간행물

대한소화기기능성질환·운동학회> Journal of Neurogastroenterology and Motility

Journal of Neurogastroenterology and Motility update

  • : 대한소화기기능성질환·운동학회
  • : 의약학분야  >  내과학
  • : KCI등재
  • : SCOPUS
  • : 연속간행물
  • : 계간
  • : 2093-0879
  • : 2093-0887
  • : 대한소화관운동학회지(~2009) → Journal of Neurogastroenterology and Motility(2010~)

수록정보
수록범위 : 1권1호(1994)~27권4호(2021) |수록논문 수 : 1,379
Journal of Neurogastroenterology and Motility
27권4호(2021년 10월) 수록논문
최근 권호 논문
| | | |

KCI등재 SCOPUS

1Is There a Way to Differentiate Esophageal Motility Disorders in Patients With Heartburn?

저자 : Sung Eun Kim

발행기관 : 대한소화기기능성질환·운동학회 간행물 : Journal of Neurogastroenterology and Motility 27권 4호 발행 연도 : 2021 페이지 : pp. 445-447 (3 pages)

다운로드

(기관인증 필요)

키워드 보기
초록보기

다운로드

(기관인증 필요)

키워드 보기
초록보기

KCI등재 SCOPUS

3Are Peri-operative Inflammatory Markers Useful in Predicting Post-operative Ileus?

저자 : Jung Ho Park

발행기관 : 대한소화기기능성질환·운동학회 간행물 : Journal of Neurogastroenterology and Motility 27권 4호 발행 연도 : 2021 페이지 : pp. 451-452 (2 pages)

다운로드

(기관인증 필요)

키워드 보기
초록보기

KCI등재 SCOPUS

42020 Seoul Consensus on the Diagnosis and Management of Gastroesophageal Reflux Disease

저자 : Hye-kyung Jung , Chung Hyun Tae , Kyung Ho Song , Seung Joo Kang , Jong Kyu Park , Eun Jeong Gong , Jeong Eun Shin , Hyun Chul Lim , Sang Kil Lee , Da Hyun Jung , Yoon Jin Choi , Seung In Seo , Joon Sung Ki

발행기관 : 대한소화기기능성질환·운동학회 간행물 : Journal of Neurogastroenterology and Motility 27권 4호 발행 연도 : 2021 페이지 : pp. 453-481 (29 pages)

다운로드

(기관인증 필요)

초록보기

Based on a meta-analysis of 19 estimated acid-exposure time values in Asians, the reference range upper limit for esophageal acid exposure time was 3.2% (95% confidence interval, 2.7-3.9%) in the Asian countries. Esophageal manometry and novel impedance measurements, including mucosal impedance and a post-reflux swallow-induced peristaltic wave, are promising in discrimination of GERD among different reflux phenotypes, thus increasing its diagnostic yield. We also propose a long-term strategy of evidence-based GERD treatment with proton pump inhibitors and other drugs.
(J Neurogastroenterol Motil 2021;27:453-481)

KCI등재 SCOPUS

5Brain to Belly: Abdominal Variants of Migraine and Functional Abdominal Pain Disorders Associated With Migraine

저자 : Léa Lenglart , Caroline Caula , Thomas Moulding , Annabel Lyles , Delphine Wohrer , Luigi Titomanlio

발행기관 : 대한소화기기능성질환·운동학회 간행물 : Journal of Neurogastroenterology and Motility 27권 4호 발행 연도 : 2021 페이지 : pp. 482-494 (13 pages)

다운로드

(기관인증 필요)

초록보기

Migraine is one of the most frequent causes of primary headache and 9% of children suffer from migraines. Most children will continue to experience migraine attacks as adults, therefore it is imperative that we have a thorough understanding of this major health issue. This article considers the so-called abdominal variants of migraine, which are more commonly seen in children rather than adults: abdominal migraine, cyclic vomiting syndrome, and infantile colic. Other functional abdominal pain disorders such as irritable bowel syndrome and functional dyspepsia have also been linked to migraine in clinical studies. The common pathophysiological root of these diseases seems to be the gut-brain axis mechanism. Abdominal variants of migraine are considered pediatric precursors of migraine whereas the functional abdominal pain disorders related to migraine seem to share a pathophysiological root with no temporarily link as for today. In this review we aim to describe the epidemiological background, the current pathophysiological theories and the relationship of each disease to migraine. This review is the first to compile abdominal variants of migraine and functional abdominal pain disorders associated with migraine and we endeavor to elucidate the broad spectrum of migraine-related episodes in children.
(J Neurogastroenterol Motil 2021;27:482-494)

KCI등재 SCOPUS

6Medical Management of Constipation in Elderly Patients: Systematic Review

저자 : Seung Joo Kang , Young Sin Cho , Tae Hee Lee , Seong-eun Kim , Han Seung Ryu , Jung-wook Kim , Seon-young Park , Yoo Jin Lee , Jeong Eun Shin

발행기관 : 대한소화기기능성질환·운동학회 간행물 : Journal of Neurogastroenterology and Motility 27권 4호 발행 연도 : 2021 페이지 : pp. 495-512 (18 pages)

다운로드

(기관인증 필요)

초록보기

Background/Aims
Constipation is a common gastrointestinal problem in the elderly. Because of the limitations of life style modifications and the comorbidity, laxative use is also very common. Therefore, this study reviews the latest literature on the effect and safety of laxative in the elderly.
Methods
A systematic review of randomized controlled trials investigating the effectiveness and safety of laxatives for constipation in elderly patients over 65 years old were performed using the following databases: PubMed, EMBASE, and the Cochrane Library.
Results
Twenty-three randomized controlled trials were included in this review. Among the selected studies, 9 studies compared laxative with placebo and 5 studies compared laxatives of the same type. Four studies compared different types of laxatives or compared combination agents. Five studies compared novel medications such as prucalopride, lubiprostone, and elobixibat with placebo. Psyllium, calcium polycarbophil, lactulose syrup, lactitol, polyethylene glycol, magnesium hydroxide, stimulant laxative with or without fiber, and other medications were more effective than placebo in elderly constipation patients in short-term. Generally, the frequency and severity of adverse effects of laxative were similar between the arms of studies.
Conclusions
Bulk laxative, osmotic laxative, stimulant laxative with or without fiber, and other medications can be used in elderly patients in short-term within 3 months with reasonable safety. However, the quality of included studies was not high and most of studies was conducted in a small number of patients. Among these laxatives, polyethylene glycol seems to be safe and effective in long-term use of about 6 months in elderly patients.
(J Neurogastroenterol Motil 2021;27:495-512)

KCI등재 SCOPUS

7Pitfalls in the Interpretation of Chicago Classification for Esophageal Motility Disorders

저자 : Fernando A M Herbella , Francisco Schlottmann , Marco G Patti

발행기관 : 대한소화기기능성질환·운동학회 간행물 : Journal of Neurogastroenterology and Motility 27권 4호 발행 연도 : 2021 페이지 : pp. 513-517 (5 pages)

다운로드

(기관인증 필요)

초록보기

High-resolution manometry permitted the creation of the Chicago classification, that is the categorization for esophageal motility disorders most currently used. Despite its wide acceptance, there are few pitfalls for the correct interpretation of the tests. This technique review illustrates some difficult cases that may lead to misinterpretation of the results. Difficult cases are analyzed, such as the distinction of: (1) esophagogastric junction morphology and lower esophageal sphincter excursion, (2) intrabolus pressure pattern or common cavity, (3) hypercontractile esophagus (jackhammer) and achalasia type III, (4) absent contractility and severe ineffective esophageal motility or achalasia type I, and (5) simultaneous distal esophageal spasm and ineffective esophageal motility.
(J Neurogastroenterol Motil 2021;27:513-517)

KCI등재 SCOPUS

8Comparative Analysis of Relaxation Time Interval and Integrated Relaxation Pressure as Risk Factors for Aspiration in Patients With Oropharyngeal Dysphagia

저자 : Jung Ho Park , Chong-il Sohn , Kyung Jae Yoon , Jung Hwan Park

발행기관 : 대한소화기기능성질환·운동학회 간행물 : Journal of Neurogastroenterology and Motility 27권 4호 발행 연도 : 2021 페이지 : pp. 518-524 (7 pages)

다운로드

(기관인증 필요)

초록보기

Background/Aims
Integrated relaxation pressure (IRP) is an important metric for functional evaluation of the lower esophageal sphincter. However, the effectiveness of IRP for evaluation of upper esophageal sphincter (UES) function has not yet been clarified.
Methods
High-resolution manometry (HRM) was performed in 180 patients with dysphagia. For comparison, 26 asymptomatic subjects were also recruited. IRP of the UES was defined as means of 0.2, 0.25, or 0.3 seconds (sIRPs) of maximal deglutitive relaxation in a 0.4-second window (a new equation for IRP calculation was developed using MATLAB). Also, the relaxation time interval of the UES, and mesopharyngeal and hypopharyngeal contractility (as a contractile integral) were evaluated using HRM.
Results
In normal subjects, mean values of 0.2, 0.25, and 0.3 sIRPs differed significantly from each other (P < 0.05). They were not associated with the relaxation time interval of the UES. In contrast, in patients with dysphagia, mean values of 0.2, 0.25, and 0.3 sIRPs were strongly related to relaxation time intervals of the UES (P < 0.05), and mean values of 0.2, 0.25, and 0.3 sIRPs in patients with aspiration were significantly higher than those of patients without aspiration (P < 0.01). However, in multivariate regression analyses, the main risk factor for aspiration was only a shorter relaxation time interval.
Conclusions
IRP values were significantly higher in patients with dysphagia and aspiration. However, its usefulness as a predictive factor for aspiration was less than the relaxation time interval of the UES.
(J Neurogastroenterol Motil 2021;27:518-524)

KCI등재 SCOPUS

9Esophageal Nocturnal Baseline Impedance and Post-reflux Swallow-induced Peristaltic Wave Index in Identifying Proton Pump Inhibitor-refractory Non-erosive Reflux Disease

저자 : Yan Wang , Bixing Ye , Meifeng Wang , Lin Lin , Liuqin Jiang

발행기관 : 대한소화기기능성질환·운동학회 간행물 : Journal of Neurogastroenterology and Motility 27권 4호 발행 연도 : 2021 페이지 : pp. 525-532 (8 pages)

다운로드

(기관인증 필요)

초록보기

Background/Aims
Esophageal mean nocturnal baseline impedance (MNBI) levels and post-reflux swallow-induced peristaltic wave (PSPW) index could increase the diagnostic value of 24-hour multichannel intraluminal impedance and pH monitoring in patients with gastroesophageal reflux disease. This study aims to compare the MNBI and PSPW index in patients with no evidence of erosive reflux disease.
Methods
Impedance-pH monitoring tracings from 70 patients, 50 with non-erosive reflux disease (NERD) and 20 with functional heartburn (FH), were reviewed. According to proton pump inhibitors (PPI) treatment response, NERD patients were divided into NERD/PPI responders and NERD/PPI nonresponders. MNBI, PSPW index, and intercellular spaces were measured and compared among each group.
Results
MNBI values and PSPW index were lower in NERD patients than in FH (P < 0.01 and P < 0.05, respectively). MNBI positively correlated with PSPW index (r = 0.525, P < 0.001). NERD/PPI responders had lower MNBI values and PSPW index compared to NERD/PPI nonresponders (both P < 0.01). MNBI and PSPW index distinguished NERD from FH patients with an area under the curve of 0.914 and 0.677, respectively. Wider intercellular space could be identified in patients with NERD (P < 0.01).
Conclusion
MNBI and PSPW index may differentiate NERD from FH patients and relate to PPI treatment efficacy in patients with NERD.
(J Neurogastroenterol Motil 2021;27:525-532)

KCI등재 SCOPUS

10Diagnostic Yield of High-resolution Esophageal Manometry With Chicago Classification Version 3.0 in Thai Patients

저자 : Sawangpong Jandee , Kasemsak Jandee

발행기관 : 대한소화기기능성질환·운동학회 간행물 : Journal of Neurogastroenterology and Motility 27권 4호 발행 연도 : 2021 페이지 : pp. 533-539 (7 pages)

다운로드

(기관인증 필요)

초록보기

Background/Aims
High-resolution manometry with the Chicago classification scheme has been introduced in clinical practice as a gold standard for esophageal motility test. This study aims to evaluate the diagnostic yield of high-resolution manometry in Thai patients.
Methods
All available high-resolution esophageal manometry (HREM) studies performed during the study period were retrospectively reviewed and interpreted according to the Chicago classification version 3.0. The main esophageal symptoms and coexisting factors were correlated with the HREM findings.
Results
Of the 201 patients, nearly half (49.8%) were documented to have dysphagia. The second most common condition was refractory reflux symptoms (17.4%). More than 70.0% of dysphagia patients showed abnormal esophageal motility, contrary to globus patients who mostly had normal test findings (65.4%). Dysphagia still was the most often correlated condition with major esophageal motility disorders (88.7%), particularly the elderly patients who have coexisting weight loss. Endoscopic and/or surgical procedures were revealed for the highest rate among patients with dysphagia but no one in the globus group needed this intervention. The sensitivity and specificity of dysphagia for major esophageal motility disorders were 70.0% and 67.0%. A much lower sensitivity and higher specificity were found in other non-dysphagia symptoms, especially nausea/vomiting or belching (3.0% or 89.0%). The highest positive likelihood ratio (2.10) to detect major abnormalities was also observed in dysphagia.
Conclusion
Esophageal manometry provided the highest yield in dysphagia; it was not a strongly beneficial test in patients presenting with nondysphagia to identify clinically relevant esophageal motor disorders.
(J Neurogastroenterol Motil 2021;27:533-539)

123
권호별 보기

내가 찾은 최근 검색어

최근 열람 자료

맞춤 논문

보관함

내 보관함
공유한 보관함

1:1문의

닫기