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은백린,김성우,김영기,김정욱,문진수,박수경,성인경,신손문,유선미,은소희,이혜경,임현택,정희정,Eun, Baik-Lin,Kim, Seong Woo,Kim, Young Key,Kim, Jung Wook,Moon, Jin Soo,Park, Su Kyung,Sung, In Kyung,Shin, Son Moon,Yoo, Sun Mi,Eun, So Hee,Lee, H 대한소아청소년과학회 2008 Clinical and Experimental Pediatrics (CEP) Vol.51 No.3
The mission of National Health Screening Program for Infant and Children is to promote and improve the health, education, and well-being of infants, children, families, and communities. Although the term 'diagnosis' usually relates to pathology, a similar diagnostic approach applies to the child seen primarily for health supervision. In the case of health, diagnosis determines the selection of appropriate health promoting and preventive interventions, whether medical, dental, nutritional, educational, or psychosocial. Components of the diagnostic process in health supervision include the health 'interview'; assessment of physiological, emotional, cognitive, and social development (including critical developmental milestones); physical examination; screening procedures; and evaluation of strengths and issues. Open and informed communication between the health professional and the family remains the most significant component of both health diagnosis and health promotion. Families complete medical history forms at their health supervision visit. Family-friendly questionnaires, checklists, and surveys that are appropriate for the child's age are additional tools to improve and update data gathering. This type of information helps initiate and inform discussions between the family and the health professional. This article provides a comprehensive review of current National Health Screening Program for Infant and Children in Korea.
대장 종양에서의 Sonic Hedgehog 단백의 발현
한혜승 ( Hye Seung Han ),이선영 ( Sun Young Lee ),성무경 ( Moo Kyung Seong ),김정환 ( Jeong Hwan Kim ),성인경 ( In Kyung Sung ),박형석 ( Hyung Seok Park ),진춘조 ( Choon Jo Jin ),황태숙 ( Tae Sook Hwang ) 대한장연구학회 2008 Intestinal Research Vol.6 No.1
Background/Aims: Dysregulation of the hedgehog pathway has been implicated in regeneration and carcinogenesis, leading to the expression of the sonic hedgehog (Shh) protein in gastrointestinal neoplasms. The expression of Shh in colon neoplasms and paired normal colonic mucosa was therefore investigated. Methods: Forty-four colon cancers and 73 colon adenomas that were removed by surgical colectomy or colon polypectomy between August 2005 and August 2006 were included. Colorectal neoplasms and the adjacent normal colon tissue were examined by immunohistochemistry using rabbit polyclonal Shh antibody. Results: Expression of Shh was up-regulated in adenomas and adenocarcinomas of the colon compared to normal colon tissues (p<0.001). The degree of Shh expression was not associated with the size, shape, or, location of the tumor, or as the age and gender of the patient. In normal colonic epithelium, Shh was expressed at the apex of the crypts and in a few basally-located cells. Conclusions: Higher levels of Shh expression in colonic adenoma and adenocarcinoma suggest that Shh is required during epithelial proliferation in the colon. Hedgehog signaling is likely to be associated with early tumorigenesis in colonic neoplasms. (Intest Res 2008;6:19-24)
한국성인에서 S상결장경검사로 관찰된 대장 용종의 빈도와 특성
이화영(Hwa Young Lee),김재준(Jae Jun Kim),김영호(Young Ho Kim),성인경(In Kyung Sung),전성국(Seong Gook Jeon),손희정(Hee Jung Son),이풍렬(Poong Lyunl Rhee),고광철(Kwang Chul Koh),백승운(Seung Woon Paik),이종철(Jong Chul Rhee),오영륜(Y 대한내과학회 1998 대한내과학회지 Vol.55 No.1
Objectives: Colorectal polyps play an integral role in the development of colon cancer. The prevalence of colorectal polyps in Korea was reported to be 5-12%. However, these results were obtained from retrospective studies, in which the subjects were symptomatic patients. Therefore, we performed a prospective study in asymptomatic Korean adults to determine the prevalence, characteristics, and risk factors of colorectal polyps. Methods Flexible sigmoidoscopy was done during the period between August 1994 to November 1995 in 2,985 aymptomatic individuals who visited Samsung Medical Center for health check-ups. Results : 1) Polyps were found in 590 subjects (20.4%) out of 2,985 individuals. The prevalence rate increased with age. 2) In histologic findings of colorectal polyps, there were 369 cases (45.8%) of adenomatous polyps, 245 cases (30.4%) of hyperplastic polyps and 5 cases of carcinomas. 3) Moderate to severe dysplasia was found in 15.4% of adenomatous polyps and the grade of dysplasia increased with polyp size. 4) The prevalence rate of polyps increased according to obesity, blood cholesterol and triglyceride level, the frequency of alcohol consumption and the amount of smoking in cases. Conclusions: Screening by sigmoidoscopy is considered to be beneficial for detection of colorectal polyps in asymptomatic Korean adults, especially in individuals with risk factors such as obesity, heavy smoking and alcohol consumption.
강원찬 ( Won Chan Kang ),이윤정 ( Yoon Jeong Lee ),김수정 ( Soo Jeong Kim ),권세웅 ( Se Woong Kwon ),성인경 ( In Kyung Seong ),정은주 ( Eun Joo Jeong ),홍성노 ( Sung Noh Hong ) 대한내과학회 2014 대한내과학회지 Vol.87 No.6
Meckel diverticulum is the most common congenital anomaly of the gastrointestinal system. Although it is commonly asymptomatic in adults, Meckel diverticulum can lead to intussusception, volvulus, inflammatory adhesions, or an internal hernia. However, small bowel obstruction due to a mesodiverticular band of Meckel diverticulum is rare. We report a case of a 24-year-old man who complained of abdominal pain and vomiting caused by recurrent small bowel obstruction. He had undergone no previous abdominal surgery. Abdominal computed tomography revealed a transition point at the mid-to-distal ileum. To identify the cause of the obstruction, we performed single-balloon enteroscopy, which revealed extrinsic compression at the proximal ileum 100 cm from the ileocecal valve. After marking the obstruction site, subsequent laparoscopy revealed a Meckel diverticulum with a mesodiverticular band, which entrapped a bowel loop and caused the recurrent small bowel obstruction. The patient was treated successfully with laparoscopic diverticulectomy. (Korean J Med 2014,87:705-709)
위내시경으로 진단된 Gastric Red Spots(GRS)의 병태생리 및 임상적 의의
박경남,이민호,강인구,양석철,조석신,함준수,이종철,기춘석,성인경 대한소화기학회 1992 대한소화기학회지 Vol.24 No.5
The incidence of GRS in the proximal part of the stomach was investigated in patients with various liver diseases. 477 patients with biopsy proven chronic liver disease underwent endoscopic study and GRS were obaerved in 38 (20.3%) out of 187 patients with liver cirrhosis, in 21 (16.8%) out of l25 patients with chronic active hepatitis, in 9 (15. 5%) out of 58 patients with chronic persietent hepatitis, and in 12 (14.3%) out of 84 patients with other chronic liver pathologies. There were no statistical differences among the groups. The incidence of chronic liver disease among patients with normal liver function tests and abdominal ultrasonography, but exhibiting GRS upon endoscopic study, was also prospectively studied by liver biopsy. 11 of 23 such patients had chronic liver disease: 2 had liver cirrhosis, 3 with chronic persistent hepatitis, and 6 with chronic reactive hepatitis, while 12 patients with no conclusive pathology in liver biopsy in spite of minimal disarray of hepatic lobular architecture and mild inflammatory cell infiltration into periportal area. The heart to liver radioisotope uptake ratios measured by Thallium-201 scan to estimate the portal pressure were 13±3% (mean± SD) in 15 control subjects, 22±7% in 20 patients with chronic persistent hepatitis, 28±13% in 15 patients with chronic active hepatitis, 59±41% in 18 patients with liver cirrhosis, and 27±14% in 50 patients with GRS, but with normal liver function test results and normal abdomial ultrasonography. These results showed statistical difference from normal control (p$lt;0.05). It can thus be concluded that GRS in the proximal part of the stomach could be a stigma of chronic liver disease, and would also indicate the presence of high portal pressure.
정상 성인에서 식이섬유 섭취량이 배변 습관 및 장관통과시간에 미치는 영향
김재준,최규완,백승운,고광철,이풍렬,성인경,심상군,임효근,이종철,전성국,손희성 대한소화기학회 2000 대한소화기학회지 Vol.35 No.1
Background/Aims: This study was designed to assess the normal bowel habit and effects of dietary fiber on bowel transit in healthy Koreans because such data are not sufficiently available. Methods: For 30 healthy volunteers (15 males, 15 females), we examined small bowel transit time using lactulose hydrogen breath test and colonic transit time using radiopaque markers. Total dietary fiber intake was assessed by dietary record for three days and bowel habit was assessed using questionnaires. Results: The most common bowel habit was once a day (24 hour cycle). Mean daily consumption of total dietary fiber was 15.2±5.2 g. Mean small bowel transit time was 89.4±24.4 min with no significant difference according to sex. Mean colonic transit time was 35.7±16.5 hours. Furthermore, there was a significant correlation between colonic transit time and the amount of total dietary fiber consumption. Conclusions: The significant correlation between the amount of total dietary fiber consumption and colonic transit time gests that decreased consumption of dietary fiber may be related to prolonging colonic transit time.