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대한소화기학회> 대한소화기학회지

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
수록범위 : 1권1호(1968)~76권6호(2020) |수록논문 수 : 5,664
대한소화기학회지
76권6호(2020년 12월) 수록논문
최근 권호 논문
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KCI등재 SCOPUS

1사우디 아라비아의 기능성 소화불량증의 역학적 특징

저자 : 김현진 ( Hyun Jin Kim )

발행기관 : 대한소화기학회 간행물 : 대한소화기학회지 76권 6호 발행 연도 : 2020 페이지 : pp. 273-274 (2 pages)

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KCI등재 SCOPUS

2염증성 장질환과 비타민 D

저자 : 김기배 ( Ki Bae Kim ) , 김형우 ( Hyoung Woo Kim ) , 이준수 ( Jun Su Lee ) , 윤순만 ( Soon Man Yoon )

발행기관 : 대한소화기학회 간행물 : 대한소화기학회지 76권 6호 발행 연도 : 2020 페이지 : pp. 275-281 (7 pages)

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Vitamin D contributes to bone metabolism and acts as an immune modulator for both innate and adaptive immunity. The serum level of vitamin D has been associated with inflammatory diseases, such as inflammatory bowel disease (IBD). In epidemiologic studies, IBD patients have been shown to have low levels of vitamin D. The suboptimal circulating levels of vitamin D in IBD patients may be caused by low exposure to sunlight, dietary malabsorption, and the impaired conversion of active metabolites (1,25[OH]2D). Recent studies have demonstrated that vitamin D deficiency in IBD can increase the chance of disease recurrence, IBD-related hospitalization or surgery, and deterioration of quality of life. Supplementation with vitamin D is therefore thought to reduce the risk of flare-ups and the improvement of the quality of life in IBD patients. This review aims to summarize the latest knowledge on the effects of vitamin D deficiency on IBD and the possible benefits of vitamin D supplementation in IBD patients. (Korean J Gastroenterol 2020;76:275-281)

KCI등재 SCOPUS

3내시경 시술 전후 항혈전제 사용 임상진료지침

저자 : 임현 ( Hyun Lim ) , 공은정 ( Eun Jeong Gong ) , 민병훈 ( Byung-hoon Min ) , 강승주 ( Eung Joo Kang ) , 신철민 ( Cheol Min Shin ) , 변정식 ( Jeong-sik Byeon ) , 최미영 ( Miyoung Choi ) , 박찬국 ( Chan Guk Park ) , 조주영 ( Young Cho ) , 이수택 ( Soo Teik Lee ) , 김호각 ( Ho Gak Kim ) , 전훈

발행기관 : 대한소화기학회 간행물 : 대한소화기학회지 76권 6호 발행 연도 : 2020 페이지 : pp. 282-296 (15 pages)

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Antithrombotic agents, including antiplatelet agents and anticoagulants, are increasingly used in South Korea. The management of patients using antithrombotic agents and requiring gastrointestinal endoscopy is an important clinical challenge. Although clinical practice guidelines (CPGs) for the management of patients receiving antithrombotic agents and undergoing gastrointestinal endoscopy have been developed in the Unites States, Europe, and Asia Pacific region, it is uncertain whether these guidelines can be adopted in South Korea. After reviewing current CPGs, we identified unmet needs and recognized significant discrepancies in the clinical practice among regions. This is the first CPG in Korea providing information that may assist endoscopists in the management of patients on antithrombotic agents who require diagnostic or elective therapeutic endoscopy. This guideline was developed through the adaptation process as an evidence-based method, with four guidelines retrieved by systematic review. Eligible guidelines were evaluated according to the Appraisal of Guidelines for Research and Evaluation II process, and 13 statements were established using a grading system. This guideline was reviewed by external experts before an official. It will be revised as necessary to cover changes in technology, evidence, or other aspects of clinical practice. (Korean J Gastroenterol 2020;76:282-296)

KCI등재 SCOPUS

4점액성 위선암과 비점액성 위선암 및 위반지세포암종의 임상적 비교

저자 : 안홍근 ( Honggeun Ahn ) , 정우철 ( Woo Chul Chung ) , 김연지 ( Yeon-ji Kim ) , 유성열 ( Seongyul Ryu ) , 임은선 ( Eunsun Lim )

발행기관 : 대한소화기학회 간행물 : 대한소화기학회지 76권 6호 발행 연도 : 2020 페이지 : pp. 297-303 (7 pages)

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Background/Aims: This study examined the clinical features and prognosis of patients with mucinous gastric carcinoma (MGC), non-mucinous gastric carcinoma (NMGC), and signet ring cell gastric carcinoma (SRC).
Methods: A retrospective cohort study was performed, enrolling 65 patients with MGC from January 2007 to December 2016. During the same period, 1,814 patients with histologically proven gastric cancers underwent curative or palliative operations. One hundred and ninety-five NMGC patients were selected as the 1:3 age- and sex-matched control groups. In addition, 200 SRC patients were identified. This study evaluated the demographic features of the patients, pathologic features of the tumor, and the predictive factors, such as the recurrence-free survival and overall survival.
Results: The recurrence rates were significantly high in MGC than in NMGC or SRC (both p<0.01). The proportion of early gastric cancer was lower in the MGC group than in the other groups (p<0.01). In addition, metastatic lymph nodes were found more frequently in the MGC group (p<0.01), and the proportion of initial pT4, M1 stage, was highest in the MGC group. The recurrence- free survival and overall survival in the MGC group were significantly lower than those in the NMGC or SRC. Subgroup analysis showed that patients with the same American Joint Committee on Cancer (AJCC) stage of each cancer group showed a similar prognosis.
Conclusions: MGC frequently presents an advanced stage with an unfavorable prognosis compared to NMGC or SRC. On the other hand, MGC of the same AJCC stage had a similar prognosis to NMGC and SRC. (Korean J Gastroenterol 2020;76:297-303)

KCI등재 SCOPUS

5Effects of the Rome IV Criteria to Functional Dyspepsia Symptoms in Saudi Arabia: Epidemiology and Clinical Practice

저자 : Georgios Zacharakis , Sameer Al-ghamdi , Jamaan Alzahrani , Abdulaziz Almasoud , Omar Arahmane , Abdullah Alshehri , Moaz Hassan Alharbi , Manal Mahmood Alsalmi , Sultan Bander Alotibi , Yasameen Abdullah Algaradi ,

발행기관 : 대한소화기학회 간행물 : 대한소화기학회지 76권 6호 발행 연도 : 2020 페이지 : pp. 304-313 (10 pages)

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Background/Aims: Limited data is available in Saudi Arabia (SA) regarding the prevalence of functional dyspepsia (FD) symptoms and its subtypes, as defined by the ROME IV criteria. This study evaluated the burden of self-reported FD symptoms in the adult general population of SA and the current clinical practices.
Methods: A web-based national cross-sectional health survey of the general population of SA was conducted using the Rome IV Diagnostic Questionnaire for Functional Gastrointestinal Disorders in Adults with additional questions on the presence of symptoms compatible with functional heartburn (FH) and irritable bowel syndrome (IBS). The quality of life and somatization questionnaires were also included.
Results: Overall, 3,114 adults completed the questionnaire, but 303 (9.7%) were excluded due to inconsistent responses. Of the 2,811 consistent responders, 532 (18.3%) fulfilled the Rome IV criteria for FD symptoms. These were distributed into the FD subtypes as follows: 208 (7.4%) had postprandial distress syndrome, 228 (8.1%) had epigastric pain syndrome, and 96 (3.4%) had the overlapping variant. IBS-like symptoms were reported in 232 (44%) and FH in 102 (19%) 19% (102) of the subjects with functional dyspepsia. H. pylori-associated dyspepsia was reported by 25% (87/348). High somatization, lower quality of life scores, younger age, and female sex were associated more with the FD symptoms participants than those without. Approximately 1/5 respondents used over-the-counter medications to relieve the FD symptoms.
Conclusions: In this population-based survey, FD affected almost 1/5 of the responding adult population in SA, which was less than previously reported. (Korean J Gastroenterol 2020;76:304-313)

KCI등재 SCOPUS

6관해 상태인 크론병 환자에서 Saccharomyces Boulardii 복용 후 Crohn's Disease Activity Index의 변화: 단일 기관 후향적 연구

저자 : 오규만 ( Gyu Man Oh ) , 문원 ( Won Moon ) , 서광일 ( Kwang Il Seo ) , 정경원 ( Kyoungwon Jung ) , 김재현 ( Jae Hyun Kim ) , 김성은 ( Sung Eun Kim ) , 박무인 ( Moo In Park ) , 박선자 ( Seun Ja Park )

발행기관 : 대한소화기학회 간행물 : 대한소화기학회지 76권 6호 발행 연도 : 2020 페이지 : pp. 314-321 (8 pages)

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Background/Aims: Crohn's disease (CD) is characterized by uncontrolled inflammation of the intestine. Saccharomyces boulardii (S. boulardii), a probiotic, stabilizes the intestinal wall. This study examined the changes in the CD activity index (CDAI) after taking S. boulardii in patients with CD in clinical remission.
Methods: In this single hospital-based retrospective cohort study, the medical records of CD patients in clinical remission, who had received S. boulardii for more than 6 months, were reviewed. The CDAI, BMI, and serum levels of hemoglobin (Hb), ferritin, iron, vitamin B12, folate, total protein, albumin, total cholesterol, CRP, and fecal calprotectin (FC) between the initiation and the 6th month were compared. The timing and reasons for the discontinuation were also investigated.
Results: One hundred and fifty-four patients were included, and 92 patients, who received for more than 6 months, were analyzed. The changes in CDAI, BMI, Hb, and total cholesterol were significant as follows: CDAI from 38.52 to 30.53 (p<0.01), BMI (kg/m2) from 23.38 to 23.97 (p<0.01), Hb (g/dL) from 13.73 to 14.03 (p<0.01), and total cholesterol (mg/dL) from 154.9 to 161.5 (p<0.01). On the other hand, the changes in FC, CRP, ferritin, vitamin B12, folate, total protein, and albumin were not statistically significant. Only one patient stopped due to a flare-up, but this was not believed to be related to the drug.
Conclusions: In patients with CD in remission, S. boulardii appears to improve the CDAI, BMI, serum Hb, and total cholesterol level without safety issues. Further randomized controlled studies will be needed. (Korean J Gastroenterol 2020;76:314-321)

KCI등재 SCOPUS

7구불결장의 종괴로 나타난 자궁내막버팀질육종

저자 : 안소라 ( So Ra Ahn ) , 이주현 ( Joo Hyun Lee )

발행기관 : 대한소화기학회 간행물 : 대한소화기학회지 76권 6호 발행 연도 : 2020 페이지 : pp. 322-326 (5 pages)

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Low-grade endometrial stromal sarcoma (LG-ESS) is a very rare mesenchymal neoplasm of the uterus. LG-ESS can recur or metastasize to extrauterine sites, such as the pelvis, peritoneal cavity, and vagina, but rarely to the lung, liver, heart, bone, and colon. A 42-year-old female patient was transferred from an outside clinic for an evaluation of constipation. EUS revealed a 5 cm hypoechoic lesion with a regular margin, probably arising from the 4th layer (muscular propria) at the sigmoid colon level. CT revealed a 7-cm homogenous enhancing mass lesion at the pelvic cavity and multiple enlarged lymph nodes in the sigmoid mesocolon. The patient underwent an anterior resection, and the diagnosis based on the biopsy result was LG-ESS. After a multidisciplinary discussion, she underwent a bilateral salpingo-oophorectomy. Small nodules found in the endometrium were identified as LG-ESS by a biopsy. This paper reports a case of metastatic LG-ESS presenting as a solitary sigmoid tumor without intrauterine lesions through preoperative examinations and discusses the characteristics of this neoplasm with reference to the relevant literature. (Korean J Gastroenterol 2020;76:322-326)

KCI등재 SCOPUS

8방사선 치료로 치유된 대장 Mucosa-associated Lymphoid Tissue 림프종: 증례보고 및 문헌고찰

저자 : 이면재 ( Myeon-jae Lee ) , 명은 ( Eun Myung ) , 오형훈 ( Hyung-hoon Oh ) , 주영은 ( Young-eun Joo )

발행기관 : 대한소화기학회 간행물 : 대한소화기학회지 76권 6호 발행 연도 : 2020 페이지 : pp. 327-330 (4 pages)

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Mucosa-associated lymphoid tissue (MALT) lymphoma predominantly involves the gastrointestinal tract, with the stomach being the most commonly affected site. Colonic involvement is quite rare. Hence, the etiology, clinical characteristics, treatment, and outcome of colonic MALT lymphoma are not well established. This paper reports a case of MALT lymphoma of the transverse colon, presenting as a subepithelial tumor in a 50-year-old woman. The patient received 3,060 cGy in 17 fractions with external beam radiation therapy for three weeks. At 2 months after radiation therapy, a colonoscopy examination revealed complete resolution and a scar change of the lesion. The follow-up at 24 months revealed no evidence of tumor recurrence after radiation therapy. (Korean J Gastroenterol 2020;76:327-330)

KCI등재 SCOPUS

9경피적 경비 폐색술을 이용한 십이지장 정맥류 출혈의 치료 1예

저자 : 김현우 ( Hyun Woo Kim ) , 윤준식 ( Jun Sik Yoon ) , 유승정 ( Seung Jung Yu ) , 김태헌 ( Tae Heon Kim ) , 설재헌 ( Jae Heon Seol ) , 김단 ( Dan Kim ) , 정준영 ( Jun Young Jung ) , 정평화 ( Pyeong Hwa Jeong ) , 권훈 ( Hoon Kwon ) , 이홍섭 ( Hong Sub Lee ) , 이상헌 ( Sang Heon Lee ) , 최정식

발행기관 : 대한소화기학회 간행물 : 대한소화기학회지 76권 6호 발행 연도 : 2020 페이지 : pp. 331-336 (6 pages)

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Duodenal varices are a serious complication of portal hypertension. Bleeding from duodenal varices is rare, but when bleeding does occur, it is massive and can be fatal. Unfortunately, the optimal therapeutic modality for duodenal variceal bleeding is unclear. This paper presents a patient with duodenal variceal bleeding that was managed successfully using percutaneous trans-splenic variceal obliteration (PTVO). A 56-year-old man with a history of alcoholic cirrhosis presented with a 6-day history of melena. Emergency esophagogastroduodenoscopy revealed a large, bluish mass with a nipple sign in the second portion of the duodenum. Coil embolization of the duodenal varix was performed via a trans-splenic approach (i.e., PTVO). The patient no longer complained of melena after treatment. The duodenal varix was no longer visible at the follow-up esophagogastroduodenoscopy performed three months after PTVO. The use of PTVO might be a viable option for the treatment of duodenal variceal bleeding. (Korean J Gastroenterol 2020;76:331-336)

KCI등재 SCOPUS

10베체트병의 식도 침범

저자 : 박재용 ( Jae Yong Park ) , 최상태 ( Sang Tae Choi ) , 김희성 ( Hee Sung Kim )

발행기관 : 대한소화기학회 간행물 : 대한소화기학회지 76권 6호 발행 연도 : 2020 페이지 : pp. 337-339 (3 pages)

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1연안해역에서 석유오염물질의 세균학적 분해에 관한 연구

(2006)홍길동 외 1명심리학41회 피인용

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(2006)홍길동41회 피인용

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