• 제목/요약/키워드: gastrointestinal disturbance

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기능성 위장장애를 동반한 공황장애 환자 치험 1례 (A Case Report of Panic Disorder with Functional Gastrointestinal Disturbance)

  • 류기준;김지형;한창;박종훈;권승로
    • 동의신경정신과학회지
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    • 제20권2호
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    • pp.187-196
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    • 2009
  • Objectives : This study was performed to report the effect of oriental treatments for panic disorder with functional gastrointestinal disturbance. Methods : In this case, a 30 year-old female patient has been suffered by panic disorder with functional gastrointestinal disturbance for 10 years. This case can be caused by KanKiUlKyul(肝氣鬱結), KanKiBeomYi(肝氣犯胃) and KanKiSeungBi(肝氣乘脾). We treated the patient with Herbal medication, Cognitive-behavioral therapy and Relaxation therapy. The effects of treatment were measured by GSRS(Gastrointestinal Symptom Rating Scale), BPI(Brief Pain Inventory) and VAS(Visual Analog Scale) Results : As a result of oriental treatments, the symptoms of Panic Disorder with Functional Gastrointestinal Disturbance was improved. Conclusions : These results suggest that oriental treatments have an effect on Panic Disorder with Functional Gastrointestinal Disturbance.

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위장관 기능 장애 환자 치험 1례 (Clinical study on 1 case of Functional Gastrointestinal Disturbance)

  • 손지영;윤효진;이성근;이기상
    • 동의생리병리학회지
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    • 제20권5호
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    • pp.1369-1373
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    • 2006
  • This study was aimed to evaluate the effect of Herbal medicine on gastrointestinal symptoms. After the patient was treated with Banhabakchulchunma-tang, Samchulkunbi-tang and Geranil Herba, and the changes in gastrointestinal symptoms were evaluated for the treatment efficacy every five day. The symptoms improved significantly. Herbal medicine is useful for the treatment with gastrointestinal disturbance patient

설문을 통한 여성 기능성 위장장애 환자의 경향과 한방치료 효과에 대한 연구 (A Questionnaire Analysis about the Female Patients with Functional Gastrointestinal Disturbance and Effect of Oriental Medical Treatment)

  • 이수정;김효진;한현영;이수영;김종환;김원일
    • 대한한의정보학회지
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    • 제15권2호
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    • pp.101-113
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    • 2009
  • Objectives: Nowadays, the number of patients having the Functional Gastrointestinal Disturbance has been on the rise and this tendency is clear in the female group. This study is aimed to investigate their cause of disease, dietary lifestyle, digestion functions, general symptoms and any disadvantages in daily lives etc. Also, it would suggest any effective results from oriental medical treatments. Methods: The total number of 20 female patients, who have been participated in this study, have been treated at Oriental Internal Medicine, Dong-eui Hospital. We have performed the survey with 50 questionnaires. Results: Most patients were having dyspepsia and had been treated more than once before the survey. The major cause of their disease includes irregular eating habits(p<0.05) and stressful mental conditions. The patients had suffered much disadvantages in daily lives and different symptoms. Specially, pain in the below of stomach pit and early satiation were common.(p<0.05) However, the Discomfort index of patients has been decreased from 9.22 point to 2.85 point after oriental medical treatment. It means this treatment has meaningful effectiveness to the Functional Gastrointestinal Disturbance patients. Conclusion: We have investigated the features of female patients with Functional Gastrointestinal Disturbance and conclude that the Oriental Medical Treatment is effective to them.

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Gastric Emptying Time을 이용한 기능성 소화기장애환자의 Clebopride Malate에 의한 효능 측정 (The Observation of Clebopride Malate Effect on Funchional Gastrointestinal Disease by Use of Gastric Emptying Time)

  • 최수봉;권경순;윤성철;정문관;김종설
    • Journal of Yeungnam Medical Science
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    • 제4권1호
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    • pp.59-63
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    • 1987
  • 1. 기능성 소화기 장애증상이 있고 GET의 지연을 보였던 환자들의 GET 평균치는 22.49분으로 정상군 9.6분보다 유의하게 증가되어 있었으며 이를 환자수는 44명으로 88%에 해당하였다. 2. GFT지연군 15명에게 1단간 Cleboril을 투이한 결과 유의한 GET단축이 관찰되었으며 이중 11명(73%)에서는 현저한 단축소견이 있었다. 3. 기능성 소화기 장애증상을 호소하는 환자에서의 GET측정은 건강염려환자를 선별하는데 유용할 뿐만 아니라 간기능검사, 상부위상관, X-선촬영, 위내시경검사 및 경구담낭조영술 등에서 정상으로 확인된 환자에서 잠복된 소화기성 질환을 발견하는데도 유용하게 이용될 수 있을 것으로 사료된다.

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내과 환자의 입원후 영양상태 변화 연구 (Changes in Nutritional Status of General Medical Patients During Hospitalization)

  • 양영희;최스미;김은경
    • 대한간호학회지
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    • 제27권1호
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    • pp.49-60
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    • 1997
  • The purpose of this study was to determine the incidence of malnutrition among patients on admission to hospital, to monitor changes in their nutritional status during hospitalization, and to determine the factors which might affect changes in nutritional status. The subjects for the study were patients who were admitted to general medicine for more than one week. Patients suffering from cardiovascular. renal disease, or dehydration were excluded. Nutritional assessment of the patients was performed on admission and nutritional status was reassessed one week and two weeks after admission. The nutritional assessment tool consisted of subjective history taking and anthropometric measurements. Biochemical measurements were performed only on admission. For anthropometric assessment : patients' body weight, subcutaneous skinfolds thickness, % of body fat, body mass index, and lean body mass were measured using caliper or Bio impedance Analyzer. Factors which might influence current nutritional status, like dietary intake, anorexia, nausea, vomiting, diarrhea, sleep disturbance, and number of days of NPO for diagnostic examinations were analyzed. The results are as follows : 1. Of the 59 patients who were studied, 61% were male and 39% female. The nutritional status of all of the 59 subjects was reassessed one week after admission, but it was only done for 22 subjects at two weeks. 2. The anthropometric measurements. including weight body mass index, lean body mass, body fat. and skin fold thickness. were all significantly decreased at one week after admission compared to the values at admission. On the other hand, two weeks after admission, only body weight and abdominal skinfolds thickness were decreased. 3. The subjects reported anorexia for an average of two days, sleep disturbance for two days, and no food intake due to diagnostic test for one day. In the second week of hospitalization, almost none of the patients complained of gastrointestinal symptoms or sleep disturbance except anorexia. Food consumption which was measured based on rice intake was 60% of the food served during the first week of hospitalization, and 66% during the second week of hospitalization. 4. There was no correlation between the subjective nutritional assessment and anthropometric assessment. 5. There was no statistical significance in anthropometric measurements among the patients with various diseases whereas sleep disturbance and no food intake due to various diagnostic test was prominent in patients with gastrointestinal diseases.

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과민성장증후군 환자의 정전가미이진탕(正傳加味二陳湯) 투여(投與) 1례(例) (One Case of Irritable Bowel Syndrome Patient Treated With Jengjengamiyijin-tang (Zhengchuanjiaweierchen-tang))

  • 김회영;남효익;손현수;박상무
    • 대한한의학방제학회지
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    • 제15권2호
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    • pp.179-186
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    • 2007
  • The irritable bowel syndrome(IBS) is the most common gastrointestinal disorder in clinical practice and is characterized by abdominal pain associated with a chronic disturbance of defecation. The subject is a-69-year-old man who has abdominal pain, chronic diarrhea. anorexia. general weakness and has been diagnosed as irritable bowel syndrome. We diagnosed this patient as the Gastrointestinal Phlegm(食痰) and prescribed Jengjengamiyijin-tang (Zhengchuanjiaweierchen-tang). In the result, we had improvement of his symptoms.

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만성 위장장애를 호소하는 히스테리성 성격의 여자 (A Case of Woman with Histrionic Personality who Suffered from Chronic Gastrointestinal Dysfunction)

  • 송지영
    • 정신신체의학
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    • 제1권1호
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    • pp.101-108
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    • 1993
  • A case of a 38 year-old woman with histrionic personality who had chronic epigastric pain, dyspepsia and alternating bowel habit for more than 10 years was presented in detail on its course of two times of admission and follow-up. The diagnosis was thought as psychophy-siological disorder or gastrointestinal motility disorder of undefined etiology rather than hypo-chondriasis or Briquet's syndrome. She was characterized by sustained illness behavior and combined several physical illnesses. i.e. tuberculosis. anemia and hepatic stone. These physical diseases led to a blurring of psychological and physical boundaries regarding symptom formation. The points on consultation from medical part to psychiatric department were discussed and the supposed causal mechanisms in non-organic functional gastrointestinal disturbances were also reviewed. Physical and psychological modalities for the treatment and the abnormal illness behavior were mainly emphasized in this case.

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대동맥장루 -1예 보고- (Aortoenteric Fistula - A Report of a Case -)

  • 김성수
    • Journal of Chest Surgery
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    • 제22권5호
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    • pp.823-828
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    • 1989
  • Aortoenteric fistula is an uncommon important complication of aortic reconstruction with a prosthetic graft. The complication often is difficult to diagnose and is associated with poor prognosis. Aortoenteric fistula could be divided into true aortoenteric fistula and paraprosthetic-enteric fistula. In case of true aortoenteric fistula, an actual communication between the gastrointestinal tract and the aortic lumen is present. So, massive gastrointestinal hemorrhage is the presenting manifestation. In paraprosthetic-enteric fistula, characterized by communication between the gastrointestinal tract and the external surface of synthetic vascular prosthesis without actual fistularization into the vascular lumen, the predominant clinical manifestation were sepsis, fever and anemia. We experienced one case of paraprosthetic-enteric fistula in a 16 years old male after abdominal aortic reconstruction with a prosthetic graft. The interval from the operation to onset of symptoms was 40 months. The initial clinical manifestation was sepsis, fever and anemia without massive gastrointestinal hemorrhage. Surgical treatment consists of complete excision of infected graft, two layers closure of jejunal wall defect and pledgets suture of aortic stump with surrounding health tissue. Anatomic revascularization was not able to be done: because of extensive retroperitoneal inflammation and extraanatomic revascularization did not performed due to adequate distal blood supply through rich collateral circulation. After operation, he complained numbness on left foot on moderate exertion and felt coldness on left leg compared with right leg but not showed skin color change. 43 days after operation, he discharged without gait disturbance except numbness on left foot on moderate exertion.

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Severe Gastrointestinal Hemorrhage in a Child after Taking an Improper Oral Rehydration Solution

  • Chung, Chanyoung;Park, Ji Sook;Seo, Ji-Hyun;Youn, Hee Shang
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제23권4호
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    • pp.405-410
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    • 2020
  • Oral rehydration solution (ORS) is safe and effective for the prevention and treatment of dehydration in children. It has been commercially available as a small packaging unit that needs to be taken with a specified amount of water. Intake of incorrectly formulated ORS results in side effects, such as electrolyte imbalance and upper gastrointestinal (GI) disturbance. We experienced a case of severe GI hemorrhage from gastric and duodenal ulcers in a previously healthy child following intake of incorrectly formulated ORS. GI hemorrhage in children is often life threatening and reaching a diagnosis may be challenging. Commercially manufactured packets of powdered oral rehydration salts have been widely used and GI hemorrhage associated with an improperly diluted ORS has been rarely reported. Caution and education for proper preparation of ORS are imperative.

미국 자리공 (Phylolacca americana, pokeweed) 중독으로 의식변화 및 복통 증상을 호소한 2례 (Two Cases of Phytolacca Americana Intoxication with Confusion and Abdominal Cramping)

  • 김양원;윤유상;김미란;박상훈;최준철
    • 대한임상독성학회지
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    • 제6권2호
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    • pp.146-148
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    • 2008
  • Phytolacca americana poisoning is a benign plant intoxication that causes gastrointestinal symptoms, including abdominal cramps, vomiting, diarrhea, and gastrointestinal bleeding. Other signs and symptoms include diaphoresis, salivation, visual disturbance, and seizures or mental changes. We report two cases of patients who experienced confusion and abdominal pain, vomiting, and hematemesis after oral ingestion of pokeweed. A 60-year-old female with confusion and a 67-year-old female with abdominal pain, vomiting, and diarrhea were admitted to the emergency department after pokeweed poisoning. After supportive treatment of hydration and gastrointestinal medication, the two patients showed full recovery within 24 h and were discharged from the hospital.

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