• 한국학교ㆍ지역보건교육학회지
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• 제16권3호
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• pp.31-40
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• 2015

Objectives: The study investigated constipation in male and female high school students and in order to provide data base for development of education and intervention programs aimed at preventing and managing constipation in high school students. Methods: The study used a technique of convenience sampling to mobilize the entire students in an academic high school in D region. Of the combined 360 copies of questionnaire distributed, 340 copies were collected and used for the final analysis. The gathered data were analyzed using frequency, percentage, and ${\chi}^2-test$ in SPSS 21. Results: The ratio of female students with constipation is significantly higher than that of male students with the condition(${\chi}^2=5.73$, p=0.017), and there were significant differences in exercise habits(${\chi}^2=26.75$, p<0.001), eating habits(${\chi}^2=43.19$, p<0.001), and bowel habits(${\chi}^2=22.96$, p<0.001) between female students and male students. Also there was significant difference in water intake between the normal group and the constipation group(${\chi}^2=10.01$, p=0.040). Significant differences between the two groups were also discovered in the level of perception of constipation(${\chi}^2=98.76$, p<0.001), bowel movement time(${\chi}^2=15.74$, p=0.008), and use of laxatives(${\chi}^2=17.68$, p<0.001) and enema(${\chi}^2=16.97$, p<0.001) for constipation relief. Conclusions: To prevent and manage constipation in high school students, education about healthy dietary, and bowel habits is required. Also there is an urgent need to improve the school toilet environment in order to respect the rights of students to void or defecate when necessary, a process which will require involvement of students, teachers, and other school staff.

• 한국식품과학회지
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• 제40권3호
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• pp.326-331
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• 2008

함초 추출물의 장내 이동 효과를 살펴보기 위하여 함초 추출물을 식수에 첨가하여 장 이동률을 살펴본 결과 대조군에 비해 함초 추출물을 처리한 군에서 활성탄 식이의 장 이동률은 8.5-16.4% 증가되었다. 함초 추출물의 변비해소효과는 함초 추출물을 식수에 녹여 공급한 결과 대조군에 비해 함초 추출물을 3 mg/mL 처리한 군에서의 변량이 식수 섭취량과 관련하여 최대 156% 증가하였다. 또한 함초 요구르트의 변비해소효과는 0.25% 함초 요구르트의 공급으로 변비 유발기간 내 변량이 최대 150% 증가되었으며 처리군에 비해 loperamide를 계속 섭취함에도 불구하고 변비가 해소되었음을 알 수 있었다. 이상의 결과로 볼 때 함초 추출물은 장 이동률을 증가시켜 장운동을 촉진할 수 있으리라 생각되며 또한 변비 해소작용까지 나타내어 장 기능 개선에 효과를 나타내는 물질이라 생각된다.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제22권6호
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• pp.518-526
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• 2019

Purpose: Limited means exist to assess gastrointestinal activity in pediatric patients postoperatively. Recently, myoelectric gastrointestinal activity recorded by cutaneous patches has been shown in adult patients to be predictive of clinical return of gastrointestinal function postoperatively. The aim of this case series is to demonstrate the feasibility of this system in pediatric patients and to correlate myoelectric signals with return of bowel function clinically. Methods: Pediatric patients undergoing abdominal surgery were recruited to have wireless patches placed on the abdomen within two hours postoperatively. Myoelectric data were transmitted wirelessly to a mobile device with a user-interface and forwarded to a cloud server where processing algorithms identified episodes of motor activity, quantified their parameters and nominally assigned them to specific gastrointestinal organs based on their frequencies. Results: Three patients (ages 5 months, 4 year, 16 year) were recruited for this study. Multiple patches were placed on the older subjects, while the youngest had a single patch due to space limitations. Rhythmic signals of the stomach, small intestine, and colon could be identified in all three subjects. Patients showed gradual increase in myoelectric intestinal and colonic activity leading up to the first recorded bowel movement. Conclusion: Measuring myoelectric intestinal activity continuously using a wireless patch system is feasible in a wide age range of pediatric patients. The increase in activity over time correlated well with the patients' return of bowel function. More studies are planned to determine if this technology can predict return of bowel function or differentiate between physiologic ileus and pathologic conditions.

• The Korean Journal of Physiology and Pharmacology
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• 제17권5호
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• pp.423-426
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• 2013

Females are more often affected by constipation than males, especially during pregnancy, which is related to the menstrual cycle. Although still controversial, alterations of progesterone and estrogen may be responsible. Therefore, this study was conducted in order to determine whether the female sex steroid hormone itself is responsible for development of constipation in both female and male mice. Administration of estrogen resulted in a decrease in weight of accumulated feces on days 2, 3, 4, and 5 in male mice and on day 5 in female mice, compared with the control group, but progesterone administration did not. Administration of estrogen resulted in a decrease in gastrointestinal movement, compared to normal; however, no significant change was observed by administration of progesterone. In conclusion, estrogen, rather than progesterone, may be a detrimental factor of constipation via decreased bowel movement in mice.

• Applied Biological Chemistry
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• 제47권3호
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• pp.315-320
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• 2004

본 연구는 장기능 개선 및 변비 질환의 예방 및 치료에 효과적인 천연 식품인 무(Raphanuse sativa var. nigra L.)로부터 추출, 정제된 조성물, 보다 상세하게는 무의 물 추출물에서 정제 분획된 분자량 3-10 kDa가 주성분으로 장기능 및 변비 질환의 개선 효과를 가지는 조성물에 관한 것이다. 무의 물 추출물을 Balb/c mice를 이용한 활성탄 식이의 장 이동 효과와 SD rats를 이용한 loperamide-induced constipation method에 의한 항변비 효과를 검색하였다. 또한 항변비 효과 검색을 종료한 후, 희생한 횐쥐의 대장관 내 점액질 분비 효과를 조사하였다. 특히, 대장에 많이 존재하는 MUC2 분비 효과를 알아보고자 하였다. 무의 물 추출물은 식수만 투여한 대조군에 비해 용량에 비례해서 활성탄 식이의 장 이동 효과가 현저하게 증가되었고, 다양한 용매 분획에서는 무의 물 분획이 가장 큰 장 이동 효과를 나타내어, 물 분획이 장 이동을 촉진시키는 활성 물질이 가장 많이 함유된 분획으로 확인할 수 있었다. 또한 물 분획을 분자량 크기로 3 kDa 이하, 3-10 kDa, 10-300 kDa, 300 kDa 이상의 4가지 세 분획으로 나누어 활성탄 식이의 장이동 효과를 조사한 결과, 이들 세 분획중에서 3-10 kDa의 분자량을 가진 분획이 주요 구성 물질로 장 이동 촉진 효과를 보였다. Loperamide를 이용해 3-10 kDa의 변비해소 작용을 알아 본 결과에서도 무 물세분획(3-10 kDa) 투여로 변비 유발기간 내내 변량이 증가되었으며, 변비 유발군에 비해, 사료 섭취량의 증가는 변비 유발 물질인 loperamide를 계속 섭취함에도 불구하고 변비가 해소되고 있음을 확인할 수 있었다. 무 물세분획(3-10 kDa)의 대장관내 점액질의 분비에 미치는 영향을 조사한 결과에서도, 대장관 내 변의 개수가 정상군과 거의 같은 수준의 변 개수가 관찰되어 배변촉진 효과가 확인 되었고, 항체(Biogenex AM358)를 사용하여 면역조직 화학법으로 MUC2 관찰시, 변비 유발군에서는 MUC2로 염색된 세포가 현저하계 감소되나, 무 물세분획(3-l0 kDa) 투여시 뚜렷하게 MUC2 염색이 증가되었다.

• Advances in pediatric surgery
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• 제7권2호
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• pp.130-136
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• 2001

The aim of this study was to evaluate the short-term outcomes of the trans anal one-stage pull-through procedure(TOP) in Hirschsprung's disease. Eight patients aged 3 weeks to 8 months with Hirschsprung's disease underwent this procedure. A rectal mucosectomy was performed from just proximal to dentate line to the level of peritoneal reflexion, where muscle layer was incised circumferentially. Rectosigmoid was mobilized out through the anus, and full-thickness frozen biopsy was taken for confirmation of ganglionic cells. After the rectal muscular cuff was divided longitudinally in the posterior aspect, aganglionic bowel was removed and ganglionic colon was anastomozed to the anus. The mean operating time was 161 minutes, and the mean hospital stay after operation was 3.8 days. Five patients had three to four bowel movement per day without other therapy at mean postoperative 39.2 days. Although long-term follow-up will be required, the TOP might be the new alternative surgical procedure for Hirschsprung's disease.

• 대한한방체열의학회지
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• 제3권1호
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• pp.36-42
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• 2004

Cold hypersensitivity is the condition with unusual cold sensitivity at temperature when others don't feel so. It is not disease in itself, but is known as having relationship with infertility, dysmenorrhea, anemia and endocrine disorder. The symptoms of cold hypersensitivity appear on limbs and abdomen especially, and may affect bowel movement such as constipation or diarrhea. We made a research of 86 healthy young girls who took medical examination and examined subjective bowel habit. The patients were divided into three group by defecation type, constipation(42), diarrhea(14) and normal group(30). Temperature differences$({\Delta}Ts)$ measured by DITI on upper and lower abdomen of each group had not statistically significance. Otherwise ${\Delta}Ts$ between upper arm and palm and between upper leg and foot were statistically signigicant. The severity of cold hypersensitivity on hands was in order constipation, normal and diarrhea group, and same as feet. The diarrhea patients had more severe cold hypersensitivity as compared with constipation patients. Correlation between ${\Delta}Ts$ on abdomen and hands or feet didn't exist. ${\Delta}Ts$ on hands and feet, however, had positive relationship. This research showed cold hypersensitivity could be related with diarrhea.

• Clinical and Experimental Pediatrics
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• 제51권6호
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• pp.655-659
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• 2008

전신 홍반 루푸스는 다양한 증상으로 발현되는 자가면역질환이다. 위장관 증상도 질환의 경과 중에 나타날 수 있으나, 장 가성 폐쇄로 처음 진단되는 경우는 소아에서 매우 드물다. 장 가성 폐쇄는 원발성 또는 속발성으로 장의 평활근이나 신경계에 이상이 있어 해부학적 원인 없이 장폐쇄의 증상과 징후가 나타나는 것이며, 장폐쇄로 인하여 수술을 하였다는 보고도 있다. 그러나 장 가성 폐쇄가 전신 홍반 루푸스에 속발한 경우 장간막 혈관의 폐쇄와 장괴사로 진행하기 전에 조기에 진단하고 치료하면 합병증을 예방하고 수술을 피할 수 있다. 저자들은 장 가성 폐쇄의 증상으로 내원한 13세 여아에서 전신 홍반 루푸스를 진단하여, 불필요한 수술을 피하고 조기에 치료한 증례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제12권2호
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• pp.120-132
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• 2009

목 적: 저자들은 한국 소아청소년의 기능성 위장관 질환을 진단하는 데 로마 III 기준을 기초로 한 소아 위장관 증상에 관한 설문(QPGS)이 유용한 지 알아보고자 하였으며, 로마 III 기준을 이용하여 소아 청소년의 기능성 위장관 질환의 유병률을 살펴보았다. 방 법: 소아 소화기 전문의의 문진과 신체검진을 통한 진단과 소아 위장관 증상에 관한 설문(QPGS)을 기초로 한 진단의 일치 정도를 비교하였다. 138명의 환자와 그들의 보호자들이 설문지를 완성해주었다. 진단의 일치도는 카파(Kappa) 값을 구하여 측정하였다. 결 과: 소아 소화기 전문의의 진단에서 유병률은 기능성 소화불량(39.1%), 과민성 장 증후군(38.4%), 기능성 복통(18.8%) 순이었다. 설문을 기초로 한 진단에서는 과민성 장 증후군 (39.1%), 기능성 소화불량(29.7%), 기능성 복통(21.7%) 순이었다. 진단 일치도는 높았으며 (${\kappa}$=0.72, p=0.00), 진단이 일치되지 않은 경우는 대부분 대변 형태 및 대변 횟수에 관한 항목에서의 차이 때문이었다. 결 론: 소아 청소년 기능성 위장관 질환 진단의 선별 검사로서 로마 III 기준을 기초로 한 소아 기능성 위장관 증상에 관한 설문(QPGS)은 비교적 유용한 것으로 생각되며 특히 우리나라처럼 짧은 시간에 많은 환자를 진료해야 하는 환경에서 도움이 될 것으로 보인다.

• Asian Pacific Journal of Cancer Prevention
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• 제15권22호
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• pp.9985-9996
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• 2014

Background and Aim: Laparoscopic and open rectum surgery for rectal cancer remains controversial. This systematic review compared the short-term and long-term efficiency and complications associated with laparoscopic and open resection for rectal cancer. Materials and Methods: We searched PubMed, Embase, Cochrane Library, ISI Web of Knowledge and the China Biology Medicine Database to identify potential randomized controlled trials from their inception to March 31, 2014 without language restriction. Additional articles were identified from searching bibliographies of retrieved articles. Two reviewers independently assessed the full-text articles according to the pre-specified inclusion and exclusion criteria as well as the methodological quality of included trials. The meta-analysis was performed using RevMan 5.2. Results: A total of 16 randomized controlled trials involving 3,045 participants (laparoscopic group, 1,804 cases; open group, 1,241 cases) were reviewed. Laparoscopic surgery was associated with significantly lower intraoperative blood loss, earlier return of bowel movement and reduced length of hospital stay as compared to open surgery, although with increased operative time. It also showed an obvious advantage for minimizing late complications of adhesion-related bowel obstruction. Importantly, there were no significant differences in other postoperative complications, oncological clearance, 3-year and 5-year or 10 year recurrence and survival rates between two procedures. Conclusions: On the basis of this meta-analysis we conclude that laparoscopic surgery has advantages of earlier postoperative recovery, less blood loss and lower rates of adhesion-related bowel obstruction. In addition, oncological outcome is comparable after laparoscopic and open resection for rectal cancer.