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담즙 역류가 동반된 위 운동성 장애의 기능성 소화불량증에 대한 한방치료 경험 2례

Two Cases of Korean Traditional Treatment of Functional Dyspepsia of Gastric Dysmotility Complicated by Bile Juice Reflux

윤상협
대한한방내과학회 (The Society Of Korean Oriental Internal Medicine)|2020.12|대한한방내과학회지 (The Journal of Korean Oriental Internal Medicine)|제41권 제6호|pp. 1162-1171|DOI https://doi.org/10.22246/jikm.2020.41.6.1162

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참고문헌

키워드

herbal medicineacupuncturefunctional dyspepsiagastric dysmotilitybile juice reflux
주제분류한의학

초록

Objectives: The aim of this study was to determine the therapeutic effects of a traditional Korean treatment on the symptom improvement and loss of bile juice in cases of functional dyspepsia of gastric dysmotility complicated by bile juice reflux. Methods: Dyspeptic symptoms, gastric motility (electrogastrography and bowel sound analysis), and gastric mucosa (gastroendoscopy) were evaluated. The treatment consisted of Banwhasashim-tang (extract) used as a herbal drug. Both ST36 electrical stimulation and simple immersion stimulation of CV11, 12, and 13 in the abdomen were also applied. Results: Dyspeptic symptoms, including a foreign body sensation in the throat, indigestion, and upper abdominal pain, were all relieved by the treatment and gastric myoelectrical activity and gastric pyloric function were improved. Bile juice disappeared from the gastric mucosa. Conclusion: The traditional Korean treatment was effective at relieving dyspeptic symptoms and bile juice reflux by improving the pyloric sphincter function.

Abstract

Objectives: The aim of this study was to determine the therapeutic effects of a traditional Korean treatment on the symptom improvement and loss of bile juice in cases of functional dyspepsia of gastric dysmotility complicated by bile juice reflux. Methods: Dyspeptic symptoms, gastric motility (electrogastrography and bowel sound analysis), and gastric mucosa (gastroendoscopy) were evaluated. The treatment consisted of Banwhasashim-tang (extract) used as a herbal drug. Both ST36 electrical stimulation and simple immersion stimulation of CV11, 12, and 13 in the abdomen were also applied. Results: Dyspeptic symptoms, including a foreign body sensation in the throat, indigestion, and upper abdominal pain, were all relieved by the treatment and gastric myoelectrical activity and gastric pyloric function were improved. Bile juice disappeared from the gastric mucosa. Conclusion: The traditional Korean treatment was effective at relieving dyspeptic symptoms and bile juice reflux by improving the pyloric sphincter function.

참고문헌 (35)

  1. Schumpelick V, "Duodenogastric reflux—a current evaluation", Zentralbl Chir, 110(5), pp.257~270 (1985)
  2. Eagon JC, "Postgastrectomy syndromes", Surg Clin North Am, 72(2), pp.445~465 (1992)
  3. Madura JA, "Primary bile reflux gastritis:which treatment is better, Roux-en-Y or biliary diversion?", Am Surg, 66(5), pp.417~423 (2000)
  4. Ma M, "Pathogenic effects of primary duodenogastric reflux on gastric mucosa of children", Zhonghua Er Ke Za Zhi, 46(4), pp.257~262 (2008)
  5. Rezende-Filho J, "Cisapride stimulates antral motility and decreases biliary reflux in patients with severe dyspepsia", Dig Dis Sci, 34(7), pp.1057~1062 (1989)
  6. Müller-Lissner SA, "Chronic oral treatment with cisapride decreases high bile salt reflux rates", Am J Gastroenterol, 81(5), pp.354~357 (1986)
  7. Miranda M, "Abnormalities of interdigestive motility complex and increased duodenogastric reflux in gastric ulcer patients", Dig Dis Sci, 30(1), pp.16~21 (1985)
  8. Fisher RS, "Gastroduodenal motility disturbances in man", Scand J Gastroenterol Suppl, 109, pp.59~68 (1985)
  9. 김소연, "한방치료가 위 미주신경 활성 저하와 유문부 기능 장애가 병발된 기능성 소화불량증 환자에 미치는 선택적 효능", 대한한방내과학회지, 30(1), pp.191~199 (2009), 대한한방내과학회
  10. 김유승, "기능성 소화불량증 환자의 위 미주신경 활성 및 유문부 기능에 대한 足三里 전침과 일반 체침 자극의 복합 효능", 대한한방내과학회지, 29(3), pp.621~628 (2008), 대한한방내과학회
  11. 윤상협, "기능성 소화불량증의 일란성 쌍생아와 이들 모친의 가족적 위 운동성 장애와 한방치료가 쌍둥이의 임상증상과 위 운동성에 미친 영향", 대한한방내과학회지, 39(4), pp.772~783 (2018), 대한한방내과학회
  12. 주민경, "한국어판 두통영향 검사(Headache Impact Test-6)의 타당도 및 신뢰도 조사", 대한신경과학회지, 27(1), pp.1~6 (2009), 대한신경과학회
  13. 유종민, "한방치료가 기능성 소화불량증 환자의 위전도 소견에 미치는 효과", 대한한방내과학회지, 26(2), pp.360~368 (2005), 대한한방내과학회
  14. 윤상협, "機能性 消化不良症 患者의 食後 心下？滿과 pyloric valve의 機能障碍 - 장음과 위전도를 중심으로", 대한한방내과학회지, 28(4), pp.769~778 (2007), 대한한방내과학회
  15. Testoni PA, "Interdigestive motility pattern in subjects with duodenogastric bile reflux", Scand J Gastroenterol, 22(6), pp.757~762 (1987)
  16. Code CF, "The interdigestive housekeeper of the gastrointestinal tract", Perspect Biol Med, 22(2-2), pp.S49~S55 (1979)
  17. Testoni PA, "Manometric evaluation of the interdigestive antroduodenal motility in subjects with fasting bile reflux, with and without antral gastritis", Gut, 30(4), pp.443~448 (1989)
  18. Kusunoki H, "Real-time ultrasonographic assessment of antroduodenal motility after ingestion of solid and liquid meals by patients with functional dyspepsia", J Gastroenterol Hepatol, 15(9), pp.1022~1027 (2000)
  19. Tomomasa T, "Gastrointestinal sounds and migrating motor complex in fasted humans", Am J Gastroenterol, 94(2), pp.374~381 (1999)
  20. Tomomasa T, "Analysis gastrointestinal sounds in infants with pyloric stenosis before and after pyloromyotomy", Pediatrics, 104(5), pp.e60~ (1999)
  21. Zhang Y, "Histological features of the gastric mucosa in children with primary bile reflux gastritis", World J Surg Oncol, 10, pp.27~ (2012)
  22. Johnson AG, "New developments in the evaluation of gastroduodenal motility with special reference to duodenogastric reflux and its clinical significance", Scand J Gastroenterol Suppl, 96, pp.27~36 (1984)
  23. Wormsley KG, "Aspects of duodeno-gastric reflux in man", Gut, 13(4), pp.243~250 (1972)
  24. Marshall RE, "The relationship between acid and bile reflux and symptoms in gastro-oesophageal reflux disease", Gut, 40(2), pp.182~187 (1997)
  25. Chen SL, "Effects of bile reflux on gastric mucosal lesions in patients with dyspepsia or chronic gastritis", World J Gastroenterol, 11(18), pp.2834~2837 (2005)
  26. Vere CC, "Endoscopical and histological features in bile reflux gastritis", Rom J Morphol Embryol, 46(4), pp.269~274 (2005)
  27. Lee BE, "Globus pharyngeus : A review of its etiology, diagnosis and treatment", World J Gastroenterol, 18(20), pp.2462~2471 (2012)
  28. Kim JN, "The Traditional Medicine Banhasasim-Tang Depolarizes Pacemaker Potentials of Cultured Interstitial Cells of Cajal through M3 Muscarinic and 5-HT3 Receptors in Murine Small Intestine", Digestion, 101(5), pp.536~551 (2019)
  29. Yoon SH, "Evaluation for Therapeutic Effectiveness of Banwhasashim-tang in Functional Dyspepsia", Journal of Korean oriental internal medicine, 24(2), pp.329~336 (2003)
  30. 윤상협, "기능성소화불량과 만성 위축성 위염이 병발된 여성 환자에 대해 한방치료 경험 1례", 대한한방내과학회지, 40(4), pp.697~708 (2019), 대한한방내과학회[DOI]
  31. Ling W, "Consistent Efficacy of Wendan Decoction for the Treatment of Digestive Reflux Disorders", Am J Chin Med, 43(5), pp.893~913 (2015)
  32. Lim NC, "A literatual study on Maehaegki", the journal of KOMS, 10(1), pp.249~255 (1989)
  33. Iwa M1, "Electroacupuncture improves restraint stress-induced delay of gastric emptying via central glutaminergic pathways in conscious rats", Neurosci Lett, 399(1-2), pp.6~10 (2006)
  34. 김정제, "최신침구학", pp.190~192 (1979), 성보사
  35. 윤상협, "위 운동성 장애가 동반된 역류성 식도염 환자에 대한 한방단독 치험 1례", 대한한방내과학회지, 37(4), pp.669~677 (2016), 대한한방내과학회

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