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조욱 ( Uk Jo ),정명화 ( Myung Hwa Jung ),강경환 ( Kyung Hwan Kang ),박지영 ( Ji Young Park ),정회훈 ( Hoe Hoon Chung ),김선용 ( Sun Yong Kim ),김민경 ( Min Kyung Kim ),채정민 ( Jung Min Chae ),이은정 ( Eun Jung Lee ),김정욱 ( Jun 전북대학교 의과학연구소 2011 全北醫大論文集 Vol.35 No.1
Gastritis cystica superficialis (GCS) is an uncommon benign lesion which is characterized by hyperplastic foveolar epithelia and multi-cystically dilated glands, especially within the mucosa. It is usually observed in patients who had done stomach surgery before, but also infrequently found in an unoperated stomach. We report two cases of GCS, which occurred in patients who had never undergone stomach surgery. The first case was a 63 years old male with GCS accompanying with gastric adenoma, which was confirmed by endoscopic resection. The second case was a 55 years old female with GCS diagnosed by endoscopic resection, who had been misdiagnosed as raised erosive gastritis but did not respond to H2blocker treatment. Therefore, endoscopic resection is a safe and useful procedure to confirm the histological diagnosis of GCP.
중증 궤양성 대장염 입원환자의 스테로이드 치료실패에 대한 예측 인자 및 모델 검증
김정욱 ( Jung Wook Kim ),김효종 ( Hyo Jong Kim ),이창균 ( Chang Kyun Lee ),김혁 ( Hyuck Kim ),신아리 ( A Ri Shin ),강경환 ( Kyung Hwan Kang ),김민경 ( Min Kyoung Kim ),박현진 ( Hyun Jin Park ),정회훈 ( Hoe Hoon Chung ),황은정 ( E 대한장연구학회 2012 Intestinal Research Vol.10 No.3
Background/Aims: Some clinical and laboratory parameter are predictors to determine steroid treatment failure in patients acute severe ulcerative colitis. We aimed to validate previous models in the Korean patients. Methods: This study was conducted retrospectively with 70 patients who were diagnosed with severe ulcerative colitis (UC) between January 2001 and June 2011. The rate of treatment failure was investigated using predictors or numerical scoring systems from prior studies. Results: Twelve (17.2%) patients failed to respond to steroid therapy. The logistic regression analysis revealed that stool frequency on the fifth day and colonic dilatation were the only independent predictive factors related to treatment failure. Formulated numerical risk scores based on mean stool frequency, colonic dilatation, and hypoalbuminemia were significantly higher in the non-responding group than those in the responding group (P<0.001). Using another scoring system (stool frequency on the third day+1.4×C-reactive protein [CRP]), treatment failure rate was significantly higher in the group in which the score was >8 than in the group with a score <8 (30.8% vs. 8.6%, P=0.042). Lastly, treatment failure rate was higher in the group (stool frequency >8 plus CRP >4.5 mg/dL or bloody stool plus CRP >4.3 mg/dL) than those of the other group at the third day (40% vs. 7.3%, P=0.004; 33.3% vs. 5.2%, P=0.014, respectively). Conclusions: Stool frequency and CRP level were the meaningful parameters among the predictors for steroid treatment response. Furthermore, several predictive models for steroid treatment failure in western countries seem to be of value for use in the Korean population. (Intest Res 2012;10:251-264)