Korean J Gastrointest Endosc > Volume 34(1); 2007 > Article
Korean Journal of Gastrointestinal Endoscopy 2007;34(1): 43-46.
내시경 점막 절제술 후 발생한 체액 저류를 동반한 위 천공의 내과 치료 1예
성백진 · 이일수 · 이중철 · 최인기 · 정금모 · 조용근 · 김지웅 · 조진웅
예수병원 소화기내과
A Case of Successful Non-surgical Management of Iatrogenic Gastric Perforation with Fluid Collection after Endoscopic Mucosal Resection
Back Jin Seong, M.D., Il Soo Lee, M.D., Jung Cheol Lee, M.D., In Key Choi, M.D., Gum Mo Jung, M.D., Yong Keun Cho, M.D., Ji Woong Kim, M.D. and Jin Woong Cho, M.D.
Department of Internal Medicine, Jejus Hospital, Jeonju, Korea
Abstract
An endoscopic mucosal resection (EMR) is considered to be a potential alternative to surgery for a gastrointestinal tumor on account of it being an improved technique. Since its introduction in Japan in the early 1980s, it is now an accepted modality for removing precancerous lesions or early gastric cancer from the GI tract because it is minimally invasive and preserves the patient's quality of life. The major complications of EMR is bleeding and perforation. The treatment guidelines for iatrogenic perforation after EMR have not been established. Herein, we report a successful case of EMR induced gastric perforation with fluid collection that was successfully treated with non-surgical management.
Key Words: Perforation῀Non-surgical management
주요어: 위 천공, 내과 치료
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