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[20101124. Reflux esophagitis LA-A]

Á¡¸·°á¼Õ(mucosal break)Àº ¸Å¿ì ÀÌ»óÇÑ ¸»ÀÔ´Ï´Ù. Á¤ÀÇ´Â "an area of slough or erythema clearly demarcated from the adjacent normal appearing mucosa"ÀÔ´Ï´Ù. ±×·±µ¥ ½ÇÁ¦·Î´Â erythema¸¦ Á¡¸·¼Õ»óÀ̶ó ºÎ¸£´Â °æ¿ì´Â Àû°í ´Ùµé erosionÀ̳ª ulcer¸¦ Á¡¸·¼Õ»óÀ̶ó ºÎ¸¨´Ï´Ù.

ÀÇÇп¡´Â Ã¥¿¡ ³ª¿Â Á¤ÀÇ¿Í ½ÇÁ¦ »ç¿ëÇÏ´Â Á¤ÀÇ°¡ ÀÏÄ¡ÇÏÁö ¾Ê´Â °æ¿ì°¡ ¸¹½À´Ï´Ù. ¸Å¿ì ¸¹½À´Ï´Ù. ±× ÀÌÀ¯´Â º¹ÀâÇÕ´Ï´Ù. ±Û·Î ½á¼­ ÃæºÐÈ÷ ¼³¸íÇϱ⠾î·Æ½À´Ï´Ù. ±Ã±ÝÇϽŠºÐÀº ¿À½Ê½Ã¿À. Á¦°¡ Ä¿ÇÇ ÇÑ ÀÜ ´ëÁ¢ÇÏ°Ú½À´Ï´Ù.

¿À´ÃÀº 5mm ¹Ì¸¸ÀÇ Á¡¸·¼Õ»ó, ƯÈ÷ ¹Ì¶õÀÌ ÀÖ¾î LA-A·Î Áø´ÜÇÑ ºñ±³Àû ÀüÇüÀûÀΠȯÀÚµéÀ» ¼Ò°³ÇÕ´Ï´Ù.


»ç½Ç ¸¶Áö¸· »çÁøÀÌ LA-AÀÎÁö ¾Ö¸ÅÇÑ ±¸¼®ÀÌ ÀÖ½À´Ï´Ù. 5mm°¡ ³Ñ¾ú´ÂÁö ¾È ³Ñ¾ú´ÂÁö Àúµµ Àß ¸ð¸£°Ú½À´Ï´Ù. ¿©ÇÏÆ° LA-A·Î ÆÇ´ÜÇÏ¿´½À´Ï´Ù.


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© ÀÏ¿ø³»½Ã°æ±³½Ç ¹Ù¸¥³»½Ã°æ¿¬±¸¼Ò ÀÌÁØÇà. EndoTODAY Endoscopy Learning Center. Lee Jun Haeng.