1.Biologic therapies in Crohn's disease.
Korean Journal of Medicine 2005;68(2):133-139
No abstract available.
Biological Therapy*
;
Crohn Disease*
2.Clinical studies on acute drug intoxication.
Keum Man HWANG ; Yong Chul LEE ; Soo Teik LEE ; Seung Ryeol LEE ; Yang Keun RHEE
Journal of the Korean Society of Emergency Medicine 1993;4(1):43-52
No abstract available.
3.Isolated spontaneous dissection of the superior mesenteric artery.
Sang Wook KIM ; Young Gyun NA ; In Hee KIM ; Seung Ok LEE ; Soo Teik LEE
Korean Journal of Medicine 2005;69(4):457-458
No abstract available.
Mesenteric Artery, Superior*
4.Can the C-14 Urea Breath Test Reflect the Extent and Degree of Ongoing Helicobacter pylori Infection?.
Seok Tae LIM ; Myung Hee SOHN ; Seung Ok LEE ; Soo Teik LEE ; Myoung Ja JEONG
Korean Journal of Nuclear Medicine 2001;35(1):61-68
PURPOSE: The C-14 urea breath test (C-14 UBT) is the most specific noninvasive method to detect Helicobacter (H) pylori infection. We investigated if the C-14 UBT can reflect the presence and degree of H. pylori detected by gastroduodenoscopic biopsies (GBx). MATERIALS AND METHODS: One hundred fifty patients (M:F=83:67, age 48.6+/-11.2 yrs) underwent C-14 UBT, rapid urease test (CLO test) and GBx on the same day. For the C-14 UBT, a single breath sample was collected at 10 minutes after ingestion of C-14 urea (137 KBq) capsule and counting was done in a liquid scintillation counter for 1 minute, and the results were classified as positive ( 200 dpm), intermediate (50~199 dpm) or negative (<50 dpm). The results of CLO tests were classified as positive or negative according to color change. The results of GBx on giemsa stain were graded 0 (normal) to 4 (diffuse) according to the distribution of H. pylori by the Wyatt method. We compared C-14 UBT results with GBx grade as a gold standard. RESULTS: In the assessment of the presence of H. pylori infection, the C-14 UBT global performance yielded sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) and accuracy of 92.5%, 88.4%, 97.1%, 88.4% and 91.3%, respectively. However, the CLO test had sensitivity, specificity, PPV, NPV and accuracy of 83.2%, 81.4%, 91.8%, 81.4% and 82.7%, respectively. The quantitative values of the C-14 UBT were 45+/-27 dpm in grade 0, 707+/-584 dpm in grade 1, 1558+/-584 dpm in grade 2, 1851+/-604 dpm in grade 3, and 2719+/-892 dpm in grade 4. A significant correlation (r=0.848, p<0.01) was found between C-14 UBT and the grade of distribution of H. pylori infection on GBx with giemsa stain. CONCLUSION: We conclude that the C-14 UBT is a highly accurate, simple and noninvasive method for the diagnosis of ongoing H. pylori infection and reflects the degree of bacterial distribution.
Azure Stains
;
Biopsy
;
Breath Tests*
;
Diagnosis
;
Eating
;
Helicobacter pylori*
;
Helicobacter*
;
Humans
;
Scintillation Counting
;
Sensitivity and Specificity
;
Urea*
;
Urease
5.Relationship Between Exercise Induced Asthma and Gastroesophageal Reflux.
Heung Bum LEE ; Yang Deok LEE ; Hyun Chul KIM ; Yong Chul LEE ; Soo Teik LEE ; Yang Keun RHEE
Tuberculosis and Respiratory Diseases 2000;48(2):203-209
BACKGROUND: Exercise is a very common precipitant of asthma. Broncho-constriction associated with exercise can occur in 75~90% of individuals with asthma. The estimated prevalence ( 30~85% ) of gastroesophageal reflux ( GER ) in patients with asthma is significantly higher than in general population. We performed pH monitoring during the exercise in order to evalute whetherexercise induced asthma EIA ( 6 men, 12 women ) were studied. Monitoring of intraesophageal pH, ECG and spirometry was done for 1 hour before treadmill exercise. After baseline monitoring, subjects underwent symptom-limited treadmill exercise with Bruce protocol and continuous monitoring for 60 min after exercise. Spirometry was done at baseline prior to exercise, and repeated every 10 min after full exercise for 60 min. RESULTS: Exercise-induced bronchoconstriction was noted in 15 patients, who performed MBPT and 12 patients confirmed for bronchial asthma and 3 patients were diagnosed exercise-induced astham. Five 15 EIA patients demonstrated a pathologic degree of GER. CONCLUSION: We suggest that GER may be one of pathophysiologic factors of ELA and evoke further concentration on the GER in the EIA patients.
Asthma
;
Asthma, Exercise-Induced*
;
Bronchoconstriction
;
Electrocardiography
;
Female
;
Gastroesophageal Reflux*
;
Humans
;
Hydrogen-Ion Concentration
;
Male
;
Prevalence
;
Spirometry
6.Colonoscopic Diagnosis of Hemoperitoneum.
In Hee KIM ; Sang Wook KIM ; Soo Teik LEE
The Korean Journal of Gastroenterology 2006;47(4):243-244
No abstact availble.
Adult
;
*Colonoscopy
;
Female
;
Hemoperitoneum/*diagnosis
;
Humans
7.Excretion of Urine Mixed with Air and Fecal Material.
The Korean Journal of Internal Medicine 2011;26(4):478-478
No abstract available.
Adult
;
Air
;
Anti-Inflammatory Agents/therapeutic use
;
Antibodies, Monoclonal/*therapeutic use
;
Antirheumatic Agents/therapeutic use
;
Body Fluids
;
Crohn Disease/diagnosis/drug therapy/*urine
;
Cystitis
;
Dysuria/drug therapy/*etiology
;
Feces
;
Humans
;
Male
;
*Urinalysis
8.A Case of Hemobilia due to Gallbladder Carcinoma.
Heok Soo AHN ; Byoun Sik MUN ; So Ri KIM ; Soo Teik LEE ; Seung Ok LEE
Korean Journal of Gastrointestinal Endoscopy 2003;27(3):171-174
Gallbladder carcinoma is an uncommon neoplasm, and hemobilia caused by this disease is rare. We present a case of hemobilia in a patient with gallbladder carcinoma, which was recognized at forward duodenoscopy. A 42-year-old man visited our hospital due to intermmittent right upper quadrant pain. Duodenoscopy revealed blood clots with bile juice around the ampulla of Vater and the second portion of the duodenum. Endoscopic ultrasonography for the gallbladder showed a dumbell-shaped mass with a homogenous internal echogenicity on the body of the gallbladder. MR cholangiography showed a lobulated mass with low-signal intensity in the T1-weighted and T2-weighted images. Subsequently, laparoscopic cholecystectomy with regional lymph node dissection was performed, and adenocarcinoma was confirmed.
Adenocarcinoma
;
Adult
;
Ampulla of Vater
;
Bile
;
Cholangiography
;
Cholecystectomy, Laparoscopic
;
Duodenoscopy
;
Duodenum
;
Endosonography
;
Gallbladder*
;
Hemobilia*
;
Humans
;
Lymph Node Excision
9.A Case of Ischemic Colitis as a Complication of Colonoscopy.
Sang Woo NAM ; Hyun Jung YOON ; Seung Ok LEE ; Soo Teik LEE
Korean Journal of Gastrointestinal Endoscopy 2002;25(4):220-223
A 50-year-old man was undergone colonoscopy because of chronic lower abdominal pain for six months. No significant abnormalities was found through colonoscopy. Two days later, the patient returned to the hospital, complaining severe lower abdominal pain with hematochezia. On physical examination, his abdomen was soft to palpation, with mild tenderness on lower abdomen. Colonoscopy was performed again, which showed segmentally diffuse hyperemic and hemorrhagic mucosa resembling ischemic colitis in the sigmoid colon. He was put under our conservative treatment. Following up the colonoscopy on the third day of hospitalization, mucosal lesion displayed a remarkable improvement. Currently, he was discharged and is now under observation as an outpatient. The case of patient status complication with ischemic colitis after atraumatic colonoscopy was previously found only in caucasian patients. We are hereby reporting same case of a patient.
Abdomen
;
Abdominal Pain
;
Colitis, Ischemic*
;
Colon, Sigmoid
;
Colonoscopy*
;
Gastrointestinal Hemorrhage
;
Hospitalization
;
Humans
;
Middle Aged
;
Mucous Membrane
;
Outpatients
;
Palpation
;
Physical Examination
10.High grade anorectal stricture complicating Crohn's disease: endoscopic treatment using insulated-tip knife.
Hyung Ku CHON ; Ik Sang SHIN ; Sang Wook KIM ; Soo Teik LEE
Intestinal Research 2016;14(3):285-288
Endoscopic treatments have emerged as an alternative to surgery, in the treatment of benign colorectal stricture. Unlike endoscopic balloon dilatation, there is limited data on endoscopic electrocautery incision therapy for benign colorectal stricture, especially with regards to safety and long-term patency. We present a case of a 29-year-old female with Crohn's disease who had difficulty in defecation and passing thin stools. A pelvic magnetic resonance imaging scan, gastrograffin enema, and sigmoidoscopy showed a high-grade anorectal stricture. An endoscopic insulated-tip knife incision was successfully performed to resolve the problem. From our experience, we suggest that endoscopic insulated-tip knife treatment may be a feasible and effective modality for patients with short-segment, very rigid, fibrotic anorectal stricture.
Adult
;
Constriction, Pathologic*
;
Crohn Disease*
;
Defecation
;
Diatrizoate Meglumine
;
Dilatation
;
Electrocoagulation
;
Enema
;
Female
;
Humans
;
Magnetic Resonance Imaging
;
Sigmoidoscopy