위암 환자의 위아전절제술 후 발생한 소화불량에 대한 복합 한의 치험 1례
A Case Report of Korean Medicine Treatment for Dyspepsia after Subtotal Gastrectomy in a Patient with Gastric Cancer
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Introduction: After subtotal gastrectomy for gastric cancer, the vagus nerve can be relatively damaged in the proximal part of the stomach, which can lead to impaired gastric motility. Electrogastrography (EEG) is used to record the myoelectrical activity of the stomach. The aim of this study was to introduce a case report of a patient who underwent subtotal gastrectomy and showed improvement in EGG after electroacupuncture on ST36, acupuncture, and herbal medicine treatments. Methods: From February to May 2015, a 62-year-old male patient with stomach cancer who underwent subtotal gastrectomy was treated with electroacupuncture on ST36, acupuncture, and herbal medicine (Hyangsayangyi-tang-gami). Gastric myoelectrical activity was recorded by EEG during fasting and postprandial periods in February and May 2015. Results: The EEG showed that the postprandial normal slow wave increased after treatment, the postprandial tachygastria decreased, and arrhythmia decreased. Conclusion: This may suggest that treatment with electroacupuncture on ST36, acupuncture, and herbal medicine can be helpful in improving gastric myoelectrical activity in patients who have undergone subtotal gastrectomy.
Abstract
Introduction: After subtotal gastrectomy for gastric cancer, the vagus nerve can be relatively damaged in the proximal part of the stomach, which can lead to impaired gastric motility. Electrogastrography (EEG) is used to record the myoelectrical activity of the stomach. The aim of this study was to introduce a case report of a patient who underwent subtotal gastrectomy and showed improvement in EGG after electroacupuncture on ST36, acupuncture, and herbal medicine treatments. Methods: From February to May 2015, a 62-year-old male patient with stomach cancer who underwent subtotal gastrectomy was treated with electroacupuncture on ST36, acupuncture, and herbal medicine (Hyangsayangyi-tang-gami). Gastric myoelectrical activity was recorded by EEG during fasting and postprandial periods in February and May 2015. Results: The EEG showed that the postprandial normal slow wave increased after treatment, the postprandial tachygastria decreased, and arrhythmia decreased. Conclusion: This may suggest that treatment with electroacupuncture on ST36, acupuncture, and herbal medicine can be helpful in improving gastric myoelectrical activity in patients who have undergone subtotal gastrectomy.
참고문헌 (10)
- Ono H, "Endoscopic mucosal resection for treatment of early gastric cancer", Gut, 48(2), pp.225~229 (2001)
- Kim GH, "Systematic endoscopic approach to early gastric cancer in clinical practice", Gut Liver, 15(6), pp.811~817 (2021)
- Park KS, "Acute and chronic gastrointestinal disorders after gastric surgery: Organic vs. functional", Korean J Med, 78(2), pp.170~176 (2010)
- Takahashi T., "Mechanism of acupuncture on neuromodulation in the gut-a review", Neuromodulation. Technology at the Neural Interface, 14(1), pp.8~12 (2011)
- Han AR, "A Case Study of Korean Medical Treatment for Indigestion and Abdominal Pain after Gastrectomy", J Int Korean Med, 43(2), pp.201~211 (2022)
- Kim DW, "A Case Report of Korean Medicine Treatment for a Patient with Early Dumping Syndrome with Diarrhea and Abdominal Pain after Gastrectomy", The Journal of Internal Korean Medicine, 41(5), pp.868~876 (2020)
- Lee JY, "A Case Study of Korean Medical Treatment for Epigastric Pain and Insomnia after Gastrectomy", The Journal of Internal Korean Medicine, 43(6), pp.1301~1310 (2022)
- Yin JY, "Review : Electrogastrography : Methodology, Validation and Applications", Journal of Neurogastroenterology and Motility, 19(1), pp.5~17 (2013)
- Perino LE, "Gastrointestinal symptoms, motility, and transit after the Roux-en-Y operation", Am J Gastroenterol, 83(4), pp.380~385 (1988)
- Kim SY, "A Selective Effect of Combined Treatment of Electroacupuncture at Zusanli(ST36), Manual Acupuncture, and Pyengwi-san in Function Dyspepsia Patients with Pyloric Valve Disturbance and Hypoactivity of Gastric Vagus Nerve", Journal of Internal Korean Medicine, 30(1), pp.191~199 (2009)