Korean Journal of Gastrointestinal Endoscopy 1991;11(1): 77-80.
심한 부식성 식도협착증환자에서 우관동맥도자를 이용한 식도확장술 ( Dilatation of Severe Corrosive Esophageal Stricture Guided by Right Coronary Artery Catheter )
이상인, 손승환, 박인서, 최흥재 (Sang In Lee, Seung Hwan Shn, In Suh Park and Heung Jai Choi)
Abstract
Nonoperative dilatation techniques such as bougination, balloon dilatation, endoscopic laser therapy, and endoscopic electro-coagulation, have been applied to relieve dysphagia due to esophageal strictures, but the most widly used ia peroral dilatation once a guide wire has been passed under direct vision using a fiberoptic endoscope. Some cases of severe and curved esophageal strictures coutd'nt be introduced the conventional steel guide wire. We desecibe a method of cannulation of these difficult strictures guided by torque control angiographic catheter with radiogrphic control. A case of 18 year old man with severe corrosive esophageal stricture ingested HCl was successfully treated with esophageal dilatation with Savary-Gilliard dilator guided by Judkin's right coronary artery catheter.
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