• Title/Summary/Keyword: 대장염

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Studies on Protective Effect of Bupleurum falcatum Extract (SHI-1909) against Experimental Inflammtory Bowel Disease Model (시호추출물 (SHI-1909)의 염증성 대장염 실험동물 모델에 대한 치료효과)

  • Cho, Seong-Wan;Kim, Young-Kwon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.10 no.3
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    • pp.613-619
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    • 2009
  • The Efficacy of SHI-1909 was investigated in comparision with predinisolone in acetic acid and Picrylsulfonic acid solution (TNBS)-induced rat inflammatory bowel disease (IBD) for 5 days. 7% Acetic acid and 5% TNBS solution were administered with polyethylene (P.E) tube inserted to rats intracolon, which causing colitis to the rats. The acetic acid and TNBS control group (the saline treated colitic rat) exhibited ulceration and inflammation of the distal colon with formation of granuloma and pathologic connections. We checked the inflammatory parameters like rat's weight, food intake quantity change during administration. After 5 days, we sacrificed the rats and checked the colon's length, ulcer and pathologic condition. Oral treatment with SHI-1909 resulted in significant recovery of macroscopic parameters like weight and diet intake change. Especially, SHI-1909 had a more potent effect than prednisolone on macroscopic colonic damage score. We can suggest that SHI-1909 could be a promising drug in the treatment of IBD.

A Case of Hemolytic Uremic Syndrome in a Child with Ischemic Colitis (허혈성 대장염에 동반된 용혈성 요독 증후군 1례)

  • Kim Yang-Hyun;Ahn Sun-Young;Park Ji-Min;Lee Jae-Seung
    • Childhood Kidney Diseases
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    • v.8 no.1
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    • pp.86-90
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    • 2004
  • Hemolytic uremic syndrome(HUS) is characterized by acute renal failure, microangiopathic hemolytic anemia, and thrombocytopenia and the most common pathogen is Escherichia coli (E. coli) O157 : H7. Ischemic colitis, which rarely occurs in children, is due to the reduced local blood flow to the intestine, tissue necrosis and secondary bacterial infection. We describe a patient who was admitted with abdominal pain, vomiting and hematochezia, and diagnosed as ischemic colitis by barium enema. This patient showed hemolytic anemia, thrombocytopenia and progressive renal failure and was subsequently diagnosed as hemolytic uremic syndrome. After hemodialysis, the patient showed improvement of symptoms and resolution of renal failure and ischemic colitis.

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A Case of Interstitial Lung Disease in Ulcerative Colitis (궤양성 대장염 환자에서 발생한 간질성 폐질환 1예)

  • Yoo, Min-Kyu;Lee, June-Ho;Han, Seong-Beom;Jeon, Young-June;Cho, Seung-Che
    • Tuberculosis and Respiratory Diseases
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    • v.44 no.5
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    • pp.1140-1145
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    • 1997
  • Extracolonic manifestations which occur in approximately 10~20% of patients with ulcerative colitis most commonly affect joints, skin, liver and eyes. In contrast, pulmonary involvement in ulcerative colitis is very rare. However, a variety of respiratory disorders has been associated with ulcerative colitis, including pulmonary vasculitis, bronchiectasis, chronic bronchitis, interstitial fibrosis, pleural effusion. Since the first observation of pulmonary involvement in ulcerative colitis by Kraft in 1976, a few cases have been reported, and probably no such case have been reported in Korea yet. Here we report an experience concerning 56 year-old man interstitial lung disease in ulcerative colitis, who was diagnosed by clinical, radiographic, endoscopic, histologic findings.

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A Case of Hepatic Vein Thrombosis Associated with Ulcerative Colitis (궤양성 대장염에 동반된 간정맥 혈전증 1예)

  • Kim, Joon-Sung;Kim, Kyung-Mo
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.12 no.2
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    • pp.235-239
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    • 2009
  • Patients with inflammatory bowel disease are known to have hypercoagulability and an increased risk for venous thromboembolism. The deep veins of the lower extremities and the pulmonary veins are the most common sites of thrombosis in ulcerative colitis. However, hepatic vein thrombosis (Budd-Chiari syndrome) is a very rare extra-intestinal complication of ulcerative colitis in children. We describe a case of hepatic vein thrombosis in a 15-year-old girl with ulcerative colitis who presented with abdominal pain and hematochezia. Doppler ultrasonography and an abdominal CT scan revealed the characteristic filling defects caused by large thrombi in both hepatic veins. These lesions were successfully treated with conventional management for ulcerative colitis and anticoagulation therapy.

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Anti-inflammatory effects of mulberry twig extracts on dextran sulfate sodium-induced colitis mouse model (상지추출물이 Dextran Sulfate Sodium으로 유도된 대장염 마우스 모델에 미치는 항염증 효능)

  • Cui, Xuelei;Kim, Eunjung
    • Journal of Nutrition and Health
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    • v.52 no.2
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    • pp.139-148
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    • 2019
  • Purpose: Ulcerative colitis is a common inflammatory bowel disease. Prolonged colitis can be a risk factor for the development of colorectal cancer. Mulberry twig (MT, Sangzhi), a dry branch of Morus alba L., which is widely distributed throughout East Asia, has been shown to have anti-inflammatory activities in the cells. However, the effects of MT extracts on colitis in in vivo are limited. Therefore, in this study, we investigated the anti-inflammatory effects of MT extracts in the dextran sulfate sodium (DSS)-induced mouse colitis model. Methods: Six week-old, male ICR mice were divided into 3 groups: Control (n = 5), DSS (n = 7), and DSS+MT (n = 7) groups. Mice in the DSS and DSS+MT groups were administrated 3% DSS in drinking water for 5 days to induce colitis. At the same time, water extracts of MT (5 g/kg body weight/day) were orally administered to mice in the DSS+MT groups for 5 days. Results: The MT extracts significantly reduced the clinical and pathological characteristics of colitis. Disease activity index, mucosal thickness, and colonocyte proliferation were significantly reduced in the DSS+MT group compared with the DSS group. Furthermore, MT administration reduced the levels of plasma $TNF-{\alpha}$, IL-6, and the colonic myeloperoxidase activity as well as mRNA expression of $TNF-{\alpha}$, IL-6, Cox-2, and iNOS. Conclusion: Taken together, these results suggest that MT water extracts have potent anti-colitis activities in the mouse colitis model.

대장균증

  • 김종택
    • KOREAN POULTRY JOURNAL
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    • v.25 no.7 s.285
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    • pp.127-132
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    • 1993
  • 최근 육계농장에서 $3{\~}4$주령을 넘어서면서, 병아리가 호흡기 질병이 동반되면서 폐사가 나기 시작하며 출하때가 가까워 오면 다 큰 닭들이 막 죽어 나가기 시작한다. 해부해 보면 기관에는 다량의 점액, 간에는 흰막, 심장에는 치즈모양의 물질, 복강내에는 누런색깔의 지저분한 물질이 가득 들어 있다. 앞에서 부터 CRD, 간포막염, 심낭염, 복막염인 것이다. 원인은 대장균이다. 일반적으로 대장균하면 다 안다고 더 이상의 이야기를 하지 않으려고 하나 실제로는 가증 흔하면서도 심각한 문제를 일으키고 있는 것이다. 물론 외국에서도 가장 중요한 질병중의 하나이지만$\cdots$

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Removal of E.Coli and Strawberry growth monitoring by generated Ultra Fine bubble in water (수중 초미세기포에 의한 대장균 제거 및 딸기 성장 모니터링)

  • Kim, Jong Kyu
    • Proceedings of the Korea Water Resources Association Conference
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    • 2019.05a
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    • pp.199-199
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    • 2019
  • 친환경적인 산업기술인 초미세기포(Ultra Fine Bubble, 이하 UFB) 제조 기술은 농업, 수처리, 그리고 환경재생 등 다양한 분야에서 적용되고 있다. UFB는 1,000nm 이하의 크기를 가진 기포로서 용존산소를 통한 농작물 성장 촉진 및 수중의 대장균 및 세균제거 등 다양한 성질을 지니고 있다. 본 연구는 기존의 방식과는 다르게 자왜현상을 메카니즘으로 갖는 타격식으로 제조된 UFB 생성장치를 통해 생성된 200nm이하의 크기를 가진 UFB를 실제 딸기 농장에 적용하여 딸기의 성장을 모니터링하고 살균 성능을 가진 화학제품과 UFB를 대장균에 적용하여 대장균 제거효율을 비교하였다. 딸기농장에 기존에 사용되던 지하수 대신 UFB를 주입하여 딸기성장 초기단계의 DO농도를 측정하고 딸기 생식단계에 산소포화도에 대한 질산염의 농도를 측정하여 상관관계를 분석하였으며 각각의 딸기 열매를 수확하여 무게를 비교하였다. 또한 대장균이 함유되어있는 대변을 채취하여 살균 성능을 가진 화학제품과 UFB수를 각각 대장균이 포함된 실험원수와 반응시켜 배양하고 검출된 대장균 개체 수에 확인하여 제거효율을 비교분석 하였다. 딸기성장 초기단계의 DO농도 측정결과 DO농도가 6~9ml/L로 높게 유지되고 있음을 확인하였고 딸기 생식단계에서 산소포화도가 일정하게 유지되고 있음에 따라 질산염의 농도가 점차 감소하는 것을 확인하였다. 또한 수확한 열매의 무게는 각각 37g, 19g으로 UFB수를 통해 재배된 딸기가 약 2배 이상 높은 것으로 나타났다. 이와 같은 결과는 수중의 용존산소가 딸기 성장 초기에 뿌리의 발육에 긍정적인 영향을 미치고 질산염을 원활하게 섭취하게 하여 딸기의 성장이 촉진되었고 열매의 무게가 증가하였다고 판단된다. 또한 대장균이 함유된 원수, 원수+화학제품, 원수+UFB를 접종하여 대장균과 반응시켜 배양하여 대장균 개체 수를 확인한 결과, 원수의 경우 약 600개의 대장균의 개체수가 나타났고, 원수+화학제품의 경우 검출된 대장균의 개체 수는 약 300개 정도로 나타났다. 이를 희석한 비율을 계산하여 대장균 개체 수를 나타내면 원수 약 6000개/ml, 원수+화학제품 약 6000개/ml로 비슷하게 나타난다. 반면, 원수+UFB 경우 검출된 대장균의 개체 수는 1개로 희석한 비율을 계산하여 대장균 개체 수를 나타내면 약 20개/ml로 나타난다. 이와 같은 결과를 통해 UFB는 99.9%의 대장균 제거효율을 보였으며, 화학제품은 대장균 제거효율을 보이지 않았다. 따라서 화학제품은 항균기능은 작용하지만 살균기능은 거의 없다고 판단하였고, UFB의 경우 기포가 소멸하면서 발생되는 초고온, 초고압을 형성하여 주변에 존재하는 대장균을 제거하였거나, 기포가 소멸할 때 발생되는 OH 라디칼을 통해 대장균의 세포를 화학적으로 분해시켜 대장균을 제거하였다고 보인다.

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The Role of Colonoscopy in Children with Hematochezia (소아 선혈변에서 대장 내시경 검사의 역할)

  • We, Ju-Hee;Park, Hyun-Suk;Park, Jae-Hong
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.14 no.2
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    • pp.155-160
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    • 2011
  • Purpose: This study was performed to evaluate the role of colonoscopy in children with hematochezia. Methods: We retrospectively reviewed the medical records of 277 children who underwent colonoscopy because of hematochezia between January, 2003 and July, 2010. Results: The mean age of the patients was $6.0{\pm}4.4$ (7 days~17.8 years) years. The male to female ratio was 2.2:1. The duration between the 1st episode of hematochezia and colonoscopy was $4.9{\pm}12.1$ months. Characteristics of hematochezia included red stool (65.1%), blood on wipe (12.8%), bloody toilet (11.9%), and blood dripping (10.2%). The most proximal region of colonoscopic approach was terminal ileum (84.5%), cecum (9.5%), hepatic flexure (2.8%), and splenic flexure (3.2%). Eighty five patients (30.6%) had no specific abnormal findings. Major causes of hematochezia were polyp (26.4%), food protein induced proctocolitis (6.9%), infectious colitis (5.4%), lymphofolliculitis (5.7%), non specific colitis (5.7%), and vascular ectasia (5.1%). The hemorrhagic sites included the rectum (24.0%), rectosigmoid junction (18.1%), sigmoid colon (13.5%), ascending colon (14.2%), transverse colon (11.3%), descending colon (7.8%), cecum (8.1%), and terminal ileum (3.1%). The recurrence rate of hematochezia after colonoscopy was 19.1%. Colonoscopy was performed in 262 patients (94.6%) with conscious sedation. Endoscopic hemostasis was performed in 5 patients. Complications of colonoscopy or sedation were not found. Conclusion: The causes and lesional localization of pediatric hematochezia were diverse. Colonoscopy has an important role in the diagnosis and treatment of hematochezia in children. Total colonoscopy is recommended to detect the cause of hematochezia.

Enterotoxigenic Bacteroides fragilis-Associated Diseases and Detection (Enterotoxigenic Bacteroides fragilis에 의한 질환과 검출)

  • Gwon, Sun-Yeong;Jang, In-Ho;Rhee, Ki-Jong
    • Korean Journal of Clinical Laboratory Science
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    • v.47 no.4
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    • pp.161-167
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    • 2015
  • These commensal intestinal bacteria can enhance the immune system and aid in nutrient absorption but can also act as opportunistic pathogens. Among these intestinal bacteria, the anaerobic Bacteroides fragilis are divided into enterotoxigenic B. fragilis (ETBF) which secrete the B. fragilis toxin (BFT) and non-enterotoxigenic B. fragilis (NTBF) which do not secrete BFT. ETBF can cause diarrhea and colitis in both humans and livestock but can also be found in asymptomatic individuals. ETBF is predominantly found in patients with inflammatory diarrheal diseases and traveller's diarrhea. Several clinical studies have also reported an increased prevalence of ETBF in human patients with inflammatory bowel disease (IBD), colitis and colorectal cancer. In small animal models (C57BL/6 wild-type mice, germ-free mice, multiple intestinal neoplasia (Min) mice, rabbits and Mongolian gerbils), ETBF have been found to initiate and/or aggravate IBD, colitis and colorectal cancer. BFT induces E-cadherin cleavage in intestinal epithelial cells resulting in loss of epithelial cell integrity. Subsequent activation of the ${\beta}$-catenin pathway leads to increased cellular proliferation. In addition, ETBF causes acute and chronic colitis in wild-type mice as well as enhances tumorigenesis in Min mice via activation of the Stat3/Th17 pathway. Currently, ETBF can be detected using a BFT toxin bioassay and by PCR. Advances in molecular biological techniques such as real-time PCR have allowed both researchers as well as clinicians to rapidly detect ETBF in clinical samples. The emergence of more sensitive techniques will likely advance molecular insight into the role of ETBF in colitis and cancer.

Autoimmune hepatitis-primary sclerosing cholangitis overlap syndrome in a 10-year-old girl with ulcerative colitis (궤양성 대장염에 동반된 자가면역성 간염-원발성 경화성 담관염의 중복 증후군 1예)

  • Hong, Jeana;Song, Mi Kyoung;Ko, Jae Sung;Kang, Gyeong Hoon;Kim, Woo Sun;Seo, Jeong Kee
    • Clinical and Experimental Pediatrics
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    • v.52 no.4
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    • pp.504-507
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    • 2009
  • Autoimmune hepatitis (AIH), primary sclerosing cholangitis (PSC), and primary biliary cirrhosis (PBC) are chronic autoimmune liver diseases. Overlap syndrome is defined as a condition in which the clinical, biochemical, and histological features of these autoimmune diseases are overlapped. Thus, it is difficult to appreciate overlap syndrome as an actual diagnostic entity. Only a few cases of the overlap syndrome of AIH and PSC have been reported, especially in children. Moreover, PSC is known to be the most frequent liver disorder associated with inflammatory bowel diseases such as ulcerative colitis. We report one case of AIH-PSC overlap syndrome in a child who was diagnosed as having ulcerative colitis.