The Journal of Internal Korean Medicine (대한한방내과학회지)

The Society of Internal Korean Medicine (대한한방내과학회)
권호 표지
DOI QR코드

DOI QR Code

A Case Study of a Dumping Syndrome Patient Treated with Gamchobunmil-tang

조기 덤핑증후군 환자의 복통에 감초분밀탕을 사용한 1례

  • Choi, Eunseok (College of Korean Medicine, Woosuk University) ;
  • Hur, Nayeon (Dept. of Internal Medicine, College of Korean Medicine, Woosuk University) ;
  • Kim, Yeonju (Dept. of Neuropsychiatry, College of Korean Medicine, Woosuk University) ;
  • Jeong, Hyein (Dept. of Preventive Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Hong, Seungwon (Myung-ga Korean Medicine Clinic) ;
  • Jang, Insoo (Dept. of Internal Medicine, College of Korean Medicine, Woosuk University)
  • 최은석 (우석대학교 한의학과) ;
  • 허나연 (우석대학교 한의과대학 내과학교실) ;
  • 김연주 (우석대학교 한의과대학 신경정신과학교실) ;
  • 정혜인 (경희대학교 한의과대학 예방의학교실) ;
  • 홍승원 (명가한의원) ;
  • 장인수 (우석대학교 한의과대학 내과학교실)
  • Received : 2022.09.16
  • Accepted : 2022.11.03
  • Published : 2022.10.30
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study is to explore the effectiveness of Gamchobunmil-tang as a treatment for early dumping syndrome. A patient reported abdominal pain after eating, was not able to eat more than two spoons of thin rice gruel, and had lost 8 kg of his weight. The patient was treated with Gamchobunmil-tang three times a day for 12 days. The effects of the treatment were evaluated using the Visual Analogue Scale and the amount and form of the patient's intake. After treatment, the pain due to the dumping syndrome decreased. The Visual Analogue Scale score dropped significantly from 9 to 2, and increased amounts and novel forms of the food the patient consumed were observed. Despite the lack of a case, the results showed that Gamchobunmil-tang was effective in reducing the pain caused by the early dumping syndrome. Further research might prove that Gamchobunmil-tang could be an alternative treatment method for early dumping syndrome.

Keywords

References

  1. Tack J, Arts J, Caenepeel P, De Wulf D, Bisschops R. Pathophysiology, diagnosis and management of postoperative dumping syndrome. Nat Rev Gastroenterol Hepatol 2009 Oct;6(10):583-90. https://doi.org/10.1038/nrgastro.2009.148
  2. Tack J, Deloose E. Complications of bariatric surgery: dumping syndrome, reflux and vitamin deficiencies. Best Pract Res Clin Gastroenterol 2014 Aug;28(4):741-9. https://doi.org/10.1016/j.bpg.2014.07.010
  3. Eagon JC, Miedema BW, Kelly KA. Postgastrectomy syndromes. Surg Clin N Am 1992;72(2):445-65. https://doi.org/10.1016/S0039-6109(16)45689-6
  4. Yi CS, Noh HS, Ha YK, Park SW, Hong SC, Lim SW. Korean Medical Treatment of Early Dumping Syndrome after Gastrectomy: A Case Report. The Journal of Internal Korean Medicine 2017;38(5):736-43. https://doi.org/10.22246/jikm.2017.38.5.736
  5. Kim DW, Park JS, Kil BH, Jo HM, Jung DH, Won JY, et al. A Case Report of Korean Medicine Treatment for a Patient with Early Dumping Syndrome with Diarrhea and Abdominal Pain after Gastrectomy. Korean J Orient Int Med 2020;41(5):868-76. https://doi.org/10.22246/jikm.2020.41.5.868
  6. Han CW. A Case Report of Chronic Post-gastrectomy Abdominal Pain Treated with Traditional Korean Medicine. J Int Korean Med 2019;40(5):873-7. https://doi.org/10.22246/jikm.2019.40.5.873
  7. Ryu JC, Kwon JN, Kim YK. Two Cases of Postgastrectomy Syndrome Treatment with Oriental Medicine. Korean J Orient Int Med 2004;25(3) :596-601.
  8. Keisetsu Otsuka. Characteristics of oriental medicine. Korea: Jeonpagwahagsa; 1998, p. 44.
  9. Wong DL, Hochenberry-Eaton M, Wilson D, Winkelstein ML, Schwartz P. Wong's Essentials of Pediatric Nursing. 6th edition. St. Louis: Mosby; 2001, p. 1301.
  10. Choi WH, Choi SY, Park CH. The Current Status of Laparoscopic Gastrectomy in Gastric cancer. Korean Journal of Clinical Oncology 2008;4(1):20-4. https://doi.org/10.14216/kjco.08004
  11. Arts J, Caenepeel P, Bisschops R, Dewulf D, Holvoet L, Piessevaux H, Bourgeois S, 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
  12. Scarpellini E, Arts J, Karamanolis G, Laurenius A, Siquini W, Suzuki H, et al. International consensus on the diagnosis and management of dumping syndrome. Nat Rev Endocrinol 2020; 16(8):448-66. https://doi.org/10.1038/s41574-020-0357-5
  13. Kim DW, Park JS, Kill BH, Jo HM, Jung DH, Won JY, et al. A Case Report of Korean Medicine Treatment for a Patient with Early Dumping Syndrome with Diarrhea and Abdominal Pain after Gastrectomy. Korean J Orient Int Med 2020;41(5):868-76. https://doi.org/10.22246/jikm.2020.41.5.868
  14. 胡希恕. Jingui Yaolue. Seoul: mulgogisup; 2017,p. 379.
  15. Lee YM. Effects of Jakyyakgamcho-tang and Acupuncture Combination Treatment on Immunemediated Inflammatory Bowel Diseases. Ph.D. diss. Dong-shin University 2020, p. 30.
  16. Son HS, Na CS, Seo SH, Kim MR, Kim EJ, Yi YM, et al. Final report on the validation and metabolite analysis of Jackyakgamcho-tang (JGT) for inflammatory bowel disease. Dong Shin University 2019.