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포스터 발표 : 간 ; Klebsiella pneumoniae가 간농양에서 차지하는 임상적 의의
이은주 ( Eun Ju Lee ),김봉준 ( Bong Jun Kim ),장병익 ( Beyong Ik Jang ),김태년 ( Tae Nyeun Kim ),정문관 ( Moon Kwan Chung ) 대한소화기학회 2002 대한소화기학회 춘계학술대회 Vol.2002 No.-
〈목적〉 기원전부터 알려진 간농양은 크게 아메바성 농양과 화농성 농양으로 분류되는데, 그 중화농성 간농양은 담도계를 통한 감염이 가장 흔한 감염로이고, E.coli가 가장 흔한 원인 균주로 알려져 왔다. 그러나, 최근 들어 Klebsiella pneumoniae가 주요한 원인 균주로 떠오름에 따라 화농성 간농양은 상당한 변화를 가져왔다. 이에 K. pneumoniae에 의한 화농성 간농양의 임상적 특징을 조사하고자 하였다. 〈방법〉 화농성 간농양으로 최
최진수(Jin Su Choi),김태동(Tea Dong Kim),이은주(Eun Ju Lee),이상원(Sang Won Lee),김봉준(Bong Jun Kim),임상우(Sang Woo Lim),김태년(Tae Nyeun Kim),정문관(Moon Kwan Chung),장병익(Beyong Ik Jang) 대한내과학회 2002 대한내과학회지 Vol.62 No.6
Background : As a result of endoscopic development and diagnostic technical improvements, the detection rate of early gastric cancer (EGC) has been increased and the prognosis of patients has been improved with surgical treatment. The most important factor for the prognosis of patients with EGC is the presence of regional lymph node metastasis, whose incidence is approximately 3% in patients with intramucosal EGC and 20% in patients with submucosal EGC. Recently, endoscopic resection has become the modality of treatment widely accepted in well selected cases of EGC. We have reviewed the results of endoscopic resection of EGC during 10 years and follow-up. Methods : Over a ten year period from 1989 to 1999, 47 EGCs were resected endoscopically and the mean age of patients was 62.6±9.5 years. Thirty-six cases were treated by endoscopic mucosal resection and 11 cases were treated by snare polypectomy. Results : Thirty-five cases were defined as complete resection by pathologic study and 33 cases were enrolled in follow-up study group. During follow-up period, there were 6 cases of death which was not related to the original disease. The mean follow-up duration of the survival group was 36.5±25.7 months. Local recurrence was detected in 1 case and a new lesion developed on the other site in 1 case. Conclusion : It appeared that endoscopic resection is an effective therapeutic procedure for some cases of EGC.(Korean J Med 62:617-624, 2002)
김봉준,정문관,김태년,정성복,권순욱,최교원,장병익 대한소화기학회 2001 대한소화기학회지 Vol.37 No.3
Background/Aims: The aim of this study was to determine whether bacterial translocation could be demonstrated after experimental hemorrhagic shock in rat and whether translocated bacteria have a pattern of distribution within the major organ system. Methods: Male Sprague-Dawley rats were randomly assigned to hemorrhagic shock group (group I, n=20), sham shock group (group II, n=20) and normal control group (group III, n=15). At 24, 48, 72 hours after shock, rats were sacrificed and bacteria in their major organs were cultured. Results: The incidence of cultured bacteria in group I were highest. In the group I, enteric bacteria were cultured at mesenteric lymph node of 15 rats (75.0%), liver of 10 rats (50.0%), spleen of 4 rats (20.0%), lung of 4 rats (20.0%), portal vein of 4 rats (20.0%). The most common cultured bacterial species was E. coli. The bacterial translocation seemed to increase significantly in lungs at 48 and 72 hours after shock (p$lt;0.05) and cecal mucosal injury occurred after shock. Conclusions: Bacterial translocation was induced in hemorrhagic shock model. The identification of cultured organism in major organs supports the bacterial translocation from gut. Hemorrhagic shock could impair mucosal barrier, which may promote bacterial translocation.