Korean Journal of Pediatric Gastroenterology and Nutrition最新文献_第3页

A Case of Non-IgE-mediated Eosinophilic Gastroenteritis Presenting as Ascites 以腹水表现的非ige介导的嗜酸性胃肠炎1例

Korean Journal of Pediatric Gastroenterology and Nutrition Pub Date : 2011-06-01 DOI: 10.5223/KJPGN.2011.14.2.181

E. Yi, M. J. Kim, S. Ha, Yoo Min Lee, Kyong Eun Choi, Y. Choe

引用次数: 2

Plain Abdominal Radiography in Infants and Children 婴儿和儿童腹部平片

Korean Journal of Pediatric Gastroenterology and Nutrition Pub Date : 2011-06-01 DOI: 10.5223/KJPGN.2011.14.2.130

H. Lee

引用次数: 5

Changes in Neuropeptide Y-Immunoreactive Cells in the Hypothalamus and Cajal Interstitial Cells in the Small Intestine of Rats with High-Fat Diet 高脂饮食大鼠下丘脑神经肽y免疫反应细胞和小肠Cajal间质细胞的变化

Korean Journal of Pediatric Gastroenterology and Nutrition Pub Date : 2011-06-01 DOI: 10.5223/KJPGN.2011.14.2.171

J. Moon, K. Moon, Sang Kee Park, Y. Chung, Eun Young Kim

{"title":"Changes in Neuropeptide Y-Immunoreactive Cells in the Hypothalamus and Cajal Interstitial Cells in the Small Intestine of Rats with High-Fat Diet","authors":"J. Moon, K. Moon, Sang Kee Park, Y. Chung, Eun Young Kim","doi":"10.5223/KJPGN.2011.14.2.171","DOIUrl":"https://doi.org/10.5223/KJPGN.2011.14.2.171","url":null,"abstract":"Purpose: The aim of this study was to assess changes in neuropeptide Y (NPY) immunoreactivity in the hypothalamus and interstitial cells of Cajal (ICC) in the small intestine of rats fed high-fat diets (HFD). Methods: Male Sprague-Dawley rats (200∼250 g body weight) were randomly divided into two groups, which were the control group (normal chow diet for 6 weeks), and the HFD group (rodent diet with 60% kcal fat for 6 weeks). The immunoreactivity of NPY in the hypothalamus and ICC in the small intestine was evaluated after every feed for 6 weeks. Results: NPY immunoreactivity was observed strongly in the hypothalamic nuclei in the HFD group compared to the control group. The numbers of NPY-immunoreactive (IR) cells were significantly higher in the paraventricular hypothalamic nucleus in the HFD group than in the control group. In the region of Auerbach’s plexus (AP) of small intestine, the staining intensity of the ICC-IR cells was reduced in the HFD group compared to the control group. The numbers of ICC in the small intestine with HFD, including ICC in the inner circular and outer longitudinal muscle were significantly lower than in the control group. Conclusion: This study suggested that increasing NPY-IR cells in the hypothalamus may reflect resistance of NPY action after a HFD, and decreasing ICC-IR cells in the small intestine after a HFD is functionally significant in gastrointestinal motility. (Korean J Pediatr Gastroenterol Nutr 2011; 14: 171∼180)","PeriodicalId":212346,"journal":{"name":"Korean Journal of Pediatric Gastroenterology and Nutrition","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126802680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Distribution of Disease Severity and Group A Rotavirus Genotypes (VP7 & VP4) in Children with Acute Rotavirus Gastroenteritis 急性轮状病毒胃肠炎患儿疾病严重程度及A组轮状病毒VP7和VP4基因型的分布

Korean Journal of Pediatric Gastroenterology and Nutrition Pub Date : 2011-06-01 DOI: 10.5223/KJPGN.2011.14.2.148

H. Oh, H. Kang, K. Kang, Youn Woo Kim, J. Hong, K. Shin, Jin Sook Lee, Su Hyun Lee, Keun-Hwa Lee, M. Cho, D. Suh

引用次数: 0

Usefulness of Ultrasonographic Examination by a Pediatrician in Children with Abdominal Pain 儿科医生对小儿腹痛超声检查的价值

Korean Journal of Pediatric Gastroenterology and Nutrition Pub Date : 2011-06-01 DOI: 10.5223/KJPGN.2011.14.2.141

H. Park, J. We, J. Park

{"title":"Usefulness of Ultrasonographic Examination by a Pediatrician in Children with Abdominal Pain","authors":"H. Park, J. We, J. Park","doi":"10.5223/KJPGN.2011.14.2.141","DOIUrl":"https://doi.org/10.5223/KJPGN.2011.14.2.141","url":null,"abstract":"Purpose: Ultrasonography (US) is widely used as a screening test in patients with abdominal pain (AP). We investigated the usefulness of US by a pediatrician in children with AP. Methods: We retrospectively analysed the medical records of children with AP who undertook US from December, 2008 to July, 2010. Results: A total of 628 patients (325 male, 303 female) were enrolled in this study. The mean age of patients was 8.08±4.61 years. Duration of AP was acute in 427 and chronic in 201 patients. Localization of AP was diffuse (36.9%), periumbilical (24.4%), epigastric (21.0%), and right lower quadrant (8.1%). On the examination, there were no abnormal findings in 327 patients (52.1%). Abnormal ultrasonographic findings were mesenteric lymphadenitis (27.1%), intestinal mural thickening (10.0%), intussusception (3.0%), appendicitis (2.6%), choledochal cyst (1.6%), and pancreatitis (0.3%). We performed additional imaging studies such as computed tomography (CT) or magnetic resonance imaging (MRI) in 39 patients who showed obscure findings on the US. In 33 patients (84.6%), the same results were obtained from CT or MRI. Two cases of appendicitis, one case of pancreatitis and one case of Henoch-Shonlein purpura were diagnosed by the CT examination. However, there were two cases of appendicitis diagnosed by US thathad no evidence of appendicitis on the CT. Diagnostic accuracy of initial US in children with abdominal pain was 99.4%. Conclusion: US by a pediatrician as a screening test in children with AP provides a rapid and accurate diagnostic indication and has non-invasive and radiation-free advantages. (Korean J Pediatr Gastroenterol Nutr 2011; 14: 141∼147)","PeriodicalId":212346,"journal":{"name":"Korean Journal of Pediatric Gastroenterology and Nutrition","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130263796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Tentative Proposal of Optimal Timing of Kasai Operation for Biliary Atresia Based on Fibroscan Results 基于纤维扫描结果的胆道闭锁开赛手术最佳时机的初步探讨

Korean Journal of Pediatric Gastroenterology and Nutrition Pub Date : 2011-03-01 DOI: 10.5223/KJPGN.2011.14.1.74

H. Lee, Y. A. Park, S. Han, H. Koh

{"title":"Tentative Proposal of Optimal Timing of Kasai Operation for Biliary Atresia Based on Fibroscan Results","authors":"H. Lee, Y. A. Park, S. Han, H. Koh","doi":"10.5223/KJPGN.2011.14.1.74","DOIUrl":"https://doi.org/10.5223/KJPGN.2011.14.1.74","url":null,"abstract":"Purpose: Based on previous research findings, it is well-known that the timing of surgery is generally considered the most important prognostic factor for a Kasai por toenterostomy, the primary treatment for biliary atresia. This research aimed to identify the optimal timing of a Kasai portoenterostomy and to verify if the proposed optimal timing corresponds to previous studies. All patients were classified by the timing of surgery, and pre- and post-operative fibrotic changes of the liver were measured with the elasticity value from fibroscans. Methods: The stiffness scores of the pre- and post-operative fibroscans in 34 patients who were treated by Kasai portoenterostomy from October 2007 to September 2010 in Severance children's hospital were reviewed. Results: The earlier the patients were treated by Kasai portoenterostomy, the lower the fibroscan scores. When the patients were treated prior to the 8th week, the post-operative scores of the fibroscans were significantly better than those patients who were treated after the 8th week, and some even recovered partially. Moreover, when operated before the 8th week, the differences between each pre- and post- operative fibroscan score also showed statistical relevance (p=0.0002). Conclusion: The earlier the patient was treated by Kasai portoenterostomy, the less liver fibrosis that developed, the lower the level of post-operative fibrosis, and the less the degree of fibrotic progress before and after the operation. Thus, this research proposal reconfirms once more that the 8th week is the optimal timing for a Kasai portoenterostomy. (Korean J Pediatr Gastroenterol Nutr 2011; 14: 74∼80)","PeriodicalId":212346,"journal":{"name":"Korean Journal of Pediatric Gastroenterology and Nutrition","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122088029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

An Epidemiologic Study on the Seropositive Rate of Hepatitis A Virus in Children of Gwangju and Jeonnam 光州和全南地区儿童甲型肝炎病毒血清阳性率的流行病学研究

Korean Journal of Pediatric Gastroenterology and Nutrition Pub Date : 2011-03-01 DOI: 10.5223/KJPGN.2011.14.1.67

Ji Jung, Youngmi Ahn, K. Moon

{"title":"An Epidemiologic Study on the Seropositive Rate of Hepatitis A Virus in Children of Gwangju and Jeonnam","authors":"Ji Jung, Youngmi Ahn, K. Moon","doi":"10.5223/KJPGN.2011.14.1.67","DOIUrl":"https://doi.org/10.5223/KJPGN.2011.14.1.67","url":null,"abstract":"Purpose: Recently, the incidence of acute hepatitis A has increased nationwide and is related to a low rate of IgG anti-HAV production. To establish effective measures for preventing hepatitis A virus infection, an epidemiologic study on the seroprevalence of anti-HAV is needed. Thus, we investigated the seroprevalence of IgG anti-HAV in children living in Gwangju and Jeonnam. Methods: IgG anti-HAV levels were measured in a total of 1,435 patients who visited Chosun University Hospital between January 2009 and December 2009. Results: The overall seropositve rate was 40.8% (586/1,435). The seropositive rates were 41% among children under the age of 1 year, 49.9% for children 1∼5 years old, 51.1% among individuals 5∼10 years old, 12.9% for individuals 10∼15 years old, and 8.2% for subjects over 15 years old. There was no significant difference between genders in any group. The seropositive rates in Gwangju and Jeonnam were 57.3% and 32.9% for children under the age of 1 year, 52.5% and 44.3% for children 1∼5 years old, 60.2% and 33.9% among children 5∼10 years old, 14.1% and 9.7% for children 10∼15 years old, and 10.8% and 4.2% for individuals over 15 years old. Conclusion: The results demonstrated the low rates of IgG anti-HAV, particularly among subjects over 10 years old, which suggests the possibility of increasing clinical HAV infection rates among adults in the near future. We should actively prevent the spread of hepatitis A virus. Vaccination is the most effective means of preventing hepatitis A virus transmission among persons at risk for infection. Hepatitis A vaccination is recommended for children who have low IgG anti-HAV seropositive rates. (Korean J Pediatr Gastroenterol Nutr 2011; 14: 67∼73)","PeriodicalId":212346,"journal":{"name":"Korean Journal of Pediatric Gastroenterology and Nutrition","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117343024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

The Importance of Nutritional Assessment and Dietary Counseling in Infants and Young Children with Common Illnesses 常见病婴幼儿营养评估与饮食咨询的重要性

Korean Journal of Pediatric Gastroenterology and Nutrition Pub Date : 2011-03-01 DOI: 10.5223/KJPGN.2011.14.1.33

S. Jeong

{"title":"The Importance of Nutritional Assessment and Dietary Counseling in Infants and Young Children with Common Illnesses","authors":"S. Jeong","doi":"10.5223/KJPGN.2011.14.1.33","DOIUrl":"https://doi.org/10.5223/KJPGN.2011.14.1.33","url":null,"abstract":"The influence of nutrition during early life on physical growth as well as mental development has been thoroughly discussed in the literature. The physical dimensions of the body are greatly influenced by nutrition, particularly during the period of rapid growth in early childhood. Nutritional status affects every pediatric patient's response toillness. Good nutrition is important for achieving normal growth and development. It is indicated that permanent impairment of the central nervous system may result from dietary restriction of imbalance during certain periods of life. If children under 3 years of age show a good nutritional status, it may be assumed that they are well nourished. Several common diseases of children such as iron deficiency, chronic constipation and atopic dermatitis are known food related diseases. Patients with chronic illness and those at risk of malnutrition should have detailed nutritional assessments done. Components of a complete nutritional assessment include a medical history, nutritional history including dietary intake, physical examination, anthropometrics (weight, length or stature, head circumference, midarm circumference, and triceps skinfold thickness), pubertal staging, skeletal maturity staging, and biochemical tests of nutritional status. The use of age, gender, and disease-specific growth charts is essential in assessing nutritional status and monitoring nutrition interventions. Nutrition assessment and dietary counseling is helpful for the cure of disease, and moreover, the prevention of illness. (Korean J Pediatr Gastroenterol Nutr 2011; 14: 33∼44)","PeriodicalId":212346,"journal":{"name":"Korean Journal of Pediatric Gastroenterology and Nutrition","volume":"171 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114429072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Pediatric Inflammatory Bowel Disease (IBD): Phenotypic, Genetic and Therapeutic Differences between Early-Onset and Adult-Onset IBD 儿童炎症性肠病(IBD):早期发病与成人发病IBD的表型、遗传和治疗差异

Korean Journal of Pediatric Gastroenterology and Nutrition Pub Date : 2011-03-01 DOI: 10.5223/KJPGN.2011.14.1.1

J. Seo

引用次数: 16

Antimicrobial Resistance of Helicobacter pylori Isolated from Korean Children 韩国儿童幽门螺杆菌的耐药性研究

Korean Journal of Pediatric Gastroenterology and Nutrition Pub Date : 2011-03-01 DOI: 10.5223/KJPGN.2011.14.1.45

Y. Kim, Y. Lee, S. Oh, H. Sung, Mina Kim, K. Kim

{"title":"Antimicrobial Resistance of Helicobacter pylori Isolated from Korean Children","authors":"Y. Kim, Y. Lee, S. Oh, H. Sung, Mina Kim, K. Kim","doi":"10.5223/KJPGN.2011.14.1.45","DOIUrl":"https://doi.org/10.5223/KJPGN.2011.14.1.45","url":null,"abstract":"Purpose: The antimicrobial resistance of Helicobacter pylori is one of the critical factors in failure of eradication therapy. The purpose of this study was to evaluate antimicrobial resistance of H. pylori in Korean children. Methods: Gastric mucosal specimens for H. pylori were obtained from children with dyspepsia who were cared for at Asan Medical Center Children’s Hospital in Seoul, Korea between 2003 and 2009. Antimicrobial resistance tests were performed using the disk diffusion method for clarithromycin and amoxicillin and the E-test for metronidazole and tetracycline. Most children with H. pylori infections were treated using triple therapies. Results: Thirty-three children had positive H. pylori cultures, although a resistance test was only performed in 28 patients. Resistant strains were found in 9 children (32.1%). The resistance rates to clarithromycin and metronidazole were 25% and 17.8%, respectively. There was no resistance to amoxicillin or tetracycline. The resistance rates decreased from 44.4% (2003∼2006) to 26.3% (2006∼2009) during the study period. Conclusion: Korean children demonstrated relatively high antimicrobial resistance to H. pylori in this study. However, there was a temporarily decreasing trend during the study period. A larger multi-regional study may be needed to determine the optimal antimicrobial treatment for pediatric patients infected with H. pylori. (Korean J Pediatr Gastroenterol Nutr 2011; 14: 45∼51)","PeriodicalId":212346,"journal":{"name":"Korean Journal of Pediatric Gastroenterology and Nutrition","volume":"103 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133527183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3