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박철성,김동희,이규재 한국물학회 2017 한국물학회지 Vol.6 No.1
Alkaline mineral water has various beneficial effects via antioxidant mechanism. But there is no study about beneficial effects of reflux esophagitis. The effectiveness of alkaline mineral water on reflux esophagitis was evaluated through endoscopy, question investigation and medical examination by interview. Alkaline mineral water was used Doctor M(Sung Min Korea Co. Ltd., Chuncheon, Korea). Alkaline mineral water were drank of 15mL/kg a day for 2 months. Under endoscopic observation, inflammation and ulcer have improved after 2 months of drinking of alkaline mineral water. In question investigation and medical examination by interview, the symptom has improved in 93% of participants. Effectiveness of alkaline mineral water on reflux esophagitis was around 78% equal or higher than taking certain medicines.
Reflux Hypersensitivity: A New Functional Esophageal Disorder
( Takahisa Yamasaki ),( Ronnie Fass ) 대한소화기기능성질환·운동학회(구 대한소화관운동학회) 2017 Journal of Neurogastroenterology and Motility (JNM Vol.23 No.4
Reflux hypersensitivity, recently introduced by Rome IV as a new functional esophageal disorder, is currently considered as the presence of typical heartburn symptoms in patients with normal upper endoscopy and esophageal biopsies, normal esophageal pH test and with evidence of a close correlation between patients’ heartburn and reflux events. Reflux hypersensitivity is very common and together with functional heartburn accounts for more than 90% of the heartburn patients who failed treatment with proton pump inhibitor twice daily. In addition, reflux hypersensitivity affects primarily young to middle aged women, commonly overlaps with another functional gastrointestinal disorders, and is often associated with some type of psychological comorbidity. Diagnosis is made by using endoscopy with esophageal biopsies, pH-impedance, and high-resolution esophageal manometry. Reflux hypersensitivity is primarily treated with esophageal neuromodulators, such as tricyclic anti-depressants and selective serotonin reuptake inhibitors among others. Surgical anti-reflux management may also play an important role in the treatment of reflux hypersensitivity. (J Neurogastroenterol Motil 2017;23:495-503)
( Hye-rin Kang ),( Ye Jin Lee ),( Seo Young Yoon ),( Ha Youn Lee ),( Tae Yun Park ),( Jung Kyu Lee ),( Eun Young Heo ),( Seung Ho Choi ),( Hee Soon Chung ),( Deog Keom Kim ) 대한결핵 및 호흡기학회 2019 대한결핵 및 호흡기학회 추계학술대회 초록집 Vol.127 No.-
Background: Although gastroesophageal reflux disease (GERD) associates with many respiratory disorders such as bronchial asthma, chronic cough, chronic bronchitis, and idiopathic pulmonary fibrosis, the association between GERD and lung functions is controversial and its association with lung function decline was rarely reported. This study was performed to evaluate the association of endoscopically diagnosed esophagitis (e-GERD) and lung function changes. Methods: From the Gene-environment interaction and phenotype (GENIE) cohort at Seoul national university hospital Gangnam center, patients with more than two spirometry results and two spirometry- matched endoscopy were included. E-GERD was defined when the reflux esophagitis was found persistently in two discrete endoscopic examinations. Spirometric changes of patients with e-GERD were compared with matched patients without e-GERD (ratio, 1:4). Annual FEV1 or FVC changes from baseline were estimated and compared with linear mixed regression model. Severity of e-GERD was assessed with Los Angeles (LA) classification. Results: Totally 1,050 patients (210 patients with e-GERD and their matched 840 controls) were included in final analysis. Median follow-up duration for spirometry was 6 years. In e-GERD patients, mild disease (LA, A grade) was most common (165 patients, 78.6%). The adjusted annual FEV1 change in patients with e-GERD was -51.8 ml/year while it decreased by 46.8 ml/year in controls (p=0.270). The adjusted annual FVC decline was numerically larger in GERD group than in controls without statistical significance (-55.8ml/year vs. -50.5ml/year, p=0.215). With the increase of severity in e-GERD, annual decline of FEV1 became larger in trend (-51 ml/year in LA classification A, -54.8 ml/ year in LA classification B, and -61.4 ml/year in LA classification C) without statistical significance. Also the annual decline of FVC showed similar trend. Conclusion: Comparing with controls, the annual decline of FEV1 or FVC were not statistically different in patients with e-GERD despite the more declining trend.
Functional Gastrointestinal Disorders in Infancy: Impact on the Health of the Infant and Family
Yvan Vandenplas,Bruno Hauser,Silvia Salvatore 대한소아소화기영양학회 2019 Pediatric gastroenterology, hepatology & nutrition Vol.22 No.3
Functional gastrointestinal disorders (FGIDs) such as infantile colic, constipation and colic occur in almost half of the infants. The aim of this paper is to provide a critical and updated review on the management of FGIDs and their impact on the health of the infant and family to health care physicians. Guidelines and expert recommendations were reviewed. FGIDs are a frequent cause of parental concern, impairment in quality of life of infants and relatives, and impose a financial burden to families, health care, and insurance. Therefore, primary management of the FGIDs should be focused on improving the infants' symptoms and quality of life of the family. If more than parental reassurance is needed, available evidence recommends nutritional advice as it is an effective strategy and most of the time devoid of adverse effects. The role of healthcare providers in reassuring parents and proposing the correct behavior and nutritional intervention by avoiding inappropriate use of medication, is essential in the management of FGIDs.
Functional Gastrointestinal Disorders in Infancy: Impact on the Health of the Infant and Family
Vandenplas, Yvan,Hauser, Bruno,Salvatore, Silvia The Korean Society of Pediatric Gastroenterology 2019 Pediatric gastroenterology, hepatology & nutrition Vol.22 No.3
Functional gastrointestinal disorders (FGIDs) such as infantile colic, constipation and colic occur in almost half of the infants. The aim of this paper is to provide a critical and updated review on the management of FGIDs and their impact on the health of the infant and family to health care physicians. Guidelines and expert recommendations were reviewed. FGIDs are a frequent cause of parental concern, impairment in quality of life of infants and relatives, and impose a financial burden to families, health care, and insurance. Therefore, primary management of the FGIDs should be focused on improving the infants' symptoms and quality of life of the family. If more than parental reassurance is needed, available evidence recommends nutritional advice as it is an effective strategy and most of the time devoid of adverse effects. The role of healthcare providers in reassuring parents and proposing the correct behavior and nutritional intervention by avoiding inappropriate use of medication, is essential in the management of FGIDs.
Ampulla of Vater metastasis from squamous cell carcinoma of the esophagus
Jun Hyuk Son,Jung Su Lee,Jong Wook Kim,Nam-Hoon Kim,Han-Seong Kim,Yoon Suk Lee 소화기인터벤션의학회 2021 International journal of gastrointestinal interven Vol.10 No.2
Esophageal cancer is one of the lethal malignant tumors because it is often diagnosed in the advanced stage with lymph node or distant metastasis. The recurrence rate of esophageal cancer is known to be about 40% to 50% even in the patients who underwent curative esophageal resection. Most frequent sites of metastases are known to be the liver. Furthermore, other distant metastases also could be developed in lung, bone, brain, kidney, adrenal, abdominal cavity, and skin. However, ampulla of Vater (AoV) metastasis rarely occurs from esophageal cancer. Therefore, we report herein a case of AoV metastasis from squamous cell carcinoma of the esophagus.
In Kyung Yoo,Sang Ah Choi,Won Hee Kim,Sung Pyo Hong,Ozlem Ozer Cakir,Joo Young Cho 거트앤리버 소화기연관학회협의회 2019 Gut and Liver Vol.13 No.1
Background/Aims: Endoluminal functional lumen imaging probe (EndoFLIP) is a modality that enables clinicians to measure volume-controlled distension of the esophagus. This study aimed to assess the utility of EndoFLIP in patients who had achalasia treated with peroral endoscopic myotomy (POEM). We hypothesized that improvement in the distensibility index (DI) is correlated with the postoperative clinical outcome of POEM. Methods: Patients who underwent POEM for achalasia at Cha Bundang Medical Center were included. Physiological measurements of the lower esophageal sphincter (LES) pressure before and after POEM were assessed using EndoFLIP. Patients’ symptoms were recorded using the Eckardt score. Results: A total of 52 patients with achalasia were included in this study. Patients with a post-POEM DI below 7 (30 or 40 mL) had a significantly higher rate of incomplete response after POEM (p=0.001). Changes in LES pressure or integrated relaxation pressure after POEM were also significantly associated with an incomplete response (p=0.026 and p=0.016, respectively). Multivariate analysis showed that post-POEM DI <7 was the most important predictor of an incomplete response after POEM (p=0.004). Conclusions: Lower post-POEM DI values were associated with an incomplete post-POEM response. Therefore, post- POEM DI at the esophagogastric junction using EndoFLIP is a useful index for predicting the clinical outcome of POEM in patients with achalasia.
Ampulla of Vater metastasis from squamous cell carcinoma of the esophagus
Jun Hyuk Son,Jung Su Lee,Jong Wook Kim,Nam-Hoon Kim,Han-Seong Kim,Yoon Suk Lee 소화기인터벤션의학회 2021 Gastrointestinal Intervention Vol.10 No.2
Esophageal cancer is one of the lethal malignant tumors because it is often diagnosed in the advanced stage with lymph node or distant metastasis. The recurrence rate of esophageal cancer is known to be about 40% to 50% even in the patients who underwent curative esophageal resection. Most frequent sites of metastases are known to be the liver. Furthermore, other distant metastases also could be developed in lung, bone, brain, kidney, adrenal, abdominal cavity, and skin. However, ampulla of Vater (AoV) metastasis rarely occurs from esophageal cancer. Therefore, we report herein a case of AoV metastasis from squamous cell carcinoma of the esophagus.