Journal of Physiology & Pathology in Korean Medicine (동의생리병리학회지)

The Physiological Society of Korean Medicine and The Society of Pathology in Korean Medicine (대한동의생리학회·한의병리학회)
권호 표지

Changes in Multi-channel Electrogastrography after Acupuncture Treatmet in Patients with Functional Dyspepsia

기능성 소화불량증 환자에서 침구 처치 후 다채널 위전도 소견의 변화

  • Kim, Yoo-Seung (3rd Department of Internal Medicine, College of Oriental Medicine, Kyunghee University) ;
  • Ryu, Bong-Ha (3rd Department of Internal Medicine, College of Oriental Medicine, Kyunghee University) ;
  • Kim, Jin-Sung (3rd Department of Internal Medicine, College of Oriental Medicine, Kyunghee University) ;
  • Hong, In-A (3rd Department of Internal Medicine, College of Oriental Medicine, Kyunghee University) ;
  • Park, Young-Sun (3rd Department of Internal Medicine, College of Oriental Medicine, Kyunghee University) ;
  • Jung, Yong-Jae (3rd Department of Internal Medicine, College of Oriental Medicine, Kyunghee University) ;
  • Oh, Seung-Whan (3rd Department of Internal Medicine, College of Oriental Medicine, Kyunghee University) ;
  • Han, Ga-Jin (3rd Department of Internal Medicine, College of Oriental Medicine, Kyunghee University)
  • 김유승 (경희대학교 한의과대학 비계내과학교실) ;
  • 류봉하 (경희대학교 한의과대학 비계내과학교실) ;
  • 김진성 (경희대학교 한의과대학 비계내과학교실) ;
  • 홍인아 (경희대학교 한의과대학 비계내과학교실) ;
  • 박영선 (경희대학교 한의과대학 비계내과학교실) ;
  • 정용재 (경희대학교 한의과대학 비계내과학교실) ;
  • 오승환 (경희대학교 한의과대학 비계내과학교실) ;
  • 한가진 (경희대학교 한의과대학 비계내과학교실)
  • Received : 2009.11.16
  • Accepted : 2010.01.11
  • Published : 2010.02.25
Download PDF
⟨ Previous Next ⟩

Abstract

The aim of this study was to investigate the effects of traditional Korean medical therapy in patients with functional dyspepsia evaluted using multi-channel electrogastrography. Before the treatment, the EGG of 14 outpatients (male 3, female 11) with functional dyspepsia were recorded and their dominant frequency(DF), percentage of gastric slow waves, percentage of Power ratio, and percentage of slow wave couplings were analysed. For 8 weeks, the patients received acupuncture treatment. After 8 weeks, EGG was rechecked and compared with the previous data. After treatment, normogastria was significantly increased in channel 1 and channel 3($53.70{\pm}18.94$% vs $72.64{\pm}15.49$% in channel 1, P<0.05; $79.74{\pm}18.09$ vs $90.86{\pm}8.86$ in channel 3, P<0.05). arrythmia was significantly decreased in channel 3($14.34{\pm}15.21$ vs $5.93{\pm}6.90$, P<0.05). The patients who had less severe decrease in EGG indexes showed improvement of those indexes through 8 weeks of outpatient care. EGG channel 3 was shown to be the most adequate standard of evaluation. But there was no significant improvement in slow wave coupling rate which is a new index of multichannel EGG.

Keywords

References

  1. Tack, J., Talley, N.J., Camilleri, M., et al. Functional gastroduodenal disorders. Gastroenterology 130: 1466, 2006. https://doi.org/10.1053/j.gastro.2005.11.059
  2. 허 준. 동의보감. 서울, 남산당, pp 262-270, 274-277, 428-443, 460-467, 1991.
  3. 전국한의과대학 비계내과학교수 공저. 비계내과학. 서울, 군자출판사, p 19, 2008.
  4. Talley, N.J., Silverstein, M.D., Agreus, L., Nyren, O., Sonnenberg, A., Holtmann, G. AGA technical review: evaluation of dyspepsia. Gastroenterology. 114(3):582-595, 1998. https://doi.org/10.1016/S0016-5085(98)70542-6
  5. Malagelada, J.R., Stanghellini, V. Manometric evaluation of functional upper gut symptoms. Gastroenterology. 88: 1223-1231, 1985. https://doi.org/10.1016/S0016-5085(85)80083-4
  6. Alvarez, W.C. The electrogastrogram and whay is shows. JAMA. 78: 1116-1118, 1922. https://doi.org/10.1001/jama.1922.02640680020008
  7. Sha, W., Pasricha, P.J., Chen, J.D. Rhythmic and spatial abnormalities of gastric slow waves in patients with functional dyspepsia. J Clin Gastroenterol. 43(2):123-129, 2009. https://doi.org/10.1097/MCG.0b013e318157187a
  8. Chen, K., McCallum, R.W. Electrogastrography : measurement, analysis, and prospective applications. Med Biol Eng Comput. 29(4):339-350, 1991. https://doi.org/10.1007/BF02441653
  9. Simonian, H.P., Panganamamula, K., Chen, J.Z., Fisher, R.S., Parkman, H.P. Multichannel electrogastrography (EGG) in symptomatic patients: a single center study. Am J Gastroenterol. 99(3):478-485, 2004. https://doi.org/10.1111/j.1572-0241.2004.04103.x
  10. 유종민, 윤상협, 장선영, 김현경, 이준석, 엄국현 외 4인. 한방치료가 기능성 소화불량증 환자의 위전도 소견이 미치는 효과. 대한한방내과학회지 26(2):360-368, 2005.
  11. Koch, K.L., Stern, R.M., Stewart, W.R., Vasey, M.W. Gastric emptying and gastric myoelectrical activity in patients with diabetic gastroparesis: effect of long-term domperidone treatment. Am J Gastroenterol. 84(9):1069-1075, 1989.
  12. 이광재, 김진흥, 함기백, 김영수, 조성원. 위전도검사로 측정된 지표들의 재현성. 대한소화기학회지 33: 735-740, 1999.
  13. Koch, K.L., Stewart, W.R., Stern, R.M. Effect of barium meals on gastric electromechanical activity in man. A fluoroscopic-electrogastrographic study. Dig Dis Sci. 32(11):1217-1222, 1987. https://doi.org/10.1007/BF01296369
  14. Wang, Z.S., Elsenbruch, S., Orr, W.C., Chen, J.D. Detection of gastric slow wave uncoupling from multi-channel electrogastrogram: validations and applications. Neurogastroenterol Motil. 15(5):457-465, 2003. https://doi.org/10.1046/j.1365-2982.2003.00430.x
  15. Hamilton, J.W., Bellahsene, B.E., Reichelderfer, M., Webster, J.G., Bass, P. Human electrogastrograms. Comparison of surface and mucosal recordings. Dig Dis Sci. 31(1):33-39, 1986. https://doi.org/10.1007/BF01347907
  16. Familoni, B.O., Bowes, K.L., Kingma, Y.J., Cote, K.R. Can transcutaneous recordings detect gastric electrical abnormalities? Gut. 32(2):141-146, 1991. https://doi.org/10.1136/gut.32.2.141
  17. Abell, T.L., Malagelada, J.R. Glucagon-evoked gastric dysrhythmias in humans shown by an improved electrogastrographic technique. Gastroenterology. 88(6):1932-1940, 1985. https://doi.org/10.1016/0016-5085(85)90022-8
  18. Chen, J.D., McCallum, R.W. Clinical applications of electrogastrography. Am J Gastroenterol. 88(9):1324-1336, 1993.
  19. Chen, J.D., Zou, X., Lin, X., Ouyang, S., Liang, J. Detection of gastric slow wave propagation from the cutaneous electrogastrogram. Am J Physiol. 277(2 Pt 1):G424-430, 1999.
  20. 오달석, 최준용, 정소영, 신미숙, 김애란, 강경원 등. 위장 비율동성 당뇨환자에서 足三里(ST36) 전침처치의 위전도 조절 영향 사례군 연구. 대한침구학회지 25(4):95-103, 2008.
  21. 대한침구학회 교재편찬위원회. 침구학 하. 경기도, 집문당, p 294, 2008.
  22. 대한침구학회 교재편찬위원회. 침구학 중. 경기도, 집문당, pp 132-133, 2008.
  23. 유종민, 윤상협, 장선영, 김현경, 이준석, 엄국현 등. 한방치료가 기능성 소화불량증 환자의 위전도 소견에 미치는 효과. 대한한방내과학회지 26(2):360-368, 2005.
  24. Parkman, H.P., Hasler, W.L., Barnett, J.L., Eaker, E.Y. Electrogastrography: a document prepared by the gastric section of the American Motility Society Clinical GI Motility Testing Task Force. Neurogastroenterol Motil. 15(2):89-102, 2003. https://doi.org/10.1046/j.1365-2982.2003.00396.x
  25. 홍상선, 윤상협, 임중화, 한숙영, 박석규, 김진성 등. 胃麻痺患者에 대해 위전도 검사로 韓方治療 效果를 확인한 治驗 1例. 대한한방내과학회지 23(3):519-527, 2002.
  26. Lu, C.L., Chen, C.Y., Chang, F.Y., Kang, L.J., Lee, S.D., Wu, H.C., et al. Impaired postprandial gastric myoelectrical activity in Chinese patients with nonulcer dyspepsia. Dig Dis Sci. 46(2):242-249, 2001. https://doi.org/10.1023/A:1005684328217
  27. Oba-Kuniyoshi, A.S., Oliveira Jr., J.A., Moraes, E.R., Troncon, L.E. Postprandial symptoms in dysmotility-like functional dyspepsia are not related to disturbances of gastric myoelectrical activity. Braz J Med Biol Res. 37(1):47-53, 2004. https://doi.org/10.1590/S0100-879X2004000100007
  28. Edelbroek, M., Schuurkes, J., De Ridder, W., Horowitz, M., Dent, J., Akkermans, L. Effect of cisapride on myoelectrical and motor responses of antropyloroduodenal region during intraduodenal lipid and antral tachygastria in conscious dog. Dig Dis Sci. 40(4):901-911, 1995. https://doi.org/10.1007/BF02064998
  29. You, C.H., Chey, W.Y., Lee, K.Y., Menguy, R., Bortoff, A. Gastric and small intestinal myoelectric dysrhythmia associated with chronic intractable nausea and vomiting. Ann Intern Med. 95(4):449-451, 1981. https://doi.org/10.7326/0003-4819-95-4-449
  30. Chen, J.D., Lin, Z., Pan, J., McCallum, R.W. Abnormal gastric myoelectrical activity and delayed gastric emptying in patients with symptoms suggestive of gastroparesis. Dig Dis Sci. 41(8):1538-1545, 1996. https://doi.org/10.1007/BF02087897