계명대학교 의학도서관 Repository

흉통을 호소하는 호두까기 식도증과 비특이성 식도 운동질환에서의 위식도역류

Metadata Downloads
Author(s)
정우진강영우
Alternative Author(s)
Chung, Woo JinKang, Young Woo
Publication Year
1998
Abstract
Background/Aims: The aim of this study was to evaluate gastroesophageal reflux in nutcracker esophagus (NE) and nonspecific esophageal motility disorder (NEMD) with chest pain. Methods: The study population (31 patients) was divided into 2 groups; 18 patients with NE and 13 patients with NEMD. We performed 24hr pHmetry and Bernstein test for all patients. Results: In NE group, there was no case (0%) in which time percentage staying under pH 4 was higher than 5.78%. In 2 case(11.1%), DeMeester score was over 14.7. There were 2 cases (11.1%) in which Symptom Iridex (SI) was over 25%, One case (5.5%) showed that Symptom Sensitivity Index (SSI) was over 5%, and three cases (16.6%) showed positivity in Bernstein test. We found gastroesophageal reflux in 7 cases (38.8%) which was positive in any of 5 criteria. In NEMD group, there was one case (7.1%) in which time percentage staying under pH4 wns higher than 5.78%. In one case (7.1%), DeMeester score was over 14.7. There were 3 cases (23.1%) in which SI was over 25%. Two cases (14.3%) showed that SSI was over 5%, and 6 cases (46.2%) showed positivity in Bernstein test. We found gastroesophageal reflux in 8 cases (57.1%) which was positive in any of 5 criteria. Conclusions: We found the presence of gastroesophageal reflux in NE (38.8%) and NEMD (57.1%). This results raay contribute to understand pathophysiology and treatment of both NE and NEMD.
목적: 흉통을 호소하는 호두까기 식도증과 비특이성 식도 운동질환 환자에서 위식도역류를 평가하고자 하였다. 대상 및 방법: 게명대학교 동산의료원에 흉동을 주소로 내원하여 식도 내압 검사에서 진단된 호두까지 식도증 환자 18예와 비특이성 식도 운동질환 환자 13예에서 24시간 식도 내압 검사와 Bernstein 검사를 시행하였다. 결과: 호두까기 식도증 환자 18예 중 pH 4 이하인 시간의 백분율이 5.78% 이상이 0예(0%), DeMeester 점수 14.7 이상이 2예(11.1%), 증상 지수 25% 이상이 2예(11.1%), 증상 민감지수 5% 이상이 1예(5.5%), Bernstein 검사 양성이 3예(16,6%)이었으며 5가지 인자 중 하나라도 만족하여 위식도역류가 있는 것으로 판정된 경우가 7예(38.8%)이었다. 비특이성 식도 운동질환 환자 13예 중 pH 4 이하인 시간의 백분율이 5.78% 이상이 1예(7.1%), DeMeester 점수 14.7 이상이 1예(7.1%), 증상지수 25% 이상이 2예(14.3%), Bernstein 검사 양성이 4예(28.8%)이며 5가지 인자 중 하나라도 만족하여 위식도역류가 있는 것으로 판정된 경우가 8예(57.1%)이었다. 결론: 흉통을 호소하는 호두까기 식도증과 비특이성 식도 운동질환 환자에서 위식도역류의 존재를 확인하였으며 이는 이 질환의 병태생리와 치료에 도움을 주리라고 생각된다.
Alternative Title
Gastroesophageal Reflux in Nutcracker Esophagus and Nonspecific Esophageal Motility Disorder with Chest Pain
Department
Dept. of Internal Medicine (내과학)
Publisher
School of Medicine
Citation
Korean Journal of Gastroenterology, Vol.32(5) : 571-578, 1998
Type
Article
ISSN
1598-9992
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/39077
Authorize & License
  • AuthorizeOpen
Files in This Item:

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.