진단 내시경 시 발생한 Boerhaave 증후군의 비수술 치료 1예 |
박용범·김진일·성혜영·하병화·황은미·오유경·정대영·조세현·박수헌·한준열·김재광·최규용 |
가톨릭대학교 의과대학 내과학교실 |
A Case of Nonsurgical Treatment in Boerhaave's Syndorme during Diagnostic Endoscopy |
Yong Bum Park, M.D., Jin Il Kim, M.D., Hye Young Sung, M.D., Byung Hwa Ha, M.D., Eun Mi Hwang, M.D., You Kyoung Oh, M.D., Dae Young Cheung, M.D., Se Hyun Cho, M.D., Soo-Heon Park, M.D., Joon-Yeol Han, M.D., Jae Kwang Kim, M.D. and Kyu Yong Choi, M.D. |
Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea |
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Abstract |
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Boerhaave's syndrome is a rare spontaneous rupture of the esophagus that requires an immediate diagnosis and surgical repair. It might result from a severe and uncoordinated contraction of the esophagus and stomach. The rate of mortality and morbidity can increase with increasing time between the onset and treatment. In recent years, there have been some reports of non-surgical treatment in cases with perforation but with minimal symptoms and clinical evidence of the systemic effects such as sepsis. We experienced a case of Boerhaave's syndrome occurring during an endoscopic examination that was treated successfully using non-surgical measures. (Korean J Gastrointest Endosc 2006;33:353356) |
Key Words:
Boerhaave's syndrome, Esophageal rupture |
주요어:
Boerhaave 증후군, 식도의 자연 파열 |
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