http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
나용호,조국현,윤종만 ( Young Ho Nah,Kook Hyun Cho,Chong Mann Yoon ) 대한소화기학회 1980 대한소화기학회지 Vol.12 No.2
A total of 7o consecutive drip-infusion cholangiography v as performed in the Chonnam licdical University Hospital during periods of 1976 to 1979. The ages of the patients ranged from 21 to 73 years with the highest rank fifth decade. Of the patients 44 were male and 32 were female. In these patients a diagnostic evaluation of drip-infusion cholangiography was possible in 43 cases resulting in a diagnostic success rate of 56 percent. The gallbladder and the ductal systems were visualized with a equal success rate. The total bilirubin levels ranged from 0.4 mgA to 22.4mgZo In pstients with bilirubin levels below 1mg%, 29 of 38 cases in which biliary systems ivere visualized, and in the cases ivith bilirubin levels ranged from ll mgJo to 5. 2mgA 14 of 22 cases, were visualized. In the p.esent stdy the the highest level of serum bilirubin in a patients with adequate opacification of biliary systems was 5. 2mg%. Twenty-one patients were examined by both the conventional and drip-infusion cholangiogra- phy, and the results were compared. The drip-infusion cholangraphy offers a higher success rate over the conventional technic. Drip-infusion cholangiography using premedication with hyphertonic glucose solution and insulin rather causes nonvisulization of biliary systems in some cases. In only two cases developed dizziness.
나용호(Yong Ho Nah),송주흥(Ju Hung Song),최인태(In Tae Choi),채수인(Soo In Chae),김영준(Young June Kim) 대한소화기학회 1986 대한소화기학회지 Vol.18 No.1
We performed the percutaneous endoscopic gastrostomy in 7 patients who were unable to swallow. Feeding via with the PEG was carried out in a bolus fashion requiring no additional equipment. In our experience no aspiration occurred and only one case of skin care problem arose. The PEG appeared to be safe and effective means of nonvolitional feeding in the home, hospital or in an extended care facility.
호도까기 식도증 환자에서 Edrophonium 유발시험
나용호(Yong Ho Nah),김영준(Young June Kim) 대한소화기학회 1987 대한소화기학회지 Vol.19 No.1
N/A The nutcracker esophagus is the most frequent defect of the esophageal motility disorders. But it is unknown whether nutcracker esophagus, as assessed by standard motility testing, bears close relationship to the patients symptoms. To evaluate efficacy and possible relationship between manometric abnormalities and patients symptoms, prospective edrophonium tests were studied in 11 patients with nutcracker esophagus and in 33 age matched controls. To provoke symptoms and motility abnormalities after baseline evaluation, all subjects had administration of normal saline (1 ml i.v.) and edrophonium (80 ug/kg i.v.). Tracings were coded, read and interpreted by two blind observers. Because of efficacy and relative safety, edrophonium provocative test can be simply done with or without manometric findings. The mechanism of edrophonium induced chest pain may be due to accompanying other abnormal waves, but remains an intriguing question. However, no single manometric finding reliably characterizes the patients with edrophonium induced pain. But it seems likely that high frequency of abnormal waves (over 50% of wet swallows) and a significant increase in mean wave duration (over 7.0 sec) may be considered as the probable positive signs.
대량 장출혈과 뇌 전이를 유발한 원발 십이지장 융모막암
조은영 ( Eun Young Cho ),최창수 ( Chang Soo Choi ),김지웅 ( Ji Woong Kim ),권지혜 ( Ji Hye Kweon ),김태현 ( Tae Hyeon Kim ),서검석 ( Geom Seog Seo ),조향정 ( Hyang Jeong Jo ),최석채 ( Suck Chei Choi ),나용호 ( Yong Ho Nah ) 대한소화기학회 2006 대한소화기학회지 Vol.48 No.2
Duodenal choriocarcinoma, either primary or metastatic, is very rare. Early diagnosis and prompt initiation of chemotherapy improve the prognosis of this neoplasm. We herein present, together with the referred literatures, a case of a 47-year-old female patient who visited to our hospital with upper intestinal bleeding. She was diagnosed as duodenal choriocarcinoma by operation. Brain metastasis was found soon after the operation and combination chemotherapy was done. (Korean J Gastroenterol 2006;48:128-131)
최석채(Suck Chei Choi),나용호(Young Ho Nah),임종채(Jong Chae Lim) 대한소화기학회 1995 대한소화기학회지 Vol.27 No.1
N/A Background/Aims: The aim of thi study was to documcnt the circadian rhythmic variation of esophageal motor functions, and the effects of food on esophageul peristalsis. Methods: Standard esophageal manometry and 24-hour ambulatory esophageal pressure monitoring were done in 20 healthy volunteers(male: 14, female: 6, mean age: 26.5 years), using a newly developed miniaturized electronic pressure transducers and portable digital data recorders. Results: Compared to the wet swallow, the food elicited a significant increae in the amplitude of contractions. With 24-hour monitoring, approximately 1,000 contractions were recorded over a 24-hour period. Meals were ass<x.iated with increase in contraction frequency and amplitude. During night, when the subjects were in supine position, esophageal motor activity was markedly decreased and disorganized, with a large percentage of the contractions being simultaneous and of high amplitude. However, even during the upright and meal periods there was a high incidence of simultaneous contractions, l7% and S% respectively. Conclusions: There are circadian rhythmic variotions in esophageal motor pattern and the normal values in a healthy Korean are: contraction amplitude; greater than 25mmHg and less than 100mmHg, simultaneous contractions; less than 40fo in upright position and less than 55% in supine position, multipeaked contraction; less than 10%. (Korean J Gastroenterol 1995;27: 1-8)
건강한 성인에서 콩가루 호기수소 검사법을 이용한 구강 맹장 통과시간의 측정
최석채(Suck Chei Choi),나용호(Young Ho Nah) 대한내과학회 1996 대한내과학회지 Vol.51 No.4
N/A Objectives: The hydrogen breath test has been widely used as a noninvasive and simple method of determining orocecal transit time after ingestion of unabsorbable disaccharide lactulose. But there are several disadvantages in using such a low molecular weight, and hence osmotically active substance. Raked bean contains sufficient poorly absorbable carbohydrate to yield a rise in breath hydrogen of 30-40 pm starting after 3-4 hours after ingestion and this meal more closely resembles normal food and also gives reproducible responses. But the time of arrival of baked bean in the cecum is variable by different researchers. The most common criteria of transit is a sustained rise of > 10 ppm above baseline, though other authers used a rise of sustained 3 ppm or double baseline. The aim of this study was to determine whether changes of test meal aftect the oracecal transit time. The orocecal transit time using baked bean was measured in 20 healthy volunteers and was compared with the orocecal transit time using lactulose. Medthods: Subjects were instructed to not eat any foods containing unabsorbable carbohydrates the day before the test and not smoke for at least 1 hour prior to the test. After an overninght fast subjects brush their teeth and rinse their mouth, the basal end-expiratory breath sample is obtained and assayed for hydrogen using a gas chromatograph (12i MicroLyzer, Quintron, Milwaukee). The test meal containing 120g of baked bean and water (513 kCal) were taken, and then every 10 minitues the sample were collected and measured until they dropped to a level of 10 ppm. The all subjects returned one months later, at which time 15 gm of the lactulose was administered following the same protocol. Transit time were defined as the time at which there were 3 ppm sustained increase, 10 ppm and twofold rise in breath hydrogen over baseline. Results: Orocecal transit time using baked bean rising above 10, 3 ppm sustained increase above baseline and double baseline were 324.5(±87.15), 254.5(±96.38), and 244.5(±111.83) minutes, respectively. Bat orocecal transit time using lactulose were 125.38(±28.47), 97.69(±40.86), and 110.77(±35.7) minutes, respectively. Orocecal transit time was significantly delayed in the method using baked bean than in the method using lactulose. Conclusion: Based on these study, baked bean hydrogen breath test is more accurate modality then lactulose hydrogen breath test in evaluating orocecal transit time. Transit time should be defined as the time of 10 ppm rise over baseline. In healthy adult Korean, upper limit of OCTT is about 5 hours.
풍선 확장술을 시행받았던 식도 이완불능증 환자에서 발생한 식도암
염주진 ( Joo Jin Yeom ),심미령 ( Mi Ryeong Sim ),조은영 ( Eun Young Jo ),최창수 ( Chang Soo Choi ),서검석 ( Geom Seog Seo ),김상욱 ( Sang Wook Kim ),김태현 ( Tae Hyeon Kim ),최석채 ( Suck Chei Choi ),나용호 ( Yong Ho Nah ) 대한소화기기능성질환·운동학회 2004 Journal of Neurogastroenterology and Motility (JNM Vol.10 No.1
Achalasia is believed to be a predisposing factor for the development of esophageal cancer in achalasia. Esophageal cancer has been reported as a late complication in 3~7% of patients with achalasia. The presumed mechanism responsible for the development of cancer are food stasis and gastroesophageal reflux. We experienced a case of esophageal carcinoma in a 61-year-old woman, who had been diagnosed as achalasia fourteen years ago, and who had undergone pneumatic balloon dilatation. Esophagogram, esophagoscopy with biopsy, esophageal manometry, and chest computerized tomography scanning revealed achalasia and esophageal carcinoma. (Kor J Neurogastr oenter ol Motil 2004;10:72-75)
서검석 ( Geom Seog Seo ),최석채 ( Suck Chei Choi ),조은영 ( Eun Young Jo ),최창수 ( Chang Soo Choi ),김지웅 ( Ji Woong Kim ),김태현 ( Tae Hyeon Kim ),윤기중 ( Ki Jung Yun ),나용호 ( Yong Ho Nah ) 대한소화기학회 2006 대한소화기학회지 Vol.47 No.6
목적: 림프구양 여포 직장염은 매우 드문 염증 질환으로 아직 치료 약제가 정립되어 있지 않으나, 메살라진 좌제 사용 후 호전된 증례가 있어 이에 대한 효과를 알아보고자 하였다. 대상 및 방법: 2001년 1월부터 2003년 11월까지 림프구양 여포 직장염으로 진단 받은 8명의 환자들을 후향 분석하였다. 메살라진 좌제 투여 후 증상 호전과 추적 내시경 검사에서 병변 소실이 있을 때 반응군으로 하였다. 결과: 무증상군 3명, 증상군 5명이었다. 증상군의 경우 간헐적인 혈변이 가장 많았다. 평균 추적 기간 14.1개월(2-35), 증상군의 평균 투약 기간은 12개월(3-31)이었다. 증상군 중 4예는 투여 2주 내에 증상 호전을, 투여 3개월 후 추적 대장내시경에서 결절 병변의 개수 감소와 반흔 형성을 보였다. 증상군 1예에서 500 mg을, 4예에서 250 mg의 메살라진 좌제를 사용하였으며 250 mg을 사용한 1예(증상군 2번 환자)에서 반응군의 정의에 포함되지 않았다. 그러나 치료 종결 시점에서는 5예 모두에서 증상 및 조직소견의 호전을 보였다. 반응군의 경우 조직검사에서 림프구양 여포 과증식과 점막 고유판의 과도한 림프구 침윤 소견도 감소하였고, 무증상군 3예는 추적기간 동안 증상 발현이 없었으며 추적 대장내시경을 시행 받은 1예의 경우 육안 소견의 차이는 없었다. 결론: 메살라진 좌제는 증상이 있는 림프구양 여포 직장염 환자에서 증상 및 조직 소견의 호전을 가져오므로 안전하게 사용할 수 있는 약제다. Background/Aims: Lymphoid follicular proctitis (LFP) is an uncommon inflammatory condition confined to the rectum. Patients with LFP constitute a special group with clinical, endoscopic, and histological features unrelated to other types of inflammatory bowel diseases, and have been reported to be refractory to Local steroid and/or oral sulfasalazine therapy. The aim of this study was to clarify whether mesalazine suppositories have a therapeutic effect in LFP. Methods: The histologic slides of 8 cases indexed in our pathology files as "lymphoid follicular proctitis of the rectal mucosa" from January 2001 to November 2003 were reviewed retrospectively. Results: The most common symptom in the patients with LFP was rectal bleeding. The endoscopic mucosal changes were discontinuous, sparing whole circumferential involvement, and were strictly confined to the rectum. Average period of medication was 12 months. All the symptomatic patients with LFP responded to mesalazine suppository therapy. In addition, these patients did not progress to other disease including ulcerative proctitis or Lymphoma. Conclusions: Mesalazine suppository treatment is a useful therapeutic option for symptomatic patients with LFP. (Korean J Gastroenterol 2006;47:420-424)