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RISS 인기검색어
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- 저자 : 유준형(June Hyung Lyou) (검색결과 1 건)
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과민성 대장 증후근의 감별 - 감별진단을 위한 대장 생리 검사의 의의 -
나용호(Yong Ho Nah),유준형(June Hyung Lyou),유광현(Kwang Hyen You),최석채(Suck Chei Choi) 대한내과학회 1996 대한내과학회지 Vol.51 No.2
N/A Objectives: Irritable bowel syndrome (IBS) is a diagnosis of exclusion. There are no gold standard test that can yield a positive diagnosis. There has been considerable debate concerning the amount of investigation necessary to exclude organic disease. Certain diagnostic test should be performed routinely, whereas others ore selected on the basis of specific symptoms. The aim of this study was to determine the diagnostic value of the physiology test ot the bowel to exclude the organic disease in the suspected irritable bowel syndrome. Methods: 60 patients (M;34, F;26; mean age 46 years, range 18-67) with irritable bowel syndrome based on Manning criteria (negative colonoscopy, barium enema, biochemical tests, and stool examinadtions) were evaluated by hydrogen breath test, colon transit study, anorectal manometry, and defecography. Results: Based on these study, patients were categorized as having; no abnormalities, 27 patients; lactose intolerance, 16 patients among 24 diarrhea- predominant group, pelvic floor disorders (rectocele, rectal intussusception, anismus, descending perineal syndrome), 14 patients, and colonic inertia, 3 patients among 36 constipation-predominant group. Conclusion: Over 50% patients with the suspected irritable bowel syndrome have other organic or functionally disturbed disease. In addition to the routine studies, it is desirable to perform at least hydrogen breath test, colon transit study, anorectal manometry, and defecography.
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