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A Case Report on a Patient Treated with Combined Korean Medicine for Functional Dyspepsia after Cholecystectomy

담낭절제술 후 발생한 기능성 소화불량 환자에 대한 한방복합치료 치험 1례

  • Jun-kyu Lim (Dept. of Internal Medicine of Korean Medicine, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Jae-won Park (Dept. of Internal Medicine of Korean Medicine, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Ja-hyun Min (Dept. of Internal Medicine of Korean Medicine, Daejeon Jaseng Hospital of Korean Medicine)
  • 임준규 (대전자생한방병원 한방내과) ;
  • 박재원 (대전자생한방병원 한방내과) ;
  • 민자현 (대전자생한방병원 한방내과)
  • Received : 2023.09.16
  • Accepted : 2023.10.27
  • Published : 2023.10.30

Abstract

Objectives: The purpose of this study is to report the case of a patient with functional dyspepsia after cholecystectomy whose discomfort after eating and upper abdominal pain improved with a combined Korean medicine treatment. Methods: A combination of treatments, including acupuncture, cupping, Chuna, and herbal medicine, was provided for 48 days to a patient with functional dyspepsia. Her progress was assessed with NRS, EQ5D, and GIS every 2 weeks, including before and after treatment. Results: The patient made significant improvements in NRS, EQ-5D, and GIS after treatment. No adverse events were observed in the patient. Conclusions: The findings indicate that combined Korean medicine treatment can be a safe and effective alternative to treating functional dyspepsia after cholecystectomy.

Keywords

References

  1. Tazuma S, Unno M, Igarashi Y, Inui K, Uchiyama K, Kai M, et al. Evidence-based clinical practice guidelines for cholelithiasis 2016. J Gastroenterol 2017;52(3):276-300. https://doi.org/10.1007/s00535-016-1289-7
  2. Scott TR, Zucker KA, Bailey RW. Laparoscopic cholecystectomy: a review of 12,397 patients. Surg Laparosc Endosc 1992;2(3):191-8.
  3. Ros E, Zambon D. Postcholecystectomy symptoms a prospective study of gallstone patients before and two years after surgery. Gut 1987;28(11):1500-4. https://doi.org/10.1136/gut.28.11.1500
  4. Jazrawi S, Walsh TN, Byrne PJ, Hill AD, Li H, Lawlor P, et al. Cholecystectomy and esophageal reflux: a prospective evaluation. Br J Surg 1993;80(1):50-3. https://doi.org/10.1002/bjs.1800800119
  5. Ford AC, Marwaha A, Sood R, Moayyedi P. Global prevalence of, and risk factors for, uninvestigated dyspepsia: a meta-analysis. Gut 2015;64(7):1049-57. https://doi.org/10.1136/gutjnl-2014-307843
  6. Stanghellini V, Chan FKL, Hasler WL, Malagelada JR, Suzuki H, Tack J, et al. Gastroduodenal Disorders. Gastroenterology 2016;150(6):1380-92. https://doi.org/10.1053/j.gastro.2016.02.011
  7. Lee KJ. Pathophysiology and treatment of functional dyspepsia. J Clin Gastroenterol 2003;9(2):85-91.
  8. Oh JH, Kwon JG. Functional dyspepsia. Korean J Gastroenterol 2019;73(2):77-83. https://doi.org/10.4166/kjg.2019.73.2.77
  9. Eguaras N, Rodriguez-Lopez ES, Lopez-Dicastillo O, Franco-Sierra MA, Ricard F, Oliva-Pascual-Vaca A. Effects of osteopathic visceral treatment in patients with gastroesophageal reflux: A randomized controlled trial. J Clin Med 2019;8(10):1738.
  10. Sul JU, Lee JH, Jo DC, Hwang MS. Indication Analysis Study through Literature Review of Clinical Trials on Visceral Chuna Manipulation. J Korea Chuna Manual Med Spine Nerves 2021;16(2):107-16. https://doi.org/10.30581/jcmm.2021.16.2.107
  11. Kim JB, Kim JH, Son CG, Kang WC, Cho JH. Development of instrument of pattern identification for functional dyspepsia. Korean J Oriental Physiology & Pathology 2010;24(6):1094-8.
  12. Kook YB, Kim SC, Park SD, Park SK, Seo BI, Seo YB, et al. The Herbal Formula Study. Seoul: Younglimsa; 2006, p. 162-4.
  13. Park JW, Ryu BH, Yeo IK, Jerng UM, Han GJ, Oh SH, et al. Banha-sasim-tang as an herbal formula for the treatment of functional dyspepsia: a randomized, double-blind, placebo-controlled, two-center trial. Trials 2010;11:83.
  14. Xu G. Treatment of reflux laryngopharyngitis with modified banxia xiexin tang (Pinellia decoction for draining the heart)--a report of 40 cases. Journal of traditional Chinese medicine=Chung i tsa chih ying wen pan 2006;26(2):127-31.
  15. Wang A. Effect of Haibei San Tablet on Gastric Acid. Jiangsu Traditional Chinese Medicine 1965;6(30):32-4.
  16. Zhou W, Su J, Zhang H. Efficacy and Safety of Acupuncture for the Treatment of Functional Dyspepsia: Meta-Analysis. The Journal of Alternative and Complementary Medicine 2016;22(5):380-9. https://doi.org/10.1089/acm.2014.0400