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( Seon Young Park ),( Wan Sik Lee ),( Yeong Eun Joo ),( Hyun Soo Kim ),( Sung Kyu Choi ),( Jong Sun Rew ),( Chang Hwan Park ),( Seok Lee ),( Ho In Hwang ),( Sang Min Yum ),( Seok Cho ),( Keong Won Yoo 대한소화기학회 2007 SIDDS Vol.9 No.-
Background/Aims: Endoscopic biliary drainage is an established mode of treatment for acute suppurative cholangitis. Endoscopic retrograde biliary drainage (ERBD) using a plastic stent is suggested to be as effective as endoscopic nasobiliary drainage (ENBD) for temporary biliary drainage in acute suppurative cholangitis. However, there were a few studies comparing between ERBD and ENBD in acute suppurative cholangitis. We compared the safety and efficacy of ERBD and ENBD in patients with acute suppurative cholangitis. Methods: From April to August 2007, forty patients with acute suppurative cholangitis underwent endoscopic biliary drainage with ENBD (22) and ERBD (18). We retrospectively analyzed their safety and efficacy. Results: Mean duration of indwelling catheter were 4.3 days in the EMBD group and 4.6 days in the ERBD group (p=0.67). Leukocyte counts became normal after a median time of 2.7 days in the ENBD group and 1.7 days in the ERBD group (p=0.18). Total bilirubin became normal after a median time of 2.8 days in the ENBD group and 3.4 days in the ERBD group (p=0.44). There were 6 ERCP-related complications in the ENBD group and 10 in the ERBD group (p=0.11). The complications were symptomatic pancreatitis (2 in ERBD), bleeding (3 in ERBD and 4 in ENBD), and increased amylase (2 in ENBD and 5 in ERBD). There were no cases of occlusion or migration of ENBD or ERBD. But, one patient pulled out the ENBD catheter. There was no difference of frequency of procedure (p=0.06) and hospital stay (p=0.79) between the 2 groups. Conclusions: ERBD is safe and effective alternative method of decompressing the bile duct in acute suppurative cholangitis.
Low Pepsinogen I Level Predicts Multiple Gastric Epithelial Neoplasias for Endoscopic Resection
( Seon Young Park ),( Sung Ook Lim ),( Ho Seok Ki ),( Chung Hwan Jun ),( Chang Hwan Park ),( Hyun Soo Kim ),( Sung Kyu Choi ),( Jong Sun Rew ) 대한소화기학회 2014 Gut and Liver Vol.8 No.3
Background/Aims: Synchronous/metachronous gastric epithelial neoplasias (GENs) in the remaining lesion can develop at sites other than the site of endoscopic resection. In the present study, we aimed to investigate the predictive value of serum pepsinogen for detecting multiple GENs in patients who underwent endoscopic resection. Methods: In total, 228 patients with GEN who underwent endoscopic resection and blood collection for pepsinogen I and II determination were evaluated retrospectively. Results: The mean period of endoscopic follow-up was 748.8±34.7 days. Synchronous GENs developed in 46 of 228 (20.1%) and metachronous GENs in 27 of 228 (10.6%) patients during the follow-up period. Multiple GENs were associated with the presence of pepsinogen I <30 ng/mL (p<0.001). Synchronous GENs were associated with the presence of pepsinogen I <30 ng/mL (p<0.001). Conclusions: Low pepsinogen I levels predict multiple GENs after endoscopic resection, especially synchronous GENs. Cautious endoscopic examination prior to endoscopic resection to detect multiple GENs should be performed for these patients.
Relevance of Colonic Gas Analysis and Transit Study in Patients With Chronic Constipation
( Seon Young Park ),( Hyun Bum Park ),( Ji Myung Lee ),( Ho Jun Lee ),( Chang Hwan Park ),( Hyun Soo Kim ),( Sung Kyu Choi ),( Jong Sun Rew ) 대한소화기기능성질환·운동학회 2015 Journal of Neurogastroenterology and Motility (JNM Vol.21 No.3
Background/Aims: Colon transit time (CTT) is a useful diagnostic tool in chronic constipation, but requires good patient compliance. We analyzed the correlation between the gas volume score (GVS) and CTT in patients with chronic constipation. Methods: The study included 145 consecutive patients (65 men) with chronic constipation. The primary outcome was the correlation between the colon GVS and CTT. Secondary outcomes were the differences in colon GVS according to CTT and subtypes of chronic constipation. Results: There were 81 patients with CTT < 45 hours and 64 patients with CTT ≥ 45 hours. In addition, 88 patients were classified as having functional constipation and 57 were classified as having constipation predominant irritable bowel syndrome (IBS-C). There was no significant correlation between CTT and colon GVS. However, the right colon GVS showed a positive correlation with right CTT (r = 0.255, P = 0.007). The median total colon GVS was significantly higher in patients with CTT ≥ 45 hours than in those with CTT < 45 hours (5.65% vs 4.15%, P = 0.010). There were no significant differences in colon GVS between the functional constipation and IBS-C. Conclusions: We were unable to detect a correlation between GVS and CTT in patients with chronic constipation. However, total colon GVS may be a method of predicting slow transit in patients with chronic constipation. (J Neurogastroenterol Motil 2015;21:433-439)
Association of CCK1 Receptor Gene Polymorphisms and Irritable Bowel Syndrome in Korean
( Seon Young Park ),( Jong Sun Rew ),( Soo Mi Lee ),( Ho Seok Ki ),( Kyong Rok Lee ),( Jun Ho Cheo ),( Hyung Il Kim ),( Du Yeong Noh ),( Young Eun Joo ),( Hyun Soo Kim ),( Sung Kyu Choi ) 대한소화기기능성질환·운동학회 2010 Journal of Neurogastroenterology and Motility (JNM Vol.16 No.1
Introduction: Cholecystokinin (CCK) belongs to a group of endogenous molecules known as brain-gut neuropeptides and functions as a neuropeptide as well as a gut hormone. It remains unclear whether genetic variation of the CCK receptor plays a role in irritable bowel syndrome (IBS). The aim of this study was to determine and compare the allele and genotype frequencies of the CCK1 receptor polymorphisms between healthy controls and patients with IBS. Methods: Genotyping of 80 patients with IBS (who met the Rome III criteria) and 76 healthy controls was performed. We performed PCR amplification for the CCK1 receptor intron 1 779 T C and Exon 1 G A. We confirmed polymorphisms by direct sequencing method. Results: There was a significantly different trend for genotypic distributions of the CCK1 receptor polymorphism between patients with IBS and healthy controls (p for trend = 0.048). The CCK1 receptor intron 1 779 T C polymorphic type was more common in patients with `IBS-constipation predominant (IBS-C) and IBS-mixed (IBS-M) forms` (19/31, 61.3%) than healthy controls 32/76, 42.1% adjusted odd ratio 2.43, 95% Confidence interval 1.01-5.86). The genotypic distributions of the CCK1 receptor exon 1 polymorphism were not significantly different between the two groups (p for trend = 0.223). Conclusions: CCK1 receptor polymorphisms were associated with IBS. In particular, the CCK1 receptor intron 1 779 T C polymorphic type was associated with `IBS-C and IBS-M`. Further studies are needed in Larger number of patients with an even distribution of IBS subtypes.(J Neurogastroenterol Motil 2010;16:71-76)
( Seon Young Park ),( Jin Ook Chung ),( Dong Jun Son ),( Chang Hwan Park ),( Hyun Soo Kim ),( Sung Kyu Choi ),( Jong Sun Rew ) 대한내과학회 2014 대한내과학회 추계학술발표논문집 Vol.2014 No.1
Background: Gastroparesis is a chronic disorder that signifi cantly impairs the quality of life of affected individuals. However, little is known about the prognosis for morbidity or death of delayed gastric emptying. The aim of study was to evaluate the prognostic value of gastric emptying study on the prediction of morbidity including cardiovascular event. Methods: We enrolled 139 patients (93 females, 105 patients with diabetes) with symptoms of gastroparesis, who underwent gastric emptying scintigraphy from 2004 to 2013. Comorbid condition, age, gender distribution were examined as potential risk factors. We evaluated the occurrence of cardiovascular events (coronary artery disease, stroke) and other morbid diseases after gastric emptying scintigraphy. Results: There were 114 patients with normal gastric emptying (NGE) and 25 with delayed gastric emptying (DGE). The mean age, gender, BMI and distribution of comorbid conditions including diabetes were not signifi cantly different between the two groups. There was more frequent occurrence of cardiovascular event in ‘DGE’ than ‘NGE’ (32.0 % vs. 10.5 %, p= 0.011). There was more frequent occurrence of cardiovascular event and other neurologic disease in ‘DGE’ (40.0% vs. 14.9%, p=0.009). Conclusions: A delayed gastric emptying study may predict the occurrence of cardiovascular event and negative outcomes in patients with symptoms of gastroparesis.
( Seon Young Park ),( Kyoung Won Yoon ),( Chang Hwan Park ),( Tae Jin Seo ),( Hae Kyung Chung ),( Ho Sung Rew ),( Sung Beom Cho ),( Wan Sik Lee ),( Hyeun Soo Kim ),( Sung Kyu Choi ),( Jong Sun Rew ) 대한소화기기능성질환·운동학회(구 대한소화관운동학회) 2011 Gut and Liver Vol.5 No.3
Although arteriovenous malformations (AVM) occur frequently in digestive organs, pancreatic AVM is rare. The clinical symptoms of pancreatic AVM are variable and include gastrointestinal bleeding, abdominal pain, jaundice, portal hypertension, pancreatitis, and duodenal ulcer. However, choledochoduodenal or pancreaticoduodenal fistulas complicated with ascending infection and pancreatitis is extremely rare. Herein, we report a case of pancreaticoduodenal fistula associated with a pancreatic AVM that induced recurrent anemia and ascending infection. (Gut Liver 2011;5:391-394)
( Seon Young Park ),( Min Ho Park ),( Kyoung Won Yoon ),( Sung Bum Cho ),( Wan Sik Lee ),( Chang Hwan Park ),( Hyun Soo Kim ),( Sung Kyu Choi ),( Jong Sun Rew ) 대한소화기기능성질환·운동학회 2009 Gut and Liver Vol.3 No.1
Background/Aims: Irritable bowel syndrome (IBS) is a biopsychosocial disorder. 5-Hydroxytryptamine (5-HT) plays a crucial role in the control of gastrointestinal motility, sensation, and secretion. This study investigated changes in platelet-depleted plasma 5-HT and their correlation with psychopathology in IBS patients and healthy subjects. Methods: This study involved 21 subjects with IBS and 13 healthy subjects. Fasting and 1-hr postprandial plasma 5-HT concentrations were measured. The SCL-90R symptom checklist was used for the assessment of current psychological symptoms. Results: Fasting and postprandial plasma 5-HT concentrations were significantly higher in IBS patients (15.11±13.51 ng/mL and 16.31±14.21 ng/mL, respectively) than in healthy subjects (5.55±4.14 ng/mL and 6.25±4.82 ng/mL, respectively; p<0.05). There were no significant changes between fasting and 1-hr postprandial 5-HT concentration in IBS subtypes and healthy subjects. Scores on all SCL-90R subscales except for the interpersonal-sensitivity subscale were significantly higher in IBS patients than in healthy subjects. No correlation was found between SCL-90R items and platelet-depleted plasma 5-HT concentration. Conclusions: 5-HT might play a critical role in IBS, and psychopathological factors are correlated with IBS. (Gut and Liver 2009;3:26-30)
( Seon Young Park ),( Sung Bum Cho ),( Chang Hwan Park ),( Jae Kyun Joo ),( Young Eun Joo ),( Hyun Soo Kim ),( Sung Kyu Choi ),( Jong Sun Rew ) 대한소화기기능성질환·운동학회(구 대한소화관운동학회) 2013 Journal of Neurogastroenterology and Motility (JNM Vol.19 No.1
Background/Aims The patients with rectal prolapse suffer from not only a prolapse rectum but also associated dysfunction. However, most surgical techniques are successful regarding the prolapse, but either do not solve or even worsen defecation dysfunction. The purpose of this study was to investigate the functional and physiological results after surgical correction in patients with rectal prolapse. Methods This study is a retrospective review of a single-institution experience. Patients with rectal prolapse who underwent anorectal manometry before and after Delorme`s procedure were included. The primary outcomes measured were improvement of clinical symptoms and physiologic study. Results Consecutive 19 patients with rectal prolapse (17 females, mean age of 68.1 ± 10.8 years) underwent anorectal manometry before and after Delorme`s procedure. The two most prevalent symptoms before operation were rectal tenesmus (15/19, 78.9%) and excessive straining (13/19, 68.4%). The two most prevalent symptoms after operation were rectal tenesmus (14/19, 73.6%) and excessive straining (13/19, 68.4%). No significant differences in resting anal pressure, squeezing anal pressure, defecation index, and rectal sense were found postoperatively. However, vector asymmetry index before surgery was higher than that after surgery (35.0 vs. 32.0, P = 0.018). Ten patients (52.5%) had type I dyssynergic defecation before surgery. No improvement of dyssynergic pattern occurred after surgery. Conclusions In conclusion, dyssynergic defecation was not improved after reduction of rectal prolapse in patients with rectal prolapse. Further study about combination treatment with biofeedback therapy in these subgroups may be necessary. (J Neurogastroenterol Motil 2013; 19:85-89).