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한찬희(Chan Hee Han),이준성(Joon Seong Lee),임희혁(Hee Hyuk Lim),오영수(Young Soo Oh),윤영근(Young Keun Yoon),김상균(Sang Gyune Kim),김명수(Myung Soo Kim),류은상(Eun Sang Ryoo),윤동진(Dong Jin Youn),정인섭(In Seop Jung),고봉민(Bong M 대한소화기기능성질환·운동학회 2000 Journal of Neurogastroenterology and Motility (JNM Vol.6 No.2
N/A Background/Aims : The relationship between the symptoms and severity of GERD may be difficult to prove. The intensity and frequency of reflux induced symptoms are poor predictors of the presence or severity of an endoscopic mucosal break. The aim of this study was to determine which factors can be predicted by the presence of GERD symptoms among esophageal sensitivity to acid, abnormal acid reflux, and severity of esophagitis in pateints with reflux esophagitis. Methods : Fourty-four patients who were diagnosed with reflux esophagitis by an endoscopy at a tertiary medical facility, were given a validated questionnaire, and underwent an acid perfusion test, 24 hr ambulatory esophageal pH monitoring, and esophageal manometry. These patients were divided into a symptomatic group and asymptomatic group according to the questionaire. Comparisons between the two groups for each factor were analyzed by Chi-square. Result : Of 44 patients, 26 had symptoms and 18 did not. The positive and equivocal rates of the acid perfusion test were not different between the symptomatic and asymptomatic groups (47% vs. 39%). The abnormal reflux rate (DeMeester score >14.72) from pH monitoring was significantly higher in the symptomatic group than in the asymptomatic group (65% vs. 28%, p <0.05). The severity of esophagitis, presence of a hiatal hernia, and abnormal esophageal manometric findings were not different between the two groups. Conclusion : It would be impossible to predict esophageal sensitivity to acid, severity of the esophagitis grade, and the presence of hiatal hernia with GERD symptoms, but it could be possible to predict abnormal gastroesophageal reflux.
항문거근 증후군(levator ani syndrome)과 일과성 직장통(proctalgia fugax) 환자에서 변비관련 증상 및 항문,직장 생리학적 검사 소견
장근영 ( Geun Young Jang ),이준성 ( Joon Seong Lee ),임희혁 ( Hee Hyuk Lim ),황경란 ( Kyung Rhan Hwang ),홍수진 ( Su Jin Hong ),김진오 ( Jin Oh Kim ),이문성 ( Moon Sung Lee ),심찬섭 ( Chan Sup Shim ),김부성 ( Bu Sung Kim ) 대한소화기기능성질환·운동학회 2003 Journal of Neurogastroenterology and Motility (JNM Vol.9 No.1
목적 : 기능성 직장 항문통은 과거부터 여러 가지 용어의 혼용으로 많은 혼란을 가져왔고 따라서 그 발생 기전 또한 잘 정립되어 있지 않다. 최근 로마진단 기준 Ⅱ에 따르면 기능성 직장 항문통을 주로 증상 발현 기간에 따라 항문거근 증후군과 일과성 직장통으로 분류하고 있으나, 이들을 구분할 만한 특이 증상이 없고, 진단에도 중첩되는 경우가 흔히 있으므로 같은 증후군의 다른 양상인지, 아니면 서로 다른 질환인지 논란이 있다. 본 연구에서는 로마 진단기준(Ⅱ Background/Aims: Two most common functional anorectal pains, levator ani syndrome and proctalgia fugax, have a significant overlap in diagnosis and a controversy in pathogenic mechanism. Our aim was to evaluate the differences of anorectal symptoms and ph
위 십이지장 내압검사상 동시성 반복성 수축을 보인 되새김 증후군 1 예
류권호(Kwon Ho Ryu),이준성(Joon Seong Lee),임희혁(Hee Hyuk Lim),유창범(Chang Bum Yoo),김진오(Jin Oh Kim),조주영(Joo Young Cho),이문성(Moon Sung Lee),심찬섭(Chan Sup Shim),김부성(Boo Sung Kim) 대한소화기기능성질환·운동학회 2001 Journal of Neurogastroenterology and Motility (JNM Vol.7 No.2
Rumination syndrome is defined as a regurgitation of recently ingested food into the mouth with subsequent remastication and reswallowing or spitting out, and absence of structural disease. This is infrequent in adults of normal mental capacity. The true prevalence of rumination syndrome is unknown because few people have medical attention and most of physicians do not recognize this syndrome as a disease. Upper gastrointestinal manometry has been reported to show a characteristic pattern that confirms the diagnosis, namely, the occurrence of synchronous pressure spikes termed R waves at all levels in the stomach and small intestine. We assessed a 49-year-old male patient who complained of frequent effortless regurgitation of food. Ambulatory short-segment antroduodenal manometry with pH-metry showed simultaneous repeatetive contractions in all segments associated with regurgitation. (Korean Journal of Gastrointestinal Motility 2001;7:239-244)