Korean J Gastrointest Endosc > Volume 31(4); 2005 > Article
Korean Journal of Gastrointestinal Endoscopy 2005;31(4): 243-247.
Cyanoacrylate (Histoacryl) 경화치료 후 발생한 식도폐색 1예
전원중·서정철·임성우·이기만·채희복·박선미·배일헌*·김성진*·윤세진
충북대학교 의과대학 내과학교실, *방사선학교실
A Case of Esophageal Obstruction after Cyanoacrylate Injection Sclerotherapy
Won Joong Jeon, M.D., Jeong Chul Seo, M.D., Seong Woo Lim, M.D., Ki Man Lee, M.D., Hee Bok Chae, M.D., Seon Mee Park, M.D., Il Hun Bae, M.D.*, Seong Jin Kim, M.D.* and Sei Jin Youn, M.D.
Departments of Internal Medicine and *Radiology, College of Medicine and Medical Research Institute, Chungbuk National University, Cheongju, Korea
Abstract
Cyanoacrylate is well recognized for its effect in the treatment of the gastric variceal bleeding rather than the esopahgeal variceal bleeding. We used endoscopic injection sclerotherapy (EIS) with cyanoacrylate for the control of esophageal variceal bleeding in which endoscopic variceal ligation (EVL) was difficult due to severe post-EVL scar changes of the esophageal mucosa. The hemostasis by EIS with cyanoacrylate was successfully achieved despite the massive bleeding. However, esophageal obstruction occurred after the EIS treatment. Later, the obstruction resolved spontaneously as the polymer was expelled into the esophageal lumen. We report this case with a brief review of the literatures. (Korean J Gastrointest Endosc 2005;31:243⁣247)
Key Words: Cyanoacrylate, Esophageal variceal bleeding, Dysphagia
주요어: Cyanoacrylate, 식도정맥류 출혈, 식도폐색
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