http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
한국인의 기능성 위장 장애의 진단에 있어서 로마기준 3의 유용성
김익성 ( Eak Seong Kim ),이병준 ( Byung Jun Lee ),김영신 ( Young Sin Kim ),이상인 ( Sang In Lee ),박효진 ( Hyo Jin Park ) 대한소화기기능성질환·운동학회 2008 Journal of Neurogastroenterology and Motility (JNM Vol.14 No.1
Background/Aims: We investigated the validation of Rome 3 criteria for diagnosis of functional gastrointestinal disorders in Koreans. Methods: Total of 157 patients who visited our hospital in the first time were enrolled. They filled out the Rome 3 diagnostic questionnaires of ROME Foundation. We evaluated the sensitivity and specificity of Rome 3 criteria in discriminating functional gastrointestinal disorders from organic diseases. Factor analysis was used to identify symptom clusters of the patients with functional gastrointestinal disorders. Results: The percentage of organic or functional disorders was 12% (19 patients) and 88% (138 patients) respectively. The sensitivity and specificity of Rome 3 criteria in discriminating functional gastrointestinal disorders from organic diseases for upper gastrointestinal tract was 60% and 53% each, and for lower gastrointestinal tract was 80% and 50% each. The percentage of overlap syndrome of functional gastrointestinal disorders was 49%. Twelve factors were detected except functional dysphagia, mixed-irritable bowel syndrome, proctalgia fugax in factor analysis. Conclusions: The Rome 3 criteria could be applied to Korean patients with functional gastrointestinal disorders. The Rome 3 criteria in the diagnosis of lower gastrointestinal tract in Korean was found to be relatively sensitive.
송재천 ( Jae Chun Song ),김상겸 ( Sang Kyum Kim ),김익성 ( Eak Seong Kim ),정인수 ( In Su Jung ),송영구 ( Young Goo Song ),유정식 ( Jeong Sik Yu ),박효진 ( Hyo Jin Park ) 대한소화기학회 2008 대한소화기학회지 Vol.52 No.4
We experienced a rare case of colonic cryptococcosis in an apparently immunocompetent individual. A 27-year-old woman admitted our hospital for intermittent melena. Initial abdominal CT scan revealed a mass lesion obstructing most of the lumen in ascending colon. Colonoscopy showed huge ulcerofungating mass in proximal ascending colon. Colonoscopic biopsy was performed and pathologic diagnosis was made as colonic cryptococcosis with positive PAS stain. Laboratory test evaluating immune status and bone marrow examination was normal. The patient was treated with intravenous amphotericin B for four weeks and six months of oral fluconazole afterwards. Follow-up abdominal CT scan and colonoscopy were taken at four weeks and seven months after the beginning of treatment. On completion of intravenous amphotericin B treatment, the mass lesion was decreased in abdominal CT and colonoscopy. After seven months, abdominal CT and colonoscopy showed near-complete resolution of the colonic lesion so the treatment ended. Cryptococcosis in a healthy individual is a rare disease and there have been only several sporadic case reports on pulmonary or central nervous system involvement. Hence, we report a case of colonic cryptococcosis in an apparently immunocompetent individual. (Korean J Gastroenterol 2008;52:255-260)