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[Dr. Sinn's LiverTODAY 009 - Polycystic liver disease]

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À̹ø¿¡´Â µå¹°Áö¸¸ ´Ù³¶¼º°£³¶Á¾ Áõ·Ê¸¦ ¼Ò°³ÇÕ´Ï´Ù. ´Ù¹ß¼º °£³¶Á¾Àº ´Ù³¶¼º ½ÅÁõ°ú µ¿¹Ý¿©ºÎ¿¡ µû¶ó isolated polycystic liver disease (PCLD)¿Í Autosomal dominant polycistic kidney disease (ADPKD) associated PCLD·Î ±¸ºÐÇÕ´Ï´Ù.

F/28¼¼, Áõ»óÀº ¾ø½À´Ï´Ù. ¿ì¿¬È÷ ¹ß°ßµÇ¾ú½À´Ï´Ù. ¿ì¿¬È÷ ´Ù¹ß¼º °£ ³¶Á¾ÀÌ ¹ß°ßµÇ¾ú½À´Ï´Ù. ¾î¶»°Ô ÇØ¾ß ÇÒ±î¿ä?

47¼¼ ³²ÀÚºÐÀÔ´Ï´Ù. °¡Á··ÂÀÌ ÀÖ½À´Ï´Ù. Á¶¿µÁ¦¸¦ »ç¿ëÇÏÁö ¾ÊÀº CTÀε¥, ½ÅÀå¿¡ ³¶Á¾°ú µ¿¹ÝµÈ ADPKD-PCLDÇüÅÂÀÎ ºÐÀÔ´Ï´Ù. Ç×»ó º¹ºÎÆظ¸À¸·Î ¹è°¡ ¸¹ÀÌ ºÒÆíÇÏ´Ù°í ÇÕ´Ï´Ù. ¾î¶»°Ô ÇØ¾ß ÇÒ±î¿ä?

PCLD¿¡ ´ëÇØ Á¤¸®ÇÑ ÆÄÀÏÀ» ÷ºÎÇÏ¿´½À´Ï´Ù. ÀÌ ÀÚ·á´Â 2015³â ³¶Á¾¼ºº´º¯ÀÇ Á¢±Ù°ú Ä¡·á¶ó´Â ÁÖÁ¦·Î ÇÐȸ¿¡¼­ ¹ßÇ¥ÇÏ¿´´ø ÆÄÀÏÀ» ÀϺΠupdateÇÏ¿´½À´Ï´Ù.

PPT PDF 5.8 M


¹Ù»Û ºÐµéÀ» À§ÇÑ^^ ´Ù¼¸ÁÙ ¿ä¾àÀÔ´Ï´Ù.

1) PCLD´Â isolated type°ú ADKPD typeÀ¸·Î ±¸º°µÊ.

2) ¿©¼ºÈ£¸£¸óÁ¦°ú cyst growth¿ÍÀÇ ¿¬°ü¼ºÀÌ º¸°íµÇ°í ÀÖ¾î ¿©¼ºÈ£¸£¸óÁ¦ »ç¿ëÀ» ±ÝÇÏ´Â °ÍÀÌ ±Ç°íµÊ.

3) °¡´ÉÇÑ optionÀ¸·Î´Â aspiration/sclerotherapy, fenestration, resection, transarterial embolization, liver transplantation, somatostatin analogues, mTOR inhibitor µîÀÌ ÀÖÀ¸³ª, ¸Å¿ì Á¦ÇÑÀûÀÌ°í, È¿°úÀûÀÌ°í ±ÙÄ¡ÀûÀÎ Ä¡·á°¡ ¾ø¾î, ÇöÀç·Î´Â Áõ»óÀÌ ÀÖ´Â °æ¿ì¿¡¸¸ Ä¡·á°¡ ±Ç°íµÊ.

4) µ¿¹°½ÇÇè°á°ú UDCA°¡ cystogenesis¿¡ µµ¿òÀÌ µÉ °¡´É¼º(= cyst growth¸¦ ÁÙÀÓ)ÀÌ ½Ã»çµÈ ¹Ù ÀÖÀ½.

5) Phase II UDCA Åõ¾à È¿°ú°¡ ÃÖ±Ù º¸°íµÇ¾úÀ½ (D'Agnolo HM. J Hepatol 2016).


[References]

1) EsoTODAY - Esophageal diseases

2) SmallTODAY - Small bowel diseases

3) ColonTODAY - Colorectal diseases

4) Dr. Sinn's LiverTODAY - Liver diseases

© ¼º±Õ°ü´ëÇб³ ÀÇ°ú´ëÇÐ »ï¼º¼­¿ïº´¿ø ¼ÒÈ­±â³»°ú ½Åµ¿Çö (2016-9-21)