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우리나라 담석증의 역학에 관한 연구 : 전국적 다기관 협동 조사 성적

Other Titles
 The Epidemiologic Study on Korean Gallstone Disease: A Nationwide Cooperative Study 
 김명환  ;  오희철  ;  정재복  ;  김창덕  ;  강진경  ;  고문수  ;  김남재  ;  김대곤  ;  김성국  ;  김영수  ;  김용태  ;  김진홍  ;  노임환  ;  민영일  ;  박상흠  ;  설상영  ;  심찬섭  ;  양웅석  ;  여향순  ;  유종선  ;  윤용범  ;  이성구  ;  정문관  ;  최석재 
 Korean Journal of Gastroenterology, Vol.32(5) : 635-647, 1998 
Journal Title
Korean Journal of Gastroenterology(대한소화기학회지)
Issue Date
Background/Aims: To understand the epidemiologic characteristics of gallstone disease in Korea and to evaluate the chronological changes of gallstone disease, the authors performed this prospective nationwide cooperative study. Methods: The subjects were 1,263 patients with gallstone. They were hospitalized at 19 hospitals in Korea from February to July, 1997. The study protocols were recorded on 1,263 patients and gallstones were removed from 1,133 patients and their chemical compositions were analyzed. Results: Among total patients with gallstone, the proportions of patients with gallbladder, common bile duct(CBD) and intrahepatic duct(IHD) stones were 64.0%, 21.9%, and 14.1%, respectively. Male to female ratio was 1 versus 1.3. The gallbladder stones were categorized as cholesterol (58.1%), black pigment (25.2%) and brown pigment (12.1%) stones. The CBD stones were classified into brown pigment (76.1%), cholesterol (18.4%) and black pigment (3.5%) stones. The IHD stones were classified into brown pigment (61.4%) and mixed (35.6%) stones. The mean cholesterol contents of intrahepatic mixed stones were 63.4±20.8%. Obesity was the risk factor in patients with cholesterol gallstones. Conclusions: This study showed that the type and composition of gallstones in Korean patients might be changing when these results were compared with previous reports. The repeat of nationwide cooperative epidemiologic study may be necessary to elucidate the changing pattern of gallstone disease confirmatively.
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1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Preventive Medicine (예방의학교실) > 1. Journal Papers
Yonsei Authors
Ohrr, Hee Choul(오희철)
Chung, Jae Bock(정재복)
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