EndoTODAY | EndoATLAS | OPD

Parasite | Eso | Sto | Cancer | ESD

Boxim | DEX | Sono | Schedule

Home | Recent | Blog | Links

EndoTODAY ³»½Ã°æ ±³½Ç


[¹«´äÅä·Ð - ¼ÒÈ­¼º ±Ë¾ç 006. BGU scar ȤÀº EGC]

Previous | Next

[2016-10-29. ¾Öµ¶ÀÚ Áú¹®]

2³âÀü±îÁö ³»½Ã°æ»ó ƯÀÌ¼Ò°ß ¾ø¾ú°í °ËÁø ³»½Ã°æ»ó EGC ÀǽɼҰßÀÌ È®ÀεǾú½À´Ï´Ù. ÁÖ¸§ÀÌ À¶ÇյǸ鼭 Áß½ÉÀÌ ºÒºÐ¸íÇÏ°í ÁßµµÀý´Ü, À¶ÇÕ, ºñ´ëµîÀÇ ¼Ò°ßÀÌ µ¿¹ÝµÇ¾î ¾ç¼º±Ë¾çº¸´Ù´Â cancer·Î ÆǴܵǾî Á¶Á÷°Ë»ç ½ÃÇàÇß½À´Ï´Ù.

Áö±ÝÀº ´ë·« 2cmÀ¸·Î º¸À̸ç Á¶Á÷°Ë»ç¸¦ 4ȸÁ¤µµ ½ÃÇàÇߴµ¥ Á¶Á÷°Ë»ç½Ã Á¡¸·ÀÌ °æÈ­µÈ µí µüµüÇÏ°Ô ´À²¸Á³½À´Ï´Ù. ±ÝÀÏ Á¶Á÷°Ë»ç°¡ ³ª¿Ô´Âµ¥ ¾ç¼º±Ë¾çÀ¸·Î È®ÀεǾú°í ´Ù½Ã ÃßÀû³»½Ã°æ, Á¶Á÷°Ë»ç¸¦ °í·ÁÇÏ°í ÀÖ½À´Ï´Ù.

³»½Ã°æ¼Ò°ßÀ¸·Î´Â ¾Ç¼ºÁ¾¾ç°¡´É¼ºÀÌ Ä¿¼­ Á¶Á÷°Ë»ç »ó°ü¾øÀÌ EMR (ESD)³ª ¿Ü°úÀû ¼ö¼úÀ» °í·ÁÇØ¾ß ÇÒ °Í °°½À´Ï´Ù. CTµî Ãß°¡°Ë»ç·Î ÀüÀÌ°¡ È®ÀεÇÁö ¾Ê´Â´Ù¸é ³»½Ã°æ¼Ò°ß¸¸À¸·Î EGC·Î ÆÇ´Ü, ³»½Ã°æÀû ÀýÁ¦¼úÀ» °í·ÁÇصµ µÉ·±Áö, ¶Ç Á¶Á÷°Ë»ç ½Ã °æÈ­¼Ò°ßÀ¸·Î ³»½Ã°æÀû ÀýÁ¦¼ú½Ã À§Ç輺ÀÌ ´õ Áõ°¡ÇÒ¼ö ÀÖ´ÂÁö ±³¼ö´ÔÀÇ ÀÇ°ßÀ» ±¸Çغ¾´Ï´Ù.

[2016-10-29. ÀÌÁØÇà ´äº¯]

1. ´Ù¼Ò ºÒ±ÔÄ¢ÇÏ°Ô healing µÇ¾úÁö¸¸ S1 stage ulcer scar·Î ÃßÁ¤µË´Ï´Ù. ÁÖ¸§µéÀÌ °¢ ¹æÇâ¿¡¼­ °í¸£°Ô ²ø·Á¿À°í ÀÖÀ¸¸ç, ±Ë¾ç ¹ÝÈç °æ°èºÎ¿¡¼­ ºÎµå·´°Ô taperingµÇ°í ÀÖ½À´Ï´Ù. ¾ÏÀ̶ó¸é Á¶Á÷°Ë»ç¿¡¼­ false negative°¡ ³ª¿À±â´Â ¾î·Á¿î ¸ð¾çÀÔ´Ï´Ù. µüµüÇÏ´Ù´Â °ÍÀÌ ¾Ç¼ºÀ» ½Ã»çÇÏ´Â ¼Ò°ßÀº ¾Æ´Õ´Ï´Ù. ±Ë¾ç ¹ÝÈçµµ ¾ó¸¶µçÁö µüµüÇÒ ¼ö ÀÖ½À´Ï´Ù.

2. ³»½Ã°æ ÀýÁ¦¼úÀº ÇÊ¿äÇÏÁö ¾ÊÀ» °Í °°°í, ¸¸¾à ½ÃµµÇÑ´Ù¸é »ó´çÇÑ ³­°üÀÌ ¿¹»óµË´Ï´Ù. ¾È ÇÏ´Â °ÍÀÌ ÁÁ°Ú½À´Ï´Ù. ¼ö¼úµµ ÇÊ¿äÇÏÁö ¾Ê±¸¿ä.

3. ³»½Ã°æ Àç°ËÀ» Çϸ鼭 Á¶½É½º·´°Ô Á¶Á÷°Ë»ç¸¦ ÇØ º¸¸é µÉ °Í °°½À´Ï´Ù. CT°¡ ²À ÇÊ¿äÇÑ »óȲÀº ¾Æ´ÏÁö¸¸ ºÒ¾ÈÇϸé Çѹø ÇØ º¸½Ê½Ã¿À.


[References]

1) EndoTODAY ¹«´äÅä·Ð - ¼ÒÈ­¼º ±Ë¾ç

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