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EndoTODAY ³»½Ã°æ ±³½Ç


[UlcerTODAY 015. Duodenal ulcer H2 ¶Ç´Â S1 ¶Ç´Â S2]

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°Ç°­°ËÁø ³»½Ã°æÀÔ´Ï´Ù. ½ÊÀÌÁöÀå ±Ë¾ç H2·Î ÁֽðڽÀ´Ï±î S1À¸·Î ÁֽðڽÀ´Ï±î? ½ÊÀÌÁöÀå±Ë¾çÀ¸·Î Á¦±ÕÄ¡·á¸¦ ¹ÞÀº °ú°Å·ÂÀÌ Àִµ¥ ±Ý¹ø¿¡¼­µµ Giemsa staining¿¡¼­ ¾ç¼ºÀ¸·Î ³ª¿Ô½À´Ï´Ù.

Àú´Â linear scar·Î º¸¾Ò½À´Ï´Ù. S1À̶ó´Â ¸»¾¸ÀÔ´Ï´Ù. DefiniteÇÑ ulcer crater´Â ¾øÀ¸¹Ç·Î. °£È¤ S2·Î ÁÖ¾î¾ß ÇÑ´Ù´Â ÁÖÀåµµ ÀÖ½À´Ï´Ù. Àúµµ È®½ÅÀÌ ¾ø½À´Ï´Ù. ¿©ÇÏÆ° linear scarÀÔ´Ï´Ù.


ºñ½ÁÇÑ Áõ·ÊÀÔ´Ï´Ù. °ÇÁø¿¡¼­ ¹ß°ßÇÑ linear scarÀÔ´Ï´Ù.


°£¾ÏÀ¸·Î ¼ö¼ú¹ÞÀº ȯÀÚ°¡ melena·Î ³»¿øÇÏ¿´½À´Ï´Ù.

PPI Åõ¾à ÈÄ ÃßÀû°üÂûÀÔ´Ï´Ù.

±Ë¾çÀÌ ´Ù ´ÝÇû°í scar°¡ ÁÖº¯ Á¡¸·°ú µ¿ÀÏÇÑ »öÁ¶ÀÔ´Ï´Ù. White scar´Â ¾Æ´Ï¶ó´Â Á¡¿¡¼­ S1À¸·Î Á־ ÁÁ°í red scar´Â ¾Æ´Ï¶ó´Â Á¡¿¡¼­ S2·Î Á־ ÁÁÀº »óȲÀÔ´Ï´Ù. ÀÌ·² ¶§¿¡´Â Àú´Â S1À¸·Î ºÐ·ùÇÏ°í ÀÖ½À´Ï´Ù.


[References]

1) UlcerTODAY - ¼ÒÈ­¼º ±Ë¾ç Áõ·Ê ÅäÀÇ

2) EndoTODAY Ä­µð´Ù °¨¿° À§±Ë¾ç

© ÀÏ¿ø³»½Ã°æ±³½Ç ¹Ù¸¥³»½Ã°æ¿¬±¸¼Ò ÀÌÁØÇà. EndoTODAY Endoscopy Learning Center. Lee Jun Haeng. (2019-1-1)