• 제목/요약/키워드: chronic abdominal pain

검색결과 211건 처리시간 0.021초

Four cases of gastric submucosal mass suspected as anisakiasis

  • KIM Seoung-Gu;JO Yun-Ju;PARK Young-Sook;KIM Sung-Hwan;SONG Moon-Hee;LEE Han-Hyo;KIM Jeong-Seon;RYOU Ji-Won;JOO Jong-Eun;KIM Dong-Hoon
    • Parasites, Hosts and Diseases
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    • 제44권1호
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    • pp.81-86
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    • 2006
  • Anisakiasis is a parasitic disease caused by ingestion of raw fish infected with anisakid larvae. Endoscopic changing patterns of submucosal lesions in chronic gastric anisakiasis have not been known yet. Here we report 4 cases of suspected gastric anisakiasis which were improved during follow-up periods without surgical treatment. The patients presented with abdominal pain, nausea and vomiting after consuming raw marine fish, and visited our gastroenterology outpatient department. Their endoscopic findings showed firm and yellowish submucosal masses accompanied with eccentric erosions. Histologic findings showed severe eosinophilic infiltrations. In blood tests, peripheral eosinophil counts and total IgE levels were elevated. We believed that all cases were caused by larval anisakid infections. The submucosal mass lesions disappeared during the follow-up periods of 2 to 4 mo.

The Improving Effect of Gastrodia elata Blume on DSS-induced Colitis in Mice

  • Ahn, Eun-Mi;Kim, Su-Jin
    • 대한의생명과학회지
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    • 제24권3호
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    • pp.168-174
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    • 2018
  • Ulcerative colitis (UC) is a chronic inflammatory bowel disease characterized by abdominal pain, rectal bleeding and diarrhea. Gastrodia elata Blume (GE) has been used for the treatment of various diseases including neurodegenerative diseases and inflammatory disease. However, there has been no information on whether GE regulates intestinal inflammation. The aim of this study is to elucidate whether GE can protect against dextran sulfate sodium (DSS)-induced colitis in a mouse model. The colitis mice were induced by drinking water containing 5% DSS for 7 days. Body weight, colon length and clinical score were assessed to determine the effects on colitis. The levels of inflammatory cytokines, tumor necrosis factor $(TNF)-{\alpha}$ and interleukin (IL)-6 in colitis tissue were also measured. The results showed that mice administrated with DSS showed clinical signs including weight loss and reduced colon length. GE inhibited the DSS-induced loss of body weight and shortening of colon and increased Disease activity index score. Additionally, we observed that GE suppressed the levels of $TNF-{\alpha}$ and IL-6 in DSS-treated colon tissues. Collectively, these findings provide experimental evidence that GE might be a useful therapeutic agent for patients with UC.

소양인(少陽人) 전신(全身) 진전(振顫)에 대한 증례 (A clinical case study of Whole Tremor in Shaoyangin patient)

  • 배효상;한경석;박은경;박성식
    • 사상체질의학회지
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    • 제13권1호
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    • pp.104-108
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    • 2001
  • The tremor which has been showed most frequently in the clinic has various reasons, which is common in the dyskinesias and has rhythmic vibration involuntarily. The purpose of this study is to give an account of the effects of the Korean herbal medicine therapy which is based on the constitutional medicine for the patient who has suffered from tremor which is accompanied with diarrhea in the lacunar infarction. The subject is a 70-year-old woman who has had the symptoms caused by lacunar infarction, which are tremor, right side weakness, right facial palsy, dizziness, chest discomfort, and chronic diarrhea, dipsia, abdominal discomfort, andominal pain and so forth. We have diagnosed her as Shaoyangin(少陽人) Mangyin(亡陰證) and have prescribed Huashi Kushen Tang(滑石苦蔘湯) in accordance with the principle of Pyoeumganggi(表陰降氣). The consequence is that the accompanied tremor and diarrhea and general depressed condition have improved.

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Costunolide와 Dehydrocostuslactone을 이용한 목향의 함량분석 (Quantitative Analysis of Aucklandia Lappa Using Costunolide and Dehydrocostuslactone)

  • 엄민례;원진배;윤보라;이지우;마충제
    • 생약학회지
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    • 제44권3호
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    • pp.235-241
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    • 2013
  • Aucklandia lappa Decne (Compositae) has been used for treatment of abdominal pain, vomiting, diarrhea, chronic inflammation, and antibacterial effect. The quality of these herbs has been affected by many factors such as collection time, place, temperature, cultivation environment and manufacturing process. We used costunolide and dehydrocostuslactone as marker compounds for quality evaluation of rhizome of Aucklandia lappa. 66 samples of Aucklandia lappa were collected from those habitats in Korea and China. The developed HPLC-DAD method was applied to investigate for quality control of Aucklandia lappa samples. The average contents of the costunolide and dehydrocostuslactone were 2.3895% and 0.9258%, respectively. The principal component analysis (PCA) exhibited that classification of Aucklandia lappa according to origin not separated. Results of this study may be satisfactory applied to determination of content criteria of Aucklandia lappa.

인진쑥 추출물의 병원성 세균에 대한 생체내 증식 억제 효과 (Inhibitory Effects of Artemisia capillaris Extract on the Pathogenic Bacteria in Mice)

  • 김홍태;김주완;임미경;여상건;장광호;오태호;이근우
    • 한국임상수의학회지
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    • 제24권2호
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    • pp.125-129
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    • 2007
  • Artemisia capillaris THUNB is a perennial herb that belongs to the family Compositae spp and the most common plant among the various herbal folk remedies used in treatment of abdominal pain, hepatitis, chronic liver disease, jaundice and coughing in Korea. This experiment was conducted to investigate the inhibitory effects of orally administrated Artemisia capillaris extracts on the pathogenic bacteria in 200 ICR mice. The experimental groups showed inhibitory effects on the bacteria in $1{\sim}3$ days after inoculation. After 21 days of inoculation, no viable bacterial cells appeared in the feces of both experimental groups while they did appear in the control group. The results of these studies indicate Artemisia capillaris extract exhibited excellent antimicrobial and inhibitory effects on the food poisoning pathogenic bacteria; S. enteritidis, E. coli O157:H7, L. monocytogenes and S. aureus.

대장 내시경으로 진단한 장결핵 1례 (A Case of Intestinal Tuberculosis Diagnosed by Colonoscopy)

  • 배상영;박선주;남승연;정지아;서정완;이선화
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제2권2호
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    • pp.245-249
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    • 1999
  • 저자들은 심한 빈혈과 복통을 주소로 내원한 폐결핵을 동반하지 않은 9세 여아에서 시행한 대장내시경 소견과 생검 조직의 배양 검사로 진단하고 항결핵제 치료로 증상이 호전된 예를 경험하여 보고하는 바이다.

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Crohn병 1례 (A Case of Crohn Disease)

  • 김지은;김준호;이동석;김두권;최성민;김우택
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제2권2호
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    • pp.227-232
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    • 1999
  • 저자들은 발열, 복통, 관절통, 구강내 궤양의 증상으로 내원한 6세 남아에서 발생한 Crohn 병 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

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Bowel Perforation Due to Immobilization after Resurfacing Thumb with Anterolateral Thigh Free Flap in an Elderly Diabetic Woman

  • Park, Seong Hoon;Kim, Joo Hyun;Suh, In Suck;Kim, Kwang Yong;Jeong, Hii Sun
    • Archives of Reconstructive Microsurgery
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    • 제26권1호
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    • pp.18-22
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    • 2017
  • Inevitable immobilization after surgery on lower extremities can induce chronic constipation. Elderly diabetic women usually express ambiguous gastrointestinal symptoms and signs. We present here a case of panperitonitis developed from severe fecal impaction in an elderly diabetic woman after hand reconstruction using material harvested from the lower extremities. A 68-year-old diabetic female underwent anterolateral thigh free flap and wound revision twice on the left thumb. Three weeks after surgery, she complained about mild abdominal pain though she had daily defecation. Despite encouraging ambulation, her compliance was low. Resection of the sigmoid colon and colostomy were performed after diagnosis with bowel perforation. However, the patient went into septic shock and died with multiorgan failure after the guardians issued a DNR (do not resuscitate) order. For preventing bowel perforation, increased uptake of dietary fiber and early ambulation postoperatively should be encouraged, after even hand surgeries.

과민대장증후군 환자를 소시호탕 합 작약감초탕 및 침 치료로 호전시킨 1례 : 증례보고 (A Patient with Irritable Bowel Syndrome Improved After Treatment with Sosiho-tang, Jakyakgamcho-tang, and Acupuncture: A Case Report)

  • 최치호;권승원
    • 대한한방내과학회지
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    • 제43권5호
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    • pp.960-966
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    • 2022
  • Objectives: Irritable bowel syndrome is a functional disorder of the gastrointestinal tract marked by chronic abdominal pain and altered bowel habits. Irritable bowel syndrome is experienced by 11% of the global population. Although antidepressants and antispasmodic agents are currently used as therapeutic methods, they have side effects, so safer treatment agents are needed. Hence, I report the case of an outpatient who suffers from irritable bowel syndrome. Methods: The patient visited a public health center 14 times over four weeks and was treated with acupuncture and herbal medicine (Sosiho-tang and Jakyakgamcho-tang). Treatment progress was assessed using the Irritable Bowel Syndrome Severity Scoring System. Results: After 28 days of treatment, the Irritable Bowel Syndrome Severity Scoring System score decreased from 410 to 30 points without adverse events. The patient was highly satisfied. Conclusion: Sosiho-tang and Jakyakgamcho-tang with acupuncture might become recommended therapeutic options for irritable bowel syndrome patients.

만성허리통증자의 호흡 패턴과 배부 운동성 변화에 대한 주관적 허리부위 불안정성 요소의 유용성에 관한 연구 (A Study on the Usefulness of Subjective Lumbar Instability Factor for Respiratory Pattern Change and Abdominal Mobility in Peoples with CLBP)

  • 기철;이관우
    • 한국산학기술학회논문지
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    • 제21권3호
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    • pp.206-214
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    • 2020
  • 본 연구는 만성허리통증자를 대상으로 주관적 허리부위 불안정성 요소(SLIF)와 호흡패턴변화(RPC), 배부운동성(AM) 간의 상관성을 조사하고자 하였으며, 만성허리통증(CLBP)을 가진 36명의 성인이 본 연구에 참여하였다. 대상자들은 28개 항목의 SLIF 양성반응 조사 후, 양성반응 수(PRN)에 따라 3개 그룹으로 나뉘었다. 노력성호흡운동과 운동조절훈련 동안에 총 12개의 비생리학적 호흡패턴변화를 관찰과 촉지를 통해 조사하였고, 3가지의 호흡패턴변화[갈비가로막 호흡패턴변화(CDRPC), 호흡정지변화(BHC), 전체 호흡패턴변화(TRPC)] 점수를 산출하였다. 배부 운동성 변화는 줄자를 이용하여 몸통의 칼돌기(AM1)와 10th 갈비뼈(AM2) 수준에서 최대 흡기와 호기 사이의 둘레 길이 차이로 조사하였다. SLIF의 양성 반응수에 따라 RPC 점수와 AM을 비교하고, 이들의 상관성을 분석하였다. 그 결과, SLIF 양성반응수는 CDRPC 점수, BHC 점수, 전체 RPC 점수와 양의 상관성을, AM1과 AM2와는 음의 상관성을 나타내었다. 본 연구결과에 기초하여, SLIF 검사의 양성결과 조합은 CLBP자의 비생리적 호흡패턴변화에 대한 예측 변수가 될 수 있고, 이러한 임상적 예측은 평가시간의 절약과 함께 효율적 치료접근에 도움이 될 수 있다.