Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 4 de 4
Filtrar
Adicionar filtros








Intervalo de ano
1.
Korean Journal of Medicine ; : 663-671, 2015.
Artigo em Coreano | WPRIM | ID: wpr-155273

RESUMO

BACKGROUND/AIMS: A pyogenic liver abscess is an acute bacterial infection that can potentially lead to life-threatening sepsis. This study examined the clinical features and changing trends of pyogenic liver abscess over the last 10 years. METHODS: We investigated patient characteristics, laboratory findings, blood and abscess culture results, location and characteristics of the abscess, and treatment modality in the medical records of 146 patients. We divided them into three groups by period: period 1, 23 patients in 2002-2003; period 2, 46 patients in 2007-2008; and period 3, 77 patients in 2012-2013. RESULTS: The mean patient age was 64.3 +/- 15.1 years and 87 of the 146 patients were male (59.6%). Period 2 had a higher prevalence of chronic alcoholics (30.4% vs. 10.4%) and lower prevalence of fever and chills (73.9% vs. 92.2%) compared with period 3. Klebsiella pneumoniae was the most commonly cultured bacteria and the microbiological findings did not differ among the three periods. Pyogenic liver abscesses were more common in the right liver. The lengths of hospital stay and treatment modalities were similar in all three periods. CONCLUSIONS: Although there were slight differences in symptoms among the periods, there were no changes in the liver abscess characteristics, i.e., location, size, and culture results. As there were no changes, the treatment strategy also did not change. We should continue to investigate the clinical features of liver abscess.


Assuntos
Humanos , Masculino , Abscesso , Alcoólicos , Bactérias , Infecções Bacterianas , Calafrios , Drenagem , Febre , Klebsiella pneumoniae , Tempo de Internação , Fígado , Abscesso Hepático , Abscesso Hepático Piogênico , Prontuários Médicos , Prevalência , Sepse
2.
Korean Journal of Medicine ; : 515-521, 2013.
Artigo em Coreano | WPRIM | ID: wpr-193315

RESUMO

BACKGROUND/AIMS: Gastroesophageal reflux disease (GERD) is the most frequent cause of noncardiac chest pain (NCCP) in Western countries. Gastroduodenal disease has a high prevalence in Korea; thus, it is important to evaluate the stomach/duodenum. We retrospectively reviewed the findings in patients with chest pain who were diagnosed by coronary angiography (CAG) to be normal or who had minimal coronary lesions to evaluate the necessity of performing esophagogastroduodenoscopy (EGD) in patients with NCCP. METHODS: A total of 565 patients with chest pain underwent CAG followed by EGD from February 2000 to March 2011 at Konyang University Hospital. We excluded patients who underwent EGD more than 3 days after CAG or had significant coronary lesions. We retrospectively reviewed the EGD findings of the remaining 349 patients. RESULTS: Of the 349 patients, 151 were male, and the average age of the patients was 57.7+/-11.44 years. After performing EGD, GERD was diagnosed in 35 patients (10.0%; LA [Los Angeles classification]-A, 30; LA-B, three; LA-C, two) and peptic ulcer was diagnosed in 48 patients (13.8%; gastric ulcer, 34; duodenal ulcer, 10; gastric and duodenal ulcer, four). Gastritis was diagnosed in 253 patients (72.5%; erosive, 89; erythematous, 90; hemorrhagic, 10; mixed, 64). Duodenitis, esophagitis, Barrett's esophagus, hiatus hernia, and gastric cancer was diagnosed in 36 (10.3%), three (0.9%), two (0.6%), three (0.9%), and one patient, respectively. CONCLUSIONS: Unlike the situation in the west, stomach/duodenal lesions other than GERD are common causes of NCCP in Korea, Therefore, prior to proton pump inhibitor testing or empirical therapy, EGD is necessary to evaluate NCCP and to rule out gastroduodenal lesions.


Assuntos
Humanos , Masculino , Esôfago de Barrett , Dor no Peito , Angiografia Coronária , Úlcera Duodenal , Duodenite , Endoscopia , Endoscopia do Sistema Digestório , Endoscopia Gastrointestinal , Esofagite , Gastrite , Refluxo Gastroesofágico , Hérnia Hiatal , Coreia (Geográfico) , Úlcera Péptica , Prevalência , Bombas de Próton , Estudos Retrospectivos , Neoplasias Gástricas , Úlcera Gástrica , Tórax
3.
The Korean Journal of Gastroenterology ; : 243-247, 2013.
Artigo em Coreano | WPRIM | ID: wpr-169730

RESUMO

Peutz-Jeghers syndrome is an autosomal dominant inherited disorder characterized by multiple gastrointestinal hamartomatous polyps and mucocutaneous pigmentation. Peutz-Jeghers syndrome has an incidence of approximately 1 in 25,000 to 300,000 births. Crohn's disease is a chronic inflammatory bowel disease that typically manifests as regional enteritis with its incidence ranging from 3.1 to 14.6 cases per 100,000 person-years in North America. Herein, we report a case of a 30-year-old male patient who had both Peutz-Jeghers syndrome and Crohn's disease. We believe that this is the first case in Korea and the second report in the English literatures on Peutz-Jeghers syndrome coincidentally accompanied by Crohn's disease.


Assuntos
Adulto , Humanos , Masculino , Doença de Crohn/complicações , Endoscopia Gastrointestinal , Obstrução Intestinal/etiologia , Perfuração Intestinal/etiologia , Pólipos Intestinais/patologia , Síndrome de Peutz-Jeghers/complicações , Proteínas Serina-Treonina Quinases/genética
4.
Intestinal Research ; : 206-209, 2012.
Artigo em Coreano | WPRIM | ID: wpr-154698

RESUMO

Lower gastrointestinal bleeding can be caused by various etiologies including hemorrhoids, diverticulitis, neoplasms, and ulcerative colitis. However, a rectal ulcer is rarely caused by lower gastrointestinal bleeding, and an anorectal foreign body is a very rare cause of a rectal ulcer. We report the case of a 48-year-old male patient who presented to the emergency department with massive hematochezia and hypovolemic shock that occurred 5 days after inserting garlic into the rectum for treatment of benign prostate hyperplasia.


Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Colite Ulcerativa , Diverticulite , Emergências , Corpos Estranhos , Alho , Hemorragia Gastrointestinal , Hemorragia , Hemorroidas , Hiperplasia , Próstata , Reto , Choque , Úlcera
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA