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조광범(Kwang Bum Cho),강영우(Young Woo Kang) 대한소화기학회 1996 대한소화기학회지 Vol.28 No.5
N/A Background/Aims: Dysphagia is a frequent symptom which is observed in about 6% of all population and classified under two large groups, obstructive dysphagia and nonobstructive dysphagia. However, recent studies have sbown the significance of dysphagia without anatornica] abnormality or esophagea] motility disorder, so that nonobstructive dysphagia can be classified again under two groups, motility-related dysphagia and nonmotility-related dysphagia. The aim of this study was to compare the clinical characteristics between otility-related dysphagia and nonmotility-related dysphagia. Methods: During the six-year period from 1988, 100 patients with nonobstructive dysphagia were recruited and devided into motility-related dysphagia(84 cases) and nonmotility-related dysphagia(16 cases) according to the results of the esophageal manometry. The c]inical characteristics of the two groups were compared. Results: 84 patients with motility-related dysphagia included 44 with achalasia, 9 with diffuse esophageal spasm, 14 with nutcracker esophagus, 8 with hypertensive LES, 9 with NEMD. The female was common and the mean age was similar in both groups. The types of food producing dysphagia, the duration of dysphagia, and the prevalence of neurotic symptoms were not statistically different. Regurgitation was statistically more common in motility-related dysphagia. The patients with nonobstructive nonmotility-related dysphagia were responded to various therapeutic remedies. Conclusions: Nonobstructive nonmotility-related dysphagia was not clinically distinguishible from nonobstructive motility-related dysphagia. A prospective study is necessary for understanding the pathophysiology and effective therapeutic modality of the nonobstructive nonmotility-related dysphagia.(Korean J Gastroenterol 1996; 28:605-610)
조광범 ( Kwang Bum Cho ) 대한췌장담도학회 2021 대한췌담도학회지 Vol.26 No.4
ERCP 시술을 성공적으로 수행하기 위해서는 대상 질환에 대한 이해와 함께 적절한 교육과 수련, 일정량 이상의 시술 경험이 뒷받침되어야 성공적인 시술 및 최소 합병증 가능성으로 환자에게 도움을 줄 수 있다. 그러나 ERCP 시술은 무거운 방사선 방호복을 입고 방사선 피폭과 합병증 발생의 위험성을 감수하면서, 집중력을 발휘해야 하는 시술로 내시경을 이용한 시술 중에서 가장 난이도가 높다고 여겨지고 있다. ERCP를 능숙하게 시행하기 위해서는 지도감독하의 적절한 수련 및 충분한 시술 경험, 적절한 대상 환자의 선택이 필요하다. 따라서 대한췌장담도학회에서는 ERCP 시술의 교육과 질관리 유지를 위하여 “췌장담도내시경 인증의” 제도를 시행하기 위하여 추진위원회를 구성하였고, 관련 규정 개발과 설문조사, 학술대회 발표 등을 통하여 제도 시행에 대한 청사진을 마련하였다. The endoscopic retrograde cholangiopancreatography (ERCP) procedure requires concentration while wearing a heavy radiation protective suit and taking the risk of radiation exposure and complications. In order to successfully perform an ERCP procedure, it is necessary to understand the target disease, as well as appropriate education and training, and a certain amount of experience in the procedure. The Korean Pancreatobiliary Association organized a promotion committee to implement the “ERCP Certification” system to maintain education and quality control of ERCP procedures. A blueprint was prepared. Korean J Pancreas Biliary Tract 2021;26(4):211-215