추나 치료가 성인 소화기계 질환에 미치는 영향에 대한 문헌 고찰

김규진,추수철,이재원,황의형 척추신경추나의학회 2018 척추신경추나의학회지 Vol.13 No.2

Objectives : To determine the effectiveness of Chuna manual therapy(CMT) for Adult Visceral Diseases. Methods : To find evidence of CMT for adult digestive system disease, we used 9 electronic databases(Pubmed, CAJ, EMBASE, Cochrane Library, Web of Science, KISS, KISTI, NDSL, RISS) up to April 2018. We reviewed randomized control trials(RCTs) using Chuna for Digestive system disease. To assess the methodological quality of each RCT, we used the Cochrane risk of bias tool. Results : We identified 11 RCTs about irritable bowel syndrome, chronic ulcerative colitis, gastritis, gastroptosis, spleen entropathy, gastrointestinal dysfunction after stroke in 356 studies. All studies used total efficiency rate for main outcome. In all studies, CMT was effective for digestive system disease. Conclusions : CMT was effective for Digestive system disease. Risk of bias was high and the difference between the experimental group and the control group was not great. Considering that there were no reports of side effects, it seems possible to apply CMT to the treatment of adult digestive system disease.

2014 소화기암에 대한 대국민 의식조사

차상우,Sang-Woo Cha 대한소화기암연구학회 2015 Journal of digestive cancer reports Vol.3 No.2

Currently, inappropriate information regarding cancer is being disseminated indiscreetly via the media and Internet. Many people are confused due to the mixed presence of facts and misinformation concerning cancer. Owing to the flood of information, especially that concerning gastrointestinal cancer (the most common cancer in Korea), patients with gastrointestinal cancers, their family members, and medical staff, as well as the general public, are faced with a number of problems in understanding, treating, and overcoming this type of cancer. Therefore, investigating the level of recognition for and understanding of gastrointestinal cancers among these populations is very important for the prevention, diagnosis, and management of this disease. This review article investigated the differences in the recognition levels of the general understanding, prevention, quality of life, pain control, and the ethical issues of gastrointestinal cancer treatment among the general public, patients with gastrointestinal cancers, their family members, and medical staff via surveys.

노화와 소화기 질환: 위장관 기능 변화를 중심으로

박경식 ( Kyung Sik Park ) 대한소화기학회 2011 대한소화기학회지 Vol.58 No.1

이상을 요약하면 우선 노화가 진행될수록 장관신경계의 다양한 퇴화는 진행되는 것으로 보이나 세부 사항에 대해 일치된 결과는 아직 없는 실정이다. 식도의 경우 노화에 따른 내장신경계의 퇴화에 의해 운동성이 감소하는 것은 분명해 보이며 이로 인해 고령에서 연하 곤란 및 위-식도 역류 질환의 빈도가 증가한다. 위산 분비 역시 감소한다는 보고가 많으나 위산분비 기능 자체의 감소보다는 H. pylori 감염에 따른 위 선 위축에 의한 결과일 가능성이 많다고 여겨진다. 또한 위 점막 방어 기능의 감소에 의해 다양한 위장 질환의 빈도가 증가하는 것으로 보이며 위 배출 기능 역시 감소한다는 보고가 많으나 일치된 견해는 아직 없다. 그리고 다양한 위장관 호르몬 분비 기능에 변화가 있는 것으로 보이나 좀 더 연구가 필요하다. 소장의 경우 운동 기능에는 별 영향이 없다는 보고가 있으나 소장 점막 구조의 변화는 동반되는 것으로 최근 연구에서 보고되고 있다. 또한 위산 분비 기능 감소에 따라 소장 내 세균과다증식증의 빈도가 높아지며 따라서 노인에서 각종 흡수 장애가 쉽게 동반될 수 있다. 대장의 경우 내장신경계의 퇴화에 따라 대장통과가 지연되며 골반저 신경 및 근육들에도 영향을 미쳐 노인에서 변비가 흔히 발생하는 것으로 여겨진다. Although it is difficult to define the term aging consensually, in medical fields, usually it means the progressive accumulation of irreversible degenerative changes leading to loss of homeostasis. It is supposable that there is also modest decline in the structure and function of several digestive organs. However, data about this subject are not enough. Main problem in studying aging digestive organ is that discrimination of primary senile change of the organ with secondary one from other senile diseases is not easy. That is, the prevalence of many non-digestive disorders which can badly affect the digestive functions is increasing by aging; for example, diabetes, malignancy, etc. To prove that some phenomenon is as result of pure senile change, it is necessary to exclude secondary one, but, the process is very complicated and difficult. In spite of this limitation, here, I will discuss the senile change of several digestive organs by aging, especially at the view of the gastrointestinal functions, with review of literatures. (Korean J Gastroenterol 2011;58:3-8)

노인 소화기외과 환자의 임상적 고찰

임현묵(Hyun Muck Lim),김형성(Hyung Sung Kim) 대한소화기학회 1993 대한소화기학회지 Vol.25 No.5

N/A A total 490 cases of surgical geriatric patients over 65 years old were clinically reviewed who underwent digestive tract operations for presentation of a detailed considerations of certain common associated disease, and postoperative morbidity and mortality in Department of General Surgery in Phil-Dong Hospital, Chung Ang University, College of Medicine during 23 years from beginning of 1970 to the end of 1992. Whole geriatric patients were 1.126 consisting 6.7% of all surgical patients. The surgical digestive tract diseases in geriatric patient. were 490 cases consisting 70.8%. of major operations. The male to female sex ratio was 1:0.96. The most common age group was 65 to 69 with 50.2%. According to disease analysis, the most common diseases was benign hepatobiliary diseases (26.1%), and the next was acute appendicitis (22.9%), and stomach cancer (19%) in crder of incidence. 348 cases (71%) of all had associated disease. The most common associated disease were respiratory diseases (31.4%), and cardiovascular disease (29.2%). Postoperative complication rate was 28.6%. Respiratory complication (44.3%) was the rnost common. and the next was wound complication (31. 3%). The complication rate increased with aging, duration of anesthesia, and associated disease (p <0.005). There were 11 cases of postoperative deaths and mortality rate was 2.2%. Sepsis (36.4%) was the most common cause of death. The mortality rate of the rnalignancy was 3.1%. All cases of postoperative deaths had associated disease. The mortality rate of the emergency operations was 3.5% higher than 1.6% of elective operations (p< 0.005).

소화기계 질환에서 Virtual CT Endoscopy의 유용성에 관한 고찰

문일봉 ( Il Bong Moon ),김창복 ( Chang Bok Kim ),동경래 ( Kyung Rae Dong ),김성길 ( Sung Gil Kim ) 조선대학교 공학기술연구원 2014 공학기술논문지 Vol.7 No.3

Looked through the data to study whether to show the feasibility of some degree is that you can substitute Virtual CT Endoscopy to prevent the pain and fear that patients at Digestive Disease Endoscopy treatment. Also eliminates the pain and discomfort of patients when compared with conventional endoscopic inspection of the Virtual CT Endoscopy, Lesion did not differ much in the presence of disease. And because of the patient``s pain when inspection showed a favorable response to this treatment for patients. And is believed to be useful in Lesion diagnosis and this makes it possible to reduce the pain of the patient also applicable to other treatments such as inspection of the CT inspection or bowel disease and gastro-intestinal disorders with endoscopy.

Medicinal plants for gastrointestinal diseases among the Kuki-Chin ethnolinguistic groups across Bangladesh, India, and Myanmar: A comparative and network analysis study

Ong, Homervergel G.,Kim, Young-Dong Elsevier 2020 Journal of Ethnopharmacology Vol.251 No.-

<P><B>Abstract</B></P> <P><B>Ethnopharmacological relevance</B></P> <P>The Kuki-Chin is a composite ethnolinguistic group made up of many distinct groups and subgroups that are linked by a common history, culture, and population distribution in the Kuki-Chin region, shared geopolitically by Bangladesh, India, and Myanmar. This region is shown to be in a hotspot of digestive disease activity based on official reports and in concordance with data from related ethnopharmacological field surveys. Our work provides a comparative analysis of medicinal plant knowledge for the treatment of gastrointestinal diseases (GAS-Ds) among the Kuki-Chin ethnic groups found across the three countries.</P> <P><B>Aim of the study</B></P> <P>The objectives were (1) to identify the medicinal plants and herbal therapies for the treatment of GAS-Ds reported in related Kuki-Chin ethnobotanical publications, (2) to find the similarities and differences in medicinal plant knowledge among the country-affiliated groups by comparing plant and disease information, and (3) to determine significant plant taxa and their pattern(s) of use as digestive disease herbal remedies by analyzing disease-plant networks.</P> <P><B>Materials and methods</B></P> <P>Secondary data were gathered from 34 related studies through internet search of ethnobotanical information from field studies published in journals, reports, books, and dissertations/theses. These data represented 22 Kuki-Chin ethnolinguistic groups inhabiting 23 districts across six states comprising the Kuki-Chin region: the Chittagong Division (Bangladesh); Mizoram, Assam, Manipur, and Tripura States (India); and Chin State (Myanmar). Scientific names of plants and digestive diseases collated from secondary sources were validated and standardized following the Plant List and the International Classification of Primary Care Second Edition, respectively.</P> <P><B>Results and discussion</B></P> <P>A total of 482 species in 330 genera and 118 families of vascular plants were recorded for the treatment of 29 standardized GAS-Ds. On the basis of the number of use-reports, regional native species <I>Phyllanthus emblica</I>, <I>Centella asiatica</I>, and <I>Aegle marmelos</I>, as well as the non-natives <I>Carica papaya</I>, <I>Portulaca oleracea</I>, and <I>Psidium guajava</I> were found to be the most preferred. Comparative analysis of medicinal species showed that groups in India revealed the highest number of medicinal plant taxa, followed by those in Bangladesh and Myanmar. The most prevalent GAS-Ds were shown to be <I>abdominal pain epigastric</I>, <I>gastroenteritis presumed infections</I>, and <I>diarrhoea</I>, as supported by the number of use-reports and medicinal taxa used for their treatment, and their informant consensus factor values. Analyses of disease-plant networks graphically showed both GAS-Ds distribution patterns in the region and potential medicinal plant (group) candidates for further studies.</P> <P><B>Conclusion</B></P> <P>Overall, this study revealed an astonishingly rich diversity of medicinal plants used to treat digestive diseases among the Kuki-Chin. A comparative analysis showed variations and remarkable distinctions in medicinal plant knowledge among country-affiliated groups, as likely influenced by external sociocultural factors and geopolitical barriers, as well as the availability of ethnobotanical data. The use of network analysis reflected not only shared common affinities and patterns of plant use based on the taxonomic composition and species selection, but also disease prevalence and distribution patterns. The information found here can hopefully spur interest among future researchers and policy makers to better improve both the (ethno) medicinal research capacity and healthcare system in the region.</P> <P><B>Graphical abstract</B></P> <P>[DISPLAY OMISSION]</P>

黃連-吳茱萸 藥對의 활용에 대한 고찰

조혜인,국윤범,Joh, Hae-In,Kook, Yoon-Bum 대한한의학방제학회 2015 大韓韓醫學方劑學會誌 Vol.23 No.2

Objectives : This study is intended to establish the areas of use of the major effects of Coptidis Rhizoma-Evodiae Fructus Pair in the Prescriptions. Methods : Prescriptions that include both Coptidis Rhizoma and Evodiae Fructus have been selected with the use of programs offered by <uri>http://www.koreantk.com, http://youl.net/data</uri> . This study compared and analyzed the main effects of the selected prescriptions. Results : Prescriptions that work on upper digestive system tend to have Coptidis Rhizoma to Evodiae Fructus ratio of 2:1~10:1, and Prescriptions that work on lower digestive system tend to have ratio of 1:1. When Coptidis Rhizoma takes up 50% or more of the total dose of the prescriptions, these prescriptions tend to have major effect on the upper digestive system, and when it takes less than 50%, these tend to have major effect on the lower digestive system on the contrary. Conclusions : The prescriptions based on Coptidis Rhizoma-Evodiae Fructus Pair have a tendency to treat digestive problems caused by mass of fever in Liver-system. On this basis, further studies are expected to unveil the effectiveness of these prescriptions on adult diseases.

항암치료를 받는 소화기 암환자에서 코로나바이러스 감염증-19 백신접종

이종현,김동욱,Jonghyun Lee,Dong Uk Kim 대한소화기암연구학회 2022 Journal of digestive cancer reports Vol.10 No.2

In 2019, coronavirus disease (COVID-19), which originated in Wuhan, has spread worldwide. In most people, COVID-19 symptoms are not severe. However, the mortality rate and severity were high in risk groups such as in older people and patients with underlying diseases. As patients with cancer are one of the risk groups, the vaccination for COVID-19 is emphasized in these patients. However, COVID-19 vaccines are not tested enough in special groups such as in patients with cancer because these vaccines are developed at an unprecedented speed. This causes confusion about whether patients undergoing chemotherapy should be vaccinated or not. In this study, international guidelines and studies were reviewed. Most of the studies recommended vaccination. No evidences of any negative effects for the efficacy or safety were recorded in patients undergoing cytotoxic, targeted, and immune agents. However, in critical conditions such as cytopenia, vaccination must be decided according to the patient's condition. COVID-19 vaccines were also recommended for patients on surgery or radiation therapy. If possible, vaccine is given before surgery to avoid confusion between surgical complications and side effects of the vaccine. The radiation recall phenomenon after vaccination has been reported in some cases of radiation therapy. Clinicians should consider these situations before vaccinating each patient. We hope that clearer guidelines will be established by accumulating verified data.

Analysis of patent trends related to microbiome and probiotics based on the treatment of digestive diseases for pets

Byung-Suk Jeon,Huiyeong Jeong,Ji-Hyun Bang,Bokyung Jung,Jong-Hwan Park,Joong-Sun Kim 한국예방수의학회 2024 예방수의학회지 Vol.48 No.2

The pet industry, especially pet food, is experiencing rapid growth. This growth is accompanied by increasing concerns about pets' gut health, as an imbalanced microbiota can lead to various diseases. This study analyzes global patent trends in microbiome-based technologies for treating pet digestive issues using the WIPS database across major markets. Of 1,194 patents identified, 394 key references were examined, highlighting the increasing number of probiotic and microbiome-related patents since 2016. China dominates this sector, followed by Korea, Japan, and the United States. The findings provide a foundation for advancing microbiome-driven solutions for pet digestive ailments.

Simultaneous Ileocecectomy and Anterior Resection with the da Vinci SP® Surgical System for Patient with Crohn’s Disease: : A Case Report

Ho Seung Kim,Gyoung Tae Noh Ewha Womans University School of Medicine 2022 EMJ (Ewha medical journal) Vol.45 No.4

A 25-year-old female visited the clinic with abdominal pain and poor oral intake. She was diagnosed with Crohn’s disease and had a history of using infliximab for 4 years. She had no previous operative history. Magnetic resonance enterography demonstrated the progression of a penetrating complication that involved the distal ileum and complex entero-enteric fistula between the terminal ileum and sigmoid colon. Surgery was conducted using the da Vinci SP surgical system. In the operative field, severe adhesion was observed between the terminal ileum, adjacent ileum, cecum, and the sigmoid colon. After adhesiolysis of the small bowel and right colon was performed, the fistula tract between the sigmoid colon and terminal ileum was identified and resected. Then, simultaneous ileocecectomy and anterior resection was performed. The operation was completed without any intraoperative complications and patient’s recovery was uneventful. She was discharged postoperatively, after 8 days.