• Title/Summary/Keyword: 담석

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박태균의 건강칼럼

  • Park, Tae-Gyun
    • 건강소식
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    • v.32 no.8
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    • pp.32-33
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    • 2008
  • 식생활이 서구화되면서 몸속에 돌이 생기는 담석증 환자가 크게 늘고 있다. 우리나라 성인 10명 가운데 1명이 담석증을 앓고 있으며, 최근 증가 추세에 있다고 한다. 위장병이 없는데도 오른쪽 윗배에 통증이 심하고 기름진 음식을 먹을 때 소화가 안 되면 담석증을 의심해야 한다. 그대로 방치했을 경우 담염이나 췌장염, 암으로 악화될 수 있어 그 심각성이 우려되는 담석증의 치료법과 예방법을 알아본다.

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A case of biliary ascariasis accompanied by cholelithiasis (담석증을 동반한 담도회충증 1례)

  • 최민호;박인애
    • Parasites, Hosts and Diseases
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    • v.31 no.1
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    • pp.71-74
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    • 1993
  • A 43-year-old Korean woman with billary ascariasis accompanied by cholellthiasis is reported. Her chief complaints were abdominal pain, nausea, and vomiting. She had the past history of several attacks of abdominal pain in her childhood. ciliary stones were recovered from the left hepatic duct after cholecystectomy, which contained degenerated cuticle or body wall, and numerous eggs of Ascaris lumbriooides. It is strongly suggested that the ciliary stones were formed from the dead Ascmis worm(s). This is a rare case of biliary ascariasis during the recent 5 years in Korea.

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Cholelithiasis as a Risk Factor for Gallbladder Cancer (담낭암 발생의 위험인자로서의 담석증)

  • Oh, Dong Jun;Jang, Dong Kee;Lee, Jun Kyu
    • Journal of Digestive Cancer Reports
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    • v.7 no.2
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    • pp.51-56
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    • 2019
  • Although the incidence of gallbladder cancer is relatively low, Korea is one of the countries with the highest incidences of gallbladder cancer in the world. Gallbladder cancer is also often diagnosed in an advanced state, and has poor prognosis. A gallstone is one of the major risk factors for gallbladder cancer and a majority of epidemiological studies support correlation between cholelithiasis and gallbladder cancer. Clear mechanism, however, regarding how gallstones cause gallbladder cancer is not known. In this article, results of studies about the relationship between gallstone and gallbladder cancer were thoroughly reviewed. Also, it was discussed whether prophylactic cholecystectomy is necessary to prevent gallbladder cancer in asymptomatic gallstone patients without other risk factors such as a gallbladder polyp or porcelain gallbladder.

A Clinical Study for Gall Bladder Stones in Children (소아 담석증에 대한 임상적 연구)

  • Eun, Ho Seon;Baek, Seoung Yon;Chung, Ki Sup
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.8 no.2
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    • pp.194-201
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    • 2005
  • Purpose: Gall bladder (GB) stones in children are rarely observed, and so reports of them have been quite limited in Korea. Therefore, we tried to assess the epidemiology and clinical features of children with GB stone diagnosed at Severance Hospital. Methods: A clinical study was performed on 18 patients below 15 years of age diagnosed with GB stone by abdominal ultrasonography or CT scan at Severance hospital from January 1999 to May 2005. Results: Concerning patients' profile, their sex ratio of male to female in total 18 cases was 2 : 1 with the mean age of $6{\pm}4.3years$. 15 patients (83.3%) were asymptomatic. Inducing factors were found in 14 children (77.8%) including ceftriaxone therapy in 6 cases (33.3%), infection in 4 cases (22.2%), spherocytosis in 3 cases (16.7%), Down syndrome and abdominal operation in 1 case (5.6%) respectively. Single stone was found in 13 cases (76.5%) and multiple in 4 cases (23.5%). 15 cases (88.2%) had the stones less than 5 mm in size, and 2 cases (11.8%) between 5 and 10 mm. 17 patients received conservative treatment, and one patient had cholecystectomy due to Meckel diverticulum. Conclusion: In this report, Pediatric GB stones are predominant in male children, without typical symptoms, having inducing factors, single and small. Recently the diagnosis of them has been increased because of the development of imaging study. But the reports for them were still rare in Korea. Therefore the study for them is more necessary to find it's clinical characteristics.

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Prevalence and Risk Factors of Gallstones in Adult Health Screening Population (건강한 성인의 담석 유병률과 위험인자)

  • Lee, Mi-Hwa;Kwon, Duck-Moon;Cho, Pyong-Kon
    • Journal of radiological science and technology
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    • v.37 no.4
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    • pp.287-294
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    • 2014
  • Gallstone is the most common disease of the biliary system. Korean has experienced an increase in the percentage of cholesterol gallstones. The major risk factors associated with cholesterol gallstones are age, gender as well as obesity. This study was designed to determine the prevalence of gallstones in the last three years and evaluate the associated risk factors in the population who underwent health screening. The study population consisted of 2,484 males and 2,212 females who visited the health promotion center in Dalseogu, Daegu in Korea from January 2011 to December 2013. Each participant in the study had their biliary system gallbladder examined using ultrasonography. Classified as underweight, normal weight or overweight using the population of obese according to the body mass index, and classified according to mood diagnosis of diabetes presented by the American Diabetes Association. Fasting blood glucose and number of liver function, the divided the control group by referring to the normal liver function values used herein. The geological map, I was classified as NCEP APT III. A showed of total 148 people were found to have gallstones. The prevalence of sex among 148 patients (3.15%) 84 men (1.79%) and 64 women 1.36%) which shows significantly there is little difference. 1.84% 40 years and below, 3.38% 40's showed age prevalence was 4.66% in 50's and above. In addition, Total-cholesterol was at the most in 52 people, LDL-cholesterol in 398 people, Triglyceride in 36 people, HDL-cholesterol in 19 people. The abnormal group, was created from the total-cholesterol categories from a physical examination of a subject that has been found to be gallstones in the gallbladder. A result of conducting the univariate analysis shows the prevalence of gallstones, a correlation that is meaningful. The logistic regression analysis of multiple ages was chosen to show risk factors age independent cholelithiasis. In spite of the conclusion, gallstones are not displayed in relation to the metabolic syndrome but in order to clarify this, not only the subject of a health examination is needed but, a further study of the general public when possible.

Comparisons of the prevalence and analysis of risk factors affecting gallstone disease on Jeju Island

  • Kwon, Oh-Sung;Kim, Young-Kyu
    • Journal of the Korea Society of Computer and Information
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    • v.27 no.3
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    • pp.119-126
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    • 2022
  • The reported risk factors for gallstone disease (GD) are old age, female sex, obesity, metabolic syndrome and migrants. Many younger adults tend to live in Jeju City, where transportations are convenient and commercial activities are active. Whereas, older people tend to live in Seogwipo City, because they engaged in fisheries and agriculture. Rates of migrants and old age could affect the prevalence of GD among residents in two regions. Therefore, the purpose of this study was to compare the GD prevalence and analyze risk factors affecting GD including residencies. A total of 13,050 subjects who visited a single health medical check-up center on Jeju Island between 2012 and 2019 were included. We performed univariate and multivariate analysis to identify risk factors for GD. The prevalence of GD among residents were 5.7% in Jeju City and 5.8% in Seogwipo City, respectively. Multivariate analysis revealed that age (P=0.008), body mass index (P=0.044), high-density lipoprotein cholesterol (P=0.006) and gamma-glutamyl transferase (P=0.013) were independent factors affecting GD. The old age, mean higher body mass index, gamma-glutamyl transferase and mean lower high-density lipoprotein cholesterol were independent risk factors affecting GD. However, residencies did not affect the prevalence of GD.

A Study for the Gallbladder Stone on the Dietary Factors (식이요인에 따른 담석형성에 관한 연구)

  • Sim, Hyun-Sun;Jung, Hong-Ryang
    • Journal of radiological science and technology
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    • v.30 no.4
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    • pp.391-397
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    • 2007
  • Background/Aims : Gallbladder(GB) stone is the most common disease in the biliary system, and the incidence is gradually increasing in Korea. This change may include rapidly proceeding urbanization and changing food factor. We performed this study to investigate related GB stones and contraction of GB as dietary factors. Methods : We investigated 129 subjects(mean age : 47 years). GB stone group is 9 subjects(M: 2, F: 7) in Namyangju-si. Control group without GB stone is 18 subjects(M: 6, F: 12) in Wi-do island. For subjects without GB stone, diabetes mellitus decide 4(M: 2, F: 2) and then each after eat flesh and meat of estimated by experimental group ejection fraction rate(%). Results : Ejection fraction rate of GB were different between meat and fishes intake. When ate the meat in experiment for hypothetical verification, when become ejection fraction rate of meal GB 210 minutes, was the highest and when ate fish, the ejection fraction rate of GB was the highest in meal 120 minutes. Conclusions : After meats intaking the bile inside the GB is stagnant long and the GB stone is formed. We studied the results GB motility may important play a role on GB stone formation.

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담석증

  • Kim, Sang-Jun
    • 건강소식
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    • v.17 no.3 s.172
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    • pp.52-54
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    • 1993
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담석증

  • 김진복
    • The Korean Chronic Disease News
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    • no.9
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    • pp.8-8
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    • 1980
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