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인체 담관 질환의 담즙에서 검출되는 Helicobacter 균주의 동정
김석배(Suk Bae Kim),이병석(Byoung Suk Lee),박태진(Tae Jin Park),고미혜(Mi Hye Ko),박현종(Hyun Jong Park),노임환(Im Hwan Roe),신지현(Ji Hyun Shin),이종화(Jong Hwa Lee) 대한내과학회 2000 대한내과학회지 Vol.58 No.5
Background : Several studies have been reported that the presence of Helicobacter DNA in human bile sample, although its pathological role is not clear. The purpose of this study was to evaluate the presence and identification of Helicobacter species in human bile samples obtained from patients with biliary tract diseases. Methods : 58 bile samples (35 intrahepatic duct stones, 10 bile duct cancer, 13 pancreatic cancer) were obtained by percutaneous transhepatic biliary drainage (PTBD). DNA was isolated from bile sample. The primers were designed to amplify region of Helicobacter genus specific 16S rRNA. Polymerase chain reaction (PCR)-restriction fragment length polymorphism (RFLP) was developed to differenciate the presence of H. pylori, H. bilis, H. rappini and H. muridarum. Results : Forty-two of 58 (72.4%) bile samples obtained from patients with biliary tract disease showed positive PCR band for Helicobacter genus specific 16S rRNA. H. pylori was found in 83.3% of positive samples. Either H. bilis or H. rappini was in 16.7%. H. muridarum, however, was not detected. Conclusion : Helicobacter genus was detected in human bile samples obtained from patients with biliary tract diseases using PCR method, and the major species was H. pylori. In addition, RFLP technique was used successfully to identify Helicobacter species.(Korean J Med 58:526-531, 2000)
이전제왕절개술 기왕력을 가진 산모의 분만 후에 발생한 방광자궁샛길 2예
김석배 ( Suk Bae Kim ),윤영은 ( Young Eun Youn ),박미선 ( Mi Sun Park ),박옥랑 ( Ok Rang Park ),김항진 ( Hang Jin Kim ) 대한산부인과학회 2006 Obstetrics & Gynecology Science Vol.49 No.9
Vesicouterine fistula, a fistula between bladder and uterus, is one of the rarest urogenital fistula. Most cases are associated with repeat Cesarean section and with vaginal birth after Cesarean section (VBAC). During Cesarean section, it is important to dissect and move the bladder away from uterus carefully, especially in case of adherent bladder to the anterior vaginal wall or lower segment wall and it is necessary to explain the possibility of vesicouterine fistula development in case of VBAC. Patients usually present with urinary incontinence in the early postoperative period or present months or years later with cyclic hematuria, amenorrhea, vaginal leakage of urine, urinary tract infection and secondary infertility. The diagnosis is made by cystoscopic visualization of the fistula orifice in the bladder and outlining the fistula tract on cystogram, hysterosalpingogram or transvaginal ultrasonogram. There have been varied approaches to the treatment of vesicouterine fistula with conservative therapy or surgical therapy. We experienced two cases of vesicouterine fistulas in women with previous Cesarean section, the one is delivered with repeat Cesarean section after trying VBAC, the other is delivered with vacuum assisted VBAC, and treated with surgical repair.
건강검진 수진자를 대상으로 한 충남 서북부 지역의 바이러스 간염 표지자 양성률 및 간수치 이상에 관한 연구
김석배 ( Suk Bae Kim ),이원경 ( Won Kyung Lee ),최훈 ( Hoon Choi ),김소미 ( So Mi Kim ),노란 ( Rhan Noh ),강하얀 ( Ha Yan Kang ),이상석 ( Sang Suk Lee ),라성수 ( Sung Soo Ra ),공재환 ( Jae Hwan Gong ),신현덕 ( Hyun Duk Shin ) 대한소화기학회 2009 대한소화기학회지 Vol.53 No.6
목적: 간염 바이러스 표지자의 양성률은 지역과 대상 집단의 성격에 따라서 차이가 있는데 최근 건강검진이 확산되면서 유병률을 조사하는 데 많은 도움이 되고 있다. 이에 저자들은 본원에서 건강검진을 받은 충남 서북부 지역의 성인들을 대상으로 B형과 C형 간염 바이러스 양성률과 간기능 이상률을 조사하였다. 대상 및 방법: 2002년 1월부터 2006년 12월까지 단국대학교 건강검진센터에서 검진을 받은 40,112명을 대상으로 하였다. 이들의 자료들 중 HBsAg, anti-HBs, anti-HCV, AST, ALT 등을 후향 분석하였다. 결과: 총 40,112명 중 남자가 22,936명이었고 여자는 17,176명이었으며 평균 나이는 42.9±11.2세였다. 전체 대상군의 HBsAg 양성률은 4.2%였고 성별로 보면 남자 4.5%, 여자 3.7%로 남자가 여자보다 유의하게 높았다(p<0.001). 연령에 따른 HBsAg 양성률은 40대가 5.1%로 가장 높았고 그 다음으로 10대(4.2%), 30대(4.1%), 50대(4.1%), 20대(3.3%)의 순이었다. 전체 대상군의 anti-HBs 양성률은 65.1%였고 성별로 보면 남자 64.8%, 여자 65.4%로 성별 간의 유의한 차이는 보이지 않았다. 연령에 따른 anti-HBs 양성률은 10대가 80.3%로 가장 높았고 그 다음으로 40대(68.5%), 20대(67%), 30대(66.6%)로 연령이 증가할수록 감소하는 소견을 보였다(p<0.001). 전체 대상군의 anti-HCV 양성률은 0.7%였고 성별로 보면 남자 0.7%, 여자 0.6%로 유의한 차이는 보이지 않았다. 이들을 추적검사한 결과 만성 C형 간염의 유병률은 0.09%였다. 전체 대상군 중 LFT 이상을 보인 사람은 11.4%였다. 이를 HBsAg 여부에 따라 구분해 보았을 때 HBsAg 양성인 군은 21.7%가 HBsAg 음성인 군은 10.9%가 LFT 이상을 보여 유의한 차이를 보였다(p<0.001). 그리고 anti-HCV 양성인 군은 28.6%가, 만성 C형 간염군은 63.2%가 LFT 이상을 보여 전체군보다 월등히 높았다. AST, ALT의 평균값도 만성 B형 간염, 만성 C형 간염군이 전체군에 비해서 의미 있게 높았다(p<0.001). 결론: 충남 서북부 지역의 HBsAg, anti-HCV 양성률은 각각 4.2%, 0.7%로 전국보다 낮았다. 그러나 10대 및 20대에서의 HBsAg 유병률은 아직도 높아서 이를 줄이기 위한 노력이 필요할 것으로 보인다. Background/Aims: We studied the prevalence of chronic hepatitis B, C and abnormality on liver function among the population in northwest area of Chungnam. Methods: We have reviewed 40,112 adults who had received medical examination at health promotion center in Dankook university hospital. We studied them retrospectively about HBsAg, HBsAb, anti-HCV, and liver function test (LFT). Results: Among the study subjects, 22,936 men and 17,176 women were involved. The overall seroprevalence of HBsAg was 4.2%. The prevalence in men (4.5%) was higher than that of women (3.7%) (p<0.001). The seroprevalence of HBsAg in their age was 5.1% in the 5th decade, 4.2% in the 2nd decade, 4.1% in the 4th decade, and 4.1% in the 6th decade. The overall seroprevalence of HBsAb was 65.1%. The overall seroprevalence of anti-HCV was 0.7%. After we reexamined them with HCV RNA or RIBA (Recombinant Immunoblot Assay), the prevalence of chronic hepatitis C was 0.09%. The LFT abnormality in total subjects was 11.4%. The LFT abnormality of chronic hepatitis B and C subjects was 21.72% and 63.2%. Conclusions: The prevalence of chronic hepatitis B and C was lower than that of previous studies. The prevalence of chronic hepatitis B in the 2nd decade was still high. (Korean J Gastroenterol 2009;53:355-360)
증례 : 소화기 ; 내시경적 Urokinase 주입으로 치료한 위석 1예
김동우 ( Dong Woo Kim ),윤승욱 ( Seung Wook Yun ),김지환 ( Ji Hwan Kim ),김배환 ( Bae Hwan Kim ),라성수 ( Sung Soo La ),백두산 ( Du San Baik ),김석배 ( Suk Bae Kim ) 대한내과학회 2009 대한내과학회지 Vol.76 No.1
단단한 위석을 제거하는 방법으로 코카콜라를 위석 내로 직접 주입하는 것이 기존의 방법보다 비용이나 효과 면에서 우수하다. 하지만 보고자마다 시술 시간의 차이가 크고 본 증례에서도 1개의 위석을 제거하는데 1시간 정도가 걸렸기 때문에 위석이 여러개인 경우에는 다른 주입 물질을 고려해 볼 만하다. Urokinase는 섬유소를 제거하는 역할을 하기 때문에 식물위석의 경우 코카콜라보다 효과적인 물질이라고 여겨진다. 저자들은 3개의 단단한 위석으로 인해 위궤양 및 상복부 통증이 발생하였던 환자에게 첫날 코카콜라 주입 후 위석을 제거하기까지 걸린 시간을 단축시키기 위해서 다음날 urokinase를 주입해 위석 제거시간을 단축시킨 증례를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Bezoars are collections or concretions of indigestible foreign material that accumulate and coalesce in the gastrointestinal tract. Treatment options include dissolution with enzymes, endoscopic removal or aspiration, and surgery. The outcome differs according to the treatment method. A 57-year-old man was admitted with a 1-month history of epigastric pain. On gastrofiberscopy, an approximately 2-cm deep ulcer was seen on the lesser curvature of the antrum and three huge bezoars were found. In order to remove the first one, we injected Coca-Cola into it directly. It took 20 minutes to cut up and 1 hour to remove completely. To decrease the procedure time, we changed the injection fluid to urokinase for the remaining two bezoars. It took 9 and 10 minutes to cut up the second and third bezoars, respectively, and 1 hour to remove them completely. We report a case of phytobezoars treated successfully by endoscopic injections of Coca-Cola and urokinase. (Korean J Med 76:64-69, 2009)
김진모 ( Jin Mo Kim ),이원애 ( Won Ae Lee ),신현덕 ( Hyun Deok Shin ),송일한 ( Il Han Song ),김석배 ( Suk Bae Kim ) 대한소화기학회 2021 대한소화기학회지 Vol.78 No.5
Neuroendocrine tumors (NETs) can arise throughout the body. Most NETs in the liver are metastatic tumors; primary hepatic NET (PHNET) is extremely rare. A diagnosis of PHNET is very difficult. No single modality can diagnose PHNET by itself, and it often resembles other hypervascular masses of the liver. This paper reports the case of a 51-year old female with a large hepatic mass. Unlike most of PHNETs reported previously, it was composed of a solid mass with mainly multiple cystic lesions, which led to an erroneous diagnosis of hepatic mucinous cystadenoma or cystadenocarcinoma. PHNET with cystic lesions is extremely rare, and the features are not well studied. This case may help physicians suspect PHNET in a differential diagnosis of an atypical hepatic mass. (Korean J Gastroenterol 2021;78:300-304)
선택적 cyclooxygenase-2 억제제에 의한 간암세포의 성장억제에서 surviving 유전자 발현의 하향조절
송일한 ( Il Han Song ),김동우 ( Dong Woo Kim ),신기철 ( Ki Chul Shin ),신현덕 ( Hyun Duk Shin ),윤세영 ( Se Young Yun ),김석배 ( Suk Bae Kim ),신정은 ( Jung Eun Shin ),김홍자 ( Hong Ja Kim ),김은영 ( Eun Young Kim ) 대한간학회 2008 Clinical and Molecular Hepatology(대한간학회지) Vol.14 No.3
유원상 ( Won Sang Yoo ),김남희 ( Nam Hee Kim ),강민호 ( Min Ho Kang ),윤세영 ( Se Young Yun ),김석배 ( Suk Bae Kim ),신정은 ( Jung Eun Shin ),박윤찬 ( Yun Chan Park ),송일한 ( Il Han Song ) 대한소화기학회 2008 대한소화기학회지 Vol.51 No.6
Spontaneous intrahepatic bleeding is a rare condition. In the absence of trauma, intrahepatic hematoma may be due to underlying liver disease. We report a case of hepatocellular carcinoma in the patient who had huge intrahepatic hematoma without definite intrahepatic tumor at the time of initial presentation. A 54-year-old man was admitted to our hospital with a sudden onset of upper abdominal pain. Initial abdominal CT scan showed huge hematoma measuring more than 13 cm in diameter in the right lobe of the liver. However, there was no enhancing lesion in the liver. Laboratory data showed high alanine aminotransferase, alpha-fetoprotein and positive HBsAg. The MRI and angiography could not also depict any mass in the liver. The patient was treated with percutaneous drainage on the intrahepatic hematoma. The cytology from drainaged blood revealed no malignant cell. After hematoma decreased, follow-up CT scan depicted an enhancing tumor in the liver. He underwent right hepatic lobectomy and histopathological examination showed hepatocellular carcinoma. (Korean J astroenterol 2008;51:385-390)
박재동 ( Park Jae Dong ),이홍우 ( Lee Hong U ),안광준 ( An Gwang Jun ),김석배 ( Kim Suk Bae ),박학열 ( Park Hag Yeol ),손경락 ( Son Gyeong Lag ) 대한산부인과학회 2003 Obstetrics & Gynecology Science Vol.46 No.10
Congenital cystic adenomatoid malformation of the lung (CCAM) is a rare benign pulmonary lesion characterized by abnormal overgrowth of the fetal bronchiole. The prenatal diagnosis of CCAM is important because the prognosis of the CCAM is depend on the ty