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약제 연관 소화성궤양의 임상 진료지침 개정안 2020

Clinical Guidelines for Drug-induced Peptic Ulcer, 2020 Revised Edition

대한소화기학회지 2020년 76권 3호 p.108 ~ 133
주문경, 박찬혁, 김준성, 박재명, 안지용, 이봉은, 이정훈, 양효준, 조유경, 방창석, 김범진, 정혜경, 김병옥, 이용찬,
소속 상세정보
주문경 ( Joo Moon-Kyung ) - Korea University College of Medicine Korea University Guro Hospital Department of Internal Medicine
박찬혁 ( Park Chan-Hyuk ) - Hanyang University College of Medicine Guri Hospital Department of Internal Medicine
김준성 ( Kim Joon-Sung ) - Catholic University College of Medicine Incheon St. Mary’s Hospital Department of Internal Medicine
박재명 ( Park Jae-Myung ) - Catholic University College of Medicine Seoul St. Mary’s Hospital Department of Internal Medicine
안지용 ( Ahn Ji-Yong ) - University of Ulsan College of Medicine Asan Medical Center Department of Gastroenterology
이봉은 ( Lee Bong-Eun ) - Pusan National University School of Medicine Department of Internal Medicine
이정훈 ( Lee Jeong-Hoon ) - University of Ulsan College of Medicine Asan Medical Center Department of Gastroenterology
양효준 ( Yang Hyo-Joon ) - Sungkyunkwan University School of Medicine Kangbuk Samsung Hospital Department of Internal Medicine
조유경 ( Cho Yu-Kyung ) - Catholic University College of Medicine Seoul St. Mary’s Hospital Department of Internal Medicine
방창석 ( Bang Chang-Seok ) - Hallym University College of Medicine Department of Internal Medicine
김범진 ( Kim Beom-Jin ) - Chung-Ang University College of Medicine Department of Internal Medicine
정혜경 ( Jung Hye-Kyung ) - Ewha Womans University College of Medicine Department of Internal Medicine
김병옥 ( Kim Byung-Wook ) - Catholic University College of Medicine Incheon St. Mary’s Hospital Department of Internal Medicine
이용찬 ( Lee Yong-Chan ) - Yonsei University College of Medicine Severance Hospital Department of Internal Medicine

Abstract


The Korean guidelines for nonsteroidal anti-inflammatory drug (NSAID)-induced peptic ulcers were previously developed under co-work with the Korean College of Helicobacter and Upper Gastrointestinal Research and Korean Society of Gastroenterology at 2009. On the other hand, the previous guidelines were based mainly on a literature review and expert opinions. Therefore, the guidelines need to be revised. In this study, a guideline development committee for drug-induced peptic ulcers was organized under the Korean College of Helicobacter and Upper Gastrointestinal Research in 2017. Nine statements were developed, including four for NSAID, three for aspirin and other antiplatelet agents, and two for anticoagulants through de novo processes based on evidence-based medicine, such as a literature search, meta-analysis, and the consensus was established using the modified Delphi method. The primary target of this guideline was adult patients taking long-term NSAIDs, aspirin, or other antiplatelet agent and anticoagulants. The revised guidelines reflect the consensus of expert opinions and are intended to assist relevant clinicians in the management and prevention of drug-induced peptic ulcers and associated conditions.

키워드

Peptic ulcer; Anti-inflammatory agents, non-steroidal; Antiplatelet agent; Anticoagulants; Guideline

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