| 원발성 식도 분석 |
| 윤지향ㆍ이옥재ㆍ이은정ㆍ김홍준·김형준ㆍ김현진ㆍ김태효ㆍ정운태 |
| 경상대학교 의과대학 내과학교실 |
| A Case of Primary Esophageal Bezoar |
| Ji Hyang Yoon, M.D., Ok Jae Lee, M.D., Eun Jung Lee, M.D., Hong Jun Kim, M.D., Hyung Jun Kim, M.D., Hyun Jin Kim, M.D., Tae Hyo Kim, M.D. and Woon Tae Jung, M.D. |
| Department of Internal Medicine, Gyeongsang National University College of Medicine, Jinju, Korea |
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| Abstract |
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Bezoar is a persistent concretion of indigestible materials, usually found in the stomach, and most cases have been managed by surgical methods. Esophageal bezoars are very rare and have been mainly reported in patients with esophageal motility or anatomical abnormalities. We experienced a case of primary esophageal bezoar dissolved with pancreatic enzyme extracts. A 79-year-old man complained of dysphagia of a 15-day duration. Esophagoscopy revealed a large, yellow-brownish, round, hard mass obstructing the esophageal lumen and a deep ulcer, 30 cm from the incisor teeth. Multiple attempts to break or retrieve it were tried, but failed. He accepted surgical treatment and took a pancreatic enzyme preparation during preoperative evaluation of his heart problem. After 20 days, his symptom was relieved, and bezoar disappeared completely on a follow-up endoscopy. Esophageal manometry disclosed nonspecific esophageal motility disorder. |
| Key Words:
Esophagus, Bezoar |
| 주요어:
식도, 분석 |
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