• Title/Summary/Keyword: 위장관 질환

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노두 수침엑스의 위염 및 위궤양에 대한 효과

  • 송여옥;우병희;노혜림;한혜경;정춘식;정기화
    • Proceedings of the Korean Society of Applied Pharmacology
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    • 1995.04a
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    • pp.116-116
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    • 1995
  • 위염(gastritis), 위궤양(gastric ulcer)은 소화기 질환중에서 가장 빈도수가 높은 질병으로 위장관 점막이 위산에 의해 소화되어 버리므로서 궤양을 형성하는 상태를 말한다. 위염 및 위궤양의 발생빈도가 높은 것에 비해 발생원인은 정확히 밝혀져 있지 않으며 대체로 공격인자와 방어인자의 불균형 즉, 공격인자의 증가나 방어인자의 약화 또는 세균에 의한 감염에 의해 발생되는 것으로 알려져 있다. 일련의 식물엑스에 대하여 항위얌 및 항궤양효능에 관한 검색을 실시하여 노두의 M?H엑스가 현저한 효과가 있음을 예지하였으므로 그에 대하여 보다 구체적인 실험을 실시하였다. 즉 MeOH 엑스를 Hexane, CHCl$_3$, BuOH로 계통적으로 추출하여 상기의 분획 및 잔사인 물분획을 제조하여 이에 대한 실험을 실시하였다.

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The Western and Oriental Medical approach to gastric diseases (위장관 질환에 대한 양, 한방적인 접근)

  • Lee, Yong-Koo
    • Journal of Haehwa Medicine
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    • v.8 no.1
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    • pp.827-836
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    • 1999
  • Numerous persons complained dyspepsia even though no specific objective findings are revealed by imaging study, laboratory examinations and other clinical research. To find out of so many symptoms what they are, I would to approach by two ways. One way is oriental medical literatural study and the other is Helicobacter pylori infection that is accepted as one of most important causal factors of many gastric diseases. Background/Aims: Recently, the role of Helicobacter pylori as a causal factor in the etiology of gastric cancer, peptic ulcer, gastritis and low-grade gastric mucosa-associated lymphoid tissue(MALT) lymphoma is well known. Using endoscopy, biopsy urease testing and histology are recommanded as the tests of choice. Serological test is not recommanded at the moment because of its low sensitivity and espicially low specificity. The urea breath test is more sensitive and specific noninvasive test than serologic test, but it is not widely available yet. Methods/Results: We studied 90 cases by diagnostic endoscopy as a screening test for the persons complaining gastrointestinal symptoms. As a result eighteen persons are revealed to be Helicoacter pylori infected histologicaly. Conclusion: More specific literatural studies are requied.

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Acute Abdominal Pain after Ingestion of Bowel Cleansing Agent for Colonoscopy (장정결제 복용 후 발생한 급성 복통)

  • Kim, Hwon;Park, Jong Seol;Kim, Yong Sung
    • The Korean journal of helicobacter and upper gastrointestinal research
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    • v.18 no.4
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    • pp.275-276
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    • 2018
  • 42세 여자가 갑작스러운 복통으로 소화기내과 외래를 방문하였다. 환자는 당일 건강검진 대장내시경이 예정되어 있었으며 전날 밤 장정결제인 피코라이트 산(sodium picosulfate hydrate 10 mg, magnesium oxide 3.5 g, citric acid 12 g; Pharmbio Korea Inc., Seoul, Korea)을 물에 녹이지 않고 그냥 복용한 후부터 증상이 발생하였다. 신체 검사에서 복부는 부드러웠으며 압통은 없었다. 즉시 시행한 상부위장관 내시경 검사에서 황색의 두터운 가피가 덮여 있는 다발성 병변이 위체부 대만 및 저부에서 관찰되었다(Fig. 1A). 가피는 생검 겸자를 이용해 쉽게 벗겨졌으며(Fig. 1B), 가피를 제거한 후 급성 출혈성 미란 병변들이 확인되었다(Fig. 1C). 이 환자에서 관찰된 위병변의 진단은 무엇인가?

Clinical Study of Childhood Accidents from a Hospital Over Ten Years with Regard to Foreign Body Aspiration (단일병원에서 관찰한 최근 10년간의 소아 우발사고에 관한 연구 : 이물흡인을 중심으로)

  • Kim, Cheol-Min;Song, Jun-Young;Kim, Ja Hyung;Kim, Ki Soo;Hong, Soo-Jong
    • Clinical and Experimental Pediatrics
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    • v.45 no.9
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    • pp.1134-1140
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    • 2002
  • Purpose : Childhood accidents have been increasing recently. Accidents rank as the leading cause of childhood mortality and morbidity. We performed this study to evaluate the causes of childhood accidents. Methods : The authors analysed retrospectively the medical records of 6,410 cases of childhood accidental injuries who visited the emergency room of Asan Medical Center from January 1990 to December 1999. Results : The most common type of accidents was trauma which accounted for 5,038 cases of the total accidents, followed by falls, burns, foreign body aspiration, and poisoning. The most common age of foreign body aspiration was under two years old and the male to female ratio was 2 to 1. The most common site of foreign body aspiration was the esophagus and the stomach, followed by the respiratory tract. In airways, the right and left main bronchus were the most common site for foreign body aspiration and were accompanied by the highest mortality. The most common foreign body in the gastrointestinal tract and respiratory tract were coins and peanuts, respectively. Conclusion : The most common cause of accidents was trauma, followed by falls, burns, foreign body aspiration, and poisoning. The incidence of foreign body aspiration and poisoning is increasing in infants. In cases of foreign bodies in airways, proper management is needed because of the high mortality rate.

A Prospective Study on Emergency Room Utilization in Children with Nonsurgical Gastrointestinal Disorders (비외과적 소화기질환 환아들의 응급실 이용양상에 대한 전향적 조사연구)

  • Lee, Kyung-Ja;Tchah, Hann
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.4 no.1
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    • pp.54-62
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    • 2001
  • Purpose: There have been few reports about common gastrointestinal diseases in children visiting emergency room. The aim of this study was to present basic data and their meanings about emergency room utilization in children with nonsurgical gastrointestinal disorders. Methods: The authors prospectively studied 1,228 consecutive children with gastrointestinal diseases, amongst 6,179 nonsurgical pediatric patients who visited the emergency room of Seoul Red Cross Hospital from Jan. 1st 1998 to Dec. 31st 1999. Results: 1) First visit was 60.7% of total visits and 30.7% were between 1 and 3 years of age while 80.4% were below 6 years of age. Male patients were predominant by a ratio of 1.3:1. 2) The peak month of visits was December (12.1%), and the peak time of visits was between 8:00 pm and midnight (35.9%). Average length of stay at emergency room of the total patients were 0.86 hour. 3) Five major diseases were acute gastroenteritis (44.3%), fecal impaction &/or constipation (21.3%), acute gastritis (16.4%), intussusception (4.6%), and infantile colic (4.3%) in order. 4) 19.6% of the total patients were hospitalized. Conclusion: There were differences in various distributions regarding each nonsurgical gastrointestinal disease entity in children visiting emergency room even though distributions of the total patients in our study were not so different from those in previous reports by others.

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Reye syndrome after acute enteritis during the neonatal period (신생아기 장염에 의하여 발병된 Reye 증후군)

  • Bang, Jun Suck;Nam, Sang Jung;Lee, Kyung Hwa;Bae, Eun Joo;Park, Won-Il;Lee, Hyun Sook;Son, Bae Young;Choi, Hwan Suck;Lee, Hong Jin
    • Clinical and Experimental Pediatrics
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    • v.49 no.3
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    • pp.273-277
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    • 2006
  • Purpose : The prevalence of Reye syndrome has decreased since late 1980's. But we report that recently there were concentrative attacks of Reye syndrome after acute enteritis during the neonatal period. Methods : Clinical symptoms and laboratory results(quantitative organic acid analysis, routine chemistry, arterial blood gas analysis, serum ammonia) of seven patients admitted at the Samsung Medical Center, Sanggye Paik Hospital, Wonju Christian Hospital and Chuncheon Sacred Heart Hospital, referred from Jan. 2005 to Apr. 2005, were analysed retrospectively. The major clinical symptoms were derived from the patients' clinical records sended with urine samples and quantification of organic acids were done with gas chromatography and mass spectrometry. Results : The mean age of seven cases is 18 days and the major preceding symptoms were gastrointestinal symptoms(vomiting, diarrhea, refusal to feeding). The major clinical symptoms were clouded conciousness, repiratory difficulty, vomiting, seizures, and diarrhea. One patient died; that patient's serum ammonia was twenty times higher than normal. Conclusion : The seven patients were neonates. Reye syndrome has been known to be closely related with upper respiratory infections as a preceding disease and to internal use of aspirin, but in our study, the major preceding disease of the seven cases was gastrointestinal infection and none of these used aspirin.

Study on the Effect of Bloodletting on Back-Shu Points and Sabonghyeul with Ryodoraku (양도락을 이용한 사봉혈과 배수혈의 사혈요법 효과 연구)

  • Koo, Jin Suk
    • Journal of Convergence for Information Technology
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    • v.11 no.9
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    • pp.173-181
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    • 2021
  • The purpose of this study is to prove the existence of the meridians by analyzing the effect of bloodletting cupping on Back-Shu Points and venesection on sabonghyeul, which are treatments for gastrointestinal and circulatory diseases with Ryodoraku. We selected the charts of 30 patients who received the treatment such as bloodletting cupping on Back-Shu Points and venesection on sabonghyeul for gastrointestinal and circulatory diseases. First, the Ryodoraku test was conducted in a stable state. After taking a rest on the bed, he performed a venesection on sabonghyeul. And bloodletting cupping on Back-Shu Points was performed with prone position. After all the procedures were completed, Ryodoraku test was performed again. And the result was compared with previous test status. By bloodletting cupping on Back-Shu Points and venesection on sabonghyeul, the deviation between the current value of the right F5 (gallbladder)· H4 (small intestine)· H6 (large intestine) (p<.05, p<.05, p<.001), left H5 (triple energizer) (p<.05) and the average current of 24 source points was significantly decreased. The difference between the left and right currents at the site of F3 (kidney) showed a significant increase (p<.005). It can be proved the existence of meridians that Bloodletting cupping on Back-Shu Points and venesection on sabonghyeul showed significant changes in the F5 (gallbladder), H4 (small intestine), H6 (large intestine), F3 (kidney), H5 (triple energizer) in digestive and circulatory symptoms by Ryodoraku test.

Clinical Features of Henoch-Schönlein Purpura Gastroenteropathy without Purpura before Diagnosis (진단 전에 자반이 동반되지 않았던 Henoch-Schönlein 자반 위장병증의 임상적 고찰)

  • Oh, Jae Min;Park, Jae Hong
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.7 no.1
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    • pp.54-60
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    • 2004
  • Purpose: Henoch-$Sch{\ddot{o}}nlein$ purpura (HSP) is a small-vessel vasculitic disease that most often affects the skin. Abdominal symptoms precede the typical purpuric rash of HSP in 14~36%. It is a challenge to diagnose HSP in the absence of a rash, because there are no biologic tests that can identify HSP with certainty, so we tried to find out the characteristic features of HSP gastroenteropathy without purpura before diagnosis. Methods: This study included 82 children with HSP who had been admitted or visited outward of the Department of Pediatrics, Pusan National University Hospital from 1995 to 2000. The cases that the onset of purpura preceded or coincided that of abdominal pain were defined as purpura-positive group. The cases that the onset of abdominal pain preceded purpura more than 1 week and purpura was not presented till diagnosed as HSP gastroenteropathy were defined as purpura-negative group. We compared and analyzed the clinical features of the two groups by reviewing the medical records retrospectively. To ensure the diagnosis of HSP gastroenteropathy, we conducted upper GI series, abdominal ultrasonogram, abdominal CT, endoscopy and/or skin biopsy. Results: The number of cases of purpura-positive group and purpura-negative group were 72 and 10, respectively. There is no difference between two groups in the incidence of clinical symptoms and laboratory findings. Children with HSP gastroenteropathy had characteristic erosive or ulcerative lesions in the stomach or duodenum on esophagogastroduodenoscopy, or mural thickening of the small bowel on abdominal ultrasonogram, CT or upper GI series. Skin biopsy revealed leukocytoclastic vasculitis in 3 of them, although biopsy specimen was taken from any areas of normal- appearing skin. In purpura-negative group, 9 patients improved by steroid therapy. Conclusion: In purpura-negative group, there is no diagnostic feature on the laboratory findings and clinical features. Therefore, to diagnose HSP gastroenteropathy in patients with abdominal pain in the absence of the characteristic rash, careful observation of clinical features and laboratory data, and prompt application of available diagnostic tools such as gastrointestinal endoscopy, radiologic study and skin biopsy are recommended. Early use of corticosteroid may reduce the suffering in these patients.

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소방공무원의 식사속도와 건강과의 관련성

  • Bang, Seong-Hwan;Kim, Ji-Hui;Mun, Tae-Yeong;Jo, Byeong-Jun;Lee, Chang-Seop;Kim, Gyeong-Yong;Gwon, Hak-Ju
    • Proceedings of the Korea Institute of Fire Science and Engineering Conference
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    • 2013.11a
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    • pp.135-136
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    • 2013
  • 본 연구의 목적은 소방공무원에서 빠른 식사속도가 위장관계통을 비롯한 신체질환과 당뇨를 비롯한 대사증후군 질환에 어떤 영향을 주는지 알고자 하는데 있다. 이 연구를 통해 식사시간이 빠르면 당뇨병 발병률이 높아지고, 먹는 양이 많아져 체중이 증가되어 비만으로 이어질 수 있다는 것을 제안한다. 각 소방학교에서 신임 및 전문교육 시 올바른 식습관을 가질 수 있도록 특별교육 등이 필요하며, 긴장상태에서 근무하는 소방공무원의 심신을 이완 시킬 수 있도록 관리부서에서 많은 관심과 대책이 필요하다. 소방공무원의 건강이 국민들의 소방서비스 질 향상에 영향을 주는 것은 분명한 사실이기 때문에 올바른 식습관을 통하여 식사시간을 늦추어 소방공무원의 건강을 지키는 것이 국민들에게 더욱더 질 높은 소방서비스를 제공 할 수 있을 것이다.

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Gut Microbiome and Gastrointestinal Diseases (장내 세균총과 위장관 질환)

  • Hwang, Soonjae;Kim, Sung Hoon;Rhee, Ki-Jong
    • Korean Journal of Clinical Laboratory Science
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    • v.50 no.1
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    • pp.11-19
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    • 2018
  • The gut microbiome has been studied extensively over the past decade with most scientific reports focused on the adverse role of the gut microbiome on gastrointestinal diseases. For example, the altered gut microbiome exacerbates the development of immune system-mediated damage in many diseases. The most studied pathologies include irritable bowel syndrome, inflammatory bowel diseases, and colitis-associated cancer. On the other hand, intestinal microflora is also beneficial and contributes to the intestinal physiology by the synthesis of vitamins, production of short chain fatty acids and bile acid metabolism, thereby maintaining gut homeostasis. Therefore, the balance between commensal and pathogenic bacteria populations influences mainly the maintenance of intestinal health. Changes in the intestinal microflora have been suspected to be the underlying causes of multiple diseases. Despite the immense amount of published data, the optimal gut microbiome composition is still controversial. This review briefly outlines the connection between the gut microbiome and critical gastrointestinal diseases focusing on three prominent intestinal disorders: irritable bowel syndrome, inflammatory bowel diseases, and colitis-associated cancer disorders. Finally, intervention strategies using natural products for the alleviation of these diseases and the maintenance of a health gut microbiome are suggested.