• Title/Summary/Keyword: Liver, cirrhosis

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A Clinical Report on Ascites Due to Liver Cirrhosis and Metastatic Liver cancer (간경변과 전이성 간암으로 인한 복수 환자 1례)

  • Lee, Jung-Hee;Shim, Yun-Sueb;Han, In-Sun;Han, Jong-Hyun;Kweon, Hyug-Sung;Kim, Eun-Gon
    • The Journal of Internal Korean Medicine
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    • v.26 no.2
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    • pp.459-466
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    • 2005
  • Ascites is the retention of body fluids in abdominal cavity, which is induced by salt increase, and disorders in such things as water retention and albumin synthesis. Ascites are especially common in cases of progressed liver cirrhosis and metastatic cancer. One patient was diagnosed with liver cirrhosis and Metastatic cancer at Rt. liver from Lt. ovarian tumor by abdominal CT. To measure the response to treatment of ascites, these clinical symptoms were observed: weight, abdominal circumference, and lab findings. Clinical symptoms and ascites were improved after oriental medical treatment. Abdominal circumference decreased. Results suggest oriental medical treatment was effective for this patient for this disease, but more extensive research is needed.

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Role of macrophages in liver cirrhosis: fibrogenesis and resolution

  • Sherine Ahmed Elsherif;Ahmed Salah Alm
    • Anatomy and Cell Biology
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    • v.55 no.1
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    • pp.14-19
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    • 2022
  • At present, chronic liver disease accounts for approximately 2 million deaths per year worldwide. Liver injury induces a series of events causing inflammation. Chronic inflammation ends in liver fibrosis. A stage of fibrinolysis occurs on stopping insult. Kupffer cells play their role to initiate inflammatory responses, while infiltrating monocyte-derived macrophages have a role both in chronic inflammation and fibrosis and in fibrosis resolution. Ly-6C high expressing monocytes act during fibrogenesis, while Ly-6C low expressing monocytes are restorative macrophages which promote resolution of fibrosis after end of the injury. Recent studies have identified new phenotypes, such as metabolically activated M, oxidized, which may have a role in fatty liver diseases.

Factors Influencing on Quality of Life in Patients with Liver Cirrhosis: Convergence on the Theory of Unpleasant Symptoms (불쾌증상이론을 융합한 간경변증 환자의 삶의 질 예측요인)

  • Kim, Ji-Suk;Seo, Young-Sook
    • Journal of Digital Convergence
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    • v.13 no.4
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    • pp.271-281
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    • 2015
  • The purpose of this study was to explore convergence on the theory of unpleasant symptom, and factors affecting quality of life of liver cirrhosis patients. A total of 198 liver cirrhosis patients were recruited symptom experiences, physiologic factors, psychological factors, situational factors, and quality of life. Data were collected from March, to May, 2014 and analyzed using one-way ANOVA, Pearson correlations, multiple regressions analysis with PASW (SPSS) 21.0. Variables such as duration of liver cirrhosis(${\beta}=.19$, p<.001), symptom experiences(${\beta}=.19$, p=.032), physical(${\beta}=.15$, p=.008), psychological(${\beta}=.39$, p<.001) and situational factors(${\beta}=.32$, p<.001) explained 51.8% of variance in quality of life(F=15.57, p<.001). The symptom experiences, physiological, psychological and situational factors should be considered for caring liver cirrhosis patients. Symptoms of postmyocardial infarction (post-MI) patients at risk for progression to heart.

Effects of Electroacupuncture on the Muscle Cramps of Liver Cirrhosis Patients: A Randomized Controlled Study (간경변 환자의 근경련에 대한 전침 치료의 효과 무작위 대조군 연구)

  • Lee, Chang-hyeong;Kim, Byung-seok;Kim, Kyung-soon;Kwak, Min-a;Kim, Seung-mo
    • The Journal of Internal Korean Medicine
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    • v.39 no.4
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    • pp.511-519
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    • 2018
  • Objectives: The purpose of this clinical trial was to examine the efficacy and safety of electroacupuncture on liver cirrhosis patients suffering from muscle cramps. Methods: Fourteen patients with liver cirrhosis who experienced muscle cramps at least once a week, regardless of cramp location, were enrolled and randomly allocated to an experimental group (n=12) or a control group (n=12). The experimental patients were treated with electroacupuncture at an electrical stimulation frequency of 100 Hz three times a week for four weeks (12 times in total). Muscle cramps were evaluated by a questionnaire that probed subjective symptoms. We analyzed the frequency of muscle cramps 3 times (at screening, 14 th visit, 15 th visit) during 8 weeks. Results: The number of patients with cramps occurring 'more than once a week' was reduced and the proportion of patients decreased in response to electroacupuncture. The number of patients with cramps occurring 'less than once every two weeks' increased and the proportion of patients also increased in response to eletroacupunture. Conclusions: The results of this study suggest that electroacupuncture treatment will be beneficial for improving muscle cramps in patients with liver cirrhosis. Electroacupuncture is considered a safe and efficacious treatment for patients with liver cirrhosis who complain of muscle cramps.

Clinical Study of Chronic Hepatitis and Liver Cirrhosis Treated with Sodalgeonbitang-gamibang (소달건비탕가미방 투약 후 호전된 만성간염을 동반한 간경변 환자 1례)

  • Baek Dong Gi;Hwang Sang Il;Rhim Eun Kyung;Lee Yun Jae;Kim Dong Woung;Shin Sun Ho;Kim Hong Jun;Moon Goo
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.18 no.1
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    • pp.306-309
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    • 2004
  • Liver cirrhosis is caused by virus, alcohol, toxins, drugs and chronic hepatitis. Clinical symptoms of liver cirrhosis are severe fatigue, nausea, fever, dyspepsia, anorexia, RUQ pain, jaundice, ascites. We applied oriental medicines to patient who had chronic hepatitis and liver cirrhosis. Sodalgeonbitang-gamibang has been used to treat hepatitis and liver cirrhosis because of its beneficial effects. The patient symptoms began to improve after about one month of treatment. After medication we could find remarkable effect on clinical symptoms and blood test. So we hope that this clinical study is helpful in treat a patient with hepatic disease.

A Case Report of Jaundice in Liver Cirrhosis with Sipymiguanjung-tang gamibang (소음인(少陰人) 십이미관중탕가미방(十二味寬中湯加味方)으로 황달(黃疸)을 동반한 간경변 환자 치험 1례)

  • Han, Dong-Youn;Park, Jung-Han;Lee, Jae-Yun;Kim, Jung-Chul;Song, Chang-Hun;Sun, Seung-Ho;Kim, Eun-Yi;Cho, Hyun-Seok
    • Journal of Sasang Constitutional Medicine
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    • v.17 no.3
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    • pp.135-141
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    • 2005
  • 1. Objectives The purpose of this case is to report that a soeumin patient diagnosed as liver cirrhosis with jaundice was treated with 'Sibimiguanjung-tang gamibang' and then his symptoms and Liver function improved. 2. Methods We dignosed the patient as Soeumin-Taeum syndrome. So we treated him with Sibimiguanjung-tang gamibang 3. Results After we treated the patient with Sibimiguanjung-tang gamibang, his symptom and liver function was improved. 4. Conclusions Sibimiguanjung-tang gamibang may have an effect on treatment of jaundice with liver cirrhosis of Soeumin.

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Case Report of Ascites in Alcoholic Liver Cirrhosis (복수를 동반한 알코올성 간경변증 환자 치험 1례)

  • Choi, Ga-Young;Kim, Soo-Yeon;Kim, Byoung-Woo;Jee, Hyon-Chol;Sun, Seung-Ho;Lee, Seon-Goo
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.23 no.5
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    • pp.1161-1165
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    • 2009
  • Daekumeumja is a herb-medication which has been used for alcoholic damage. This is a report about the effect of Daekumeumja on Ascites in alcoholic liver cirrhosis. The study of abdominal CT and ultrasonography were performed to evaluate the volume change of ascites. And blood tests were done to measure the liver's and kidney's functions. Reduction of ascites is proved by abdominal CT & ultrasonography. And lab findings of liver functions showed improvement. This study suggests that Daekumeumja is probably effective in the treatment of ascites in alcoholic liver cirrhosis.

A Case Report of Korean Medicine Treatment of a Decompensated Liver Cirrhosis Patient with Jaundice (황달을 동반한 비대상성 간경변 환자의 한방 치험 1례)

  • Seon-ju Ahn;Bo-sung Kim;Joon-yong Noh;Young-su Lee
    • The Journal of Internal Korean Medicine
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    • v.43 no.6
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    • pp.1219-1228
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    • 2022
  • Objectives: The aim of this study was to report a clinical case of decompensated liver cirrhosis in a patient with jaundice who showed improvement with Korean medicine treatment. Methods: A patient with decompensated liver cirrhosis with jaundice was treated with herbal medicine (Injinoryung-tang, Galgeunjowi-tang), acupuncture, cupping, and moxibustion. Changes in jaundice, fatigue, and dysuria were measured with subjective parameters. Liver function was checked by performing a blood test 8 times. The levels of aspartate aminotransferase (AST), alanine aminotransferase (ALT), alkaline phosphatase (ALP), gamma glutamyl transpeptidase (GGT), total bilirubin (TB), albumin, and platelets (Plt), prothrombin time (PT), and international normalized ratio (INR) were recorded. Results: The Korean medicine treatment improved jaundice, fatigue, and dysuria and lowered the AST, ALT, ALP, GGT, and TB levels. Conclusions: Korean medicine treatment containing Galgeunjowi-tang positively improves clinical symptoms and liver function.

Bronchial Hyperresponsiveness in Liver Cirrhosis (간경변증 환자에서 기관지 반응성에 대한 연구)

  • Kim, Ki-Ryang;Kim, Min-Gu;Lee, Sang-Kab;Jang, Se-Ho;Park, Jong-Hwa;Lee, Jong-Deog;Hwang, Yung-Sil
    • Tuberculosis and Respiratory Diseases
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    • v.44 no.3
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    • pp.639-648
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    • 1997
  • Background : Arterial hypoxemia has been noted in patients with liver cirrhosis because of bronchial vessel dilatation. Cabenes et al. reported that bronchial hyperresponsiveness to the metacholine inhalation was observed in patients of left side heart failure, he suggested that one of the mechanism was bronchial vessel dilatation. We hypothesized that patients of liver cirrhosis might have bronchial hyperresponsiveness to metacholine inhalation due to portal hypertension. We evaluate the relationship between bronchial responsiveness and severity of liver cirrhosis, severity of portal hypertension. Methods : In the 22 patients of the liver cirrhosis with clinical portal hypertension, metacholine provocation test was done and determined $PC_{20}FEV1$. We classified liver cirrhosis according to Pugh-Child classification. Esophagogastroscopies were performed for the evaluation of the relationship between bronchial hyperresponsiveness and severity of esophageal varix. Results : In the 22 cases of the liver cirrhosis with clinical portal hypertension. The causes of liver cirrhosis, alcoholic hepatitis was 9 cases, hepatitis B virus was 12 cases, hepatitis C virus was 1 case, and 151 cases (68.18%) of total 22 cases were positive in metacholine provocation test. In positive cases. There was no significant relationship between $PC_{20}FEV1$ and severity of liver cirrhosis which were classified by Pugh-Child classification or severity of esophageal varix(p<0.05). Conclusion : we observed that bronchial responsiveness to metacholine increased in the patients of liver cirrhosis and there was no significant relationship between the severity of liver cirrhosis and the severity of esophageal varix.

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Antifibrotic effects of oriental herbs GLM001 on liver cirrhosis induced by bile duct ligation

  • Jeong, Bong-Ho;Kim, Hee-Seok;Kim, Chul;Kim, Jae-Sung;Bae, Heung-Mo;Kwon, In-Sook;Lee, Cheol-Han;JeKal, Seung-Ju;Yu, Byung-Su
    • Advances in Traditional Medicine
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    • v.2 no.2
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    • pp.94-100
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    • 2002
  • Liver cirrhosis is characterized by hyperaccumulation of fibrous tissue components and is commonly observed in latter or terminal states of chronic hepatic diseases. In this study, the antifibrotic effects of GLM001 on liver cirrhosis were examined in bile duct ligated rats and patients with hepatic diseases. GLM001 (250 mg/kg rat weight/ day) was administrated to cirrhotic rats for 4 weeks and to humans for 14 weeks. Bile duct ligated rats significantly increased liver collagen content and biochemical markers of hepatic injury. Liver histology showed collagen fiber deposition was increased and the normal architecture was lost with large zones of necrosis being observed frequently. GLM001 administrated rats showed significantly decreased liver collagen content, and accumulation of collagen fiber in histological analysis. Patients, who were treated with GLM001, showed decreases in biochemical markers of hepatic diseases. These results demonstrate the usefulness of GLM001 as an antifibrotic agent for liver cirrhosis.