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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)~75권2호(2020) |수록논문 수 : 5,563
대한소화기학회지
75권2호(2020년 02월) 수록논문
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KCI등재 SCOPUS

1최상의 대장 내시경을 위한 적절한 전처치 하제의 선택: 고용량부터 최신의 저용량까지

저자 : 나수영 ( Soo-young Na ) , 문원 ( Won Moon )

발행기관 : 대한소화기학회 간행물 : 대한소화기학회지 75권 2호 발행 연도 : 2020 페이지 : pp. 65-73 (9 pages)

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Optimal bowel preparation is essential for a more accurate, comfortable, and safe colonoscopy. The majority of postcolonoscopy colorectal cancers can be explained by procedural factors, mainly missed polyps or inadequate examination. Therefore the most important goal of optimal bowel preparation is to reduce the incidence of colorectal cancer. Although adequate preparation should be achieved in 85-90% or more of all colonoscopy as a quality indicator, unfortunately 20-30% shows inadequate preparation. Laxatives for oral colonoscopy bowel preparation can be classified into polyethylene glycol (PEG)-electrolyte lavage solution, osmotic laxatives, stimulant laxatives, and divided into high-volume solution (≥3 L) and low-volume solution (<3 L). The updated 2019 European Society of Gastrointestinal Endoscopy (ESGE) guideline is broadly similar to the 2014 American Society for Gastrointestinal Endoscopy (ASGE) recommendations and reaffirms the importance of split-dosing. However, new ESGE guideline, unlike the 2014 ASGE recommendation, suggests the use of high volume or low volume PEG-based regimens as well as that of non-PEG based agents that have been clinically validated for most outpatient scenarios. For effective, safe, and highly adherent bowel preparation, physicians who prescribe and implement colonoscopy should properly know the advantages and limitations, the dosing, and the timing of regimens. Recently many studies have attempted to find the most ideal regimens, and more convenient, effective, and safe regimens have been developed by reducing the dosing volume and improving the taste. The high tolerability and acceptability of the new low-volume regimens suggest us how we should use it to increase the participation of the national colorectal cancer screening program. (Korean J Gastroenterol 2020;75:65-73)

KCI등재 SCOPUS

2캡슐 내시경과 소장 내시경을 위한 최적의 장정결

저자 : 송현주 ( Hyun Joo Song )

발행기관 : 대한소화기학회 간행물 : 대한소화기학회지 75권 2호 발행 연도 : 2020 페이지 : pp. 74-78 (5 pages)

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For improved examination of video capsule endoscopy (VCE) and device-assisted enteroscopy (DAE), bowel preparation is an essential issue. Multiple factors like air bubbles, food material in the small bowel, and gastric and small bowel transit time affect the small bowel visualization quality (SBVQ), diagnostic yield (DY) and cecal completion rate (CR). Bowel preparation with polyethylene glycol (PEG) solution enhances SBVQ and DY, but it has no effect on CR. Bowel preparation with PEG solution 2 L is similar to PEG 4 L in SBVQ, DY, and CR. Bowel preparation with fasting or PEG solution combined with anti-foaming agents like simethicone enhance SBVQ, but it has no effect on CR. Bowel preparation with prokinetics is not commonly recommended. Optimal timing for purgative bowel preparation has yet to be established. However, the studies regarding bowel preparation for DAE are not sufficient. European Society of Gastrointestinal Endoscopy (ESGE) recommends 8-12 hours fasting from solid food and 4-6 hours fasting from liquids prior to the antegrade DAE. For retrograde DAE, colonoscopy preparation regimen is recommended. This article reviews the literature and ESGE, 2013 Korean published guidelines regarding bowel preparation for VCE and DAE, following suggestion for optimal bowel preparation for VCE and balloon enteroscopy. (Korean J Gastroenterol 2020;75:74-78)

KCI등재 SCOPUS

3정규 결직장 수술 전 기계적 장세척은 과연 필요한가?

저자 : 김익용 ( Ik Yong Kim )

발행기관 : 대한소화기학회 간행물 : 대한소화기학회지 75권 2호 발행 연도 : 2020 페이지 : pp. 79-85 (7 pages)

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The presence of bowel contents during colorectal surgery has been related to surgical site infections (SSI), anastomotic leakage (AL) and postoperative complications theologically. Mechanical bowel preparation (MBP) for elective colorectal surgery aims to reduce fecal materials and bacterial count with the objective to decrease SSI rate, including AL. Based on many observational data, meta-analysis and multicenter randomized control trials (RTC), non-MBP did not increase AL rates or SSI and other complications in colon and even rectal surgery. In 2011 Cochrane review, there is no significant benefit MBP compared with non-MBP in colon surgery and also no better benefit MBP compared with rectal enemas in rectal surgery. However, in surgeon's perspectives, MBP is still in widespread surgical practice, despite the discomfort caused in patients, and general targeting of the colon microflora with antibiotics continues to gain popularity despite the lack of understanding of the role of the microbiome in anastomotic healing. Recently, there are many evidence suggesting that MBP+oral antibiotics (OA) should be the growing gold standard for colorectal surgery. However, there are rare RCT studies and still no solid evidences in OA preparation, so further studies need results in both MBP and OA and only OA for colorectal surgery. Also, MBP studies in patients with having minimally invasive surgery (MIS; laparoscopic or robotics) colorectal surgery are still warranted. Further RCT on patients having elective left side colon and rectal surgery with primary anastomosis in whom sphincter saving surgery without MBP in these MIS and microbiome era. (Korean J Gastroenterol 2020;75:79-85)

KCI등재 SCOPUS

4전산화단층촬영술/자기공명영상 장운동기록법의 준비와 기법

저자 : 김민주 ( Min Ju Kim )

발행기관 : 대한소화기학회 간행물 : 대한소화기학회지 75권 2호 발행 연도 : 2020 페이지 : pp. 86-93 (8 pages)

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CT enterography and magnetic resonance (MR) enterography are widely used imaging modalities used to examine the small bowel. These radiologic tests are distinguished from routine abdominopelvic CT and MRI by the oral ingestion of a large amount of neutral contrast to distend the small bowel before scanning. For achievement of high quality, diagnostic images and proper technique are required. Conducted protocols still vary in patient preparation, enteric contrast, and CT and MRI acquisition sequences, resulting in heterogeneous diagnostic accuracy. The purpose of this article is to review the processes and techniques that optimize CT/MR enterography for patients with suspected Crohn's disease or other small bowel diseases. (Korean J Gastroenterol 2020;75:86-93)

KCI등재 SCOPUS

5위장관 출혈과 폐쇄를 동반한 십이지장 평활근육종 1예

저자 : 홍승민 ( Seung Min Hong ) , 김광하 ( Gwang Ha Kim ) , 김다미 ( Dami Kim ) , 이소정 ( Sojeong Lee )

발행기관 : 대한소화기학회 간행물 : 대한소화기학회지 75권 2호 발행 연도 : 2020 페이지 : pp. 94-97 (4 pages)

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Duodenal leiomyosarcoma is a rare condition with a poor prognosis. Early diagnosis of duodenal leiomyosarcoma is challenging because it presents with nonspecific symptoms and endoscopic biopsies usually do not enable a definitive diagnosis. Duodenal leiomyosarcomas are diagnosed on the basis of the histopathological identification of a mesenchymal lesion composed of malignant tumor cells that on immunohistochemical examination is positive for smooth muscle actin and desmin. We report the case of a 38-year-old man who presented with gastrointestinal bleeding and obstruction who was diagnosed with duodenal leiomyosarcoma after surgical resection. (Korean J Gastroenterol 2020;75:94-97)

KCI등재 SCOPUS

6만성 C형간염에 관한 직접작용항바이러스 치료 후 호전된 난치성 간성 흉수

저자 : 김명희 ( Myung Hee Kim ) , 김덕기 ( Duk Ki Kim ) , 은혁수 ( Hyuk Soo Eun ) , 류우선 ( Woo Sun Rou ) , 김석현 ( Seok Hyun Kim ) , 이병석 ( Byung Seok Lee )

발행기관 : 대한소화기학회 간행물 : 대한소화기학회지 75권 2호 발행 연도 : 2020 페이지 : pp. 98-102 (5 pages)

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Hepatic hydrothorax is a transudative pleural effusion that complicates advanced liver cirrhosis. Patients refractory to medical treatment plus salt restriction and diuretics are considered to have refractory hepatic hydrothorax and may require transjugular intrahepatic portosystemic shunt (TIPS) or liver transplant. Successful antiviral therapy reduces the incidence of some complications of cirrhosis secondary to HCV infection. We report a case of hepatic hydrothorax in a 55-year-old female patient with HCV cirrhosis, which exhibited a spontaneous decrease in pleural effusion after direct antiviral agent (DAA) therapy. In cases of HCV cirrhosis, DAAs are worth administering before treatment by TIPS or liver transplantation. (Korean J Gastroenterol 2020;75:98-102)

KCI등재 SCOPUS

7Sunitinib으로 치료 중인 전이성 신세포암 환자에서 발생한 급성 무결석담낭염 1예

저자 : 최세웅 ( Se Woong Choi ) , 이정민 ( Jeong Min Lee ) , 김동균 ( Dong Gyun Kim ) , 노명환 ( Myung Hwan Noh )

발행기관 : 대한소화기학회 간행물 : 대한소화기학회지 75권 2호 발행 연도 : 2020 페이지 : pp. 103-107 (5 pages)

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A 64-year-old man was treated with sunitinib as a first-line therapy for metastatic renal cell carcinoma. He was given oral sunitinib in cycles of 50 mg once daily for 2 weeks followed by a week off. During the 5th week of treatment right upper quadrant pain developed, but this resolved spontaneously during the 6th week (off treatment). However, on the 8th week of treatment, he was admitted to hospital because the acute right upper quadrant pain recurred with nausea, vomiting, and fever. Acute acalculous cholecystitis was then diagnosed by ultrasonography and CT. In addition, his laboratory findings indicated disseminated intravascular coagulation. Accordingly, sunitinib therapy was discontinued and broad-spectrum antibiotics initiated. He subsequently recovered after emergent percutaneous cholecystostomy. His Naranjo Adverse Drug Reaction Probability Scale score was 7, indicaing a probable association of the event with sunitinib. Suspicion of sunitinib-related acute cholecystitis is required, because, although uncommon, it can be life-threatening. (Korean J Gastroenterol 2020;75:103-107)

KCI등재 SCOPUS

8과망간산칼륨으로 인한 부식성 식도염

저자 : 노진희 ( Jin Hee Noh ) , 최기돈 ( Kee Don Choi )

발행기관 : 대한소화기학회 간행물 : 대한소화기학회지 75권 2호 발행 연도 : 2020 페이지 : pp. 108-111 (4 pages)

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KCI등재 SCOPUS

9십이지장에 초점을 맞춘 기능성 소화불량증의 새로운 병태생리와 치료

저자 : 차라리 ( Ra Ri Cha ) , 김현진 ( Hyun Jin Kim )

발행기관 : 대한소화기학회 간행물 : 대한소화기학회지 75권 2호 발행 연도 : 2020 페이지 : pp. 112-114 (3 pages)

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KCI등재 SCOPUS

10Effect of Sodium Cromoglycate on Acetic Acid-induced Ulcerative Colitis in Mice

저자 : Zahra Ghafouri , Saeid Seyyedian , Jafar Nikbakht , Ebrahim Kouhsari , Sara Bayat , Hamidreza Zargar , Gholamreza Houshmand

발행기관 : 대한소화기학회 간행물 : 대한소화기학회지 75권 2호 발행 연도 : 2020 페이지 : pp. 115-115 (1 pages)

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(2006)홍길동 외 1명심리학41회 피인용

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