixed (n=3) and rod (n=1). The visualized MR signal patterns of common duct stones on heavily T2-weighted images were dark (n=28) and heterogenous (n=10). Conclusion : On MRC, the gross morphologic characteristics and gallstone patterns of common duct stones were similar to those of their paired gallbladder stones in 60.5 to 78.9% of patients. (Korean J Med 63:267-272, 2002)
동결건조 갈색거저리 유충의 제조공정 표준화에 따른 자가규격 및 유통기한 설정
정미연 ( Mi Yeon Chung ),이정용 ( Jeong Yong Lee ),이진채 ( Jin Chae Lee ),박길수 ( Kil Su Park ),정준표 ( Jun Pyo Jeong ),황재삼 ( Jae Sam Hwang ),구태원 ( Tae Won Goo ),윤은영 ( Eun Young Yun ) 한국잠사학회 2014 한국잠사곤충학회지 Vol.52 No.1
본 연구에서는 갈색거저리 유충의 식품등록 후 산업화에 대비하여 대량생산 시설에 적용 가능한 동결건조 갈색거저리 유충곤충의 제조공정을 확립하였다. 갈색거저리 유충을 1 ~ 2일간 절식시킨 후 식용을 목적으로 하므로 위생적인 측면을 고려하여 분변제거 및 세척한 후 고온 · 고압 살균법으로 살균하였다. 살균시 용기 내에 부직포(48 cm × 55 cm)를 깔고 갈색거저리 투입량은 1 kg(3 cm)이하로 하는 것이 세균 및 진균의 제거에 효율적임을 확인하였다. 또한 생산효율을 증가시키기 위하여 다단식 살균기를 사용하여 각 단 사이의 공간을 10 cm 이상 확보하여 115oC, 1 kgf/cm2에서 10분간 고온 · 고압 살균한 경우 미생물이 검출되지 않음을 확인하였다. 살균한 갈색거저리 유충 동결건조를 위해 동결은 -35oC 이하에서 용기[W(63 cm) × L(57 cm) × H(3 cm)]별 4 kg씩(두께 1.5 cm 이하) 투입하여 실시하고, 건조는 -15oC 이하, 0.5 torr 이하에서 최소 30시간 이상 건조하는 것이 효율적인 것으로 판단하였다. 동결건조 갈색거저리 유충의 자가규격으로 수분 5% 이하, 산가 3 mg/g 이하, 과산화물가 30 meq/g 이하, 조단백 45% 이상, 조지방 25% 이상, 올레산 11 ~ 16%를 허용범위로 설정하였다. 마지막으로 이화학적 특성, 관능적 특성, 미생물학적 지표 조사를 통한 유통기한 설정 결과 PET 재질 용기로 포장될 경우 동결건조 갈색거저리 유충의 최종 유통기한은 제조일로부터 12개월로 결정하였다. 따라서 본 연구를 통해 확립된 대량생산 시설에 적용 가능한 동결건조 갈색거저리 유충의 제조공정을 통해 식품등록 후 산업화시 보다 위생적이며 균일한 제품 제조가 가능할 것이고, 자가규격 및 유통기한은 제품 관리에 응용되어 보다 안전성 및 안정성 확보가 가능할 것이라고 사료된다. This study was carried out to establish the self-specification and shelf-life by standardization of manufacturing process for Tenebrio molitor larvae. First, standardization of manufacturing process for T. molitor was set up. Sterilization for larvae placed on a multistage shelf with intervals of about 10 cm was carried out at 115oC, 1 kgf/cm2 for 10 min. After sterilization, T. molitor larvae were frozen at less than ?35oC for more than 12 hrs. And then, they were dried under ?15oC, 0.5 torr vacuum for more than 30 hrs. Second, we decided self-specification for T. molitor larvae. Their moisture, acidity, peroxide, crude protein and crude fat level should be 5% or less, 3 mg/g or less, 30 meq/g or less, 45% or more, and 25% or more, respectively. Also, oleic acid, representative material, level was set up 11 ~ 16%. Third, we decided shelf-life by analysis of the physicochemical characteristic, sensory evaluation and microbial indicators. The final expiry date for lyophilized T. molitor larvae in PET bottle was calculated as 12 months from date of manufacture. We expect that optimal manufacturing process system, self-specification, and shelf-life proposed in this study can be used in industrial production of T. molitor as a novel food.
이소성 췌장의 악성 변화에 의하여 발생한 십이지장 선암종
남주영 ( Nam Ju Yeong ),이상인 ( Lee Sang In ),정준표 ( Jeong Jun Pyo ),최성호 ( Choe Seong Ho ),이덕용 ( Lee Deog Yong ),최재필 ( Choe Jae Pil ),이정일 ( Lee Jeong Il ),이세준 ( Lee Se Jun ),이관식 ( Lee Gwan Sig ),강진경 ( Kang 대한소화기학회 2003 대한소화기학회지 Vol.42 No.2
Heterotopic pancreas, defined as the presence of pancreatic tissue that lacks anatomic and vascular continuity with the pancreas proper, may be more likely to undergo malignant change. However, malignancy arising from heterotopic pancreas is rare. In Korea, only one case of adenocarcinoma arising from a gastric heterotopic pancreas has been reported. Recently, we experienced a case of duodenal carcinoma arising from heterotopic pancreas in a 64-year-old man. Endoscopic biopsy of the stenotic duodenum was positive for adenocarcinoma, and he underwent a pancreaticoduodenectomy with subtotal gastrectomy. Histologic examination of the resected specimen satisfied the proposed conditions that are necessary to prove that a malignancy arose from heterotopic pancreas. Despite an adjuvant chemotherapy, he died 10 months after surgery. Herein, we report a case of duodenal adenocarcinoma arising from heterotopic pancreas with a review of the relevant literature. (Korean J Gastroenterol 2003;42:164-167)