• 제목/요약/키워드: reflux

검색결과 897건 처리시간 0.026초

방광요관역류 환아의 무증상 형제 자매의 역류 빈도 조사 (Incidence of Vesicoureteral Reflux in Asymptomatic Siblings of Patients with Reflux)

  • 김종식;구자욱
    • Clinical and Experimental Pediatrics
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    • 제45권12호
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    • pp.1540-1545
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    • 2002
  • 목 적 : 방광요관역류는 국외의 연구에 의하면 가족력이 중요하며 무증상 형제 자매에서의 방광요관역류 발생빈도가 26-51%의 높은 빈도로 보고되고 있고 역류성 신병증, 소아 고혈압, 만성 신부전으로 진행될 수 있으므로 선별검사의 중요성이 강조되어 왔는데 우리나라 소아에서도 무증상 형제 자매의 방광요관역류 빈도를 조사하여 선별검사의 근거를 제시하고자 본 연구를 시행하였다. 방 법: 인제대학교 의과대학 상계백병원에 내원하여 방광요관역류로 진단받은 환아 중 VCUG 검사에 동의한 28명의 무증상 형제 자매를 대상으로 하였고 방광요관역류 환아의 무증상 형제 자매 중 VUR로 진단받은 형제 자매는 모두 DMSA 신스캔을 시행하였다. 결 과 : VUR로 진단받은 환아는 총 28명이고 남아 14 명, 여아 14 명, 나이는 1개월에서 8년 5개월로 평균 2.7세였다. VCUG 검사에 동의한 무증상 형제 자매는 총 28명으로 남아 17명, 여아 11명, 나이는 2개월에서 7년 5개월로 평균 3.3세였다. VUR로 진단된 환아 28명 중 20례에서 신손상이 있어 전체적으로 71.4%의 신손상의 빈도를 보였다. 무증상 형제 자매 28명 중 VCUG 검사상 VUR로 진단된 형제 자매는 3명으로 10.7%의 VUR 발생빈도를 보였고 DMSA 신스캔 상 이상이 발견된 경우는 1명이였다. 결 론 : 방광요관역류 환아의 무증상 형제 자매에서 역류빈도는 10.7%로 조사되어 방광요관역류의 위험인자로서 가족력이 중요함을 제시해주고 있으며 방광요관역류의 가족선별검사의 근거를 확립하기 위해서 앞으로 더 많은 연구가 시행되어야 하겠다.

더덕 에탄올추출물의 항산화효과 (Antioxidant Activity of Ethanol Extract from $D\breve{o}d\breve{o}k$(Codonopsis lanceolata))

  • 맹영선;박혜경
    • 한국식품과학회지
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    • 제23권3호
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    • pp.311-316
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    • 1991
  • 본 실험에서는 더덕 에탄올추출물의 항산화효과를 검토하고자 수소공여능과 과산화물가 및 TBA가를 측정하여 비교하였다. 더덕 에탄올추출물의 항산화효과는 추출방법에 따라 약간의 차이가 있었고, 가열추출한 경우에는 추출물의 수율이 높고 갈변반응물질이 생성되어 함께 추출되었다. 수소공여능을 측정한 결과, ginseng reflux extract(GSRE) $d\bar{o}d\bar{o}k$ reflux extract(CDRE) $d\bar{o}d\bar{o}k$ reflux extract(WDRE) $d\bar{o}d\bar{o}k$ cold extract(CDCE) $d\bar{o}d\bar{o}k$ cold extract(WDCE)의 순으로 산더덕 상온추출물의 수소공여능이 가장 켰으며, 가열추출한 경우 수소공여능은 떨어지는 것으로 나타났다. 한편, 유지에 대한 항산화효과는 대두 유기질의 경우 BHA

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Endoscopic radiofrequency Stretta therapy reduces proton pump inhibitor dependency and the need for anti-reflux surgery for refractory gastroesophageal reflux disease

  • Abraham Joel;Alakh Konjengbam;Yirupaiahgari Viswanath;Georgios Kourounis;Emily Hammond;Helen Frank;Shivani Kuttuva;Simon Mbarushimana;Hena Hidayat;Srivishnu Thulasiraman
    • Clinical Endoscopy
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    • 제57권1호
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    • pp.58-64
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    • 2024
  • Background/Aims: Radiofrequency treatment of the gastroesophageal junction using the Stretta procedure for treating gastroesophageal reflux disease (GERD) is observed to improve the symptoms and proton pump inhibitor (PPI) dependence and reduce the need for anti-reflux operations. As one of the largest studies in Europe, we evaluated the clinical outcomes of Stretta in patients with medically refractory GERD. Methods: A tertiary UK center evaluated all patients with refractory GERD who underwent Stretta between 2014 and 2022. Patients and primary care professionals were contacted to obtain information regarding the initiation of PPI and reintervention after Stretta. Results: Of the 195 patients (median age, 55 years; 116 women [59.5%]) who underwent Stretta, PPI-free period (PFP) data were available for 144 (73.8%) patients. Overall, 66 patients (45.8%) did not receive PPI after a median follow-up of 55 months. Six patients (3.1%) underwent further interventions. The median PFP after Stretta was 41 months. There was a significant negative correlation between PFP and age (p=0.007), with no differences between sexes (p=0.96). Patients younger than 55 years of age had a longer PFP than their older counterparts (p=0.005). Younger males had a significantly longer PFP than older males (p=0.021). However, this was not observed in the female cohort (p=0.09) or between the younger men and women (p=0.66). Conclusions: Our findings suggest that Stretta is a safe and feasible option for treating refractory GERD, especially in younger patients. It prevents further anti-reflux interventions in most patients and increases the lead-time to surgery in patients with refractory GERD.

RELAP5 Analysis of a Condensation Experiment in an Inverted U-tube

  • Park, Chul-Jin;Lee, Sang-Yong
    • 한국원자력학회:학술대회논문집
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    • 한국원자력학회 1995년도 추계학술발표회논문집(1)
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    • pp.383-388
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    • 1995
  • Two-phase transient phenomena in the noncondensable gas-filled closed loop was investigated numerically using the RELAP5/MOD3 version 3.1 computer code. The condensation heat transfer correlation for noncondensable gases was studied in detail. Two modes of the reflux condensation which can be characterized by countercurrent flow of steam and its condensed water and the oscillatory between reflux condensation and natural circulation were predicted well. However, the natural circulation mode which the condensed water carried over the U-bend concurrently with steam was failed to predict.

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식도 아칼라지아의 외과적 치료 (Surgical Management of Esophageal Achalasia)

  • 김주현
    • Journal of Chest Surgery
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    • 제20권4호
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    • pp.745-750
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    • 1987
  • 30 case of achalasia treated by modified Heller`s myotomy at the department of thoracic surgery of Seoul National University Hospital from 1965 to 1987 were analyzed. Preoperative Symptoms were alleviated completely or partially in 90% of the 30 patients who were available for follow up study [average: 3.6 years]. Excellent or good results were achieved in 83.3% of patients. Only two of the poor results were due to reflux esophagitis. It is concluded that an antireflux procedure is not routinely necessary to prevent postoperative reflux esophagitis if the technique of espohagomyotomy is used properly.

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위식도역류질환의 수술 (Antireflux Surgery)

  • 나국주
    • 대한기관식도과학회지
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    • 제16권2호
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    • pp.105-108
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    • 2010
  • The prevalence of gastroesophageal reflux disease(GERD) has been increased recently in Korea. Most patients who have GERD are well treated by medication. But patients who have suboptimal disease control under medical therapy are needed further treatment. Nowadays minimally invasive surgery using laparoscopy and thoracoscopy has become popular in the operation of GERD although antireflux surgery is vary. Antireflux surgery is a well-documented, effective therapeutic alternative to control GERD.

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세포교정영양요법(OCNT)을 이용한 장상피화생 환자 개선 사례 연구 (Case Study of an Atrophic Gastritis Patient Undergoing Ortho-Cellular Nutrition Therapy (OCNT))

  • 천능수
    • 셀메드
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    • 제13권11호
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    • pp.40.1-40.6
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    • 2023
  • Objective: Case report on the improvement of intestinal metaplasia through ortho-cellular nutrition therapy. Methods: A Korean woman in her 50s who is suffering from bloating, abdominal distension and frequent eructation after meals. Results: Symptoms improved one year after the introduction of nutrition therapy, and patient was diagnosed as fully recovered from reflux esophagitis, atrophic gastritis, and intestinal metaplasia through gastroscopy. Conclusion: In patients with complex gastrointestinal problems, the application of nutrition therapy may help improve and treat symptoms.

Laryngopharyngeal Reflux

  • 정성민
    • 대한음성언어의학회:학술대회논문집
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    • 대한음성언어의학회 2006년도 제25회 학술대회
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    • pp.164-164
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    • 2006
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