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Non-Helicobacter pylori, Non-NSAIDs 소화성궤양
류종선 ( Jong Sun Rew ) 대한내과학회 2014 대한내과학회지 Vol.86 No.6
Non-Helicobacter pylori, non-NSAID peptic ulcer disease, termed idiopathic peptic ulcer disease (IPUD), is being increasingly recognized. Current data suggest that the relative proportion of patients with IPUD among those with peptic ulcers has been increasing for the past decade in both the West and East, while the prevalence of H. pylori ulcers has decreased. Potential causative or risk factors of IPUD include cigarette smoking, genetic predisposition, psychological factors, infections other than H. pylori, non-NSAID drugs or toxins, systemic inflammatory disease, and local mucosal defects. Diagnosis is made after confident exclusion of H. pylori infection by at least two different standard tests and accurate exclusion of unrecognized or surreptitious NSAID use by careful history taking and serologic assay. IPUD is characterized by higher complication and recurrence rates than other forms of peptic ulcer disease and has become a main cause of refractory ulcer disease. Maintenance therapy using proton pump inhibitors may be required at higher doses and for longer durations than in H. pylori- or NSAID-associated peptic ulcer diseases. Well designed nationwide epidemiologic studies are required to fully elucidate this emerging condition. (Korean J Med 2014;86: 678-685)
최확도법을 (最確度法) 이용한 무증상 (無症狀) 정상간기능 (正常肝機能) HBsAg 양성자 간스캔의 감별진단 (鑑別診斷)
윤종만(Chong Mann Yoon),범희승(Hee Seung Bom),류종선(Jong Sun Rew),이성(Sung Lee),윤경환(Kyung Hwan Yoon),김지열(Ji Yeoul Kim) 대한소화기학회 1988 대한소화기학회지 Vol.20 No.2
N/A For the differential diagnosis of asymptomatic HBsAg carrier with normal liver function by the liver scan, authors applied the maximum likelihood method as follows: 1) Ninety-six cases who underwent both peritoneoscopic liver biopsy and liver scan were divided randomly into two groups. In one group scoring table was made and in the other group diagnostic accuracy of the data was evaluated. The diagnostic accuracy in general was 53.2% and those in normal, liver cirrhosis, nonspecific reactive hepatitis, and chronic active hepatitis were 85.7%, 75%, 62.5%, and 12.5%, respectively. 2) Twenty-eight liver scans of aymptomatic HBsAg carrier with normal liver function were revealed to be normal in 23 cases (82.2%) and liver cirrhosis in 5 cases (17.8%). In conclusion the maximum likelihood method was considered to be useful in the differential diagnosis of liver scans. And we recommend a careful evaluation of asymptomatic HBsAg carrier with normal liver function in view of the fact that 17.8% of them was diagnosed as liver cirrhosis in this study.
위내시경으로 (胃內視鏡) 진단된 각종 위질환 (胃疾患) 에서의 장상피화생의 (腸上皮化生) 유형에 관한 연구
윤종만(Chong Mann Yoon),박광숙(Kwang Sook Park),범희승(Hee Seung Bom),박일종(Il Chong Park),류종선(Jong Sun Rew),양대현(Dae Hyun Yang),조정곤(Jung Kon Cho) 대한소화기학회 1987 대한소화기학회지 Vol.19 No.1
N/A To evaluate the significance of intestinal metaplasia as a guide for precancerous lesions in gastric cancer, we studied the frequency and subtypes of intestinal metaplasia in 189 patients including 64 cases of chronic gastritis, 45 with gastric ulcers and 80 with gastric cancer who underwent gastroscopic biopsies in the department of internal medicine of Chonnam Univerity Hospital. The results were the following: 1) The overall positivity of intestinal metaplasia in 189 patients with various gastric lesions was 57 percents with 47 percents in chronic gastritis, 62 percents in gastric ulcer and 61 percents in gastric cancer. 2) The positivity of intestinal metaplasia in gastric cancer in well differentiated types (69%) was not so higher than in undifferentiated types (48%). But the positivity of intestinal metaplasia in gastric cancer of intestinal type (84%) was higher than in gastric type (21%) with statistical significance (p<0.005). 3) The frequency of intestinal metaplasia showed increasing tendency with aging. 4) According to the Hematoxylin-Eosin, PAS and Alcian-Blue stain, intestinal metaplasia is divided into 3 subtypes. Type II enterocolic metaplasia is not detected in chronic gastritis but in only one case of gastric ulcer. The presence of enterocolic metaplasia is 20 out of 49 patients with gastric cancer, with 44 percents in intestinal type and 0 percent in gastric type. The result of this study suggests that type II. Benterocolic type of intestinal rnetaplasia plays a significant role as a precancerous lesion in intestinal type of gastric cancer.
위궤양에 대한 Teprenone ( Selbex ) 의 효과
윤종만(Chong Mann Yoon),범희승(Hee Seung Bom),최성규(Sung Kyu Choi),박일종(Il Chong Park),박해옥(Hae Ok Park),류종선(Jong Sun Rew),양대현(Dae Hyun Rang),조정곤(Jong Kon Cho) 대한소화기학회 1987 대한소화기학회지 Vol.19 No.2
The balance of mucosal defensive factors and aggressive factors is important for ulcerogenesis. Gastrointestinal mucus is a complex glycoprotein which is secreted from variable types of cells in the gastrointestinal tract. Glycoprotein plays an important role as a mucosal defensive factor.We have treated 30 cases of endoscopically diagnosed gastric ulcers with teprenone (Selbex) for the evaluation of the therapeutic efficacy. Every patient was treated with teprenone 50 mg t.i.d. for 8 weeks and underwent endoscopic, clinical and laboratory assessments before and after 8 weeks of the treatment. Aiajor symptoms of gastric ulcer have been improved in 2 out :30 cases (83.4%) after 8 weeks of the medication with teprenone. While, the improvement of gastric ulcer evaluated by endoscopy was observed in 21 out of 30 cases (70.0%). No significant side effects were observed except a mild elevation of SGOT in one patient.
초음파유도하 경피적 배액술에 의해 성공적으로 치유된 비장피막하 출혈을 동반한 췌장가성낭종
김영일 ( Young Il Kim ),박선영 ( Seon Young Park ),이정현 ( Jeong Hyeon Lee ),기원주 ( Won Ju Kee ),박창환 ( Chang Hwan Park ),김현수 ( Hyun Soo Kim ),최성규 ( Sung Kyu Choi ),류종선 ( Jong Sun Rew ) 대한소화기학회 2011 대한소화기학회지 Vol.57 No.4
A subcapsular splenic hematoma is a very rare hemorrhagic complication of pancreatitis. We report here on a case of pseudocyst with a large subcapsular splenic hematoma in a 43-year-old man who presented with severe left flank pain for one week. Despite the initial conservative treatment consisting of pain control, bowel rest, intravenous fluids and antibiotics, the pain was not relieved. An abdominal computed tomography (CT) was performed, and it showed a pseudocyst that was increasing in size with a large subcapsular splenic hematoma measuring 6×13 cm compared to the images at admission. Ultrasonography (US)-guided percutaneous drainage was performed without any complications, and splenectomy was avoided. After the discharge, the patient remained asymptomatic for eight months. We suggest that percutaneous drainage of a large subcapsular hematoma complicating pancreatitis might be a useful treatment option in selected patients. (Korean J Gastroenterol 2011;57:258-261)
비당뇨병 환자에서 인슐린 정주로 치료한 고중성지방혈증에 의한 급성 췌장염 1예
박선영 ( Seon Young Park ),정진욱 ( Jin Ook Chung ),조동근 ( Dong Keun Cho ),이완식 ( Wan Sik Lee ),김현수 ( Hyun Soo Kim ),최성규 ( Sung Kyu Choi ),류종선 ( Jong Sun Rew ),정민영 ( Min Young Chung ) 대한소화기학회 2010 대한소화기학회지 Vol.55 No.6
Heparin and/or insulin stimulate lipoprotein lipase and are known to decrease serum triglyceride level. However, their efficacy in hypertriglyceridemia-induced acute pancreatitis in nondiabetic patients is not well documented. We report a case of hypertriglyceridemia-induced pancreatitis in 43-year-old nondiabetic woman in whom treatment with insulin was accompanied by reduction in serum triglyceride level and the resolution of pancreatitis. She presented to the emergency department with abdominal pain and biochemical evidence of acute pancreatitis. Her medical history was unremarkable. There was no history of alcohol consumption, and biliary imaging was not remarkable. Subsequent laboratory investigation revealed marked hypertriglyceridemia (1,951 mg/dL), impaired fasting glucose, and normal HbAlc level. The Ranson`s score and APATCH II score were 1 and 4. Abdominal CT showed diffuse enlargement of pancreas, peripancreatic fat infiltration, and multiple fluid collections around the pancreas. We treated the patient with the infusion of 5% dextrose and 1.5 unit/hr regular insulin to reduce serum triglyceride level. The level of serum triglyceride was decreased to 305 mg/dL on day 5. During the remainder of hospitalization, her clinical symptoms and laboratory values gradually improved. (Korean J Gastroenterol 2010;55:399-403)
맹장-S결장루로 인한 세균과다증식과 관련된 대장가성폐쇄 1예
정경면 ( Kyoung Myeun Chung ),임성욱 ( Seong Uk Lim ),홍형주 ( Hyoung Ju Hong ),박선영 ( Seon Young Park ),박창환 ( Chang Hwan Park ),김현수 ( Hyun Soo Kim ),최성규 ( Sung Kyu Choi ),류종선 ( Jong Sun Rew ) 대한소화기학회 2014 대한소화기학회지 Vol.63 No.2
Colocolic fistulas are usually a complication of an inflammatory or neoplastic process. Development of these abnormal bowel communications may lead to bacterial overgrowth. We report on a 71-year-old man with a one-year history of recurrent abdominal distension and irregular bowel habits. Abdominal X-rays and computed tomography showed multiple air-fluid levels and loops of distended bowel without evidence of mechanical obstruction or diverticulitis. Colonoscopy showed a fistulous tract between the sigmoid colon and cecum. Results of a lactulose breath test showed high fasting breath CH4 levels, which were thought to be the result of intestinal bacterial overgrowth. The patient was diagnosed with a colonic pseudo-obstruction associated with bacterial overgrowth due to a sigmoidocecal fistula. We recommended surgical correction of the sigmoidocecal fistula; however, the patient requested medical treatment. After antibiotic therapy, the patient still had mild symptoms but no acute exacerbations. (Korean J Gastroenterol 2014;63:125-128)
김연주 ( Yeon Joo Kim ),김현수 ( Hyun Soo Kim ),박선영 ( Seon Young Park ),박상우 ( Sang Woo Park ),최유덕 ( Yoo Duk Choi ),박창환 ( Chang Hwan Park ),최성규 ( Sung Kyu Choi ),류종선 ( Jong Sun Rew ) 대한소화기학회 2012 대한소화기학회지 Vol.60 No.3
We report herein a case of intestinal amyloidosis with grave prognosis that caused intractable diarrhea and intestinal pseudo-obstruction, alternately in spite of intensive conservative treatment. A 44-year-old woman was admitted for fever, diarrhea, and crampy abdominal pain which had been continuned during 6 months. Abdomen CT scan showed edematous wall thickening of the small bowel and right colon, and colonoscopic biopsy revealed amyloid deposition in the mucosa. Monoclonal light chains in serum and/or urine were not detected and highly elevated serum amyloid A was shown. In spite of intensive treatment including oral prednisolone and colchicine, diarrhea and intestinal pseudo-obstruction developed alternately, general status rapidly got worsened and died after two months. (Korean J Gastroenterol 2012;60:172-176)
김영일 ( Young Il Kim ),박선영 ( Seon Young Park ),기원주 ( Won Joo Ki ),기호석 ( Ho Seok Ki ),윤경원 ( Kyoung Won Yoon ),김현수 ( Hyun Soo Kim ),최성규 ( Sung Kyu Choi ),류종선 ( Jong Sun Rew ) 대한소화기학회 2010 대한소화기학회지 Vol.56 No.2
Arterio-enteric fistula is a very rare cause of massive lower gastrointestinal hemorrhage. We report here on a case of massive hematochezia caused by iliac arterio-colic fistula in a 60-year-old woman who had a recent history of spinal surgery for herniated nucleus pulposus. Abdomen computed tomography showed the extravasation of radiocontrast media from right iliac artery encased by an intraabdominal abscess into the adjacent dilatated colon. Also, diagnostic angiography revealed the active extravasation of radiocontrast media via a fistula between right iliac artery and colon. Although successful endovascular exclusion of the fistula with stent graft and coils was performed, disseminated intravascular coagulation and multi-organ failure were developed. (Korean J Gastroenterol 2010;56:113-116)