http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
위식도역류질환에서 십이지장위식도역류 - 장시간 보행성 식도내 pH및 빌리루빈의 동시측정에 의한 평가
최명규(Myong Gyu Choi),박수헌(Soo Heon Park),방춘상(Choon Sang Bang),한준열(Joon Yul Han),김재광(Jae Kwang Kim),최규용(Kyu Yong Choi),정인식(In Sik Chung),정규원(Kyu Won Chung),선희식(Hee Sik Sun),박두호(Doo Ho Park) 대한소화기학회 1996 대한소화기학회지 Vol.28 No.4
N/A Background/Aims: Esophageal reflux damage may be produced by agents other than acid and the term alkaline esophagitis has been applied. Methods using esophageal pH monitoring to assess duodenogastroesophageal reflux have been suggested but gastric neutralization has made these methods difficult to prove conclusively. The purpose of this study were to investigate the role of duodenogastroesophageal reflux in gastroesophageal reflux disease(GERD) and to understand the relationship between pH and duodenogastroesophageal reflux. Methods: we performed simul- taneous esophageal pH and bilirubin rnonitoring(Bilitec 2000, Synetics) in 14 symptomatic patients with gastroesophageal reflux and 10 healthy controls. Abnormal gastroesophageal reflux was defined when the percent total time of pHC4 or bilirubin absorbance 0.14 exceeded the 95th percentile of the range obtained in healthy volunteers. Results: Abnormal gastroesophageal reflux was diagnosed in 12(85.7%) of 14 patients, who could be categorized into 3 acid refluxers, 1 bile refluxer or 8 combined acid and bile refluxers. All 6 patients with severe esophagitis(grade 2 by Savary Miller classification) were combined acid and bile refluxers and had markedly prolonged acid and bile reflux compared to 8 patients with normal or mild esophagitis(% total time of pH 4(mean+SE): 13.4+2.96 vs 5.0+1.8, p<0.05; % total time of bilirubin absorbance 0.14(mean+SE): 25.2+4.6% vs 7.9+3.8%, p<0.05). Mean pH of esophageal refluxate during bile reflux episode lasting longer than 5 minutes was 6.0(7.1% for pH C4, 8.8% for pH 4 5, 26.6% for pH 5-6, 47% for pH 6-7 and 8.3% for pH7). 4) 8 patients with a symptom index greater than 25% experienced 24 reflux symptoms of which 12(50.0%) were associated with acid reflux, 5(20.8%) were associated with bile reflux and 7(29.2%) were not associated with bile or acid reflux. Conclusions: Alkaline esophageal reflux is a misnomer. Esophageal pH monitoring does not adequately identify symptomatic non-acidic duodenogastroesophageal reflux. Patients with com- bined acid and bile reflux are more likely to develop severe esophagitis. (Korean J Gastroenterol 1996; 28:469 - 476)
지연용해형 캡슐내 방사선 비투과 표지자를 이용한 대장분절 통과시간
최황(Hwang Choi),최명규(Myung Gyu Choi),김병욱(Byung Wook Kim),김재광(Jae Kwang Kim),한석원(Sok Won Han),최규용(Kyu Yong Choi),정규원(Kyu Won Chung),선희식(Hee Sik Sun),박두호(Doo Ho Park),손형선(Hyung Sun Son) 대한소화기기능성질환·운동학회 2000 Journal of Neurogastroenterology and Motility (JNM Vol.6 No.1
N/A Backgrounds/Aim: Scintigraphic measurement of colon transit has proven usefu1 clinically and in the research area, however this method requires well equipped laboratories. The aim of this study was to develop a new colon transit test using radiopapue markers instead of radiolabeled pellets in a methacrylate-coated capsule. Methods: Ten healthy volunteer. were studied. After simultaneous administration of two methacrylate-coated gelatin capsules containing activated ehareoa1 mixed with 8 mCi of (99m)Tc or a commercially used radiopaque marker, scintigraphies and plain abdominal X-rays were performed. We compared colon transit profiles as the geometric center at 4, 8, 24, and 48 hours after ingestian of gelatin capsules. This new radiopaque marker test was validated with a scintigraphic method as the gold standard. Results: Geometric centers (mean±SEM) of (99m)Tc-scintigraphy were 0.50±0.18 at 4 hours, l.l6±0.05 at 8 hours, 3.31±0.36 at 24 hours, and 4.16±0.29 at 48 hours. Geometric centers of the radiopaque marker method were 0.40±0,16, 1.13±0.05, 3.33±0.37, and 4.18±0.30 respectively. Transit profiles were the same with both methods and highly correlated (r=0.994, p<0.001). The difference between the two methods against the mean for the geometric center was within 2SD. Conclusions : A colon transit test using radiopaque markers in a methacrylate-coated, delayed release capsule was inexpensive, simple, and reliable. This new test could be applicable when a gamma camera is not available. (Korean Journal of Gastrointestinal Motility 2000;6:52-60)
한국인에서 Helicobacter pylori 중복 감염의 검출
박수헌(Soo Heon Park),최명규(Myung Gyu Choi),김재광(Jae Kwang Kim),정인식(In Sik Chung),선희식(Hee Sik Sun),박두호(Doo Ho Park),김병욱(Byung Wook Kim),이학성(Hak Sung Lee),최황(Hwang Choi),최규용(Kyu Yong Choi),이인석(In Seok Lee),한 대한소화기학회 2001 대한소화기학회지 Vol.38 No.6
Background/Aims: The aim of this study was to determine intra-variation of Helicobacter pylori (H. pylori) strains of each patient and to investigate the affection of multiple strains of H. pylori infection to the disease outcome in Korea. Methods: Thirty patients who were H. pylori-positive and had gastritis (n=10), duodenal ulcer (n=10) and gastric adenocarcinoma (n=10) were included in this study. Their disease were confirmed endoscopically and histologically. Their H. pylori were cultured. Five H. pylori colonies were picked randomly from the primary cultures. Using primer 1254, random amplified polymorphic DNA fingerprinting (RAPD) analysis was carried out. Restriction fragment length polymorphism (RFLP) patterns for the subtypes of ureC, cagA, and vacA were also investigated. Results: RAPD method confirmed that four of gastritis patients (40%), four of duodenal ulcer patients (40%), and five of gastric adenocarcinoma patients (50%) were infected with multiple strains of H. pylori. The intra-variation of RFLP patterns for the subtypes of ureC, cagA, and vacA were detected in the three groups. Conclusions: Multiple strains of H. pylori and the subtypes of cagA and vacA may not affect the outcome of the gastrointestinal disease. (Korean J gastroenterol 2001;38:411-418)
이성희(Seong Hee Lee),최명규(Myung Gyu Choi),추교영(Kyo Young Choo),왕준호(Jun Ho Wang),문성배(Sung Bae Moon),최황(Hwang Choi),방춘상,김재광(Jae Kwang Kim),최규용(Kyu Yong Choi),정규원(Kyu Won Chung),선희식(Hee Sik Sun),박수헌(Soo Heon 대한소화기기능성질환·운동학회 2000 Journal of Neurogastroenterology and Motility (JNM Vol.6 No.1
N/A Baekground/Aim: Heartburn, which was the most common symptom of reflux disease, was unreliably interpreted by Korean patients. Our aim was to evaluate the clinical spectrum of gastroesophageal reflux disease(GERD) in Korea. Methods: Patients who were diagnosed by an endosopy or ambulatory pH monitoring at a tertiary medical facility were given a validated questionnaire and the clinical spectrums were prospectively investigated. Results: Seventy one patients were included, Heartburn was occurring m 39 patients and the frequency of heartburn on two or more days a week were found in only 12 patients. Negative impact of reflux symptoms on health related well being were found in 16 patients. The reflux related atypical symptoms were hoarseness(55%), globus sensation(45%), cough(25%), and chest pain(20%). Twenty two patients complained of epigastric pain or discomfort more than 6 times a year, with 13 patients listing abdominal pain as the most bothersome one. The clinical spectrums were not different between endoscopy negative patients and those with esophagitis. Conclusions: Typical reflux symptoms are absent in a substantial proportion of Korean patients with GERD. True dyspepsia could result from gastroesophageal reflux, GERD needs to be clarified in patients with chronic laryngeal symptoms, cough or chest pain. (Korean Journal of Gastrointestinal Motility 2000;6:1-10)
박수헌(Soo Heon Park),최명규(Myung Gyu Choi),조세현(Se Hyun Cho),한준열(Jun Yeul Han),최규용(Gyu Yong Choi),정인식(In Sik Chung),정규원(Kyu Won Chung),선희식(Hee Sik Sun),김부성(Boo Sung Kim),강창석(Chang Suck Kang) 대한소화기학회 1996 대한소화기학회지 Vol.28 No.1
A 34-year old female was admitted to St. Mary Hospital because of indigestion. E,ndoscopy showed cobble stone appearance of gastric mucosa on the antrum. Computed tomography showed normal gastric wall thickness and no evidence of lymph node enlargement. Upper gastrointestinal barium study showed poorly defined granular depressed lesion on the antrum. Gastric mucosectomy specimen showed centrocyte-like cells of small lymphocytes, collection of lymphocytes infiltrating and partially destroying isolated glands(lymphoepithelial lesion). After the gastric resection, she was diagnosed as a malignant lymphoma of mucosa-associated lymphoid tissue(MALTOMA) with submucosal infiltration. In analogy to the early gastric cancer, early gastric lymphoma is defined as a tumor with a maximum depth of infiltration extending into the submucosa. After chernotherapy with a regimen of cyclophosphamide, vincrisiine, adriamycin, bleomycin, H-lone, procabazine, she was discharged with complete remission. Hence we present a case of MALT-lymphoma wilh literature. (Korean J Gastroenterol 1996;28: 111 - 117)
Parkinson 씨 병 환자에서 발생한 대장 가성폐색증 1 예
추교영(Kyo Young Choo),최명규(Myung Gyu Choi),최황(Hwang Choi),방춘상(Choon Sang Bhang),최규용(Kyu Yong Choi),정인식(In Sik Chung),정규원(Kyu Won Chung),선희식(Hee Sik Sun) 대한소화기기능성질환·운동학회 2001 Journal of Neurogastroenterology and Motility (JNM Vol.7 No.2
Colonic pseudo-obstruction (CPO) is a syndrome characterized by obstructive symptoms and signs without mechanical obstruction. Parkinson's disease is one of the various clinical situations developing CPO. Recently, one study group reported that neostigmine was significantly more effective than placebo in rapidly decreasing colonic dilatation in the majority of patients with acute CPO. We experienced a 69-year-old male patient with Parkinson's disease who complained abdominal distension. There was a marked colonic dilatation on plain abdominal radiographs without mechanical obstruction. Colonic dilatation failed to improve with conservative management. Immediate clinical response was achieved after patient received 2.0 mg of neostigmine intravenously under monitoring by electrocardiography. One month later, he had recurrent colonic dilatation, but no clinical response to second administration of neostigmine, leading to colonic decompression. After a third recurrence of colonic dilatation, the patient was refractory to conservative management, and he underwent surgical treatment. (Korean Journal of Gastrointestinal Motility 2001;7:251-256)
Helicobacter pylori에 감염된 십이지장궤양과 비궤양성 소화불량에서 ABO 혈액형과 HLA의 연관
채현석(Hiun Suk Chae),김태규(Tai Gyu Kim),한훈(Hoon Han),김성수(Sung Soo Kim),최규용(Kyu Yong Choi),정인식(In Sik Chung),차상복(Sang Bok Cha),박두호(Doo Ho Park),김부성(Boo Sung Kim) 대한소화기학회 1996 대한소화기학회지 Vol.28 No.5
N/A Background/Aims: It has been known that genetic factors, for example, blood group, non-secretor and HLA system, are associated with duodenal ulcer and that Helicobacter pylori infection is the major cause of peptic ulcer. However, Helicobacter pylori is also found in non-ulcer dyspepsia and asyrnptomatic patients without ulcer formation. But, it is still not known regarding what kind of genetic factors have an effect on ulcer formation at the time of Helicobacter pylori infection. This study was performed to make clear wbich genetic factors are re1ated with duodenal ulcers among Koreans, and what kind of genetic factors could influence on the ulcer formation in the patients with Helicobacter pylori infection according to ABO blood groups and HLA antigen.'.. Methods: The duodenal ulcer patients (36), non-ulcer dyspepsia (19) and norraal healthy controls (103) were included in this study. Helicobacter pylori infection was detected with phenol red spray method in vivo which was confirmed with Warthin-Starry silver stain. HLA antigen expression (HLA-A,B) of peripheral blood T lymphocytes was studied with microlymphocytotoxicity teclmique. Results: Tbe frequency of HLA-A 33 was higher in duodenal ulcer patients (l4/36, 38.9%) compared with the control group (21/103, 20.4%). On the contrary, no difference in HLA-B has been shown between duodenal ulcer patients and controls. Among patients with Helicobacter pylori infection, blood group 0 was significant1y more frequent in patients with duodenal ulcers (21/36, 58.3%) than in non-ulcer dyspepsia (5/19, 26.3%). In patients with HLA-A 33, blood group 0 was significantly more frequent in duodenal ulcer patients (7/)4, 50%) than in non-ulcer dyspepsia patients (0/7, 0%). Conclusions: In Helicobacter pylori-infected patients, HLA-A 33 is related with duodenal ulcers and the patients with both blood group 0 and HI.A-A 33 are more likely to have duodeual ulcers than those with HLA-A 33 and without blood groop O. (Korean J Gastrnenterol 1996; 28:623 - 631)
추교영(Kyo Young Choo),최명규(Myung Gyu Choi),최황(Hwang Choi),이동수(Dong Soo Lee),김진일(Jin Il Kim),김성수(Sung Soo Kim),방춘상(Choon Sang Bhang),박수헌(Soo Heon Park),김재광(Jae Kwang Kim),한석원(Sok Won Han),최규용(Kyu Yong Cho 대한소화기기능성질환·운동학회 2000 Journal of Neurogastroenterology and Motility (JNM Vol.6 No.1
N/A Background/Aims: Chronic gastrointestinal (GI) symptoms are believed to be common in the general population, but there is a lack of data from Korea. The aim of this study was to es1imate the prevalence of chronic gastrointestinal symptoms in a rural community in Korea by using the Bowel Symptom Questionnaire (BSQ), which was based on the multinational diagnotic Rome criteria for functional bowel disorders, as a measure of GI symptoms. Methods: A cross-sectional survey, using a reliable and valid questionnaire based on the fulfillment of the Rome criteria, was performed in a densely populated district in a Korean rural community on the residents aged l8-69 yr (mean 48±14 yr). 95,5% responded (n=420). All respondents were interviewed at their home or offices by a team of interviewers. Results: Two thirds of Korean rural residents experience gastrointestinal symptoms and one fifth of them visit a clinic or hospital at least once a year. Prevalences of weekly heartburn, gastroesophageal reflux disease, dyspepsia, irritable bowel syndrome (IBS), and chronic constipation were 5.2% (95% confidence interval [CI], 3.l-7.4, 2.6% (95% Cl, 1.1-4.2), 15.5% (95% CI, 11.9-19.0), 8.6% (95% CI, 3.8-11,3), and 24.3% (95% CI, 20.1-28.5) respectively. The prevalence of dyspepsia was 25%, taking medication usage into consideration. Ulcer-like dyspepsia (11.2%) was the most common subtype and 40% of the subjects with dyspepsia were classified into more than one subtype of dyspesia. There was an overlap between subjects with IBS and dypepsia with 6.1% of dypeptics having IBS and ll,l% of IBS patients having dypepsia. Conclusions: The prevalence of GERD was low in Korea compared with that of the Western countries. The prevalences of dyspepsia and IBS were similar to those of the Western countries. The most common gastrointestinal symptom in a rural community in Korea is dyspepsia, (Korean Journal of Castrointestinal Motility 2000;6:31-43)
박수헌(Soo Heon Park),박선숙(Sun Sook Park),최명규(Myung Gyu Choi),조세현(Se Hyun Cho),한준열(Jun Yeul Han),최규용(Gyu Yong Choi),정인식(In Shik Chung),선희식(Hee Sik Sun),김부성(Boo Sung Kim),강창석(Chang Suck Kang) 대한소화기학회 1996 대한소화기학회지 Vol.28 No.2
A 58-year old man was admitted to our hospital because of right upper quadrant pain and tingling sensation of both wrists. On physical examination, liver was palpable below thie low costal margin at the right mid-clavicular line. Liver biopsy and gastric mucosal biopsy clemonstrated amyloid deposition. EMG showed the denervated pattern in both median nerves and partial muscular atrophy. On his hospital day, his renal function deteriorated with gastrocolic symptoms. Hemodialysis was initiated. But the patient's condition was not recovered and he died l week after initiation of hemodialysis. Hence, we reported a case of gastrointestinal amyloidosis with carpal tunnel syndrome with the literature. (Korean J Gastroenterol 1995;28: 286 - 291)
운동이상형 소화불량증을 호소하는 당뇨병 환자에서 주석산 시사프리드의 효과
김선명(Sun Myung Kim),추교영(Kyo Young Choo),최명규(Myung Gyu Choi),김진일(Jin Il Kim),방춘상(Choon Sang Bhang),한석원(Sok Won Han),김병욱(Byung Wook Kim),최황(Hwang Choi),김성수(Sung Soo Kim),이동수(Dong Soo Lee),최규용(Kyu Yong Ch 대한소화기기능성질환·운동학회 2001 Journal of Neurogastroenterology and Motility (JNM Vol.7 No.1
N/A evaluated the effects of cisapride tartrate on gastrointestinal symptoms and gastric emptying times in diabetic patients with dysmotility like dyspeptic symptoms. Methods: Cisapride was administered before each meal in 61 patients for 4 weeks. The intensity of gastrointestinal symptoms before and after cisapride administration was scored from 0 to 4, in the order of increasing severity of symptoms. In addition, a gastric emptying test was performed. Results: A significant reduction in the total intensity score of symptoms was observed during the first two weeks, from 8.5±2.1 to 4.0±3.0 (p<0.05), and a further reduction was noted during the next two weeks, to 2.8±2.8 (p<0.05). Good to excellent improvement was obtained in 70.4% of the patients, but the improvement in symptoms was not related to age, duration of diabetes, glucose, Hb A1c, neuropathy, or retinopathy. Treatment with cisapride induced a significant regression of symptoms and a significant improvement of delayed gastric emptying from 104.0± 31.7 minutes to 79.5±17.1 (p<0.05). However, there was a lack of association between the changes in gastric emptying times and improvements in symptoms(r2=0.00186). Only 3 patients complained of loose stool, nausea, or dizziness. Conclusions: Cisapride was effective in improving dysmotility like dyspeptic symptoms in diabetic patients without serious side effects. (Korean Journal of Gastrointestinal Motility 2001;7:56-64)