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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
수록범위 : 1권1호(1968)~74권3호(2019) |수록논문 수 : 5,510
대한소화기학회지
74권3호(2019년 09월) 수록논문
최근 권호 논문
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KCI등재 SCOPUS

1다양성위원회, 어떻게 활동할 것인가?

저자 : 김용성 ( Yong Sung Kim )

발행기관 : 대한소화기학회 간행물 : 대한소화기학회지 74권 3호 발행 연도 : 2019 페이지 : pp. 127-129 (3 pages)

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KCI등재 SCOPUS

2E형간염의 역학, 진단 및 치료

저자 : 허내윤 ( Nae-yun Heo )

발행기관 : 대한소화기학회 간행물 : 대한소화기학회지 74권 3호 발행 연도 : 2019 페이지 : pp. 130-136 (7 pages)

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The HEV is a known cause of water-borne outbreaks of acute non-A non-B hepatitis in developing countries, which affects young people and may result in high mortality in pregnant women. In recent decades, however, HEV genotypes 3 and 4 have been known as a cause of sporadic zoonotic infections in older males from swine HEV worldwide. Most acute HEV infections are self-limited. On the other hand, in immunosuppressed patients, including solid organ transplant recipients, chronic HEV infections may exist and progress to liver cirrhosis or decompensation. Therefore, physicians need to recognize HEV as a major pathogen for acute and chronic hepatitis of unknown causes and investigate this disease. (Korean J Gastroenterol 2019;74:130-136)

KCI등재 SCOPUS

32017 유럽소화기내시경학회 초음파 내시경 유도하 생검 가이드라인 소개 - 췌장담도계 질환 중심으로

저자 : 고동희 ( Dong Hee Koh )

발행기관 : 대한소화기학회 간행물 : 대한소화기학회지 74권 3호 발행 연도 : 2019 페이지 : pp. 137-141 (5 pages)

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EUS currently plays an important role in the diagnosis and treatment of digestive diseases. In addition, EUS-guided sampling has been applied to pancreaticobiliary lesions for the accurate diagnosis of pancreaticobiliary lesions. Many new instruments and studies for EUS-guided sampling are being developed and attempted. This review introduces and summarizes the key recommendations made in the recent guideline for EUS-guided sampling developed by the European Society of Gastrointestinal Endoscopy. (Korean J Gastroenterol 2019;74:137-141)

KCI등재 SCOPUS

4무증상 대장 게실의 위험인자

저자 : 배현진 ( Hyun Jin Bae ) , 김승택 ( Sung Taek Kim ) , 홍승권 ( Seung Goun Hong ) , 이현정 ( Hyunjeong Lee ) , 최효선 ( Hyo Sun Choi ) , 조유경 ( Yoo-kyung Cho ) , 김태형 ( Tae Hyung Kim ) , 정숙희 ( Sook Hee Chung )

발행기관 : 대한소화기학회 간행물 : 대한소화기학회지 74권 3호 발행 연도 : 2019 페이지 : pp. 142-148 (7 pages)

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Backgrounds/Aims: The etiology of colon diverticulosis is related to a range of genetic, biological, and environmental factors, but the risk factors for asymptomatic diverticulosis of the colon are unclear. This study examined the risk factors for asymptomatic colon diverticulosis.
Methods: This retrospective study included examinees who underwent a colonoscopy for screening at the health check-up center of SAM Hospital between January 2016 and December 2016. The examinees with colon diverticulosis found by colonoscopy were compared with those without diverticulosis. The comparison factors were age, gender, alcohol consumption, smoking status, medical history, lipid profile, body mass index, visceral fat area, waist-hip ratio, and severity of a fatty liver.
Results: This study included 937 examinees and the overall prevalence of diverticulosis was 8.1% (76/937). Fatty liver was found in 69.7% (53/76) in cases of colon diverticulosis and 50.3% (433/861) in the control group (p=0.001). The average waist-hip ratio was 0.92±0.051 in colon diverticulosis and 0.90±0.052 in the control group (p=0.052). Multivariate analysis revealed the waist-hip ratio (OR=1.035, 95% CI 1.000-1.070, p=0.043), moderate fatty liver (OR=2.238, 95% CI 1.026-4.882, p=0.043), and severe fatty liver (OR=5.519, 95% CI 1.236-21.803, p=0.025) to be associated with an increased risk of asymptomatic colon diverticulosis.
Conclusions: The waist-hip ratio, moderate fatty liver, and severe fatty liver are risk factors for asymptomatic colon diverticulosis. Central obesity, which can be estimated by the waist-hip ratio, and fatty liver might affect the pathogenesis of asymptomatic colon diverticulosis. (Korean J Gastroenterol 2019;74:142-148)

KCI등재 SCOPUS

5대한소화기학회 발전에 있어서 다양성위원회의 중요성에 대한 설문 조사 분석

저자 : 김성은 ( Sung Eun Kim ) , 김나영 ( Nayoung Kim ) , 박영숙 ( Young Sook Park ) , 김은영 ( Eun Young Kim ) , 박선자 ( Seun Ja Park ) , 심기남 ( Ki-nam Shim ) , 최윤진 ( Yoon Jin Choi ) , 곽금연 ( Geum-youn Gwak ) , 박선미 ( Seon Mee Park )

발행기관 : 대한소화기학회 간행물 : 대한소화기학회지 74권 3호 발행 연도 : 2019 페이지 : pp. 149-160 (12 pages)

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목적: 대한소화기학회 내 다양성위원회 설립에 대하여 소화기 내과를 중심으로 하여 의사 및 의과대학 학생의 인식을 알아보고자 하였다.
대상 및 방법: 2019년 1월 14일부터 2019년 2월 10일까지 의사 및 의과대학 학생을 대상으로 설문을 시행하였고, 설문지는 문자 및 전자우편을 통하여 배포되었다. 설문 내용으로는 다양성위원회의 필요성, 대한소화기학회에 기여 여부, 활동 대상, 목표, 구체적 활동 내용, 기대효과가 있었으며 “예”, “아니오” 또는 5점 척도 형식으로 답변하도록 구성하였다.
결과: 총 202명이 설문에 응답하였고 응답자의 93.5% (189명)가 내과전문의였다. 남성은 62% (125명)가 참여하였으며, 연령대로는 30대 40% (80명), 40대 36% (73명)로 확인되었다. 다양성위원회의 필요성 및 학회 기여 여부에서는 86.1% (174명)가 “필요하다”, 89.1% (180명)가 “기여할 것이다”라고 응답하였으나 성별에 따른 분석 결과에서는 남성과 여성에서 답변의 차이가 있는 것으로 나타났다(80.8% vs. 94.8%, p=0.006; 84.8% vs. 96.1%, p=0.011). 또한, 다양성위원회의 활동 대상, 목표, 구체적 활동 내용, 기대효과에 대한 질문들에서도 대부분의 항목에서 성별에 따라 우선순위에 있어 차이가 있는 것으로 확인되었다.
결론: 대한소화기학회 내 다양성위원회는 필요하며 학회의 발전에 기여할 것으로 기대되었다. 하지만 다양성위원회의 활동 우선순위나 기대효과 분야에 대한 남성과 여성의 인식 차이가 있는 것으로 나타나, 다양성위원회의 성공을 위하여 향후 남녀 소화기내과 의사들의 적극적 참여와 활발한 활동을 해나가면서 이에 대한 간극을 줄이는 것이 필요하다 하겠다.


Background/Aims: The numbers of women, young doctors, and foreigners in the medical field have increased continuously. On the other hand, the environment for these minority groups has not improved, particularly in Eastern countries. The authors aimed to increase the awareness of the importance of a Diversity Committee in the Korean Society of Gastroenterology (KSG) by an analysis of a survey.
Methods: From January to February in 2019, a survey was conducted on physicians and a few medical students by googling. The questionnaire consisted of the target doctors of the Diversity Committee, purpose, specific activities, and expected effects of Diversity Committee to the KSG. The participants requested to respond with yes/no or a 5-point scale.
Results: A total of 202 participants completed the questionnaire, and 93.5% (189/202) were medical specialists. The proportion of males was 61.9% (125/202), and 39.6% (80/202) and 36.1% (73/202) participants were in their 30s and 40s, respectively. A total of 174 participants (86.1%) agreed with the necessity of a Diversity Committee, and 180 participants (89.1%) answered this committee would help advance the KSG with significant differences between males and females (80.8% vs. 94.8%, p=0.006; 84.8% vs. 96.1%, p=0.011). Similarly, there were significant differences in the responses according to sex in most questions.
Conclusions: Most participants of the survey expected a contribution of the Diversity Committee to the advancement of the KSG. On the other hand, in most of the priorities of the target, purpose, specific activities, and expected effects of the Diversity Committee, there was a difference in the perceptions between males and females. Therefore, continuous efforts are needed to reduce the differences within the KSG. (Korean J Gastroenterol 2019;74:149-158)

KCI등재 SCOPUS

6식도의 점막표피모양암종 1예

저자 : 신상윤 ( Sang Youn Shin ) , 채민규 ( Min Kyu Chae ) , 곽민섭 ( Min Seob Kwak ) , 윤진영 ( Jin Young Yoon ) , 전정원 ( Jung Won Jeon ) , 차재명 ( Jae Myung Cha )

발행기관 : 대한소화기학회 간행물 : 대한소화기학회지 74권 3호 발행 연도 : 2019 페이지 : pp. 159-162 (4 pages)

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Mucoepidermoid carcinoma is a malignant tumor that occurs mainly in the salivary glands of adults and children, but rarely in the esophagus. A surgical resection is the primary treatment for mucoepidermal carcinoma, and the prognosis has been reported to be poor. A 61-year-old man was diagnosed with an esophageal nodule in upper gastrointestinal endoscopy for the purpose of a medical examination without any special symptoms and an endoscopic resection was performed for an accurate diagnosis. An endoscopic mucosal resection was performed using a band ligation for a complete resection and continuous follow-up with no evidence of recurrence or metastasis. The unknown prognosis of endoscopic resection makes it necessary to follow the patient carefully. (Korean J Gastroenterol 2019;74:159-162)

KCI등재 SCOPUS

7젊은 여성에서 인플루엔자 A 바이러스 감염 후 발생한 복수를 동반한 호산구성 소장염 1예

저자 : 김명진 ( Myung Jin Kim ) , 오명진 ( Myung Jin Oh )

발행기관 : 대한소화기학회 간행물 : 대한소화기학회지 74권 3호 발행 연도 : 2019 페이지 : pp. 163-167 (5 pages)

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Eosinophilic gastrointestinal disorder (EGID) is an uncommon disease that is accompanied by intestinal eosinophil infiltration without a secondary cause of eosinophilia. Eosinophilic enteritis is a secondary portion of EGID that can present a range of gastrointestinal symptoms according to the affected depth of the intestinal layer. The subserosal type of eosinophilic enteritis presenting as ascites is relatively rarer than the mucosal type. In general, eosinophilic enteritis occurs in patients with food allergies, but its mechanism is unclear. The authors experienced a 29-year-old female patient with a large amount of ascites with diarrhea and abdominal pain. The patient was diagnosed with an influenza A infection one week earlier. Peripheral eosinophilia (absolute eosinophil count: 6,351 cells/mm3) and eosinophilic ascites (97% of white blood cells in the ascites are eosinophil) were present. Abdominal CT revealed a large amount of ascites and edematous changes in the ileum and ascending colon wall. A diagnosis of eosinophilic enteritis was confirmed as eosinophilic ascites by paracentesis, with eosinophil infiltration of the bowel wall by an endoscopic biopsy. The patient's symptoms improved rapidly after using steroids. To the best of the author's knowledge, this is the first report of eosinophilic enteritis with massive ascites after an influenza A virus infection in a Korean adult. (Korean J Gastroenterol 2019;74:163-167)

KCI등재 SCOPUS

8잠복 결핵 검사에 음성 반응을 보인 궤양성 대장염 환자에서 발생한 Infliximab 연관 다제내성 파종성 결핵

저자 : 전유경 ( Yu Kyung Jun ) , 천재영 ( Jaeyoung Chun ) , 강은애 ( Eun Ae Kang ) , 이현정 ( Hyun Jung Lee ) , 임종필 ( Jong Pil Im ) , 김주성 ( Joo Sung Kim )

발행기관 : 대한소화기학회 간행물 : 대한소화기학회지 74권 3호 발행 연도 : 2019 페이지 : pp. 168-174 (7 pages)

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Anti-tumor necrosis factor (anti-TNF) is an effective biological agent for the treatment of moderate-to-severe active ulcerative colitis (UC) refractory to conventional therapy. On the other hand, anti-TNF therapy is strongly associated with a potential risk of tuberculosis (TB). Active TB is a critical complication that makes it difficult to treat patients who require anti-TNF for the treatment of UC refractory to conventional therapy. Based on the clinical guidelines, patients with inflammatory bowel disease (IBD) are strongly recommended to screen for latent TB before anti-TNF administration. Considering the possibility of active or reactivated TB related to anti-TNF therapy, all patients with IBD should be monitored closely for TB during anti-TNF therapy, irrespective of the screening results for latent TB. In particular, the risk of anti-TNF-related multidrug-resistant TB (MDR-TB) in patients with IBD has not been elucidated. This paper reports the first case of disseminated MDR-TB that developed in a UC patient receiving infliximab despite the negative evaluation for latent TB screening. (Korean J Gastroenterol 2019;74:168-174)

KCI등재 SCOPUS

9연조직염과 통풍 관절염으로 오인한 Pancreatitis Panniculitis Polyarthritis 증후군 1예

저자 : 김이진 ( Ee Jin Kim ) , 박민수 ( Min Soo Park ) , 손형곤 ( Hyung-gon Son ) , 오원섭 ( Won Sup Oh ) , 문기원 ( Ki Won Moon ) , 박진명 ( Jin Myung Park ) , 강창돈 ( Chang Don Kang ) , 이승구 ( Seungkoo Lee )

발행기관 : 대한소화기학회 간행물 : 대한소화기학회지 74권 3호 발행 연도 : 2019 페이지 : pp. 175-182 (8 pages)

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Pancreatitis, panniculitis, and polyarthritis (PPP) syndrome is a rare but critical disease with a high mortality rate. The diagnostic dilemma of PPP syndrome is the fact that symptoms occur unexpectedly. A 48-year-old man presented with fever and painful swelling of the left foot that was initially mistaken for cellulitis and gouty arthritis. The diagnosis of PPP syndrome was made based on the abdominal CT findings and elevated pancreatic enzyme levels, lobular panniculitis with ghost cells on a skin biopsy, and polyarthritis on a bone scan. The pancreatitis and panniculitis disappeared spontaneously over time, but the polyarthritis followed its own course despite the use of anti-inflammatory agents. In addition to this case, 30 cases of PPP syndrome in the English literature were reviewed. Most of the patients had initial symptoms other than abdominal pain, leading to misdiagnosis. About one-third of them were finally diagnosed with a pancreatic tumor, of which pancreatic acinar cell carcinoma was the most dominant. They showed a mortality rate of 32.3%, associated mainly with the pancreatic malignancy. Therefore, PPP syndrome should be considered when cutaneous or osteoarticular manifestations occur in patients with pancreatitis. Active investigation and continued observations are needed for patients suspected of PPP syndrome. (Korean J Gastroenterol 2019;74:175-182)

KCI등재 SCOPUS

10상피하 종양의 형태로 나타난 진행 위암

저자 : 양효준 ( Hyo-joon Yang ) , 도인구 ( In-gu Do ) , 류창학 ( Chang Hak Yoo )

발행기관 : 대한소화기학회 간행물 : 대한소화기학회지 74권 3호 발행 연도 : 2019 페이지 : pp. 183-186 (4 pages)

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1연안해역에서 석유오염물질의 세균학적 분해에 관한 연구

(2006)홍길동 외 1명심리학41회 피인용

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2미국의 비트코인 규제

(2006)홍길동심리학41회 피인용

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2미국의 비트코인 규제

(2006)홍길동41회 피인용

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