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[Portal hypertensive gastropathy. ¹®¸Æ¾Ð Ç×Áø¼º À§º´Áõ] - ðû

1. º´Å»ý¸®

2. ³»½Ã°æ ¼Ò°ß

3. ³»½Ã°æ ºÐ·ù

4. Ä¡·á

5. FAQs

6. References


1. º´Å»ý¸®

2010³â ´ëÇѼÒÈ­±âÇÐȸÁö¿¡ ½Ç¸° ÃÖ¿øÇõ ±³¼ö´ÔÀÇ Á¾¼³(¹®¸Æ¾ÐÇ×Áø À§º´Áõ°ú À§ÀüÁ¤ºÎ Ç÷°üÈ®ÀåÁõ)À» Âü°íÇϽñ⠹ٶø´Ï´Ù.

¿°Áõ¼¼Æ÷ÀÇ Ä§À±ÀÌ ÇöÀúÇÏÁö ¾Ê±â ¶§¹®¿¡ gastritis°¡ ¾Æ´Ï¶ó gastropathy¶ó°í ºÎ¸¨´Ï´Ù. ¾Æ·¡ Âü°í.


2. ³»½Ã°æ ¼Ò°ß

À§Ã¼ºÎ Á¡¸·°ú ÁÖ¸§ÀÌ ºñÈĵǰí, ¸ðÀÚÀÌÅ© ¹®¾ç(mosaic-like pattern = white reticular network separating polygonal areas of raised red or pink mucosa)À̳ª ¹ì ÇǺΠ¸ð¾çÀÇ Á¡¸·(snake skin appearance)À» º¸ÀÔ´Ï´Ù. Àü¹ÝÀûÀΠȤÀº ÁÖ¸§ »ó´ÜÀÇ ¹ßÀûÀÌ º¸ÀÌ´Â °æ¿ìµµ ¸¹½À´Ï´Ù. Red point lesion, cherry red spot, black brown spotµîÀÌ µ¿¹ÝµÇ±âµµ ÇÕ´Ï´Ù.


ÃéÀå¾ÏÀÌ ±¤¹üÀ§ÇÑ Ç÷°ü ħ¹üÀ» Çϸé portal hypertensive gastropathy°¡ °üÂûµÉ ¼ö ÀÖ½À´Ï´Ù.

ÃéÀå¾Ï ȯÀÚÀÇ PHG - Âü°í


Á¤»óÀϱî¿ä? ¾Æ´Ï¸é ¾ÆÁÖ °æÇÑ portal hypertensive gastropathyÀϱî¿ä? Varix ¾øÀ½. Platelet 117, protein 5.7, albumin 4.0, PT 1.01 (INR).


3. ³»½Ã°æ ºÐ·ù

ºÐ·ù´Â 2´Ü°è ºÐ·ù¿Í 3´Ü°è ºÐ·ù°¡ Àִµ¥, ÀúÈñ´Â Baveno ºÐ·ù(2 ´Ü°è)¸¦ »ç¿ëÇÏ°í ÀÖ½À´Ï´Ù.

Baveno classification


4. Ä¡·á


[FAQs]

[2015-4-30. ¾Öµ¶ÀÚ Áú¹®]

30´ë ¿©¼ºÀÇ °ËÁø³»½Ã°æÀÔ´Ï´Ù. Ưº°ÇÑ ±âÀúÁúȯÀº ¾ø¾ú½À´Ï´Ù. À§Ã¼ºÎ¿¡ Àü¹ÝÀûÀ¸·Î ÀÛÀº ¹ßÀûÀÌ ÀÖ½À´Ï´Ù. 1³â Àü ³»½Ã°æÀ» º¸´Ï ¶È °°½À´Ï´Ù. ´Ü¼øÀ§¿° °°Áö ¾Ê°í GAVE¿Í´Â À§Ä¡°¡ ´Ù¸£°í Áõ»óÀº ÀüÇô ¾ø½À´Ï´Ù. ¾î¶»°Ô Çؼ®ÇØ¾ß ÇÒÁö¿ä?

[2015-5-5. °ø°³Áú¹® ÈÄ ¹ÞÀº ÇÑ ¾Öµ¶ÀÚ ´äº¯]

ÀϹÝÀûÀ¸·Î Á¡¸·ÀÇ Á¡¾×ºÎÂø, ºÎÁ¾, ¹ßÀû, ¹Ì¶õÀÌ Ç¥Ãþ¼º À§¿°ÀÇ ¼Ò°ßÀ¸·Î ´Ù·ç¾îÁ® ¿ÔÁö¸¸, ÇöÀç¿¡´Â ¹ßÀû¸¸ÀÌ Ç¥Ãþ¼º À§¿°ÀÇ °´°üÀûÀÎ ³»½Ã°æ ¼Ò°ßÀ¸·Î ¿©°ÜÁö°í ÀÖ½À´Ï´Ù. ÇöÀç À§Ã¼ºÎ¿¡¼­ ¹ßÀûÀÌ ´«¿¡ ¶ç´Â ¹Ý»ó ¹ßÀûÀÌ ¹ÐÁýÇØ ÀÖ´Â °ÍÀ¸·Î »ý°¢µË´Ï´Ù. ±âÀúÁúȯÀÌ ¾ø´Â 30´ë ¿©¼ºÀÌ¸ç ¹Ý»ó¹ßÀûÀº H. pylori °¨¿°°ú ¿¬°üµÇ´Â ¼Ò°ßÀ¸·Î H. pylori °¨¿°ÀÌ Àǽɵ˴ϴÙ.


[2016-5-4. ¾Öµ¶ÀÚ Áú¹®]

°£°æº¯ ȯÀÚÀÌ°í ½Äµµ Á¤¸Æ·ù°¡ Àִµ¥ À§ cardia ÁÖº¯ÀÇ Èò»ö ±×¹°°°Àº °ÍÀÌ ¹«¾ùÀΰ¡¿ä?

[2016-5-4. ÀÌÁØÇà ´äº¯]

Portal hypertensive gastropathy¿¡¼­ º¸ÀÌ´Â mosaic pattern Á¡¸·ÀÔ´Ï´Ù. ¾Æ·¡ÀÇ ÀüÇüÀûÀÎ portal hypertensive gastropathy »çÁøÀ» º¸½Ê½Ã¿À. Ã¥¿¡ µû¶ó¼­´Â presence of small, polygonal areas surrounded by a whitish-yellow depressed border¶ó°í ±â¼úµÇ¾î ÀÖ½À´Ï´Ù. Á¶Á÷°Ë»ç´Â ÇÏÁö ¾Ê¾Æµµ µÉ °Í °°½À´Ï´Ù. °£È¤ µå¹°°Ô ±× ¾Æ·¡¿¡ varix¶óµµ ÀÖÀ¸¸é Å«ÀÏÀ̴ϱî¿ä.


[2021-9-17. ¾Öµ¶ÀÚ Áú¹®]

Á¡¸·¿¡ Spotty redness °¡ º¸À϶§, Ç︮ÄÚ¹ÚÅÍ À§¿°ÀÎÁö portal hypertensive gastropathyÀÎÁö ¾î¶»°Ô ±¸ºÐÇÒ ¼ö ÀÖÀ»±î¿ä?

[2021-9-18. ÀÌÁØÇà ´äº¯]

ÀÓ»ó»óÀ» ¾Ë¸é ½±°Ô ±¸ºÐÇÒ ¼ö ÀÖ°ÚÁö¸¸ ³»½Ã°æ ¼Ò°ß¸¸À¸·Î´Â ´Ù¼Ò ¾î·Á¿ï ¼ö ÀÖÀ» °Í °°±âµµ ÇÕ´Ï´Ù. ±×·¯³ª H. pylori gastritis¿¡¼­´Â ºÎÁ¾Àº ´úÇÑ ÆíÀÌ°í ºÒ±ÔÄ¢ÇÑ ¹ßÀûÀÌ ÇöÀúÇÑ Á¡À» °í·ÁÇÏ¸é ±¸ºÐÇÒ ¼ö ÀÖ½À´Ï´Ù.


[2023-4-29. Fellow Áú¹®]

1. ClassificationÀº Baveno ºÐ·ù·Î ±â¼úÇÏ°í, ³»½Ã°æ ¼Ò°ß¿¡ ÷ºÎµÈ Ç¥¿¡¼­ 2-CCS (2 category classification system), 3-CCS (3 category classification system), NIEC (New Italian Endoscopic Club)ÀÇ classificationÀº ±×³É portal hypertensive gastropathy¿¡¼­ ÀÌ·¯ÇÑ ¼Ò°ßÀÌ ÀÖ´Ù Á¤µµ·Î Âü°íÇÏ¸é µÉ±î¿ä?

2. Baveno classification¿¡¼­ mosaic patternÀÇ mild¿Í severe ¼Ò°ßÀ» ¾î¶»°Ô ±¸ºÐÇÏ¸é µÇ´ÂÁö ±Ã±ÝÇÕ´Ï´Ù. ã¾Æº¸´Ï mild´Â pink, severe´Â red·Î »öÀ¸·Î ±¸ºÐÇÏ´Â ¹æ¹ýÀÌ ÀÖ´øµ¥ ÀÌ ¹æ¹ýÀÌ ¸Â´Â°ÇÁö¿ä? °Ë»öÀ» Çصµ Àß ¾È³ª¿Í¼­ ¿©ÂÞ¾î º¾´Ï´Ù.

3. Quiz »çÁø¿¡¼­ mosaic patternÀº ÀÏ°ß ½ÉÇØ º¸¿©¼­ severeÀÎ °Í °°Àºµ¥ red markingsÀº isolatedÀÎÁö confluentÀÎÁö Àß ¸ð¸£°Ú½À´Ï´Ù. ±×³É Á¡Á¡ÀÌ ¹ÚÇôÀִ°Š°°¾Æ¼­ isolatedÀΰ¡ ½Í±âµµ ÇÏ°í µÎ¾î°³ ºÙ¾îÀÖ´Â °Íµµ ÀÖ´Â °Í °°¾Æ¼­ confluentÀÎ °Í °°±âµµ ÇÏ°í...

[2023-5-1. ÀÌÁØÇà ´äº¯]

1/2. ±×·¸½À´Ï´Ù. Baveno ºÐ·ù¿¡ µû¶ó mild ȤÀº severe·Î ³ª´©½Ã±â ¹Ù¶ø´Ï´Ù. Baveno ºÐ·ù¿¡´Â °¢ Ç׸ñ¿¡ ´ëÇÑ ¼³¸íÀÌ ¾øÀ¸¹Ç·Î, ¼Ò°ß ±â¼ú¿¡´Â ¾Æ·¡ Ç¥ÀÇ ¿©·¯ Ç¥ÇöÀ» »ç¿ëÇØ º¼ °ÍÀ» ±ÇÇÕ´Ï´Ù. Ping/red´Â Àúµµ Àß ¸ð¸£°Ú½À´Ï´Ù.

3. ¾Ö¸ÅÇѵ¥¿ä... mosaic patternÀº ÇöÀúÇÏ°í, red markingÀº isolated·Î ÇØ µÓ½Ã´Ù.


[References]

1) [Review] ÃÖ¿øÇõ. ¹®¸Æ¾ÐÇ×Áø À§º´Áõ°ú À§ÀüÁ¤ºÎ Ç÷°üÈ®ÀåÁõ ´ëÇѼÒÈ­±âÇÐȸÁö 2010;56:186-191

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