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A Case of Gastrointestinal Dysmotility and Small Intestinal Bacterial Overgrowth in a Patient with Hepatocellular Carcinoma

Other Title
간암 환자에서 발생한 위장관 운동장애 및 소장내 세균과증식 1예
Authors
이, 은희; 이, 광재; 김, 도현; 송, 현주; 최, 준혁; 송, 영준; 김, 진홍; 조, 성원; 윤, 준기
Citation
Taehan Sohwagwan Undong Hakhoe chi, 9(2):163-167, 2003
Journal Title
Taehan Sohwagwan Undong Hakhoe chi; Korean journal of gastrointestinal motility; Korean journal of neurogastroenterology and motility; 대한소화관운동학회지
ISSN
1226-5608
Abstract
Gastrointestinal (GI) symptoms such as nausea, vomiting, abdominal pain, and diarrhea are common in patients with advanced liver disease. Changes of the GI function can be caused by malabsorption, GI motility disturbances, small intestinal bacterial overgrowth (SIBO), or various effects of metabolic derangement due to liver cirrhosis. Hepatocelluar carcinoma (HCC) and liver cirrhosis often share similar symptoms and signs. However, it is still unknown whether GI complaints in patients with HCC result from GI dysmotility. Herein, we report a case of GI dysmotility and SIBO in a patient with HCC and chronic HBV hepatitis. A 52-year-old man came to our hospital presenting with postprandial epigastric discomfort and abdominal bloating. Abdominal computed tomography showed diffuse infiltrative HCC. GI dysmotility and SIBO were found through studies including gastric emptying time, electogastrography, small bowel transit, antroduodenal manometry, and jejunal fluid culture.
Keywords
Gastrointestinal dysmotilitySmall intestinal bacterial overgrowthHepatocellular carcinoma
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Journal Papers > School of Medicine / Graduate School of Medicine > Gastroenterology
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