Korean J Gastrointest Endosc > Volume 27(6); 2003 > Article
Korean Journal of Gastrointestinal Endoscopy 2003;27(6): 527-530.
내시경으로 치료한 자발성 점막 내 식도 박리증 1예
윤영미ㆍ박진형ㆍ현동우ㆍ박창근ㆍ조창민ㆍ탁원영ㆍ권영오ㆍ김성국ㆍ최용환
경북대학교 의과대학 내과학교실
Endoscopic Treatment of Spontaneous Intramural Dissection of the Esophagus: A Case Report
Young Mi Yoon, M.D., Jin Hyung Park, M.D., Dong Woo Hyun, M.D., Chang Keun Park, M.D., Chang Min Cho, M.D., Won Young Tak, M.D., Young Oh Kweon, M.D., Sung Kook Kim, M.D. and Yong Hwan Choi, M.D.
Department of Internal Medicine, Kyungpook National University College of Medicine, Daegu, Korea
Abstract
Intramural dissection of the esophagus is a rare esophageal disorder which reveals characteristic endoscopic and radiologic features. Some authors have recognized that this injury is an intermediate stage between a transmural esophageal rupture (Boerhaave's syndrome) and an esophageal mucosal tear (Mallory-Weiss syndrome). Presenting symptoms are sudden severe retrosternal pain, hematemesis, odynophagia, and dysphagia. The diagnosis is made by contrast esophagography, esophageal endoscopy, or both. Conservative management is usually successful. Surgery should be reserved for the cases of protracted disease or perforation with mediastinitis. We report a case of spontaneous intramural esophageal dissection, in which the symptom of dysphagia did not improve with a conservative management. Then we treated with an endoscopic incision of the septum between the true and false lumens using a needle type papillotome. (Korean J Gastrointest Endosc 2003;27:527⁣530)
Key Words: Esophageal dissection, Endoscopic treatment
주요어: 자발성 식도 박리, 내시경적 치료
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