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김영진,최충경,박영래,이상혁,설상영 인제대학교 2000 仁濟醫學 Vol.21 No.1
Tuberculosis is known to involve the liver in different forms. Milliary tuberculosis of the liver is the must common and is said to occur in 50∼80% of all patients dying of pulmonary tuberculosis. Hepatic tuberculous abscess is relatively rare disease, otherwise it's mortality is high if untreated. But, early diagnosis and appropriate treatment can reduce the mortality. Recently, there has been a resurgence of tuberculosis in industrialized countries, primarily becauce of acquired immunodeficiency syndrome with increasing incidence in extrapulmonary tuberculosis. We present a case of hepatic tuberculous abscess with review of literatures.
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박원일,이종협,조심현,백봉력,최충경,이성근,문한규,최영미,정윤석,이관우,김현만,김미경,이지현,최선정 대한내과학회 2002 대한내과학회지 Vol.62 No.3
목적 : 비만치료에 사용되는 초저열량 식이요법을 전통적인 한국음식으로 제공하여 그 안전성 및 치료 효과를 관찰하였다.대상 및 방법 : 1998년 5월부터 1998년 12월까지 동의 의료원 내과에 입원한 비만환자 12명을 연구 대상자로 선정하였다. 한국식 초저열량 식이는 14일간 다음과 같은 일정에 의해 제공되었다. 즉, 일일 1200 Kcal, 1000 Kcal, 710 Kcal, 450 Kcal, 710 Kcal, 1000 Kcal를 각각 2일, 2일, 2일, 10일, 2일 및 2일 동안 순서에 따라 제공하였다. 연구대상자들의 신장, 체중, 혈중 지질, 혈중 인슐린 농도, 체성분, 체지방을 식이요법 전후에 측정하였다. 결과 : 초저열량 식이요법 후 체성분의 변화는 체중은 83.8 kg에서 78.6 kg으로, 제지방 체중은 51.6 kg에서 50.0 kg으로, 체지방은 32.2 kg에서 28.6 kg으로, 체질량 지수는 31.4에서 29.5로 모두 유의하게 감소하였다 (p<0.05). 복부 전산화 단층촬영에서 단일 사진 면적당 총 지방량은 807 cc에서 659 cc로, 피하지방은 567 cc에서 473 cc로, 내장지방은 273 cc에서 185 cc로 모두 유의한 감소가 있었다 (p<0.05). 그러나 혈청 전해질 농도의 유의한 변화는 없었다. 식사요법 후 총 콜레스테롤이 199 mg/dL에서 166 mg/dL로, 고밀도지단백-콜레스테롤은 42 mg/dL에서 35 mg/dL로, 중성지방이 158 mg/dL에서 75 mg/dL로 유의하게 감소하였다 (p<0.05). 혈중 인슐린-곡선하 면적 (insulin-area under the curve)도 식이요법 전 205 μIU/mL·2hr에서 식이요법 후 168 μIU/mL·2hr로 유의한 감소가 있었다 (p<0.05). Background : There is increasing interest in the use of a very low calorie diet (VLCD) as a treatment regimen for weight loss in obese subjects. This study was designed to investigate the effects and safety of a traditional Korean very-low-calory diet Methods : Twelve hospitalized obese patients at Dong Eui hospital in Busan city from May 1998 to December 1998 were selected. Height, body weight, blood lipids, blood insulin level, body fat, lean body mass, subcutaneous fat and visceral fat were measured. A traditional Korean VLCD was supplied for 14 days. Results : Patient's body weight was significantly decreased from 83.8 kg to 78.6 kg, body fat from 32.2 kg to 28.6 kg, lean body mass from 32.2 kg to 28.6 kg, and BMI from 31.4 to 29.5, respectively (p<0.05). Total fat was significantly decreased from 807 cc to 659 cc, subcutaneous fat from 567 cc to 473 cc, visceral fat from 273 cc to 185 cc, respectively. However there were no significant changes in minerals. After VLCD intervention, total cholesterol was significantly decreased from 199 mg/dL to 166 mg/dL, HDL-cholesterol from 42 mg/dL, to 35 mg/dL, triglyceride from 158 mg/dL, to 75 mg/dL (p<0.05). The insulin area under the curve was also significantly decreased from 205 μIU/mL․2hr to 168 μIU/mL․2hr (p<0.05). Conclusion : Above findings suggested that a traditional Korean VLCD is effective and safe for short term use in terms of reducing body fat and improving insulin resistance in obese patients.(Korean J Med 62:250-257, 2002)
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김영진,김은영,김효준,신영민,최충경,소영철,문한규 대한소화기내시경학회 1999 Clinical Endoscopy Vol.19 No.1
Ischemic colitis is frequently misdiagnosed as ulcerative colitis or non-specific colitis. Therefore differential diagnosis from idiopathic ulcerative colitis will be needed. Recently, we have examined a 20 year-old Korean female patient who had the complaints of acute lower abdominal pain and bloody diarrhea. The diagnosis of ischemic colitis was confirmed on the basis of colonoscopic and associated histopathological findings. The patient discharged with good improvement on the thirteenth hospital day after medical treatment with antibiotics, fluid and electrolytes. We report a case of reversible ischemic colitis of descending colon of a young woman with literature review.
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박원일(Won Il Park),이종협(Jong Hyup Lee),조심현(Shim Hyun Jo),백봉력(Bong Luck Paik),최충경(Chung Keung Choi),이성근(Seung Geun Lee),문한규(Han Kyu Moon),최영미(Young Mee Choi),정윤석(Yoon Sok Jung),이관우(Kwan Woo Lee),김현만(Hyeon 대한내과학회 2002 대한내과학회지 Vol.62 No.3
N/A Background: There is increasing interest in the use of a very low calorie diet (VLCD) as a treatment regimen for weight loss in obese subjects. This study was designed to investigate the effect s and safety of a traditional Korean very-low-calory diet Methods: Twelve hospitalized obese patients at Dong Eui hospital in Busan city from May 1998 to December 1998 were selected. Height, body weight, blood lipids, blood insulin level, body fat, lean body mass, subcutaneous fat and visceral fat were measured. A traditional Korean VLCD was supplied for 14 days. Results: Patient's body weight was significantly decreased from 83.8 kg to 78.6 kg, body fat from 32.2 kg to 28.6 kg, lean body mass from 32.2 kg to 28.6 kg, and BMI from 31.4 to 29.5, respectively (p <0.05). Total fat was significantly decreased from 807 cc to 659 cc, subcutaneous fat from 567 cc to 473 cc, visceral fat from 273 cc to 185 cc, respectively. However there were no significant changes in minerals. After VLCD intervention, total cholesterol was significantly decreased from 199 mg/dL to 166mg/dL, HDL-cholesterol from 42 mg/dL, to 35mg/dL, triglyceride from 158mg/dL, to 75mg/dL (p<0.05). The insulin area under the curve was also significantly decreased from 205μIU/mL·2hr to 168 μIU/mL·2hr(p <0.05). Conclusion: Above findings suggested that a traditional Korean VLCD is effective and safe for short term use in terms of reducing body fat and improving insulin resistance in obese patients. (Korean J Med 62:250-257, 2002)
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