목 적: 선천성 담도폐쇄증의 일차적 치료로 알려진 Kasai 수술에서의 가장 중요한 예후 인자로 수술 시기가 중요하다는 것은 기존의 연구 결과들을 통해 잘 알려져 있다. 본 연구에서는 선천...
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https://www.riss.kr/link?id=A101490228
이화영 (연세대학교) ; 박영아 (연세대학교) ; 한석주 (연세대학교) ; 고홍 (연세대학교) ; Lee, Hwa-Young ; Park, Young-A ; Han, Seok-Joo ; Koh, Hong
2011
Korean
KCI등재,SCOPUS,ESCI
학술저널
74-80(7쪽)
0
0
상세조회0
다운로드국문 초록 (Abstract)
목 적: 선천성 담도폐쇄증의 일차적 치료로 알려진 Kasai 수술에서의 가장 중요한 예후 인자로 수술 시기가 중요하다는 것은 기존의 연구 결과들을 통해 잘 알려져 있다. 본 연구에서는 선천...
목 적: 선천성 담도폐쇄증의 일차적 치료로 알려진 Kasai 수술에서의 가장 중요한 예후 인자로 수술 시기가 중요하다는 것은 기존의 연구 결과들을 통해 잘 알려져 있다. 본 연구에서는 선천성 담도 폐쇄증 환아들을 수술 시기별로 분류하고 간섬유화 스캔을 수술 전후에 시행하여 얻어진 간탄성률값을 이용하여 수술 전후의 간 섬유화 변화를 비교함으로서 본 연구에서 도출된 최적의 수술시기가 기존의 연구와 일치하는지 재확인 하고자 한다. 방 법: 2007년 10월부터 2010년 7월까지 단일 기관에서 Kasai 수술을 시행 받은 환자 중, 수술 전후로 간섬유화 스캔을 시행한 환자 34명을 대상으로 수술 시기별 간탄성률 결과값을 비교하였다. 결 과: 환자군의 수술 시기가 빠를수록 수술 전과 후 모두에서 간탄성률 결과값은 좋았고, 특히 8주 이전에 수술을 시행 받은 경우 그 이상에서 수술을 받은 환자군보다 수술 후의 간섬유화가 적게 진행되었고 일부에서는 회복되었다. 또한 8주 수술 전후의 각 탄성률 간의 차이값 또한 통계적으로 유의하였다. 결 론: Kasai 수술의 시기가 이를수록 수술 전 간 섬유화가 적고, 적어도 8주 이전에서 Kasai 수술을 시행하였을 때 수술 이후의 간섬유화가 양호하였으며 수술전후의 간섬유화 진행 정도가 크지 않았다. 따라서 본 연구에서는 간섬유화스캔을 바탕으로 적어도 8주 미만의 연령이 Kasai 수술을 시행 받기에 최적의 시기임을 재확인하였다.
다국어 초록 (Multilingual Abstract)
Purpose: Based on previous research findings, it is well-known that the timing of surgery is generally considered the most important prognostic factor for a Kasai portoenterostomy, the primary treatment for biliary atresia. This research aimed to iden...
Purpose: Based on previous research findings, it is well-known that the timing of surgery is generally considered the most important prognostic factor for a Kasai portoenterostomy, the primary treatment for biliary atresia. This research aimed to identify the optimal timing of a Kasai portoenterostomy and to verify if the proposed optimal timing corresponds to previous studies. All patients were classified by the timing of surgery, and pre- and post-operative fibrotic changes of the liver were measured with the elasticity value from fibroscans. Methods: The stiffness scores of the pre- and post-operative fibroscans in 34 patients who were treated by Kasai portoenterostomy from October 2007 to September 2010 in Severance children's hospital were reviewed. Results: The earlier the patients were treated by Kasai portoenterostomy, the lower the fibroscan scores. When the patients were treated prior to the 8th week, the post-operative scores of the fibroscans were significantly better than those patients who were treated after the 8th week, and some even recovered partially. Moreover, when operated before the 8th week, the differences between each pre- and postoperative fibroscan score also showed statistical relevance (p=0.0002). Conclusion: The earlier the patient was treated by Kasai portoenterostomy, the less liver fibrosis that developed, the lower the level of post-operative fibrosis, and the less the degree of fibrotic progress before and after the operation. Thus, this research proposal reconfirms once more that the 8th week is the optimal timing for a Kasai portoenterostomy.
참고문헌 (Reference)
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1 Sandrin L, "Transient elastography: a new noninvasive method for assessment of hepatic fibrosis" 29 : 1705-1713, 2003
2 Gomez-Dominguez E, "Transient elastography to assess hepatic fibrosis in primary biliary cirrhosis" 27 : 441-447, 2008
3 de Ledinghen V, "Transient elastography (FibroScan)" 32 : 58-67, 2008
4 이희진, "The Clinicopathological Parameters for Making the Differential Diagnosis of Neonatal Cholestasis" 대한병리학회 43 (43): 43-47, 2009
5 Davenport M, "Seamless management of biliary atresia in England and Wales (1999-2002)" 363 : 1354-1357, 2004
6 Sokol RJ, "Screening and outcomes in biliary atresia: summary of a National Institutes of Health workshop" 46 : 566-581, 2007
7 Maharaj B, "Sampling variability and its influence on the diagnostic yield of percutaneous needle biopsy of the liver" 1 : 523-525, 1986
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9 Houwen RH, "Prognosis of extrahepatic biliary atresia" 64 : 214-218, 1989
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학술지 이력
연월일 | 이력구분 | 이력상세 | 등재구분 |
---|---|---|---|
2023 | 평가예정 | 해외DB학술지평가 신청대상 (해외등재 학술지 평가) | |
2020-01-01 | 평가 | 등재학술지 유지 (해외등재 학술지 평가) | |
2013-01-01 | 평가 | 등재학술지 유지 (등재유지) | |
2012-04-03 | 학술지명변경 | 한글명 : 대한소아소화기영양학회지 -> Pediatric Gastroenterology, Hepatology & Nutrition외국어명 : Korean J Pediatr Gastroenterol Nutr -> Pediatric Gastroenterology, Hepatology & Nutrition | |
2010-01-01 | 평가 | 등재학술지 유지 (등재유지) | |
2007-07-06 | 학회명변경 | 영문명 : The Korean Society Of Pediatric Gastroenterology And Nutrition -> The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition | |
2007-01-01 | 평가 | 등재학술지 선정 (등재후보2차) | |
2006-06-27 | 학술지명변경 | 외국어명 : 미등록 -> Korean J Pediatr Gastroenterol Nutr | |
2006-01-01 | 평가 | 등재후보 1차 PASS (등재후보1차) | |
2005-05-30 | 학술지등록 | 한글명 : 대한소아소화기영양학회지외국어명 : 미등록 | |
2005-01-01 | 평가 | 등재후보 1차 FAIL (등재후보1차) | |
2003-07-01 | 평가 | 등재후보학술지 선정 (신규평가) |
학술지 인용정보
기준연도 | WOS-KCI 통합IF(2년) | KCIF(2년) | KCIF(3년) |
---|---|---|---|
2016 | 0.07 | 0.07 | 0.09 |
KCIF(4년) | KCIF(5년) | 중심성지수(3년) | 즉시성지수 |
0.09 | 0.1 | 0.367 | 0.03 |