Korean Journal of Gastrointestinal Endoscopy 1997;17(4): 529-532.
증례 : 식도 위장관 ; 척추 측만에 의한 압박 부위를 한 번 생검후 발생한 식도 파열 1예 ( Case Reports : Esophagus , Stomach & Intestine ; A Case of Esophageal Perforation by an Endoscopic Biopsy )
안기석, 김기중, 민귀환, 박찬웅, 김지운, 최요안, 정준성, 김건형 (Ki Seok Ahn, Ki Joong Kim, Kwi Hwan Min, Chan Woong Park, Ji Woon Kim, Yo An Choi, Joon Seong Jung and Kun Hyung Kim)
Abstract
The esophagus or stomach can be perforated during diagnostic upper endoscopy in 0.03 to 0.1 percent. Instrumentation injury, as a whole, is probably the most common single cause of all cases of esophageal perforation. Most of the esophageal perforation result from either therapeutic maneuvers(dilation, sclerotherapy, foreign-body removal etc.) or underlying esophageal lesion(such as strictures or diverticular or neoplasm). Endoscopic perforation of the esophagus may be obvious immediately or within a few hours. Cervical pain, subcutaneous emphysema, fever, tachycardia, and characteristic radiographic appearances make the diagnosis easy, but some distal esophageal injuries are subtler, An immediate esophagogram should be obtained if peirforation is suspected. To select an appropriate course of management, precise delineation of location and the extent of perforation is necessary. The esophageal perforation can be managed conservatively by close observation, esophageal rest, and antibiotic coverage, but the mortality rate of medical treatment is near 12%. Causes of death are sepsis and multisystem organ failure. So we report a case of esophageal perforation by an endoscopic biopsy. (Korean J Gastrointest Endosc 17: 529-532, 1997)
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