DOI QR코드

DOI QR Code

A Case Report of Korean Medicine Treatment for a Patient with Early Dumping Syndrome with Diarrhea and Abdominal Pain after Gastrectomy

위절제술 후 발생한 설사, 복통 등을 주소로 하는 조기 덤핑증후군 환자의 한방 치험 1례

  • Kim, Dong-won (Dept. of Internal Korean Medicine, Dongsuwon Korean Medicine Hospital) ;
  • Park, Jin-seo (Dept. of Internal Korean Medicine, Dongsuwon Korean Medicine Hospital) ;
  • Kil, Bong-hun (Dept. of Internal Korean Medicine, Dongsuwon Korean Medicine Hospital) ;
  • Jo, Hye-mi (Dept. of Internal Korean Medicine, Dongsuwon Korean Medicine Hospital) ;
  • Jung, Da-hae (Dept. of Internal Korean Medicine, Dongsuwon Korean Medicine Hospital) ;
  • Won, Jee-yeong (Dept. of Rehabilitation Medicine of Korean Medicine, Dongsuwon Korean Medicine Hospital) ;
  • Cho, Jun-ho (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Lee, Jung-eun (Dept. of Internal Korean Medicine, Dongsuwon Korean Medicine Hospital)
  • 김동원 (동수원한방병원 한방내과) ;
  • 박진서 (동수원한방병원 한방내과) ;
  • 길봉훈 (동수원한방병원 한방내과) ;
  • 조혜미 (동수원한방병원 한방내과) ;
  • 정다해 (동수원한방병원 한방내과) ;
  • 원지영 (동수원한방병원 한방재활의학과) ;
  • 조준호 (경희대학교 대학원 임상한의학과) ;
  • 이정은 (동수원한방병원 한방내과)
  • Received : 2020.09.11
  • Accepted : 2020.10.27
  • Published : 2020.10.30

Abstract

The purpose of this study was to report the clinical effects of Korean medicine on a patient who suffered from Early Dumping Syndrome with diarrhea, abdominal pain, anorexia, and insomnia after gastrectomy. The patient was treated with herbal medicine, acupuncture and moxibustion use in combination with Western medicine for 4 weeks. Though anorexia was maintained at a similar level, other clinical symptoms (diarrhea, abdominal pain, and insomnia) were improved after Korean medicine treatment. Therefore, Korean medicine may be effective for treatment of Early Dumping Syndrome after gastrectomy.

Keywords

References

  1. Moon YM. Steps to Internal Medicine 6 Gastroenterology. Seoul: Jeongdam; 2018, p.138-42.
  2. Sawyers JL. Management of postgastrectomy syndromes. Am J Surg 1990;159(1):8-14. https://doi.org/10.1016/S0002-9610(05)80600-2
  3. Miholic J, Reilmann L, Meyer HJ, Korber H, Kotzerke J, Hecher H. Extracellular space, blood volume, and the early dumping syndrome after total gastrectomy. Gastroenterology 1990;99(4):923-9. https://doi.org/10.1016/0016-5085(90)90608-4
  4. Fromm D. Complications of gastric surgery. Wiley 1977.
  5. Glasgow RE, Mulvihill SJ. Postgastrectomy syndromes. Probl General Surgery 1997;14(3):132.
  6. Vecht J, Gielkens HA, Frolich M, Lamers CB, Masclee AA. Vasoactive substances in early dumping syndrome: effects of dumping provocation with and without octreotide. Eur J Clin Invest 1997;27(8):680-4. https://doi.org/10.1046/j.1365-2362.1997.156070.x
  7. Eagon JC, Miedema BW, Kelly KA. Postgastrectomy syndromes. Surg Clin North Am 1992;72(2):445-65. https://doi.org/10.1016/S0039-6109(16)45689-6
  8. Miedema BW, Kelly KA. The Roux operation for postgastrectomy syndromes. Am J Surg 1991; 161(2):256-61. https://doi.org/10.1016/0002-9610(91)91141-5
  9. Arts J, Caenepeel P, Bisschops R, Dewulf D, Holvoet L, Piessevaux H, et al. Efficacy of the long-acting repeatable formulation of the somatostatin analogue octreotide in postoperative dumping. Clin Gastroenterol Hepatol 2009;7(4):432-7. https://doi.org/10.1016/j.cgh.2008.11.025
  10. Lucas W, Joris A, Philip C, Lieselot H, Jan T, Raf B, et al. Efficacy and safety of lanreotide in postoperative dumping syndrome: A Phase II randomised and placebo-controlled study. United European Gastroenterol J 2019;7(8):1064-72. https://doi.org/10.1177/2050640619862166
  11. Hong SC, Park BK, Noh HS, Choi DJ. Herbal Medicine for Dumping Syndrome: A Systematic Review and Meta-Analysis. Integr Cancer Ther 2019;18:1-12.
  12. Yi CS, Noh HS, Ha YK, Park SW, Hong SC, Lim SW. Korean Medical Treatment of Early Dumping Syndrome after Gastrectomy: A Case Report. J Int Korean Med 2017;38(5):736-43. https://doi.org/10.22246/jikm.2017.38.5.736
  13. Ryu JC, Kwon JN, Kim YK. Two Cases of Postgastrectomy Syndrome Treatment with Oriental Medicine J Int Korean Med 2004;25(3):596-601.
  14. Committee of Digestive Diseases, National Korean Medicine College. Gastroenterology. Paju: Koonja publisher; 2016, p. 182-3.
  15. Choe US, Lee WY, Jeong GH, Seo YB. Consideration in the Interpretation of the Pyeongwi-san Prescription. Herbal Formula Science 2015;23(2):225-3. https://doi.org/10.14374/HFS.2015.23.2.225
  16. Lee MC, Park JR, Shim JH, Ahn TS, Kim BJ. Effects of Traditional Chinese Herbal Medicine Shengmai-San and Pyungwi-San on Gastrointestinal Motility in Mice. J Korean Med Obes Res 2015; 15(2):68-74. https://doi.org/10.15429/jkomor.2015.15.2.68
  17. Kim BJ, Kim JW, Jeong BJ, Woo SH, Shim HJ, Na EJ, et al. A Case Report of Ascites in Liver cirrhosis with Herbal Prescription. J Int Korean Med 2006;27(4):962-8.
  18. Rho EJ, Kang HE. Gobangyuchwi. Seoul: Bokchiuihakoe Publish; 2009, p. 195.
  19. Park YS, Yoon SH. Effect of Bojoongikki-tang, Sipjeondaebo-tang, Youngkaechulgam-tang on Gastric Contractility Estimated by Bowel Sound in Rats. J Int Korean Med 2010;31(2):212-23.
  20. Jung YJ, Yoon SH. Effect of Youngkaechulgam-tang and Bojoongikki-tang on Gastric Contractility, Body Weight, and Gastric Morphology in Rats with Non-obstructive Antral Dilation. J Int Korean Med 2010;31(4):857-69.
  21. Kim IR, Kim HC, Guk YB, Park SJ, Park YG, Park JH, et al. Bonchohak. Seoul: Yeongnimsa; 2011, p. 334, 408, 583, 412-4.
  22. Hong JM, Choi SH, Rim HS, Cha SB, Lim SK, Lee HC, et al. A case of dumping syndrome presenting as hypoglycemic shock with dramatic improvement by octreotide treatment. Korean J Med 2002;63(5):567-71.
  23. Ro WS, Ryu BH, Kim JS, Yoon SH. Experimental Studies on the Anti-cathartic Effects of Dolichoris Semen, Terminaliae Fructus and Bojanggunbi-tang. J Int Korean Med 2006:27(2):356-70.