| 자발성 점막하 식도박리의 내시경적 추적관찰 |
| 장창수·정 석·전용선*·류성태·이정일·이진우·권계숙·이돈행·김범수·김형길·신용운·김영수 |
| 인하대학교 의과대학 내과학교실, *방사선과학교실 |
| Serial Endoscopic Observation in a Case of Spontaneous Submucosal Dissection of the Esophagus |
| Chang Soo Jang, M.D., Seok Jeong, M.D., Yong Sun Jeon, M.D.*, Sung Tae Ryu, M.D., Jung Il Lee, M.D., Jin-Woo Lee, M.D., Kye Sook Kwon, M.D., Don Haeng Lee, M.D., Pum-Soo Kim, M.D., Hyung Gil Kim, M.D., Yong Woon Shin, M.D. and Young Soo Kim, M.D. |
| Departments of Internal Medicine and *Radiology, Inha University College of Medicine, Incheon, Korea |
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| Abstract |
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Spontaneous submucosal esophageal dissection is a rare disorder, characterized by a longitudinal dissection along the axis of the esophagus between submucosa and muscle layer without an obvious cause. The diagnosis is made by typical esophagographic or endoscopic findings which are double-barreled esophagus in esophagography or mucosal defect in upper esophagus and false lumen running along the distal side of the esophagus on esophagoscopy. The condition usually follows a benign course with good prognosis requiring a supportive treatment, but rarely treated by endoscopy or surgery. A 74-year-old man was admitted to our hospital complaining of chest pain and odynophagia after upper respiratory infection. We diagnosed a case of spontaneous submucosal dissection of the esophagus and observed its healing process by series of endoscopy with a conservative treatment. (Korean J Gastrointest Endosc 2005;30:1923) |
| Key Words:
Spontaneous submucosal esophageal dissection, Esophagogastroduodenoscopy |
| 주요어:
자발성 점막하 식도박리, 상부위장관내시경 |
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