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[GERD TODAY 022. Polyp with triangle-shape mucosal break]

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[2018-8-4. ¾Öµ¶ÀÚ Áú¹®]

±³¼ö´Ô ¾È³çÇϽʴϱî? °Ç°­°ËÁø À§³»½Ã°æÀ¸·Î ¿ª·ù¼º½Äµµ¿° ¼Ò°ßÀÌ º¸ÀÔ´Ï´Ù. ¿ª·ù¼º ½Äµµ¿° Áß¿¡ linear ÇÏÁö ¾Ê°í, triangular erosion ÇüÅ·Πº¸ÀÌ´Â °æ¿ì¿¡ Á¶Á÷°Ë»ç¸¦ ÇÒÁö ¸¹ÀÌ °í¹ÎÀÌ µË´Ï´Ù. Peristalsis ¶§¹®¿¡ targetting Çϱ⵵ ½±Áö ¾Ê°í, bx Çϸé Çǹü¹÷ÀÌ µÉ ¿ì·Áµµ µÇ°í, Ȥ½Ã ÃâÇ÷ÀÌ ÀÖÀ¸¸é, ÁöÇ÷Çϱ⵵ À§À庸´Ù Èûµç À§Ä¡¶ó¼­ °í¹ÎÀÌ µË´Ï´Ù. »çÁø°ú °°Àº °æ¿ì¿¡´Â 1ÀÎ °³Àγ»°ú¿¡¼­ °ËÁøÇÒ¶§, bx¸¦ ÇؾßÇÏ´ÂÁö¿ä? ¼ú ÁÖ1ȸ (¼ÒÁÖ 2º´), Ä¿ÇÇ ÇÏ·ç µÎÀÜ µî º´·ÂÀÌ ÀÖÀ¸¸ç, ½ÄÈÄ ¹Ù·Î ´¯´Â ½Äµµ¿° °ü·Ã À§ÇèÀÎÀÚ°¡ ÀÖ½À´Ï´Ù.

[2018-8-4. ÀÌÁØÇà ´äº¯]

¾È³çÇϽʴϱî. ÁÁÀº Áú¹®À̶ó°í »ý°¢ÇÕ´Ï´Ù.

1. ÀüÇüÀûÀÎ mucosal break¿¡¼­´Â Á¶Á÷°Ë»ç°¡ ÇÊ¿äÇÏÁö ¾Ê½À´Ï´Ù. ÀÌ´Â ¸ð¾ç°ú ¹«°üÇÕ´Ï´Ù. LinearÇϰųª triangle shapeÀ̰ųª ¸¶Âù°¡ÁöÀÔ´Ï´Ù.

2. ÀÌ È¯ÀÚ¿¡¼­ Á¶Á÷°Ë»ç°¡ ÇÊ¿äÇÑ ºÎÀ§´Â triangle-shaped mucosal break°¡ ¾Æ´Ï°í ±× ¹Ù·Î ¾Æ·¡ sentinel polypó·³ º¸ÀÌ´Â ºÎºÐÀÔ´Ï´Ù. Ç¥¸éÀÌ ÀüÇüÀûÀÎ hyperplastic polyp ¾ç»óÀÎ Á¡, Á÷»ó¹æ¿¡ triangle shape mucosal break°¡ ÀÖ´Â Á¡ µîÀ» °í·ÁÇÏ¸é ¾ç¼º sentinel polypÀÌ Æ²¸²¾ø´Ù°í »ý°¢µÇÁö¸¸, sentinel polypÀÌ Ã³À½ ¹ß°ßµÇ¸é Á¶Á÷°Ë»ç¸¦ ÇÏ´Â °ÍÀÌ Ç¥ÁØ protocolÀÔ´Ï´Ù.

3. ÇϺνĵµ Á¶Á÷°Ë»ç¿¡¼­ ÀϽÃÀûÀÎ ÃâÇ÷ÀÌ ¸¹Àº °ÍÀº »ç½ÇÀÌ°í, ÀÌ´Â Ç÷°üÀÌ Ç¥¸é °¡±îÀÌ À§Ä¡Çϱ⠶§¹®ÀÔ´Ï´Ù. ±×·¯³ª, ÇϺνĵµÀÇ Ç÷°üÀº °¡´Ã±â ¶§¹®¿¡ ´ë·® ÃâÇ÷À̳ª Áö¿¬ ÃâÇ÷Àº º°·Î ¾ø½À´Ï´Ù. À§¿¡ ºñÇÏ¿© ÁöÇ÷¼úÀÌ ¾î·Á¿î °Íµµ ¾Æ´Õ´Ï´Ù. ÃâÇ÷ À§ÇèÀ» Áö³ªÄ¡°Ô °ÆÁ¤ÇÒ ÇÊ¿ä´Â ¾øÀ» °Í °°½À´Ï´Ù. ±×³É º¸ÅëÀ̶ó°í »ý°¢ÇϽʽÿÀ.

4. Á¶Á÷°Ë»çÀÇ ÀûÀÀÁõÀº Áúº´ÀÇ Æ¯¼º¿¡ µû¶ó ´Þ¶óÁý´Ï´Ù. "1ÀÎ °³Àγ»°ú °ËÁø"À̶ó°í ´ëÇк´¿ø°ú ´Ù¸¦ ÀÌÀ¯°¡ ¾ø½À´Ï´Ù. ´ëÇü º´¿ø ³»½Ã°æ °Ë»ç¿Í 1ÀÎ °³ÀÎ ³»°ú °ËÁø ³»½Ã°æ °Ë»ç´Â °°Àº °Ë»çÀÔ´Ï´Ù. Á¶Á÷°Ë»çµµ °°¾Æ¾ß ÇÕ´Ï´Ù. ¿ì·ÁÇÏ´Â ºÎºÐÀ» ÀÌÇØÇÕ´Ï´Ù¸¸, Á¶Á÷°Ë»ç´Â ÀÇ·á±â°üÀÇ Á¾·ù¿Í ¹«°üÇÏ°Ô ÇÊ¿äÇÏ¸é ¾ðÁ¦³ª ÇØ¾ß ÇÏ´Â ÀúÀ§Çè ½Ã¼úÀÔ´Ï´Ù.

°¨»çÇÕ´Ï´Ù.


[References]

1) GERD TODAY À§½Äµµ¿ª·ùÁúȯ Áõ·Ê ÅäÀÇ

2) EndoTODAY À§½Äµµ¿ª·ùÁúȯ¿¡ ´ëÇÑ ÈçÇÑ Áú¹®

© ÀÏ¿ø³»½Ã°æ±³½Ç ¹Ù¸¥³»½Ã°æ¿¬±¸¼Ò ÀÌÁØÇà. EndoTODAY Endoscopy Learning Center. Lee Jun Haeng. (2018-7-14)