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대한소화기학회지 update

The Korean Journal of Gastroenterology

  • : 대한소화기학회
  • : 의약학분야  >  내과학
  • : KCI등재
  • : SCOPUS
  • : 연속간행물
  • : 월간
  • : 1598-9992
  • : 2233-6869
  • : 대한소화기병학회잡지(~1989)→대한소화기병학회지(1990~)→대한소화기학회지(1995~)

수록정보
72권6호(2018) |수록논문 수 : 11
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72권6호(2018년) 수록논문
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KCI등재 SCOPUS

1의료 관련 유튜브 동영상의 효용을 높이기 위한 의학적 평가

저자 : 김은선 ( Eun Sun Kim )

발행기관 : 대한소화기학회 간행물 : 대한소화기학회지 72권 6호 발행 연도 : 2018 페이지 : pp. 275-276 (2 pages)

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KCI등재 SCOPUS

2소장 종양과 용종증: 접근 방법과 관리

저자 : 고봉민 ( Bong Min Ko )

발행기관 : 대한소화기학회 간행물 : 대한소화기학회지 72권 6호 발행 연도 : 2018 페이지 : pp. 277-280 (4 pages)

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Although small bowel the mainly occupies the most part of the gastrointestinal tract, small intestine tumors are rare, insidious in clinical presentation, and frequently represent a diagnostic and management challenge. Small bowel tumors are generally classified as epithelial, mesenchymal, lymphoproliferative, or metastatic. Familial adenomatous polyposis and Peutz-Jeghers syndrome are the most common inherited intestinal polyposis syndromes. Until the advent of capsule endoscopy (CE) and device-assisted enteroscopy (DAE) coupled with the advances in radiology, physicians had limited diagnostic examination for small bowel examination. CE and new radiologic imaging techniques have made it easier to detect small bowel tumors. DAE allows more diagnosis and deeper reach in small intestine. CT enteroclysis/CT enterography (CTE) provides information about adjacent organs as well as pictures of the intestinal lumen side. Compared to CTE, Magnetic resonance enteroclysis/enterography provides the advantage of soft tissue contrast and multiplane imaging without radiation exposure. Treatment and prognosis are tailored to each histological subtype of tumors. (Korean J Gastroenterol 2018;72:277-280)

KCI등재 SCOPUS

3급성 췌장염 진료 권고안

저자 : 고동희 ( Dong Hee Koh )

발행기관 : 대한소화기학회 간행물 : 대한소화기학회지 72권 6호 발행 연도 : 2018 페이지 : pp. 281-285 (5 pages)

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Acute pancreatitis is a common gastrointestinal disease that is associated with significant morbidity and consumes enormous health care resources. As such, it requires up-to-date evidence-based diagnosis and standard treatment guidelines with broad support from the clinician. Korean Pancreatobiliary Association has developed clinical practice guidelines for the diagnosis and treatment of acute pancreatitis to provide a framework for clinicians to manage acute pancreatitis and to improve national health care. The guidelines were divided into four parts: the diagnosis of acute pancreatitis, the assessment of the severity, the initial management, and the treatment of necrotizing pancreatitis and local complications of acute pancreatitis. In this article, we summarize and present the diagnosis and treatment guidelines for acute pancreatitis established in Korea. (Korean J Gastroenterol 2018;72:281-285)

KCI등재 SCOPUS

4기능성 소화불량증 환자에서 헬리코박터 파일로리 제균 치료 효과 및 관련 요인: 국내 전향적, 다기관 연구

저자 : 김성은 ( Sung Eun Kim ) , 김나영 ( Nayoung Kim ) , 박선미 ( Seon Mee Park ) , 김원희 ( Won Hee Kim ) , 백광호 ( Gwang Ho Baik ) , 조윤주 ( Yunju Jo ) , 박경식 ( Kyung Sik Park ) , 이주엽 ( Ju Yup Lee ) , 심기남 ( Ki-nam Shim ) , 김광하 ( Gwang Ha Kim ) , 이봉은 ( Bong Eun Lee ) , 홍수진 ( Su

발행기관 : 대한소화기학회 간행물 : 대한소화기학회지 72권 6호 발행 연도 : 2018 페이지 : pp. 286-294 (9 pages)

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Background/Aims: The predictive factors of functional dyspepsia (FD) remain controversial. Therefore, we sought to investigate symptom responses in FD patients after Helicobacter pylori (H. pylori) eradication and used predictive factor analysis to identify significant factors of FD resolution at one-year after commencing eradication therapy.
Methods: This prospective, multi-center clinical trial was performed on 65 FD patients that met Rome III criteria and had H. pylori infection. Symptom responses and factors that predicted poor response were determined by analysis one year after commencing H. pylori eradication therapy.
Results: A total of 63 patients completed the one-year follow-up. When an eradication success group (n=60) and an eradication failure group (n=3) were compared with respect to FD response rate at one year, results were as follows; complete response 73.3% and 0.0%, satisfactory response 1.7% and 0.0%, partial response 10.0% and 33.3%, and refractory response 15.0% and 66.7%, respectively (p=0.013). Univariate analysis showed persistent H. pylori infection (p=0.021), female gender (p=0.025), and medication for FD during the study period (p=0.013) were associated with poor FD response at one year. However, age, smoking, alcohol consumption, and underlying disease were not found to affect response. Finally, multivariate analysis showed that female gender (OR, 4.70; 95% CI, 1.17-18.88) was the sole independent risk factor of poor FD response at one year after commencing H. pylori eradication therapy.
Conclusions: Female gender was found to predict poor response in FD patients despite H. pylori eradication. Furthermore, successful H. pylori eradication appears to be associated with FD improvement, but the number of non-eradicated patients was too small to conclude. (Korean J Gastroenterol 2018;72:286-294)

KCI등재 SCOPUS

5국내 유튜브 영상으로 배포된 변비 완화 운동 콘텐츠의 의료진에 의한 평가

저자 : 이태희 ( Tae Hee Lee ) , 김성은 ( Seong-eun Kim ) , 박경식 ( Kyung Sik Park ) , 신정은 ( Jeong Eun Shin ) , 박선영 ( Seon-young Park ) , 류한승 ( Han Seung Ryu ) , 김정욱 ( Jung-wook Kim ) , 이유진 ( Yoo Jin Lee ) , 조영신 ( Young Sin Cho ) , 박수연 ( Suyeon Park )

발행기관 : 대한소화기학회 간행물 : 대한소화기학회지 72권 6호 발행 연도 : 2018 페이지 : pp. 295-303 (9 pages)

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Background/Aims: The primary aims of this study were to evaluate the content quality of YouTube videos on exercises to help relieve constipation and to assess whether the video source, exercise types, and popularity affected their quality.
Methods: Eight gastroenterologists independently evaluated the exercises presented in the constipation YouTube videos for seven items: image quality, usefulness in relieving constipation (quality 1), usefulness for general physical health (quality 2), difficulty in following, activity intensity, fun, and overall quality. Raters were asked open-ended questions to evaluate the strengths and weaknesses of the videos. Five-point ordinal scales were used to score each item aforementioned, with the exception of image quality and overall quality that used a six-point Likert scale.
Results: The 20 videos had a mean length of 268 seconds and a mean viewership of 32,694. The most common video source was commercial (n=10), and the most common type of physical activity was yoga (n=11). The median values of image quality, quality 1, quality 2, difficulty in following, activity intensity, fun, and overall quality were 3, 2, 2, 2, 2, 2, and 2, respectively. Yoga videos had significantly higher median quality 1 values (3) compared with massage videos (2, adjusted p=0.006) and 'others' videos (2, adjusted p<0.001). A lack of medical evidence was the most common answer to open-ended questions about the weaknesses of each video.
Conclusions: Overall, YouTube exercise videos presented a low-quality content. This study highlights the need for evidence-based comprehensive educational videos addressing exercises for treating constipation. (Korean J Gastroenterol 2018;72:295-303)

KCI등재 SCOPUS

6위장관 출혈을 일으킨 상피하 종양으로 나타난 위 결핵

저자 : 김태언 ( Tae Un Kim ) , 김수진 ( Su Jin Kim ) , 류화성 ( Hwaseong Ryu ) , 김진혁 ( Jin Hyeok Kim ) , 정희석 ( Hee Seok Jeong ) , 노지은 ( Jieun Roh ) , 염정아 ( Jeong A Yeom ) , 박병수 ( Byung Soo Park ) , 김동일 ( Dong Il Kim ) , 김기현 ( Ki Hyun Kim )

발행기관 : 대한소화기학회 간행물 : 대한소화기학회지 72권 6호 발행 연도 : 2018 페이지 : pp. 304-307 (4 pages)

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Gastric tuberculosis accounts for approximately 2% of all cases of gastrointestinal tuberculosis. Diagnosis of gastric tuberculosis is challenging because it can present with various clinical, endoscopic, and radiologic features. Tuberculosis manifesting as a gastric subepithelial tumor is exceedingly rare; only several dozen cases have been reported. A 30-year-old male visited emergency room of our hospital with hematemesis and melena. Abdominal CT revealed a 2.5 cm mass in the gastric antrum, and endoscopy revealed a subepithelial mass with a visible vessel at its center on gastric antrum. Primary gastric tuberculosis was diagnosed by surgical wedge resection. We report a rare case of gastric tuberculosis mimicking a subepithelial tumor with acute gastric ulcer bleeding. (Korean J Gastroenterol 2018;72:304-307)

KCI등재 SCOPUS

7경피 내시경하 위루술 후 발생한 상장간막 동맥 손상 1예

저자 : 이서희 ( Seo Hee Lee ) , 문희석 ( Hee Seok Moon ) , 박재호 ( Jae Ho Park ) , 김주석 ( Ju Seok Kim ) , 강선형 ( Sun Hyung Kang ) , 이엄석 ( Eaum Seok Lee ) , 김석현 ( Seok Hyun Kim ) , 성재규 ( Jae Kyu Sung ) , 이병석 ( Byung Seok Lee ) , 정현용 ( Hyun Yong Jeong )

발행기관 : 대한소화기학회 간행물 : 대한소화기학회지 72권 6호 발행 연도 : 2018 페이지 : pp. 308-312 (5 pages)

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Percutaneous endoscopic gastrostomy (PEG) is widely used to provide nutritional support for patients with dysphagia and/or disturbed consciousness preventing oral ingestion, and PEG tube placement is a relatively safe and convenient non-surgical procedure performed under local anesthesia. However, the prevention of PEG-insertion-related complications is important. A 64-year-old man with recurrent pneumonia underwent tracheostomy and nasogastric tube placement for nutritional support and opted for PEG tube insertion for long-term nutrition. However, during the insertion procedure, needle puncture had to be attempted twice before successful PEG tube placement was achieved, and a day after the procedure his hemoglobin had fallen and he developed hypotension. Abdominal computed tomography revealed injury to a pancreatic branch of the superior mesenteric artery (SMA) associated with bleeding, hemoperitoneum, and pancreatitis. Transarterial embolization was performed using a microcatheter to treat hemorrhage from the injured branch of the SMA, and the acute pancreatitis was treated using antibiotics and supportive care. The patient was discharged after an uneventful recovery. Clinicians should be mindful of possible pancreatic injury and bleeding after PEG tube insertion. Possible complications, such as visceral injuries or bleeding, should be considered in patients requiring multiple puncture attempts during a PEG procedure. (Korean J Gastroenterol 2018;72:308-312)

KCI등재 SCOPUS

8복강경 담낭절제술 후 헤모락 클립의 이동으로 발생한 복통 1예

저자 : 류우선 ( Woo Sun Rou ) , 주종석 ( Jong Seok Joo ) , 강선형 ( Sun Hyung Kang ) , 문희석 ( Hee Seok Moon ) , 김석현 ( Seok Hyun Kim ) , 성재규 ( Jae Kyu Sung ) , 이병석 ( Byung Seok Lee ) , 이엄석 ( Eaum Seok Lee )

발행기관 : 대한소화기학회 간행물 : 대한소화기학회지 72권 6호 발행 연도 : 2018 페이지 : pp. 313-317 (5 pages)

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During laparoscopic cholecystectomy, a surgical clip is used to control the cystic duct and cystic artery. In the past, metallic clips were usually used, but over recent years, interest in the use of Hem-o-lok clips has increased. Surgical clip migration into the common bile duct (CBD) after laparoscopic cholecystectomy has rarely been reported and the majority of reported cases involved metallic clips. In this report, we describe the case of a 53-year-old woman who presented with abdominal pain caused by migration of a Hem-o-lok clip into the CBD. The patient had undergone laparoscopic cholecystectomy 10 months previously. Abdominal CT revealed an indistinct, minute, radiation-impermeable object in the distal CBD. The object was successfully removed by sphincterotomy via ERCP using a stone basket and was identified as a Hem-o-lok clip. (Korean J Gastroenterol 2018;72:313-317)

KCI등재 SCOPUS

9간외담도에 발생한 신경내분비암종 1예

저자 : 박지영 ( Ji Young Park ) , 전태주 ( Tae Joo Jeon )

발행기관 : 대한소화기학회 간행물 : 대한소화기학회지 72권 6호 발행 연도 : 2018 페이지 : pp. 318-321 (4 pages)

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Primary neuroendocrine tumors originating from the extrahepatic bile duct are rare. Among these tumors, large cell neuroendocrine carcinomas (NECs) are extremely rare. A 59-year-old man was admitted to Sanggye Paik Hospital with jaundice that started 10 days previously. He had a history of laparoscopic cholecystectomy, which he had undergone 12 years previously due to chronic calculous cholecystitis. Laboratory data showed abnormally elevated levels of total bilirubin 15.3 mg/dL (normal 0.2-1.2 mg/dL), AST 200 IU (normal 0-40 IU), ALT 390 IU (normal 0-40 IU), and gamma-glutamyl transferase 1,288 U/L (normal 0-60 U/L). Serum CEA was normal, but CA 19-9 was elevated 5,863 U/mL (normal 0-37 U/mL). Abdominal CT revealed a 4.5 cm sized mass involving the common bile duct and liver hilum and dilatation of both intrahepatic ducts. Percutaneous transhepatic drainage in the left hepatic duct was performed for preoperative biliary drainage. The patient underwent radical common bile duct and Roux-en-Y hepaticojejunostomy for histopathological diagnosis and surgical excision. On histopathological examination, the tumor exhibited large cell NEC (mitotic index >20/10 high-power field, Ki-67 index >20%, CD56 [+], synaptophysin [+], chromogranin [+]). Adjuvant concurrent chemotherapy and radiotherapy were started because the tumor had invaded the proximal resection margin. No recurrence was detected at 10 months by follow-up CT. (Korean J Gastroenterol 2018;72:318-321)

KCI등재 SCOPUS

10내시경 점막하 박리술로 치료한 크기가 증가한 위 염증성 섬유양 용종

저자 : 김형영 ( Hyoungyoung Kim ) , 최정민 ( Jeongmin Choi )

발행기관 : 대한소화기학회 간행물 : 대한소화기학회지 72권 6호 발행 연도 : 2018 페이지 : pp. 322-324 (3 pages)

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