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EndoTODAY ³»½Ã°æ ±³½Ç


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½ÊÀÌÁöÀå ±Ë¾ç ÇùÂøºÎ¿¡¼­ ±Ë¾çÀÌ Àç¹ßÇÏ¸é °üÂûÀÌ ¾î·Æ±â ¶§¹®¿¡ Áø´Üµµ ¾î·Æ½À´Ï´Ù.

°ú°Å ½ÊÀÌÁöÀå±Ë¾çÀ¸·Î ÀÎÇÑ ÇùÂøÀÌ ÀÖ´ø ȯÀÚÀÔ´Ï´Ù. ÇãÇ÷¼º ½ÉÁúȯÀ¸·Î coronary stent ÈÄ dual antiplatelet Ä¡·á¸¦ ¹Þ°í ÀÖ´ø Áß melena°¡ ¹ß»ýÇÏ¿´½À´Ï´Ù. ù ³»½Ã°æ¿¡¼­ ½ÊÀÌÁöÀå ÇùÂøºÎÀÇ ¹ßÀûÀº ÀÖ¾úÀ¸³ª ¶Ñ·ÇÇÑ ÃâÇ÷ ¼Ò°ßÀº ¾ø¾ú´ø °Í °°½À´Ï´Ù. ´ç½Ã¿¡´Â ½ÊÀÌÁöÀå Á¦2ºÎ±îÁö °üÂûÇÏÁö ¸øÇß½À´Ï´Ù.

PPI¸¦ »ç¿ëÇÏ¿´À¸³ª ÃâÇ÷ÀÌ °è¼ÓµÈ´Ù°í ÀǷڵǾî Áï½Ã ³»½Ã°æ Àç°ËÀ» ÇÏ¿´½À´Ï´Ù. ¾à°£ÀÇ ÀúÇ×°¨Àº ÀÖ¾úÀ¸³ª ÇùÂøºÎ¸¦ Åë°úÇØ º¸¾ÒÀ» ¶§, Á¼¾ÆÁø ¹Ù·Î ±×°÷¿¡¼­ oozingÀ» µ¿¹ÝÇÑ ±Ë¾çÀ» È®ÀÎÇÒ ¼ö ÀÖ¾ú½À´Ï´Ù. Injection ÈÄ monopolar coagulationÀ¸·Î ÁöÇ÷ÇÏ¿´½À´Ï´Ù. ÇâÈÄ symptomatic stricture ¹ß»ý °¡´É¼ºÀ» ¼³¸íÇÏ¿´°í, antiplatelet µå½Ã´Â ÇÑ Æò»ý PPI¸¦ ÇÔ²² µå½Ç °ÍÀ» ±ÇÇß½À´Ï´Ù.

Dual antiplateletÀ» »ç¿ëÇÒ ¶§ ±Ë¾çÀÇ °ú°Å·ÂÀÌ ÀÖÀ¸¸é PPI¸¦ prophylaticÇÏ°Ô »ç¿ëÇÏ´Â °ÍÀÌ ÁÁ½À´Ï´Ù. ÇöÀç ±¹³»¿¡¼­ ÀÌ·¯ÇÑ prophylatic PPI ó¹æÀÌ Çã¿ëµÇÁö ¾Ê°í ÀÖ´Ù´Â °ÍÀÌ Å« ¹®Á¦ÀÔ´Ï´Ù. »¡¸® ±âÁØÀÌ ¹Ù²ã¾ß ÇÒ °Í °°½À´Ï´Ù. À߸øµÈ ±âÁض§¹®¿¡ °í»ýÇÏ°í °è½Ã´Â ȯÀÚ°¡ ³Ê¹« ¸¹½À´Ï´Ù. À§'ÇèÀÎÀÚ´Â Àß ¾Ë·ÁÁ® ÀÖ½À´Ï´Ù. À§ÇèÀÎÀÚ°¡ ¿©·µÀÌ¸é ´õ¿í À§ÇèÇÕ´Ï´Ù. PPI¸¦ ¾²µµ·Ï ±ÇÇÏ´Â °ÍÀÌ ÀÇÇÐÀû »ó½ÄÀε¥ ´ÜÁö '½ÉÆòÀÇÇÐ'¿¡¼­¸¸ ÀÎÁ¤ÇØ ÁÖÁö ¾Ê°í ÀÖÀ» »ÓÀÔ´Ï´Ù.


[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.