Korean Journal of Gastrointestinal Endoscopy 2009;39(4): 248-251.
중부 식도 혈관환을 동반한 식도의 소화성 협착 1예
이기병ㆍ임현철ㆍ박혜연ㆍ정재준*ㆍ박효진
연세대학교 의과대학 내과학교실, *영상의학교실
A Case of Esophageal Peptic Stricture Concomitant with Vascular Ring in Mid-Esophagus
Ki Byung Lee, M.D., Hyun Chul Lim, M.D., Hye Yeon Park, M.D., Jae Joon Jung, M.D.* and Hyo Jin Park, M.D.
Departments of Internal Medicine and *Diagnostic Radiology, Yonsei University College of Medicine, Seoul, Korea
Abstract
Esophageal strictures may result from common conditions such as gastroesophageal reflux disease. Dysphagia is by far the most common presenting complaint in patients with esophageal peptic stricture. Symptomatic peptic strictures are treated by dilatation via ballooning or bougienation. Vascular ring is a term given to a combination of vascular and often ligamentous structures that encircle the trachea and esophagus. Symptomatic vascular ring, also known as dysphagia lusoria, is generally treated by conservative management. However, surgery should be considered when symptoms persist regardless of the treatment. We experienced a case involving a 41-year-old man with dysphagia diagnosed with peptic stricture on upper endoscopy and concomitant vascular ring on chest CT, which proved asymptomatic. (Korean J Gastrointest Endosc 2009;39:248-251)
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