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내압검사에서 정상 또는 비효과적 식도운동 소견을 보였던 식도이완불능증 2예
남관우 ( Kwan Woo Nam ),조유경 ( Yu Kyung Cho ),백창렬 ( Chang Nyol Paik ),오순남 ( Soon Nam Oh ),장재혁 ( Jae Hyuck Chang ),박재명 ( Jae Myung Park ),이인석 ( In Seok Lee ),김상우 ( Sang Woo Kim ),최명규 ( Myung Gyu Choi ),정인식 대한소화기기능성질환·운동학회 2008 Journal of Neurogastroenterology and Motility (JNM Vol.14 No.1
Esophageal impedance manometry provides the information about esophageal contraction and bolus transit. Barium esophagogram provides the structural and functional information in patients with dysphagia. Typical features of achalasia are aperistalsis of esophageal body and incomplete relaxation of lower esophageal sphincter. The radiologic diagnosis of achalasia is made easily in most patients because it usually shows typical radiologic findings, such as esophageal dilatation and tapering of distal esophagus. We report the two patients with dysphagia who had a discrepancy between manometric diagnoses and radiologic diagnosis. Their manometric diagnoses were normal and ineffective esophageal motility respectively, whereas their simultaneous esophageal impedance manometry and barium esophagogram revealed typical features of achalasia.
한국인 환자에서 Bravo 식도 pH 검사의 시행과 안전성
조유경 ( Yu Kyung Cho ),최명규 ( Myung Gyu Choi ),장재혁 ( Jae Hyuck Chang ),남관우 ( Kwan Woo Nam ),권정현 ( Jung Hyun Kwon ),서정필 ( Jung Pil Suh ),백창렬 ( Chang Nyol Paik ),박재명 ( Jae Myung Park ),이인석 ( In Seok Lee ) 대한소화기기능성질환·운동학회 2007 Journal of Neurogastroenterology and Motility (JNM Vol.13 No.2
목적 : 무선 Bravo 식도 pH 검사는 서구에서 위식도역류질환의 진단과 치료에 신뢰성이 높고 시행 가능한 검사로 알려져 있다. 본 연구에서는 한국인 환자에서 Bravo 식도 pH 검사의 실행성과 안전성을 알아보고자 하였다. 대상 및 방법 : 72명(남:여=37:35, 44±13세)에서 Bravo pH 검사를 시행하였다. 69명은 위식도역류질환의 진단목적으로 검사를 하였고 3명은 PPI 치료에 반응이 없는 위식도역류질환 환자였다. 62명은 48 시간 검사를, 10명은 24 시간 검사를 시행하였다. 결과 : 1명을 제외한 모든 환자에서 한번에 캡슐부착에 성공하였다(부착률 99%). 64명(89%)에서 최소 24시간 이상 pH 데이터를 얻었다(데이터 수신이상 3명, 부적절한 위치 부착 2명, 24 시간 내 조기탈락 3명). 2일 중 하루만 비정상 산 노출 또는 증상지수 양성인 환자는 55명 중 16명으로, 48시간 검사시 24시간 검사를 하였을 때보다 추가적으로 16%의 환자가 위식도역류질환으로 진단되었다. 93%의 환자는 검사로 인해 일상생활이 약간 또는 전혀 방해되지 않았다고 하였다. 심한 가슴통증을 호소한 4명에서는 캡슐부착부에서 궤양이 발견되었으나 보존 치료로 호전되었다. 결론 : Bravo 식도 pH 검사는 비교적 안전하게 시행 가능한 검사이며, 48시간 Bravo 식도 pH 검사는 24시간 검사에 비해 위식도역류질환의 진단율을 높인다. Background/Aims: The wireless Bravo esophageal pH monitoring has been reported to be a reliable and tolerable method in patients with gastroesophageal reflux disease (GERD) in Western countries. The aim of this study was to assess the performance and safety of the Bravo pH monitoring in Korean patients. Methods: Seventy two patients (M:F=37:35, 44±13 years) undergone 48-hour or 24-hour Bravo pH monitoring to diagnose GERD or to evaluate responses to proton pump inhibitor. Forty eight-hour monitoring was done in 62 patients and 24-hour monitoring was done in 10 patients. Results: The attachment rate of capsule was 99%. Minimum 24-hour pH data were obtained from 64 patients (89%) (poor data reception in 3 patients, early capsule detachment before 24 hours in 3 patients, inappropriate capsule attachment in 2 patients). Compared with first 24-hour data alone, 48-hour data showed 16% more patients with GERD. Ninety three percent of patients answered that their usual activities were slightly disturbed or not disturbed. In four patients who complained severe retrosternal pain after capsule insertion, endoscopy revealed contact ulcer around the capsule. However, their symptoms regressed with conservative treatment. Conclusions: The Bravo pH monitoring is safe and tolerable in Korean patients. Extending recording time to 48-hours with the wireless pH monitoring increases the likelihood of diagnosing GERD. (Kor J Neurogastroenterol Motil 2007;13:111-117)
손덕승 ( Der Sheng Sun ),장재혁 ( Jae Hyuck Chang ),남관우 ( Kwan Woo Nam ),권정현 ( Jung Hyun Kwon ),서정필 ( Jung Pil Suh ),박호성 ( Ho Sung Park ),백창렬 ( Chang Nyol Paik ),박재명 ( Jae Myung Park ),조유경 ( Yu Kyung Cho ) 대한소화기기능성질환·운동학회 2007 Journal of Neurogastroenterology and Motility (JNM Vol.13 No.1
Achalasia is characterized by esophageal nonperistaltic contraction and incomplete relaxation of the lower esophageal sphincter with swallowing, as can be seen on esophageal manometry. Since the low esophageal sphincter in gastroesophageal reflux disease (GERD) is hypotensive or inappropriately relaxed, achalasia has been considered quite distinct from GERD. The food in the low esophagus of a patient with achalasia can ferment and cause inflammation. GERD should be differentiated from retention esophagitis. We recently experienced a 32-year-old male patient who complained of chest pain. He was previously diagnosed with a variant of angina pectoris, but his symptoms did not improve with calcium channel blocker or nitrate. He was diagnosed with reflux esophagitis on esophagogastroduodenoscopy and 24 hour esophageal pH monitoring, and also with achalasia on the esophageal manometry. After esophageal balloon dilatation for treating the achalasia, his symptoms were much improved. (Kor J Neuro-gastroenterol Motil 2007;13:72-75)