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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~)

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수록범위 : 1권1호(1968)~76권2호(2020) |수록논문 수 : 5,622
대한소화기학회지
76권2호(2020년 08월) 수록논문
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KCI등재 SCOPUS

1한국인의 음주 현황 및 알코올 간질환의 역학

저자 : 이승원 ( Sung Won Lee )

발행기관 : 대한소화기학회 간행물 : 대한소화기학회지 76권 2호 발행 연도 : 2020 페이지 : pp. 55-59 (5 pages)

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The harmful use of alcohol is associated with significant medical and socioeconomic burdens responsible for approximately 6% of all deaths worldwide. In Korea, the total alcohol consumption recently decreased slightly from 14.8 L of alcohol per person on average in 2011 to 9.1 L in 2015. On the other hand, over the past 10 years (2007-2017), the rates of monthly alcohol consumption, which is defined as drinking more than once a month, and the rates of high-risk alcohol consumption, defined as drinking more than seven standard drinks twice a week or more, have increased. In particular, the death rate due to alcoholic liver disease was the highest and increasing among those in their 50s who play crucial socioeconomic roles. In addition, the most notable change over the past 10 years has been the increase in alcohol consumption in young women aged between 20 and 39, and the increase in deaths among women due to alcoholic liver disease. In Korea, alcoholic liver disease is ranked 2nd-3rd as the causes of chronic liver disease, liver cirrhosis, and hepatocellular carcinoma, having a significant negative socioeconomic impact. (Korean J Gastroenterol 2020;76:55-59)

KCI등재 SCOPUS

2알코올 간질환의 진단과 중증도 평가

저자 : 김은주 ( Eunju Kim ) , 박승하 ( Seung Ha Park )

발행기관 : 대한소화기학회 간행물 : 대한소화기학회지 76권 2호 발행 연도 : 2020 페이지 : pp. 60-64 (5 pages)

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A diagnosis of alcohol-related liver disease (ALD) requires information on the history of excessive alcohol consumption (average intake of 40 g or more in men and 20 g or more in women a day). Furthermore, blood tests, such as GGT, AST, ALT, and mean corpuscular volume, and imaging studies, including abdominal ultrasound or transient elastography, are also useful. A liver biopsy can be useful for confirming the diagnosis and has prognostic value. ALD includes alcoholic fatty liver, alcoholic hepatitis, and alcoholic cirrhosis, and in most cases, clinical manifestations can overlap. The prognostic scoring systems of ALD are limited mainly to alcoholic hepatitis, and the early mortality and treatment response can be predicted using various scoring systems. This review summarizes how to diagnose and evaluate the severity of ALD in clinical practice. (Korean J Gastroenterol 2020;76:60-64)

KCI등재 SCOPUS

3알코올 간질환의 내과적 치료

저자 : 송도선 ( Do Seon Song )

발행기관 : 대한소화기학회 간행물 : 대한소화기학회지 76권 2호 발행 연도 : 2020 페이지 : pp. 65-70 (6 pages)

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Alcoholic liver disease is a major cause of liver disease that results in significant morbidity and mortality in Korea. Abstinence is the most important strategy to prevent disease progression. Corticosteroids improve the one-month survival in patients with severe alcoholic hepatitis, but it was not effective on long-term survival. An N-acetylcysteine treatment combined with corticosteroids may provide a short-term survival benefit than corticosteroids alone. Pentoxifylline is unlikely to affect short-term survival. Hence, studies on new therapies, such as granulocyte colony-stimulating factor and fecal microbiota transplantation, are ongoing. This paper briefly reviews the current knowledge of the medical treatment of alcoholic liver disease. (Korean J Gastroenterol 2020;76:65-70)

KCI등재 SCOPUS

4알코올금단증후군의 평가와 치료

저자 : 최하영 ( Ha Yeong Choi ) , 서정석 ( Jeong Seock Seo ) , 이상규 ( Sang Kyu Lee )

발행기관 : 대한소화기학회 간행물 : 대한소화기학회지 76권 2호 발행 연도 : 2020 페이지 : pp. 71-77 (7 pages)

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Alcohol withdrawal syndrome (AWS) is the most common and well-known condition occurring after intentional or unintentional cessation or decreasing heavy drinking. Approximately 5-10% of these people are suffering from serious medical and psychiatric problems, withdrawal seizures, perceptual disturbances, and delirium tremens. Despite acute medical conditions with the high mortality of severe AWS, proper management could decrease the severity and mortality of AWS. The Clinical Institute withdrawal assessment for alcohol-revised version is a valid, reliable, and sensitive instrument for assessing the clinical course and the treatment monitoring of alcohol withdrawal. Benzodiazepine is the pharmacotherapy of choice for alcohol withdrawal. Diazepam or lorazepam treatment is best initiated early in the course of alcohol withdrawal to prevent progression to more severe withdrawal. There are three strategies for the pharmacotherapy of AWS. After the treatment of AWS, most patients should be managed or treated by the continuing care, including the psychosocial treatments, community-based management, and programs for preventing recurrence of AWS. (Korean J Gastroenterol 2020;76:71-77)

KCI등재 SCOPUS

5협심증과 동반된 호산구성 식도염

저자 : 손민영 ( Min Young Son ) , 김성은 ( Sung Eun Kim ) , 박선자 ( Seun Ja Park ) , 박무인 ( Moo In Park ) , 문원 ( Won Moon ) , 김재현 ( Jae Hyun Kim ) , 정경원 ( Kyoungwon Jung ) , 최길순 ( Gil-soon Choi ) , 임성일 ( Sung Il Im )

발행기관 : 대한소화기학회 간행물 : 대한소화기학회지 76권 2호 발행 연도 : 2020 페이지 : pp. 78-82 (5 pages)

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Eosinophilic esophagitis (EoE) is an immune or antigen-mediated chronic inflammatory esophageal disorder that is relatively rare in Asian countries. The main symptoms of EoE are dysphagia and food impaction. Although chest pain is a symptom of EoE, it is also a symptom of coronary heart disease. This paper reports a case of EoE with angina pectoris in a 45-year-old male who was referred to the authors' hospital for chest pain. He was diagnosed with angina pectoris because of mild stenosis in the left coronary artery on coronary angiography. On the other hand, the symptoms did not improve with angina medication therapy. Therefore, he underwent a chest CT scan, which revealed esophageal thickening. Esophagogastroduodenoscopy was performed. His endoscopic findings showed linear furrows with edema, and >90 eosinophils existed per high-power field on the histology findings. He was diagnosed with EoE. Through additional examinations, he was also diagnosed with asthma. The patient was treated with a proton pump inhibitor and a fluticasone inhaler. His symptoms and abnormal endoscopic findings disappeared after eight weeks of treatment. This case shows that physicians should consider the possibility of the symptoms for EoE when unexplained chest pain persists. (Korean J Gastroenterol 2020;76:78-82)

KCI등재 SCOPUS

6위 내시경 점막 절제술 후 발생한 기흉

저자 : 고명석 ( Myeongseok Koh ) , 장진석 ( Jin Seok Jang ) , 차재황 ( Jae Hwang Cha )

발행기관 : 대한소화기학회 간행물 : 대한소화기학회지 76권 2호 발행 연도 : 2020 페이지 : pp. 83-87 (5 pages)

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An endoscopic mucosal resection (EMR) is used widely as an alternative treatment to a surgical resection for early gastric neoplastic lesions. Among the unusual complications of gastric EMR, perforation is usually manifested as a pneumoperitoneum. This paper reports a patient with a left-side pneumothorax without pneumoperitoneum as a complication of gastric EMR. The patient developed a left side pneumothorax after gastric EMR in the gastric fundus and recovered without further complications after conservative treatment, including endoscopic clipping. (Korean J Gastroenterol 2020;76:83-87)

KCI등재 SCOPUS

7Primary Epiploic Appendagitis Mimicking Acute Appendicitis: A Case Report and Narrative Review of the Literature

저자 : Maria Alexandra Kefala , Kostas Tepelenis , Christos K Stefanou , Stefanos K Stefanou , Georgios Papathanakos , Aikaterini Kitsouli , Nikolaos Tepelenis , Panagiotis Kitsoulis

발행기관 : 대한소화기학회 간행물 : 대한소화기학회지 76권 2호 발행 연도 : 2020 페이지 : pp. 88-93 (6 pages)

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Primary epiploic appendagitis is uncommon and is estimated to induce 1.1–1.3% of all abdominal pain. We report a 42-year-old male who appeared in the morning in the emergency department with abdominal pain localized in the right lower abdomen and associated with anorexia and nausea. Clinical examination, laboratory tests, and abdominal ultrasound revealed deep tenderness at Mc Burney point and a mild elevation of CRP (0.7 mg/dL). In the evening, the symptoms were exacerbated, and a diagnostic laparoscopy was performed. Intra-operatively, the appendix was normal and a twisted, necrotic epiploic appendage originating from the antimesenteric border of the mid ascending colon was found. Laparoscopic resection of the necrotic epiploic appendage and prophylactic appendectomy was carried out. Histology indicated the diagnosis of the necrotic epiploic appendage. Postoperatively, the patient recovered without complications. Although the preoperative diagnosis of primary epiploic appendagitis has improved due to abdominal ultrasound and mainly CT, there are still cases which are diagnosed during laparoscopy. The treatment of choice is conservative management, while the use of antibiotics remains controversial. The relapse and complication rates are rare. Surgical excision, particularly laparoscopic, should be considered in cases of uncertain diagnosis, persistent symptoms, or recurrence. (Korean J Gastroenterol 2020;76:88-93)

KCI등재 SCOPUS

8급성 식도 괴사의 시간에 따른 내시경 변화

저자 : 이창민 ( Chang Min Lee )

발행기관 : 대한소화기학회 간행물 : 대한소화기학회지 76권 2호 발행 연도 : 2020 페이지 : pp. 94-96 (3 pages)

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KCI등재 SCOPUS

9궤양성 대장염 환자의 질병 활성도 평가를 위한 인공지능의 임상 적용

저자 : 이준 ( Jun Lee )

발행기관 : 대한소화기학회 간행물 : 대한소화기학회지 76권 2호 발행 연도 : 2020 페이지 : pp. 97-98 (2 pages)

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(2006)홍길동 외 1명심리학41회 피인용

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