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김선영(Sun Young Kim),김진희(Jin Hee Kim),이경태(Kyung Tae Lee),이승민(Seung Min Lee),김석현(Seok Hyun Kim),이병석(Byung Seok Lee),김남재(Nam Jae Kim),정현용(Heon Young Jeong),이헌영(Heon Young Lee),김영건(Young Kun Kim) 대한내과학회 1999 대한내과학회지 Vol.56 No.5
Objective : Eradication of H. pylori not only results in ulcer healing, but reduces recurrences essentially curing peptic ulcer disease. The purpose of this study was to evaluate the eradication rate of H. pylori and side effects with regard to three drug regimens. Methods : 96 patients were included and divided into three groups: 14 patients(group 1: OA) received omeprazole(20 mg b.i.d.) and amoxicillin(1.0 gm b.i.d.) for 14 days ; 12 patients (group 2: BAM) received colloidal bismuth subcitrate(CBS)(120 mg b.i.d.), amoxicillin(500 mg q.i.d.) and metronidazole(250 mg q.i.d.) for 14 days. ; 70 patients(group 3: OAC) received omeprazole(20 mg b.i.d.), amoxicillin(500 mg q.i.d.) and clarithromycin(250 mg q.i.d.) for 10 days. The diagnosis of the status of H. pylori was made by histology or culture or rapid urease test(CLO test). Results : 1) The eradication rate of H. pylori was higher group 2(91.7%) and group 3(91.4%) than group 1(57.1%). 2) The total failure rate regardless of the regimens (n=96) was 13.5%(13 patients). 10 patients whose treatment failed were randomly assigned to receive retreatment with the alternative regimen of BAM or OAC. In retreatment group(n=10), the eradication rate of H. pylori infection was achieved in 100 %. 3) The side effects were oral burning sensation, odynophagia, nausea, epigastric pain, diarrhea, constipation, gas bloating. The side effects were negligible. Conclusions : 10-day therapy with omeprazole, amoxicillin and clarithromycin(OAC) achieved eradication rate of 91.4 %. The side effects were few and negligible. 10-day therapy with OAC was a safe and very effective regimen for the eradication of H. pylori infection.
김성걸(Seong Gul Kim),최지영(Jee Young Choi),임의혁(Euyi Hyeog Im),김진희(Jin Hee Kim),육은주(Eun Ju Yook),김병호(Byeong Ho Kim),성자원(Ja Won Sung),김남재(Nam Jae Kim),정현용(Hyun Yong Jeong),이헌영(Heon Young Lee),김영건(Young Kun 대한소화기학회 1995 대한소화기학회지 Vol.27 No.2
Primary small intestinal lymphomas are a hetorogenous group of tumors ortginating from the lymphoid cells of the mucosa and submucosa of the small bowel. The ileum and jejunum are most frequently affected, whereas duodenal involvement is less common. There is a himodal age distribution with peak incidences below the age of 10 and in the fifth and sixth decados, with a slight male prodominance. And it is very difficult to diagnose until the dovelopment of any complications such as obstruction, perforation ancl hemorrahage because of the insidious onset of disense and relative inaccuracy of the diagnostic tools as in all the small bowel tumor. Optimal treatment choices for lymphoma remain controversial. Surgical resection, in many cases, is considered the first line of defense. Primary malignant lymphoma of the small intestine has poorer prognosis due to the delay of the diagnosis than any other extra-intestinal malignancy, but has the better prognosis than any other small intestinal malignancy. The histologic type, the extent of the intestinal disease, and the prosence or absence of extraintestinal involvement are the important factors in prognosis. Patients with resectable disease typically have a 40/r, to 507r, S-year survival. Recently the authers diagnosed the primary small intestinal lymphoma associated with a large amount of bleeding confirmed by intraoperative biopsy. So we report this case with the review ot literatures. (Korean J Gastroenterol 1995;27:251-255)
김진희(Jin Hee Kim),서광식(Kwang Sik Seo),김성걸(Seong Gul Kim),김남재(Nam Jae Kim),정현용(Hyun Young Jeong),이헌영(Heon Young Lee),김영건(Young Kun Kim) 대한내과학회 1997 대한내과학회지 Vol.52 No.5
Objective: Despite increased awareness of the fatality of mesenteric ischemia, the diagnosis seldom is made prior to the onset of gangrene. The multiplicity of etiologic factors, the many varied presentations, and splanchnic vasoconstriction all affect the extent of ischemic injury, adding to the complexity of the clinical problem. Extensive acute processes are still catastrophic illnesses with a high mrotality, but there is a potential for both better diagnisis and therapy with an improved outcome. Discussion of the pathophysiology, diagnosis, and treatment of this entity will be presented. Methods: A Retrospective review of our experience with ischemic bowel disease was made. Ten consecutive clinical cases admitted in ChungNam National University Hospital from October 1990 to April 1994 were observed. Results: 1) We experienced 5 patients with arterial embolic occlusion, 1 patient with venous thrombosis and 4 patients with colonic ischemia. 2) The peak ages were 6th decade and 8th decade. 3) The major clincal symptoms and signs were abdominal pain (100%), abdominal tenderness (70%), melena (70%), nausea (60%), fever (50%), vomiting (40%) and abdominal distension (30%). 4) On laboratory findings, there were leukocytosis (80%) and thrombocytopenia (20%) 5) In plain film, there were ileus (70%), edematous intestinal wall (50%), mucosal edema (30%), thumb printing (10%) and gasless abdomen (10%). Among the 5 cases performed abdominal CT, there were thickening of intestinal wall in 4 cases, narrowing of intestinal lumen in 2 case and ascites in 3 cases. 6) Bowel resections were perfomed in 7 cases and supportive care was performed in 3 cases. 7) The overall mortality rate was 30%, Conclusion: An oggressive approach in patients suspected of having ischemic bowel is indicated if the diagnosis is to be made before necrosis has occurred. A high index of suspicion, early angiography, correction of the underlying cardiac disease, treatment of splanchnic vasoconstriction, surgical revascularization, and resection of gangrenous bowel are necessery if there is to be a significant reduction in the high mortality rates associated with mesenteric ischemia.
이재익(Jae Ik Lee),윤일국(Ilk Kuk Yoon),이종선(Jong Sun Lee),김종완(Jong Wan Kim),장준(Joon Jang),안정기(Jeong Ki Ahn),송민호(Min Ho Song),정현용(Hyeon Young Jeong),이헌영(Heon Young Lee),김삼용(Sam Yong Kim),김영건(Young Kun Kim) 대한내과학회 1990 대한내과학회지 Vol.39 No.6
N/A We performed a variety of lymphocyte stimulation tests, delayed hypersensitivity skin tests, and enumeration of several lymphocyte subpopulations in 21 patients with gastric cancer who did not receive any form of anticancer therapy, and in 20 healthy controls. The gastric cancer patients had significantly de- creased number and total score of positive reactions in delayed hypersensitivity skin tests compared with the healthy controls. The percent of CD4 positive lymphocytes in the gastric cancer patients was significantly decreased compared to the normal control subjects, but it had no correlation with the total score of delayed cutaneous hypersensitivity reactions. The ratio of helper to suppressor cells was lower in the cancer group. The uptake of 3H-thymidine was markedly depressed in cancer patients when stimulated with various mitogens. There was little correlation between any of the stimulation tests and any of the lymphocyte subpopulation proportions to delayed hypersensitivity cutaneous reactions. Optimal proliferative response was found in lymphocytes stimulated with 10 micrograms of concanavalin-A and 10 microgram of phytohemagglutinin. Advanced stage patients had greatly depressed delayed hypersensitivity skin reactions and proliferative responses to mitogens compared with localized diseases. These results suggest that gastric cancer patients have depressed cellular immune functions, which mainly result from the decreased helper cells and defects in functional proliferative response to mitogens. Interleukin-2 and interferon-gamma restored the in vitro proliferative response of lymphocyte in patients with gastric cancer.
B 형 만성활동성간염 환자에서 Prednisolone 단기 이탈 및 Alpha Interferon 병합요법의 효과
이종선(Chong Sun Lee),김병호(Byung Ho Kim),성자원(Ja Won Sung),허승식(Sung Sik Hur),이기천(Ki Cheon Lee),정현용(Hyun Yong Jeong),이헌영(Heon Young Lee),김영건(Young Kun Kim) 대한내과학회 1993 대한내과학회지 Vol.45 No.5
Background: There is no satisfactory method of treatment for chronic active hepatitis caused by hepati- tis B virus(CAH-B). Randomized controlled studies on a limited number of patients with CAH-B using alpha interferon or combination with corticosteroid showed some promise in reducing or eliminating viral replication. We evaluated thc safety and efficacy of prednisolone withdrawal followed by recombinant alphaInterferon 2b therapy. Methods: Sixteen patients (treatment group) with CAH-R were injected alpha-Interferon for 16 weeks after prednisolone tapered for 6 weeks, and compared to 12 controlled patients (control group). We measured serum aminotransferase activities, HBsAg, Anti-HBs, HBeAg, Anti-HBe and HBV-DNA before and after therapy. Results: I) Serum levels of AST and ALT were decreased significantly in treatment group (AST: 36±17, ALT: 38±14 IU/L) compared to control group (AST: 188±152, ALT: 272±155 IU/L). The responses were maintained for 1 year after therpy. 2) The negative conversion rates of HBeAg and HBV-DNA were significantely higher in treatment group (HBsAg: 50%, HBV-DNA: 87%) than control group (I4Be Ag: 0%, HBV-DNA: 14%) after treatment. But there was no significant differenee in follow up period (36 & 43%: 17 & 25%, 1yr. after). 3) Loss of HRsAg was not observed in both groups. 4) Mild tolerable side effects were observed; fever (94%), myalgia (75%), headache (19%) and hair loss (13%). 5) Leukocytopenia (19%) and thrombocytopenia (19%) were transient. Conclusions: Prednisolone withdrawal followed by recombinant alpha-Interferon 2b therapy was effective for decreasements of serum aminotransferase activities, for the loss of HBeAg and HBV-DNA, and relatively safe for patients with CAH-B. But it is necessary for study with larger number of patients, more prolonged duration of follow up and more strict control study.
간경변증 환자에서 간신티그램을 이용한 Propranolol 투여 전후의 간혈류 변화
김병호(Byeong Ho Kim),서광석(Kwang Suk Seo),김진희(Jin Hee Kim),김성걸(Seong Gul Kim),육은주(Eun Ju Yook),임의혁(Euyi Hyeog Im),성자원(Ja Won Sung),이강욱(Gang Wook Yi),정현용(Hyun Yong Jeong),이헌영(Heon Young Lee),김영건(Young Kun 대한소화기학회 1994 대한소화기학회지 Vol.26 No.1
N/A Esophageal varix bleeding due to portal hypertension in liver cirrhotics is very emergency state and difficult for management. In spite of many kinds of treatment in esophageal varix bleeding such as medical and surgical methods, but cant be expected of good results. Lebrec report that propranolol is significantly decreased portal venous pressure in 1980. This study analyzed the portal hemodynamics by liver scintigraphy of 38 patients with liver cirrhosis who were proven to have esophageal varices and 10 norrnal subjects. The 19 cirrhotics had taken liver scintigraphy before and after propranolol medication. There were significant difference in HAI(Hepatic Arterial Index) between cirrhotics and normal subjects(64.7k16.5/ vs 31.9+8.3%, p<0.001). There were no significant difference in HAI according to the Childs classification, the type of variceal morphology and the presence of ascites, but the HAI in Child B(68.1%) and C(63.4%) groups were higher than that in Child A group(55.5%). The heart rate decreased significantly after propranolol ( 7.6No./min, p<0.001) and the HAI increased significantly after propranolol (+8.0%, p<0.05). It should be suggested that propranolol is effective in decreasing the portal hypertension by decreasing the portal blood flow. There were no serious complication of propranolol. In conclusion, these results suggest that propranolol could be a potentially useful and safe agent in management and prevention of variceal bleeding by decreasing the portal hypertension and the liver scintigraphy with Tc tin colloid is reasonably a accurate, simple, safe, and rapid method, therefore can be considered suitable for use in the assecement of liver hemodynamics.(Korean J Gastroentero11994; 26: 119-126)
괴사후성과 비괴사후성 간경변증에서 원인별 주석교질 (^99mTc-tin colloid) 간스캔의 차이
이헌영,허승식,이강욱,정현용,김삼용,신영태,김영건,노흥규 충남대학교 의과대학 지역사회의학연구소 1992 충남의대잡지 Vol.19 No.2
The differences of the liver scintigraphic features between postnecrotic and nonpostnecrotic liver cirrhosis were studied for 69 patients. Degrees of mottling and splenomegaly were no different between two groups but shrinked form was more frequent finding in postnecrotic type(23:10), and normal shape & enlarged left lobe with shrinked right lobe were relatively dominant in non-postnecrotic group(15:6, 10:2). Grade of extrahepatic uptake of ^99mTc-tin colloid was significantly higher in Child-Pugh B & C group than A group(p<0.05), but there was no difference between postnecrotic and non-postnecrotic groups. These will be important results on the dicision for the presence of cirrhosis according to the variable causes.
폐쇄성 황달에 대한 내시경적 비 담도 배액법(ENBD)의 효과
이헌영,김남재,정현용 충남대학교 의과대학 지역사회의학연구소 1995 충남의대잡지 Vol.22 No.2
To evaluate the clinical effects of ENBD in patients with biliary obstruction, 18 patients were included in this study. The results were as follows ; 1) The causes of obstructive jaundice in 18 patients, with performed ENBD were distal CBD cancer (3 cases), CBD stone with cholangitis (14 cases) and CBD stone without cholangitis (1 case). 2) The duration of ENBD was 12.5 days (8-20 days). 3) The positive results of bacteriologic culture via ENBD tube revealed 8 cases among 13 (61.5%). 4) Amory 15 cases with CBD stones, Basket removal (2 cases) and Mechanical lithotripsy (1 case) perfomed in 3 cases after EST and 4 cases had an operation after ENBD. Three patients with CBD cancer underwent ERBD. In conclusion, ENBD is a safe and effective noninvasive biliary drainage method for initial decompression of malignant or benign biliary obstruction with or without cholangitis (especially with).
만성활동성간염과 간경변에서의 고-Alpha Fetoprotein 혈증의 의의(Ⅰ)
이현영,이종선,정현용,이복희 충남대학교 의과대학 지역사회의학연구소 1990 충남의대잡지 Vol.17 No.2
Ten patients with chronic liver disease, whose serum levels of AFP were markedly increased, were detected from Jan. 1985 to Sep. 1990. The clinical and laboratory findings were examined and the results were as follows. 1. The objective patients were 4 males and 6 females, and their mean age was 40.2 years old. Five cases were chronic active hepatitis-B, and the other 5 cases were liver cirrhosis. 2. At the time of first examination, the mean level of serum AFP was 499ng/ml and this initial level of AFP declined to 10.4ng/ml after 5.1 monthes. 3. Initially the mean levels of serum AST, ALT and ALP were 271.7, 299.1 and 177.1 IU/L, and after 5.1 monthes these levels were changed to 61.0, 53.6 and 72.1 IU/L.