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RISS 인기검색어
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- 저자 : 심영웅 ( Young Ung Shim ) (검색결과 2 건)
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허윤(Yoon Huh),이균태(Gyun Tae Lee),박근수(Keun Soo Park),이승모(Seung Mo Lee),서세웅(Se Ung Seo),심영웅(Young Woong Shim) 대한소화기학회 1984 대한소화기학회지 Vol.16 No.1
N/A The author studied on acute gastritis of antrum diagnosed with gastroscopy, for 88 cases who had visited Department of lnternal Medicine, Pusan National University Hospital from July 1982 to June 1983. Detailed studies were made of clinical and endoscopic findings in 88 patients, and histopathologic findings in 15 patients whose biopsies were possible among 88 patients. The results were as follows; 1) The sex distribution of the 88 patients was observed such as 72.7% in male and 2.73% in female with ratio of 2.7: 1(male female). In age distribution, third decade(33. 3%) was most frequent and the remaining was in the following order 4th, 5th, 6th, 7th decade respectively. And acute gastritis of antrum occurred most frequently in December. 2) The suspected causes were drug ingestion in 15.9% stress in 13.6%, alcohol in 10.2% and unknown in 46.6%. 3) Clinical manifestations of 88 cases undergone gastroscopy were abdominal pain(96.6%), nausea(60.2%) and abdominal discomfortness(54.5%). The author clinically classified 88 patients into three types based on endoscopic findings. The frequency of each types was edematous gastritis in 34.1%, hemorrhagic erosive gastritis in 48. 9% and ulcerative gastritis in 17.0% respectively. 4) Endoscopic features were as follows; In edematous type, there observed edema of mucosa and narrowing of the antrum due to marked swelling of the mucosal folds, extending from the antrum up to the region of the angulus. These findings were subsided in 1~2 weeks. In hemorrhagic erosive type, edematous thickening of the mucosal folds were extended from the antrum up to the region of the angulus in addition to hemorrhage and erosion which normalized in 1 week. In ulcerative type, there also observed mucosal edema, erosion and hemorrhage. Hemorrhage was disappeared in 1 week, but one or more ulcerations were observed on antrum. 5) Histopathologic features were as follows; slight edema and hypergjg of the mucosa were observed in the edematous type, showing no other characteristic change. Characteristic changes in hemorrhagic erosive type were hemorrhage, necrosis and neutrophil infiltration. In the early stage of the ulcerative type, the histologic changes were very similar to those in the hemorrhagic erosive type. Ulcer formation was observed on the 4-7th day of the onset.
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