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궤양성 대장염의 Antineutrophil Cytoplasmic Antibody ( ANCA ) 발현율
한상원(Sang Won Hang),오수혁(Soo Hyuk Oh),정현(Hyun Jung),양영상(Young Sang Yang),채현석(Hyun Seok Chae),이봉수(Bong Soo Lee),서정민(Jung Min Suh),김재광(Jae Kwang Kim),백남종(Nam Jong Baeg),최규용(Kyu Yong Choi),정인식(In Sik Jung) 대한소화기학회 1994 대한소화기학회지 Vol.26 No.3
N/A Antineutrophil cytoplasmic antibodies (ANCA) are autoantibodies against various antigens present in the cytoplasmic primary granules of neutrophils detected by standard indirect immunofluorescent technique fixing the neutrophil with alcohol. There are two types of ANCA characterized by immunoreactivity, perinuclear type AACA(P-ANCA) and cytoplasmic type ANCA(C-ANCA). ANCA was demonstrated in the sera of patients with inflammatory bowel disease. We have evaluated the reactivity against human neutrophils of sera from 44 patients with ulcerative colitis, 4 Crohns disease, 3 tuberculous colitis, 2 Behqets disease, 10 simple co- litis and 25 healthy controls. 26/44 (59.1%) sera from patients with ulcerative colitis con- tained ANCA compared with 2/4 (50.0%) from Crohns disease, 1/2 (50.0%) from Behqets disease and 2/25 (8%) from control sera. All ten from patients with simple colitis and all three sera from tuberculous colitis were negative. The presence or titer of ANCA was not cor- related with activity of treatment of ulcerative colitis. The predominant pattern of ANCA was cytoplasmic (30/31) and only one serum gave a perinucleatr pattern. In conclusion, ANCA occurred more commonly in ulcerative colitis than tuberculous colitis or simple colitis.(Korean J Gastroenterol 1994;26: 451 457)
김성수(Sung Soo Kim),이창돈(Chang Don Lee),최상욱(Sang wook Choi),한남익(Nam Ik Han),김진일(Jin Il Kim),한상원(Sang Won Hang),윤승규(Seung Kew Yoon),양진모(Jin Mo Yang),박영민(Young Min Park),한석원(Sun Won Han),이영석(Young Suk Lee) 대한소화기학회 1998 대한소화기학회지 Vol.30 No.1
N/A Background/Aims: The transarterial chemoembolization(TACE) has been applied for nonsurgical treatment for hepatocellular carcinoma(HCC) and is widely used in the management of resectable and unresectable HCC in many countries. The aim of this study was to introduce our experience about the survival period and significant prognostic factors associated with TACE in patients with unresected HCC. Methods: The cumulative survival period of 102 patients with HCC was determined by Kaplan-Meiers method. Parameters likely to influence the prognosis were subjected to univariate analysis using log-rank test, and parameters which were significant in the univariate analysis were subjected to rnultivariate analysis using Coxs proportional hazard model. Results: The mean survival period after TACE was 12.79 months, and the overall cumulative survival rates were 58.76% for 6 months, 36.12% for 1 year, 18.06% for 2 year, and 4.90% for 3 years. According to univariate analysis, parameters significantly associated with the survival were portal vein thrombosis, frequency of TACE, TNM stage, serum alkaline phosphatase and total bilirubin. Multivariate analysis revealed that portal vein thrombosis and the frequency of TACE were statistically significant. Conclusions: These findings suggest that portal vein thrombosis is significant and independent prognostic factor, and that repetition of TACE is an effective measure for prolonging surviva1 time in patients with HCC. (Korean J Gastoenterol 1997; 30:72-80)
후천성 간뇌퇴행증 ( Hepatocerebral Degeneration )
김성수(Sung Soo Kim),이창돈(Chang Don Lee),김재영(Jae Young Kim),김성권(Soung Kyun Kim),한상원(Sang Won Hang),윤승규(Seung Kew Yoon),최상욱(Sang wook Choi),박두호(Doo Ho Park),김부성(Boo Sung Kim),김영인(Yeong In Kim),이광수(Kwang So 대한소화기학회 1997 대한소화기학회지 Vol.29 No.5
The acquired hepatocerebral degeneration is a irreversible neurologic syndrome that occurs occasionally in patients who have chronic liver disease and portasystemic shunting. Clinically, the patients present with dementia, dysarthria, ataxia, tremor and extrapyramidal symptoms that must be distinguished from the symptorns of the patients with hepatic cirrhosis complicating hepatic encephalopathy. Tl-weighted images of MR in patients with hepatocerebral degeneration demonstrate characteristic increased signal intensity in the basal ganglia, pituitary gland, and mesencephalon, while T2-weighted images demonstrated no corresponding alteration in signal intensity. It is known that the symptoms of acquired hepatocerebral degenerafion is not irnproved by the conventional therapy for the hepatic encephalopathy such as hypertonic glucose enema or lactulose administration. Recently, we experienced a case of acquired hepatocerebral degeneration diagnosed by brain MRI. A 54-year-old man who had been diagnosed and treated as hepatic cirrhosis for 5 years at our hospital have complained stuporous mental status, dysarthria, fine tremor, and motor disturbance. Under the impression of hepatic encephalopathy, we treated this patient with lactulose and hypertonic glucose enema.. There was some clinical improvement in mental status, but the symptoms such as dysarthria, tremor, and motor disturbance were not changed during hospitalization. Tl-weighted images of MR demonstrate characteristic increased signal intensity in the basal ganglia, while T2-weighted images demonstrated no corresponding alteration in signal intensity. (Korean J Gastroenterol 1997; 29: 694-698)
정용호(Yong Ho Jeong),이창돈(Chang Don Lee),채현석(Hyun Suk Chae),김재성(Jae Sung Kim),한상원(Sang Won Hang),안관홍(Kwan Hong Ahn),신석준(Seok Joon Shin),김정수(Jeong Soo Kim),전해명(Hae Myung Jeon) 대한소화기학회 1997 대한소화기학회지 Vol.30 No.6
Ileal variceal bleeding is an uncommon complication which results from liver cirrhosis with portal hypertention. 1n cirrhotic patients, bleeding most commonly occurs from portal-venous shunts at the cardioesophageal junction but occurs also at any gastrointestinal tract. Ileal varices represent about one third of this ectopic varix affecting the digestive tract. The most prominent clinical features of ileal varix are hematochezia and tarry stool due to lower gastrointestinal bleeding. Superior mesenteric arteriography is regarded as important diagnostic method and on the venous phase enlarged and tortous vein is usually found. Intestinal resection of the area of variceal formation and portal-systemic shunt are recommended as a therapeutic method. We report a case of massive gastrointestinal hemorrhage due to ileal varix with review of literature. (Korean J Gastroenterol 1997; 30:815 - 819)
각종 간 손상시 Human Hepatocyte Growth Factor의 동태
최상욱,이봉수,이영석,김부성,박두호,이창돈,김성수,윤승규,한상원 대한소화기학회 1998 대한소화기학회지 Vol.30 No.5
Background/Aims: Hepatocyte growth factor, a potent mitogen for mature hepatocyte in vitro, seems to function as liver regeneration. Although many studies on human hepatocyte growth factor(hHGF) are being conducted, its clinical significance remains unclear. We measured the serum hHGF levels in patients with various liver condition to evaluate its clinical significance including liver injury and regeneration. Methods: We rneasured serum hHGF levels and its changes by enzyme linked immunosorbent assay(ELISA) kit in 59 patients with hepatitis(five groups: 9 acute hepatitis, 12 chronic hepatitis, 17 liver cirrhosis, 10 acute hepatic failure, 11 chronic hepatic failure) cornpared with 10 normal subjects and 10 chronic renal failure. We also measured the changes of serum hHGF concentration with regular interval in 11 patients with hepatocellular carcinoma after transarterial chemoembolization(TACE; 9 patients) and partial hepatectorny(2 patients) and in 2 patients with chronic active hepatitis who had steroid-interferon (IFN) administration. Results: Serum hHGF levels in each group of hepatitis were significantly higher than those in normal subjects(p$lt;0.05). Furthermore, those in patients with acute hepatic failure were significantly higher than those in any other groups(P$lt;0.05). In patients with acute hepatitis, serum hHGF level decreased with recovery of hepatic function. The serum hHGF levels in patients with acute hepatic failure steadily increased until the patient died and those in patients with chronic hepatic failure decreased with recovery from hepatic coma. The serum hHGF levels in the various liver diseases were well correlated with total bilirubin and prothrombin time, but not with AST, ALT, and albumin. It was on the 2nd day that the serum hHGF level most increased after TACE or partial hepatectomy in patients with hepatocellular carcinoma but the time of most increased level of serum ALT was the 3rd day. The serum hHGF levels in patients with chronic active hepatitis treated with interferon α 2b after steroid administration decreased during steroid administration, and increased during interferon therapy. Conclusions: Based on these results, the serum hHGF level is proven to be a indicator for the degree of liver function, but not as an indicator of the degree of liver injury or regeneration. Serial assay of serurn hHGF levels are considered to be a useful prognostic factor in active and chronic liver diseases.