• 제목/요약/키워드: Gastrointestinal symptoms

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GSRS에 근거한 천식증상환자 중의 소화기증상 및 과거력에 대한 조사 (GSRS(Gastrointestinal Symptom Rating Scale)-Based Investigation about Gastrointestinal Symptoms and Histories in Patients with Asthmatic Symptoms)

  • 이재성;정승연;이건영;최준용;정희재;이형구;정승기
    • 대한한의학회지
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    • 제25권1호
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    • pp.198-204
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    • 2004
  • Backgrounds & Methods : Asthma is considered to be chronic inflammatory disease characterized by airway hyperresponsiveness and pulmonary eosinophilia. Recently, there has been many researches about asthma. IBS(Irritable Bowel Syndrome), PUD(peptic Ulcer disease) and GERD(gastroesophageal reflux disease) are the most common diseases of the gastrointestinal tract. Recent studies suggest that IBS, PUD and GERD are associated with bronchial hyper-responsiveness and bronchial asthma might be more prevalent in IBS and GERD patients than in control subjects. In addition, there are many comments about the interrelationship between the gastrointestinal problem and asthma in the oriental medical books. Actually, many oriental medical doctors don$^{\circ}$Øt consider the gastrointestinal condition when they deal with the asthmatic patients these days. So, we assessed the prevalence of gastrointestinal symptoms and histories in a cohort of patients with asthmatic symptoms. We evaluated 128 outpatients with asthmatic symptoms(60 males and 68 females, aged 13-75). All subjects enrolled completed the GSRS(Gastrointestinal Symptom Rating Scale). GSRS is an interview based rating scale consisting of 15 items for assessment of gastrointestinal symptoms in IBS and PUD developed by Jan Svedlund. Results : The limit of total score of GSRS in asthmatic patients is zero to 30. The number of patients with no GI symptoms is 66(51.5%). The number of patients with GSRS>5 is 62(48.4%), GSRS>10 is 24(18.8%), GSRS>15 is 8(6.25%). The number of patients with history of gastritis is 54(42.2%), gastric ulcer is 13(10.2%), gastroptosis is 8(6.25%), IBS is 6(4.68%), others is 6(4.68%). Conclusions : This study suggests that patients with bronchial asthma have an significant prevalence of gastrointestinal symptoms. Additional studies are needed to find the mechanism of the association between gastrointestinal symptoms and asthma.

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소화기 증상을 주소로 내원한 외래환자 991명에 대한 위장관 증상 및 동반 증상 분석 (Clinical Analysis of the 991 Outpatients with Gastrointe stinal Symptoms and Extra-gastrointestinal Symptoms)

  • 나병조;최서형
    • 대한한의학회지
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    • 제33권1호
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    • pp.107-120
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    • 2012
  • Objectives: Clinically, patients with dyspepsia often complain of several gastrointestinal (GI) and extra-GI symptoms. However, there have been few studies investigating the relationship between GI symptoms and extra-GI symptoms. The aim of this study was to characterize the clinical features of the 991 outpatients with GI and extra-GI symptom and the relationships between GI and extra-GI symptoms. Methods: 991 patients newly visiting Weedahm Oriental Hospital for GI symptoms were included. Those who had disorders caused by the hepatobiliary-pancreatic system were excluded. The 991 outpatients were interviewed with a standardized questionnaire inquiring about demography, past medical history, past institutional care, GI symptoms and extra-GI symptoms. Results: Among 991 patients, 780 (78.7%) had more than three GI symptoms and 451 (45.5%) had more than five. Among 991 patients, 545 (55.0%) had more than three extra-GI symptoms and 285 (28.8%) had more than five. There was a statistically significant correlation between GI symptoms and extra-GI symptoms such as headache, fatigue, forgetfulness, eyeball pain, unrest, dizziness, muscle pain, chest pain, and dyspnea. Conclusions: We found that there was statistically significant correlation between GI symptoms and extra-GI symptoms, which suggests the possibility of main common pathophysiology between GI symptoms and extra-GI symptoms. Further studies will be required to elucidate the main common pathophysiology between GI symptoms and extra-GI symptoms.

소아·청소년의 알레르기 질환 (천식, 알레르기비염, 아토피피부염)과 기능성 위장관 질환과의 관계 (단면 조사 연구) (The Relationship between Allergic Diseases and Functional Gastrointestinal Disorders in Children and Adolescents)

  • 김민주;김덕곤;이진용
    • 대한한방소아과학회지
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    • 제28권1호
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    • pp.32-42
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    • 2014
  • Objectives The purpose of this study is to establish relationship between allergic diseases and functional gastrointestinal disorders in children and adolescents using objective criteria and questionnaires. Methods This study surveyed 237 children and adolescents who visited the department of Pediatrics of ${\bigcirc}{\bigcirc}$ Korean Medicine Hospital from September 23rd, 2013 to December 26th, 2013. The Korean version of International Study of Asthma and Allergies in Childhood (ISAAC) questionnaire and the Korean-translated Questionnaire on Pediatric Gastrointestinal Symptoms-Rome III (QPGS-Rome III) were used. We analyzed the data by using PASW Statistics 18.0 with Chi-square test, Fisher's exact test and Linear by linear association. Results There was no significant difference between prevalence of allergic diseases and functional gastrointestinal disorders. Also, there was no strong relationship between the number of allergic diseases and the functional gastrointestinal disorders. However, some parts showed significant relationships - such as asthma symptoms ever and belch; asthma symptoms last 12 months and belch; allergic rhinitis diagnosis ever and belly aches and abdominal pain around and below the belly button; allergic rhinitis treatment last 12 months and belly aches and abdominal pain around and below the belly button; and atopic dermatitis diagnosis ever and irritable bowel syndrome (respectively; p=0.046, p=0.008, p=0.004, p=0.029, p=0.035). And as the number of allergic diseases increases, the prevalence of functional gastrointestinal disorders are 19.4%, 31.3%, 41.7%, 31.0% respectively. Conclusions Although there was no significant relationship between allergic diseases and functional gastrointestinal disorders, some gastrointestinal symptoms were related to allergic diseases.

감초사심탕(甘草瀉心湯)을 이용한 위궤양 환자에서 나타난 위장관 증상 치험 1례 (A Case Report of Gastrointestinal Symptoms in Gastric Ulcer Treated with Gamchosasim-tang)

  • 김경림;정유진;김경민
    • 대한한방내과학회지
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    • 제40권5호
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    • pp.878-887
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    • 2019
  • Objective: The purpose of this case report was to report the effect of Gamchosasim-tang in patients with gastrointestinal symptoms due to gastric ulcer. Methods: We treated a patient suffering from epigastric pain, sucking sensations in the epigastrium, and nausea using Gamchosasim-tang (甘草瀉心湯) for 35 days. The patient's symptoms were charted and evaluated using a visual analogue scale (VAS) and a gastrointestinal symptom rating scale (GSRS). Results: After treatment, the symptoms related to gastric ulcer were decreased and evaluation using the VAS and GSRS showed improvement in the patient. Conclusion: This study shows that Korean medicine treatment with Gamchosasim-tang may be valuable for relieving gastric ulcer symptoms.

식간 (食癎)으로 진단된 영아기 환아 1례에 대한 증례 보고 (A Case Report of Infant Diagnosed as Sik-Gan (食癎))

  • 이은주;이보람;이지홍;장규태
    • 대한한방소아과학회지
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    • 제30권3호
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    • pp.61-68
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    • 2016
  • Objectives The purpose of this study is to report a case of one infant patient diagnosed as Sik-Gan (食癎) who was treated by Korean medical treatment. Methods We diagnosed an infant patient as Sik-Gan (食癎) and treated him with herbal medicine, acupuncture, moxa and chuna therapy while correcting his eating habit. To measure the degree of the patient's progress, the frequency and exact symptoms of seizure events, and gastrointestinal symptoms were recorded. Results Korean medical treatment reduced the patient's the frequency of seizure, and improved gastrointestinal symptoms. Conclusions A patient who has past medical history of epileptic seizures, unhealthy eating habits and gastrointestinal malfunctions is prone to have a specific form of seizure called the Sik-Gan (食癎). In this report, we have proven that variety of Korean medical treatment can considerably be effective in preventing recurring seizure events and improving the patients' gastrointestinal symptoms.

소화기 내시경실 간호사의 근골격계질환 증상, 근골격계부담작업이 프리젠티즘에 미치는 영향 (The Effects of Musculoskeletal Symptom and Burden Work on Presenteeism among Gastrointestinal Endoscopy Unit Nurses)

  • 이영주;유정옥
    • 한국직업건강간호학회지
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    • 제32권4호
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    • pp.152-163
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    • 2023
  • Purpose: This study aimed to identify the effects of musculoskeletal symptoms and burden on presenteeism among nurses in a gastrointestinal endoscopy unit. Methods: This was an observational cross-sectional study. Data were collected through self-reported questionnaires administered to 140 nurses working in the gastrointestinal endoscopy unit of a hospital located in Busan metropolitan city. Results: The body part with the most musculoskeletal symptoms was the back (73.2%), and the most common musculoskeletal burden work was "when you have to stand or maintain the same posture for a long time in a lead apron protection clothes." The factors most related to work impairment were working hours, musculoskeletal symptoms, and musculoskeletal burden, with an explanatory power of 63.3%. Factors affecting perceived productivity were working hours and musculoskeletal symptoms, with an explanatory power of 29.2 %. Conclusion: To reduce work impairment and increase the perceived productivity of nurses in gastrointestinal endoscopy units, various programs and improved working environments are needed that can improve musculoskeletal symptoms and reduce musculoskeletal burden.

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

기능성 위장관 질환 환자의 진료실에서의 영양 상담 (Nutritional Advice in Patients with Functional Gastrointestinal Disorders)

  • 강성길
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제11권sup1호
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    • pp.136-142
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    • 2008
  • In patients with functional gastrointestinal disorders, dietary factors have an important effect on the development or worsening of gastrointestinal symptoms. Therefore, nutritional advice is often needed for the treatment of these patients. Although no firm conclusions can be drawn from current studies, the use of low-fat diets can be recommended in patients with functional dyspepsia. Constipation can be treated with a high-fiber diet. There are few studies in irritable bowel syndrome patients with diarrhea. The diet recommendations must be applied to each patient depending on symptoms.

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상부위장관내시경 소견과 핵심칠정척도 단축형을 활용한 정서적 특성 연구 (A Study on Emotional Characteristics Using Upper Gastrointestinal Endoscopic Findings and The Core Seven Emotions Inventory-Short Form)

  • 김광우;고경진;한민석;강성현;강형원;유영수
    • 동의신경정신과학회지
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    • 제33권1호
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    • pp.21-31
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    • 2022
  • Objectives: To perform correlation analysis between the Core Seven Emotions Inventory-Short Form (CSEI-s), Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), upper gastrointestinal symptoms, and gastroscopic findings and to compare emotional characteristics with upper gastrointestinal endoscopic findings. Methods: In this study, medical records of 38 participants who visited the hospital for examination purposes or complained upper gastrointestinal symptoms and completed the CSEI-s, BAI, BDI, and Questionnaire for upper gastrointestinal symptoms were analyzed using SPSS (Statistical Package for the Social Sciences) version 25.0. Frequency Analysis, Descriptive Analysis, Independent t-test, Mann-Whitney's U-test, and Correlation analysis were performed. Results: The upper gastrointestinal symptom group showed higher levels of anger, sorrow, depression, and anxiety than the asymptomatic group. On gastroscopy, the normal group had higher levels of Joy than the abnormal group. The reflux esophagitis group showed higher levels of thought, depression, sorrow, and anxiety than the non-reflux esophagitis group. Joy showed a negative correlation with BDI score. However, anger, depression, sorrow, BAI, and BDI score showed positive correlations. Conclusions: Results of this study suggest that CSEI-s can be used to treat patients with upper gastrointestinal symptoms and reflux esophagitis.

고등학생의 소화기계 증상에 따른 건강습관과 스트레스 및 감정표현불능증 비교 (Comparison of Health Habits, Stress and Alexithymia)

  • 정은숙;심문숙
    • 디지털융복합연구
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    • 제10권8호
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    • pp.249-256
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    • 2012
  • 본 연구는 소화기계 증상을 가진 고등학생과 소화기계 증상이 없는 고등학생의 건강습관, 스트레스정도 및 감정표현불능증을 비교 분석하고자 시도하였다. 인문계 고등학생 1,201명을 대상으로 구조화된 설문지를 통하여 일반적 특성, 건강습관, 스트레스 정도 및 감정표현불능증에 관하여 자료수집을 하였으며, SPSS통계 프로그램을 이용하여 분석하였다. 연구결과, 증상군과 비증상군의 건강습관별 비교에서는 운동 습관이 유의한 차이를 보였으며, 소화기계 증상군과 비증상군의 건강습관, 스트레스 정도 및 감정표현불능 정도 비교에서는 건강습관은 유의한 차이가 없었고, 스트레스와 감정표현불능정도는 유의한 차이를 나타냈다. 연구결과를 통해 소화기계 증상을 호소하는 학생들에 대한 건강습관, 스트레스 정도를 평가하고, 올바른 건강습관 지도와 스트레스 대처법 및 적절하게 의사소통하고 감정표현을 할 수 있도록 하는 건강증진 프로그램 개발 및 운영이 요구된다.