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최길순 ( Gil Soon Choi ),유준환 ( Jun Hwan Yoo ),신성재 ( Sung Jae Shin ),이기명 ( Kee Myung Lee ),함기백 ( Ki Baik Hahm ),김진홍 ( Jin Hong Kim ),김장희 ( Jang Hee Kim ) 대한내과학회 2008 대한내과학회지 Vol.75 No.5
Acute hemorrhagic rectal ulcer syndrome (AHRUS) is characterized by the sudden onset of painless, massive, fresh rectal bleeding in elderly or bedridden patients with serious underlying illnesses. With increasing elderly populations, and improved survival in critically ill patients, the incidence of AHRUS has increased in Japan and Western countries in recent years. However, AHRUS remains a controversial disease entity and has not yet been documented in Korea. Here, we present a case of AHRUS to highlight this uncommon disease entity as a potential etiology of massive rectal bleeding in critically ill patients. (Korean J Med 75:577-581, 2008)
식도열공 헤르니아가 동반된 위암 환자에서 위아전절제술 1년 후에 발생된 단분절 바렛식도
권혁춘 ( Hyeok Choon Kwon ),이광재 ( Kwang Jae Lee ),김장희 ( Jang Hee Kim ),유준환 ( Jun Hwan Yoo ),최재명 ( Jae Myung Choi ),신성재 ( Sung Jae Sin ),정재연 ( Jae Yeon Chung ),함기백 ( Ki Baik Hahm ),김진홍 ( Jin Hong Kim ),조성 대한소화기기능성질환·운동학회 2006 Journal of Neurogastroenterology and Motility (JNM Vol.12 No.1
Barrett`s esophagus is characterized by replacement of esophageal squamous epithelium with specialized intestinal metaplasia as a consequence of long standing gastro-esophageal reflux. It is a major risk factor for esophageal adenocarcinoma. With regard to the pathogenesis of Barrett`s esophagus other than acid reflux, hiatal hernia and duodenogastroesophageal bile reflux are implicated. According to several previous reports, acid reflux associated with bile reflux has been suggested to be a major risk factor for Barrett`s esophagus. This case study reports a patient with Barrett`s esophagus which developed one year after subtotal gastrectomy with gastroduodenostomy due to gastric cancer. Before the operation, the patient had a hiatal hernia but no Barrett`s esophagus. This case represents a significant model for the development of Barrett`s esophagus when acid reflux is combined with duodenogastroesophageal bile reflux. (Kor J Neurogastroenterol Motil 2006;12:77-80)
심장외막지방과 대사 증후군 및 심혈관 질환 위험인자와의 연관성
백승희 ( Seung Hee Baik ),안성균 ( Sung Gyun Ahn ),최정현 ( Jung Hyun Choi ),고보람 ( Bo Ram Koh ),유준환 ( Jun Hwan Yoo ),강수진 ( Soo Jin Kang ),최병주 ( Byoung Joo Choi ),최소연 ( So Yeon Choi ),윤명호 ( Myeong Ho Yoon ),탁승제 대한내과학회 2007 대한내과학회지 Vol.72 No.3
Background: Increased adiposity is widely accepted as the main expression of obesity and an important risk factor for the development of cardiovascular and metabolic syndrome. The significance of epicardial adipose tissue (EAT), frequently observed during a transthoracic echocardiographic examination, is not well recognized. The purpose of this study was to investigate the relationship of EAT to metabolic syndrome and cardiovascular risk factors. Methods: We collected clinical, biochemical, and anthropometric information from 289 consecutive and prospective patients (147 men; 59±11 years) who visited our hospital for a complaint of chest pain. EAT thickness was measured by transthoracic echocardiography on the free wall of the right ventricle in the parasternal long axis and short axis views at the base level during end-diastole. Results: EAT thickness was significantly increased in 185 (64%) patients with metabolic syndrome as compared with patients without metabolic syndrome (4.3±2.5 mm vs. 3.6±2.8 mm, p=0.005). By a simple linear regression analysis, EAT was correlated to age (r=0.484, p<0.001), waist circumference (r=0.177, p=0.01), the level of HDL cholesterol (r=-0.182, p=0.001) and log CRP (r=0.268, p=0.012). Multivariate analysis showed that age and log CRP were the independent variables that correlated to EAT thickness. Conclusions: These results suggest that echocardiographic EAT should be considered as a new useful imaging indicator of visceral adipose tissue related to metabolic syndrome and cardiovascular disease. (Korean J Med 72:290-297, 2007)