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위절제술후 이중 에너지 엑스레이 흡수계 ( Dual Energy X-ray Absorptiometry ) 를 이용한 골밀도 변화에 관한 연구
김정룡(Jung Lyong Kim),김영진(Young Jin Kim),김신곤(Shin Kon Kim),강형근(Hyung Geun Kang) 대한소화기학회 1994 대한소화기학회지 Vol.26 No.5
N/A Metabolic changes of bone have been recognized as one of postgastrectomy sequlae. Howev- er,there have until now been no reliable methods to provide an accurate assessment of bone mass status,resulting in a wide variation of the reported incidences of postoperative metabolic bone disorders.Recently an improvement in measuring bone mineral status was achieved using dual energy x ray absorptiometry(DEXA). In order to evaluate bone mineral density after various kinds of gastrectomy procedures, fourty five male patients who underwent the surgery for the stomach and colorectal cancer were studied. Group I was consisted of 13 patients who underwent total gastrectomy,groupII consisted of 16 patients with subtotal gastrectomy with gastroduodenostomy reconstruction (Billroth I), group m,of 9 patients with subtotal gastrectomy with gastrojejunostomy reco- ntruction, and control group,of 7 patients with colorectal resection. Measurement of lumbar spine bone mineral density in patients who had gastrectomy(0.84k0.14 g/cm2 in group I,0.88 +0.16 in groupII,and 0.82+0.14 in groupIII) was significantly lower than that of patients who underwent colectomy(control group 1.03k0.18 g/cm'). Serum hemoglobulin(12+1.19 gm/dl) and total calcium(4.75+0.21 mEq/L) levels in patients with gastrectomy were signifi- cantly lower than those of colectomy group(14.1 +0.85 and 4.75 +0.10, respectively). This study demonstrates that in postoperative bone mineral density and serum total calciurn level there are no differences among patients with various gastrectomy types, however, lower values than in patents with colectomy. (Korean J Gastroenterol 1994; 26: 800 805)
소화성 궤양환자의 혈청 Pepsinogen I 치에 관한 연구
김종숙(Chong Sook Kim),박실무(Sil Moo Park),송인성(In Sung Song),이인덕(In Deog Lee),장세경(Sae Kyung Chang),김정룡(Jung Lyong Kim) 대한소화기학회 1986 대한소화기학회지 Vol.18 No.1
This study was undertaken to evaluate the serum PG I levels in 30 normal control subjects, 36 gastric ulcers, and 60 duodenal ulcer patients. The results were as follows: 1) Serum PG I levels in gastric ulcer showed no statistical difference but in antral gastric ulcer was significantly higher than that of control subjects. 2) Serum PG I in duodenal ulcer patients reveals significantly higher levels than that of control subjects. 3) The high level of PG I in control subjects, gastric ulcer, duodenal ulcer patients was 6.7%, 37.1%, 58.2%, respectively. These results were suggested that serum PG I may be valuable in the diagnosis of peptic ulcer and could help understanding the relationship between serum PG I and acid secretion.