Korean J Gastrointest Endosc > Volume 31(5); 2005 > Article
Korean Journal of Gastrointestinal Endoscopy 2005;31(5): 306-310.
하인두 양성 질환의 내시경 치료
최종환·박종재·지중배*·현종진·김세윤·김지현·김병규·김지훈·장윤정·김철현·서연석·김진용·김재선·박영태
고려대학교 의과대학 구로병원 내과, *서울적십자병원 내과
Endoscopic Treatment of Benign Hypopharyngeal Tumors
Jong Hwan Choi, M.D., Jong-Jae Park, M.D., Joong Bae Jee, M.D.*, Jong Jin Hyun, M.D., Se Yun Kim, M.D., Ji Hyun Kim, M.D., Byung Kyu Kim, M.D., Ji Hoon Kim, M.D., Yun Jung Chang, M.D., Cheol Hyun Kim, M.D., Youn Suk Seo, M.D., Jin Yong Kim, M.D., Jae Seon
Department of Internal Medicine, Korea University Medical Center Guro Hospital, *Seoul Red Cross Hospital, Seoul, Korea
Abstract
During endoscopy, most endoscopists insert endoscopes into the esophagus without visual aid in order to minimize the discomfort to patients. However, studies have shown that visual guided insertion imposes little discomfort, is safe and can increase the diagnostic rate of abnormal pathology of the throat. As for the treatment of hypopharyngeal lesions, cases of endoscopic treatment are rare and any guidelines have not been clearly defined yet. However, endoscopic treatment may be feasible in selected cases. Several procedures, such as endoscopic mucosal resection with cap (EMR-C) and saline injection polypectomy can be applied. We experienced seven patients who had benign hypopharyngeal masses that were removed endoscopically without serious complications. Compared to surgical treatment, endoscopic removal of the benign hypopharyngeal tumors does not require general anesthesia; it is simple, less invasive and less costly. Therefore, endoscopy should be regarded as a treatment option. However, further studies are required before widespread application of endoscopic removal for the definitive treatment of hypopharyngeal masses, including malignancies. (Korean J Gastrointest Endosc 2005;31:306⁣310)
Key Words: Hypopharyngeal mass, Endoscopic treatment
주요어: 하인두 양성 종물, 내시경 절제
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