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이준섭 ( Joon Seop Lee ),김은수 ( Eun Soo Kim ),정민규 ( Min Kyu Jung ),김성국 ( Sung Kook Kim ),진선 ( Sun Jin ),이덕헌 ( Deok Heon Lee ),서준원 ( Jun Won Seo ) 대한소화기학회 2018 대한소화기학회지 Vol.71 No.5
Bochdalek hernia (BH) is defined as herniated abdominal contents appearing throughout the posterolateral segment of the diaphragm. It is usually observed during the prenatal or newborn period. Here, we report a case of an adult patient with herniated omentum and colon due to BH that was discovered during a colonoscopy. A 41-year-old woman was referred to our hospital with severe left chest and abdominal pain that began during a colonoscopy. Her chest radiography showed colonic shadow filling in the lower half of the left thoracic cavity. A computed tomography scan revealed an approximately 6-cm-sized left posterolateral diaphragmatic defect and a herniated omentum in the colon. The patient underwent thoracoscopic surgery, during which, the diaphragmatic defect was closed and herniated omentum was repaired. The patient was discharged without further complications. To the best of our knowledge, this case is the first report of BH in an adult found during a routine colonoscopy screening. (Korean J Gastroenterol 2018;71:290-293)
요추 추간판 탈출증 환자의 의·한의 협진 의료이용 현황 분석: 건강보험심사평가원 환자표본 데이터를 이용하여
고준혁 ( Jun-Hyuk Ko ),유지웅 ( Ji-Woong Yu ),서상우 ( Sang-Woo Seo ),서준원 ( Joon-Won Seo ),강준혁 ( Jun-Hyuk Kang ),김태오 ( Tae-Oh Kim ),조휘성 ( Whi-Sung Cho ),서연호 ( Yeon-Ho Seo ),안종현 ( Jong-Hyun Ahn ),이우주 ( Woo-Joo 한방재활의학과학회 2021 한방재활의학과학회지 Vol.31 No.4
Objectives Lumbar herniated intervertebral disc (L-HIVD) is common disease in which Western-Korean collaborative treatment is performed in Korea. This study aimed to analyze Western-Korean collaborative treatment utilization of Korean patients with L-HIVD using Health Insurance Review & Assessment Service’s Patients Sample Data. Methods This study used the Health Insurance Review & Assessment Service-National Patient Sample (HIRA-NPS) in 2018. Claim data of L-HIVD patients were extracted. The claim data were rebuilt with the operational concept of ‘episode of care’ and divided into Korean medicine episode group (KM), Western medicine episode group (WM) and collaborative treatment episode group (CT). General characteristics, medical expenses and healthcare utilization were analyzed. In addition, the difference of average visit day and average medical expenses between non-collaborative group (KM plus WM) and CT were analyzed by the propensity score matching method. Results A Total of 64,333 patients and 365,745 claims were extracted. The number of episodes of WM, KM and CT was 69,383 (92.97%), 3,903 (5.23%), and 1,341 (1.80%) respectively. The frequency of collaborative treatment episode was higher in women and the age of 50s. The most frequently described treatment in CT was acupuncture therapy. As a result of the propensity score matching, the number of visit days and medical expenses in the collaborative treatment group was higher than in the non-collaborative group. Conclusions The analysis of healthcare utilization of Korean-Western collaborative treatment may be used as basic data for establishing medical policies and systematic collaborative treatment model in the future. (J Korean Med Rehabil 2021;31(4):105-116)