지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
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- 대한상부위장관 헬리코박터학회 Korean Journal of Helicobacter Upper Gastrointestinal Research Korean Journal of Helicobacter Upper Gastrointestinal Research Vol.19 No.1
- 발행연도
- 2019.1
- 수록면
- 5 - 9 (5page)
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초록· 키워드
오류제보하기
The eradication of Helicobacter pylori and the widespread use of effective antisecretory therapies, including proton pump inhibitors, have improved the management of peptic ulcer disease. However, in some patients, peptic ulcer disease is refractory to 8 to 12 weeks of standard antisecretory drug treatment. For refractory peptic ulcer disease, further evaluation of the risk factors and causes of refractory peptic ulcer disease, including patient risk factors and noncompliance (smoking, nonsteroidal anti-inflammatory drug use, and noncompliance with medical treatment), persistent H. pylori infection, and non-H. pylori-related factors (giant ulcer, gastrinoma, infections other than H. pylori, and malignancy), is essential. The treatment should focus on the cause of the refractory peptic ulcer disease, avoiding smoking and nonsteroidal anti-inflammatory drug, the treatment of persistent H. pylori, use of high-dose proton pump inhibitors, or surgical excision of gastrinomas. Surgery should be considered in patients who are at high risk for complications and recurrent peptic ulcer disease despite medical treatment. In this review, I describe the diagnosis and treatment of refractory peptic ulcer disease. (Korean J Helicobacter Up Gastrointest Res 2019;19:5-9)
목차
등록된 정보가 없습니다.
참고문헌 (32)
참고문헌 신청
Lanas AI / 1995 / Risk factors associated with refractory peptic ulcers / Gastroenterology 109:1124~1133
정대영 / 2009 / 비출혈 소화성궤양 치료의 가이드라인 / 대한소화기학회지 54(5):285~297
김흥업 / 2015 / Diagnostic and Treatment Approaches for Refractory Peptic Ulcers / Clinical Endoscopy 48(4):285~290
Hungin AP / 1999 / Factors influencing compliance in long-term proton pump inhibitor therapy in general practice / Br J Gen Pract 49:463~464
Schmassmann A / 1998 / Mechanisms of ulcer healing and effects of nonsteroidal anti-inflammatory drugs / Am J Med 104:43S~51S
정대영 / 2009 / 비출혈 소화성궤양 치료의 가이드라인 / 대한소화기학회지 54(5):285~297
김흥업 / 2015 / Diagnostic and Treatment Approaches for Refractory Peptic Ulcers / Clinical Endoscopy 48(4):285~290
Hungin AP / 1999 / Factors influencing compliance in long-term proton pump inhibitor therapy in general practice / Br J Gen Pract 49:463~464
Schmassmann A / 1998 / Mechanisms of ulcer healing and effects of nonsteroidal anti-inflammatory drugs / Am J Med 104:43S~51S
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