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A Case Report of Intergrative Korean Medicine on Paralytic Ileus Caused by Ovarian Cancer

난소암으로 유발된 마비성 장폐색에 대한 한의 복합치료 치험 1례

  • Choi, Min-Young (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Kim, Gyu-Tae (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Park, Nam-Gyeong (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Lee, Jin-Moo (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Lee, Chang-Hoon (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Jang, Jun-Bock (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Hwang, Deok-Sang (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University)
  • 최민영 (경희대학교 대학원 임상한의학과) ;
  • 김규태 (경희대학교 대학원 임상한의학과) ;
  • 박남경 (경희대학교 대학원 임상한의학과) ;
  • 이진무 (경희대학교 대학원 임상한의학과) ;
  • 이창훈 (경희대학교 대학원 임상한의학과) ;
  • 장준복 (경희대학교 대학원 임상한의학과) ;
  • 황덕상 (경희대학교 대학원 임상한의학과)
  • Received : 2021.10.14
  • Accepted : 2021.11.26
  • Published : 2021.11.26

Abstract

Objectives: The purpose of this study is to report the improvement of paralytic ileus caused by ovarian cancer after integrative Korean Medicine treatment. Methods: The patient who complained paralytic ileus caused by ovarian cancer was treated by acupuncture, electroacupunture, moxibustion, and herbal medicine for 13 days. The effect of treatment was evaluated by abdominal X-ray, dietary change of patient, Numeral Rating Scale (NRS) and blood examination including white blood cell (WBC), creactive protein(CRP), erythrocyte sedimentation rate (ESR), aspartate aminotransferase (AST), alanine aminotransferase (ALT) and electrocytes. Results: After the treatment, the patient could have taken with her mouth. In addition, the clinical symptoms were improved with no adverse event. Conclusions: This case shows that paralytic ileus caused by ovarian cancer was improved after the integrative Korean Medicine treatment. Therefore, it can be effective an complementary option for paralytic ileus caused by ovarian cancer.

Keywords

References

  1. Current Status of Registered Patients Classified by Cancer Type. Korean Statistical Information Service. [cited April 12, 2021]. Available from: URL:https://kosis.kr/statHtml/statHtml.do?orgId=350&tblId=DT_35001_A090&vw_cd=MT_ZTITLE&list_id=350_35001_6&seqNo=&lang_mode=ko&language=kor&obj_var_id=&itm_id=&conn_path=MT_ZTITLE
  2. Current Status of Newly Registered Patients Treated at Medical Institution Classified by Cancer Type. Korean Statistical Information Service. [cited April 12, 2021]. Available from:https://kosis.kr/statHtml/statHtml.do?orgId=350&tblId=TX_35001_A059&conn_path=I2
  3. Kim SC. Recent adcances in ovarian cancer treatment. Journal of Korean Medical Association. 2016;59(3):164-6. https://doi.org/10.5124/jkma.2016.59.3.164
  4. The Korean Academy of Family Medicine. Clinical Manual of Hospice Palliative Care for Primary Physician. Seoul:JIN & JPNC. 2019:26-7.
  5. Moon YM, et al. Steps to Internal Medicine 6, Gastroenterology. 4th rev. ed. Seoul:Jungdam. 2018:203-9.
  6. Department of Internal Medicine, Seoul National Universiti College of Medicine. SNUH Manual of Medicine. 5th rev. ed. Seoul:Korea Medical Book Publishing Company. 2020:278-80.
  7. Ahn SR, et al. Active nutrition intensive treatment for terminal cancer patients with intestinal obstruction. Korean Society for Parenteral and Enteral Nutrition. 2016;2016:225.
  8. RS Krouse. Malignant bowel obstruction. Journal of Surgical Oncology. 2019;20(1):74-7. https://doi.org/10.1002/jso.25451
  9. Bozzetti F. The role of parenteral nutrition in patients with malignant bowel obstruction. Supportive Care in Cancer. 2019;27(12):4393-9. https://doi.org/10.1007/s00520-019-04948-1
  10. National Association of Department of Gastroenterology in Korean Medicine. Korean Gastroenterology. 1st rev ed. Seoul:Koonja. 2008;78, 247-9, 402-5, 453.
  11. Yang Y, et al. Comparison of efficacy of simo decoction and acupuncture or chewing gum alone on postoperative ileus in colorectal cancer resection: a randomized trial. Scientific Reports. 2017;7:37826. https://doi.org/10.1038/srep37826
  12. Oyama F, et al. Preventive effect of daikenchuto, a traditional Japanese herbal medicine, on onset of ileus after gynecological surgery for malignant tumors. Asia-Pacific Journal of Clinical Oncology. 2020;16(4):254-8. https://doi.org/10.1111/ajco.13329
  13. Kong WH, et al. A Case Report of using Korean Medical Treatment for a Paralytic Ileus Patient. The Journal of Internal Korean Medicine. 2020;41(2):275-82. https://doi.org/10.22246/jikm.2020.41.2.275
  14. Lee HG et al. Clinical Report on a Cerebral Infarction Patients with Paralytic Ileus Treated by Bo-ryu Enema and Daeshiho-tang. The Journal of Internal Korean Medicine. 2016;37(2):225-31.
  15. Park JH, et al. A Case Report of Oriental Medical Treatment for a Patient with Acute Paralytic Ileus. The Journal of Internal Korean Medicine. 2005;26(4):946-53.
  16. Kim SY, et al. Acupuncture, ST-36 Electroacupuncture and Moxa Treatment of Abdominal Pain due to Bowel Obstruction in Cancer Patients : Case Report. Journal of Physiology & Pathology in Korean Medicine. 2014;28(2):238-42.
  17. Ozgur K, et al. A Systematic Review of the Pain Scales in Adults: Which to Use? American Journal of Emergency Medicine. 2018;36(4):707-14. https://doi.org/10.1016/j.ajem.2018.01.008
  18. Smith AN, et al. Disordered colorectal motility in intractable constipation following hysterectomy. British Journal of Surgery. 1990;77(12):1361-6. https://doi.org/10.1002/bjs.1800771214
  19. Barnes W, et al. Manometric characterization of rectal dysfunction following radical hysterectomy. Gynecologic Oncology. 1991;42(2):116-9. https://doi.org/10.1016/0090-8258(91)90329-4
  20. Ripamonti C. Management of bowel obstruction in advanced cancer. Current Opinion in Oncology. 1994;6(4):351-7. https://doi.org/10.1097/00001622-199407000-00005
  21. Oh DS, et al. A Crossover Clinical Trial to Determine the Effect of Siguan (Four Gates) Points on Gastrointestinal Motility Suppressed by Loperamide Administration. Journal of Korean Medicine. 2008;29(1):1-6.
  22. Yu YC. Effects of Moxibustion at Combined Acupoints of ST36, ST37 and ST39 on Small Intestinal Motility in Rats. Journal of Physiology & Pathology in Korean Medicine. 2011;25(6):975-81.
  23. Textbook Compilation Committee of Meridian and Acupoint of Korean Medical Schools in Nation. Details of Meridians & Acupoints (Volume 1): A Guidebook for College Students. 7th rev. ed. Seoul:Jongryunamu. 2016:146-54, 246-50. 361-72, 589-95, 626-8, 644-51, 710-1.
  24. Chen JDZ, Ni M, Yin J. Electroacupuncture treatments for gut motility disorders. Journal of Neurogastroenterology and Motility. 2018;30(7):e13393. https://doi.org/10.1111/nmo.13393
  25. Textbook Compilation Committee of Korean Acupunture and Moxibustion Medicine. Acupuncture Medicine. 1st rev. ed. Seoul:Hanmi Medical Publising Co. 2016:113.
  26. Makino Y, Choe MA. Effects of Hot Packs on Small-Intestinal Motility Measured by Doppler Ultrasound and Subjective Feelings in Normal Adults. Gastroenterology Nursing. 2017;40(4):279-86. https://doi.org/10.1097/SGA.0000000000000222
  27. Shin JE. Pharmacological treatment of chronic onstipation: focused on oral laxatives. Journal of the Korean Medical Association. 2018;61(1):57-61. https://doi.org/10.5124/jkma.2018.61.1.57
  28. Jeon JH, et al. Experimental studies on the effects of Bojanggunbi-tang. Journal of Korean Medicine. 1994;15(1):83-99.
  29. Oriental Medicine Advanced Searching Integrated System, Lonicerae Flos[cited July 26, 2019]. Available from:URL: https://oasis.kiom.re.kr/oasis/herb/monoDetailView_M02.jsp?idx=59&tab=2&keyword=%EA%B8%88%EC%9D%80%ED%99%94&work_seq=null&srch_menu_nix=null